Professional Documents
Culture Documents
Haley E. Wilde
Fall 2017
EDPS 690
Academic Intervention
Abby* was a 7 year old, second grade student in the general education curriculum at
ABC Elementary school, where she had been a student since kindergarten. She did not have an
IEP and was not receiving any special education services, though she had been evaluated in the
past as a preschooler. Upon hearing the school psychologist intern was available to provide
intervention for students of need, Abbys teacher referred her for additional assistance with
handwriting. After obtaining signed consent from Abbys parents, the school psychologist intern
collected the relevant background, academic, and observational information to guide the design
Abby was living with her biological mother, father, and twin sister in Indiana Town,
Indiana. A previous evaluation report indicated Abby was born at 27 weeks, weighed 2 pounds, 3
ounces, spent four months in the NICU after birth and was on a ventilator for two months.
Records indicated Abby had a diagnosis of chronic lung disease and asthma. Abby received
occupational therapy and physical therapy services through First Steps for approximately one
year. She was previously evaluated for a possible speech impairment and/or language
impairment eligibility when she was in preschool, out of concern for her delayed communication
skills. The multidisciplinary team did not find Abby to demonstrate evidence of a speech or
language impairment and she did not meet criteria for either, as her speech and language skills
were found to be age-appropriate at the time. As a result, the case conference committee did not
School records indicated Abby passed a hearing screening in July of 2016 and a vision
screening in February of 2017. No current medical, behavioral, or social concerns were reported
Problem Analysis
Abbys teacher reported her handwriting lacks consistency with where she places letters,
reversals, using upper and lower case letters correctly, and formation. Abbys handwriting
struggles were not reported or observed to be due to fine motor issues, such as pencil grip. The
data collected through various methods, as described in the RIOT matrix, were examined to gain
background, academic skills, abilities, and behavioral tendencies were considered through
reviewing previous records, numerous observations across settings, teacher interview, and
existing interventions, this information was assessed using the RIOT (review, interview, observe,
and test) approach (Appendix A). Based on the information collected through the RIOT method
and exploration of research-based interventions, an intervention plan was designed to best serve
the Abbys unique needs while being mindful of her classroom and other intervention schedules.
Baseline data as well as progress monitoring data were collected on a weekly basis prior to and
during the intervention phase, as described in the following section. Abbys current levels,
according to classroom assessments and district benchmarks, are included in the following
section.
o Literacy:
August:
September:
o Math:
August:
September:
Problem Validation
Abbys classroom teacher expressed concern about her handwriting skills, in addition to
her performance in other academic areas. While the other academic areas were being addressed
via intervention and assistance, handwriting remained an area of need. The information collected
through various methods, as described in the RIOT matrix, was examined to gain a
Abbys history of academic performance includes primarily A and B grades. Her grades
for the first quarter of second grade were also primarily As, however, she received a C grade in
the subject of handwriting on her report card. Abbys teacher reported this is an area that needed
a lot of improvement and that Abby would benefit from additional assistance in this academic
area. Previous evaluation records indicated there were not fine motor concerns for Abby and no
additional concerns were reported during her time at Abraham Lincoln elementary school.
Similarly, no vision concerns were reported on Abbys behalf, and records indicated she passed a
struggle, both objective and subjective perspectives were considered. Subjectively, Abbys
teacher saw her handwriting skills as poor compared to her same-age peers and classmates.
Unlike the other academic areas, this was a skill that was not being addressed at the time in
viewpoint, state standards and classroom expectations were referenced. According to the Indiana
Department of Education (IDOE), in first grade students are expected to write all uppercase and
lower case letters legibly, and space letters, words, and sentences appropriately, (Standard
1.W.2.1) (IDOE, 2014, p. 8). Although this is a first grade standard, Abbys handwriting
performance was not yet demonstrative of this standard on a consistent basis as a second student.
In further validation of the issue, the second writing standard listed for second grade is a
handwriting-specific component. This standard states that second grade students are expected to
form letters correctly and space words and sentences properly so that writing can be read easily
by another person, (Standard 2.W.2.1), in addition to being expected to build upon and
continue applying concepts learned previously, (Standard 2.W.2.2) (IDOE, 2014, p. 6). These
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handwriting skills are not just expected standards for second graders; they are also contributive
to the basic foundations students need to be successful in other areas of writing, as listed by the
IDOE (IDOE, 2014, p.6). The IDOE second grader writing standards go on to include a
multitude of other writing skills related to writing genres and the writing process as
expectations for second grade students. Without the fundamental handwriting skills, the more
complex writing skills would be more difficult for Abby to obtain and she would be at risk for
Based on the subjective and objective understanding of Abbys handwriting skill deficit,
would be most beneficial for Abby. All of these elements were considered in the selection,
Review of Research
To help Abby practice her basic handwriting skills and establish correct formation,
orientation, and placement habits when writing, Handwriting Without Tears (HWT) was chosen
as the most suitable intervention program. HWT was designed to embrace the natural learning
process of a child and their developmental level, as well as incorporate multisensory elements to
enhance learning and increase engagement (Handwriting Without Tears, 2015). It is a research-
supported program that has historically been used as an occupational therapy service; however, it
is also used within other settings and scenarios, such as the general education classroom and
The HWT program implementation has components designed to serve students of all
ages, with grades grouped according to the appropriate stage of handwriting skill development.
