Higher risk for poor handwriting in Taiwanese children born late preterm
Background: Late-preterm and early-term births constitute a significant proportion of live births. However, handwriting skills of these two populations remain unclear. We aimed to investigate their risk for poor Chinese handwriting in grade two. Methods: In this observational study, 185 second grade...
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Format: | Article |
Language: | English |
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Elsevier
2023-05-01
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Series: | Pediatrics and Neonatology |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957222002546 |
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author | Yea-Shwu Hwang Chih-Cheng Chen Hui-Ning Shih Wen-Hui Tsai |
author_facet | Yea-Shwu Hwang Chih-Cheng Chen Hui-Ning Shih Wen-Hui Tsai |
author_sort | Yea-Shwu Hwang |
collection | DOAJ |
description | Background: Late-preterm and early-term births constitute a significant proportion of live births. However, handwriting skills of these two populations remain unclear. We aimed to investigate their risk for poor Chinese handwriting in grade two. Methods: In this observational study, 185 second graders born late preterm (34+0–36+6 weeks' gestation, n = 54), early term (37+0–38+6 weeks' gestation, n = 56), and full term (39+0–41+6 weeks’ gestation, n = 75) without any intervention or diagnosis related to developmental delays were included. Their handwriting performance was rated by class teachers using the Chinese Handwriting Evaluation Form (CHEF), which is a standardized handwriting scale including five handwriting dimensions (construction, accuracy, directionality, speed, and pencil grasp). Results: After controlling for demographic risk factors, the late-preterm born group had a greater risk of having worse performance in the full form (adjusted odds ratio [aOR] = 3.93; p = .038) and construction dimension (aOR = 4.77; p = .009) of the CHEF than peers born at full term, whereas the risks were comparable for the early- and full-term born groups (aOR = 0.14–1.90; p = .073–0.453 in the handwriting dimensions). Conclusions: Late-preterm but not early-term born children were found to be at higher risk for poor Chinese handwriting in grade two. They particularly have difficulty with spatial construction including size, spacing, and alignment of Chinese characters and components that may influence handwriting legibility. |
first_indexed | 2024-04-09T12:53:30Z |
format | Article |
id | doaj.art-23a4fc121c9a4ca98104668caaf9c489 |
institution | Directory Open Access Journal |
issn | 1875-9572 |
language | English |
last_indexed | 2024-04-09T12:53:30Z |
publishDate | 2023-05-01 |
publisher | Elsevier |
record_format | Article |
series | Pediatrics and Neonatology |
spelling | doaj.art-23a4fc121c9a4ca98104668caaf9c4892023-05-14T04:28:24ZengElsevierPediatrics and Neonatology1875-95722023-05-01643306312Higher risk for poor handwriting in Taiwanese children born late pretermYea-Shwu Hwang0Chih-Cheng Chen1Hui-Ning Shih2Wen-Hui Tsai3Department of Occupational Therapy, College of Medicine, National Cheng Kung University, 1 University Road, East District, Tainan City, 701401, TaiwanSection of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital Kaohsiung Branch and Chang Gung University, College of Medicine, 123 Dapi Road, Kaohsiung City, Niaosong District, 833401, TaiwanDepartment of Occupational Therapy, College of Medicine, National Cheng Kung University, 1 University Road, East District, Tainan City, 701401, TaiwanGraduate Institute of Medical Sciences, College of Health Sciences, Chang Jung Christian University, 1 Changda Road, Gueiren District, Tainan City, 711301, Taiwan; Division of Neonatology, Department of Pediatrics, Chi Mei Medical Center, 901 Zhonghua Rd., Yongkang District, Tainan City, 71004, Taiwan; Corresponding author. Division of Neonatology and Division of Genetics and Metabolism, Department of Pediatrics, Chi Mei Medical Center, 901, Zhonghua Rd., Yongkang District, Tainan City 71004, Taiwan.Background: Late-preterm and early-term births constitute a significant proportion of live births. However, handwriting skills of these two populations remain unclear. We aimed to investigate their risk for poor Chinese handwriting in grade two. Methods: In this observational study, 185 second graders born late preterm (34+0–36+6 weeks' gestation, n = 54), early term (37+0–38+6 weeks' gestation, n = 56), and full term (39+0–41+6 weeks’ gestation, n = 75) without any intervention or diagnosis related to developmental delays were included. Their handwriting performance was rated by class teachers using the Chinese Handwriting Evaluation Form (CHEF), which is a standardized handwriting scale including five handwriting dimensions (construction, accuracy, directionality, speed, and pencil grasp). Results: After controlling for demographic risk factors, the late-preterm born group had a greater risk of having worse performance in the full form (adjusted odds ratio [aOR] = 3.93; p = .038) and construction dimension (aOR = 4.77; p = .009) of the CHEF than peers born at full term, whereas the risks were comparable for the early- and full-term born groups (aOR = 0.14–1.90; p = .073–0.453 in the handwriting dimensions). Conclusions: Late-preterm but not early-term born children were found to be at higher risk for poor Chinese handwriting in grade two. They particularly have difficulty with spatial construction including size, spacing, and alignment of Chinese characters and components that may influence handwriting legibility.http://www.sciencedirect.com/science/article/pii/S1875957222002546Early termGrade twoHandwritingLate preterm |
spellingShingle | Yea-Shwu Hwang Chih-Cheng Chen Hui-Ning Shih Wen-Hui Tsai Higher risk for poor handwriting in Taiwanese children born late preterm Pediatrics and Neonatology Early term Grade two Handwriting Late preterm |
title | Higher risk for poor handwriting in Taiwanese children born late preterm |
title_full | Higher risk for poor handwriting in Taiwanese children born late preterm |
title_fullStr | Higher risk for poor handwriting in Taiwanese children born late preterm |
title_full_unstemmed | Higher risk for poor handwriting in Taiwanese children born late preterm |
title_short | Higher risk for poor handwriting in Taiwanese children born late preterm |
title_sort | higher risk for poor handwriting in taiwanese children born late preterm |
topic | Early term Grade two Handwriting Late preterm |
url | http://www.sciencedirect.com/science/article/pii/S1875957222002546 |
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