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HWT is implemented by strategically progressing from the basic skills, such as learning letter
formation and copying, to more complex skills including sentences and free writing (Roberts,
Derkach-Ferguson, Siever, and Rose, 2014). HWT addresses a plethora of handwriting elements
required for producing legible handwriting with ease, including letter formations, understanding
upper and lower case, spacing, placement, and writing numerals. The development and mastery
of these skills is necessary for students to become proficient writers in the future, especially
when the writing tasks focus on content rather than handwriting. An estimated 10-34% of
students struggle with handwriting, and although handwriting skill development is naturally built
into classroom curriculum, explicit instructional methods are not necessarily popular or
established (Roberts et al., 2014). Not only does HWT explicitly support handwriting skill
development and practice, but also it is one among the few research-based methods out there of
its kind.
While the collection of research is not necessarily expansive, there are a number of
studies supporting the effectiveness and benefits of implementing the HWT program in
classroom, small group, and one-on-one settings (Donica, 2015). Numerous studies measuring
the effectiveness of the HWT program have demonstrated positive, notable improvement in
student handwriting skills across grade levels. In a three year long study involving approximately
14,000 students, the use of HWT produced significant improvement in a multitude of printing
skills for students, as well as cursive skills (Handwriting Without Tears, 2015, p. 8). Other
studies have utilized pre and post-tests to analyze the effectiveness of HWT in elementary
classrooms; researchers have found HWT to produce significant findings in regards to improved
letter-form, spacing, placement, orientation, and readability (Hape et al., 2014; Schneck et al.,
2012; as cited by Handwriting Without Tears, 2015). While HWT is designed to be an effective
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program for students of all ages and classrooms, research has also demonstrated that it is a
beneficial handwriting tool to use with children with special needs (Owens, 2004). Researchers
have also suggested that HWT become an element implemented in preschool programs and
curriculums, as findings have demonstrated that its use can lead to improved academic readiness
skills in younger children (Lust & Donica, 2011 as cited by Handwriting Without Tears, 2015).
Overall, mastery of handwriting skills is considered a necessity for students academic success in
the years to come, as it is a critical component of all academic areas (Roberts et al., 2014).
design, and empirically supported effectiveness made it the most appropriate intervention to
implement with Abby in attempt to improve her handwriting skills. Components of the My
Printing Book of the HWT program were used for the intervention. The My Printing Book
contains worksheets specifically designed to practice the formation, orientation, and line
placement of letters and numbers. These worksheets were strategically selected and used to best
Behavioral Definition
In regards to this case study, the overall goal was to improve Abbys handwriting skills
specifically pertaining to letter formation, placement, and orientation, by decreasing the number
of errors she made while writing. The following behavioral definitions were obtained directly
from the Handwriting Without Tears 2nd grade screener scoring packet (Handwriting Without
Tears, 2009) (Appendix B). Letter formation, or memory as used by the HWT program, is
behaviorally defined as the ability to remember and write dictated letters and numbers. Examples
of letter formation/memory included writing recognizable letters and numbers, writing the
correct case of a letter (upper or lower), and remembering all elements of a letter correctly (i. e.,
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formation/memory included omitting letters or numbers, writing the wrong case of a letter, or
writing unrecognizable letters or numbers. An outside observer would be able to objectively and
clearly read, measure, and understand the letters and numbers written by the student.
The HWT program behaviorally defines orientation as the ability to write letters and
numbers facing the correct direction behaviorally defines orientation. Examples of correct
orientation included writing letters and numbers with all elements of the letter/number facing the
correct direction (d vs. b). Non-examples included writing a letter or number with elements
facing the wrong direction or symmetrical letters/numbers. An outside observer should be able to
Finally, the HWT program behaviorally defines placement as the ability to place letters
and numbers correctly on a baseline (see Appendix B for reference). Examples of correct
placement included writing letters/numbers that are on the baseline, within 1/16th of an inch
above or below the line (see Appendix B). Nonexamples of correct placement included
letters/numbers that should be on the line, but are 1/16 above or below the baseline. This
element was evaluated using the HWT 2nd grade screeners Placement Tool that allowed the
examiner to measure whether or not a letter/number was written within the 1/16 area of the
baseline.
Baseline Data
The Handwriting Without Tears screener of handwriting proficiency (2nd grade) was used
formation/memory, orientation, and placement (see Appendix C). The 2nd grade screener was
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then consistently used to obtain progress-monitoring data on a weekly basis for the remainder of
the intervention. Due to the nature of the screener and the information it provided, the screener
was administered two times in week one to obtain a baseline. The baseline data provided
information regarding the number of errors Abby made per handwriting proficiency screener.
The screener provided Abby with lines on which she was instructed to write a culmination of
upper case and lower case letters, as well as numbers, which were then assessed for errors
The materials used to collect baseline data included the Handwriting Without Tears 2nd grade
handwriting proficiency screener worksheet, a number two pencil, and the scoring guide for the
examiners use. The following steps were then followed to collect the baseline data.
3. Collect screener worksheet when student has completed every item as instructed.
4. Provide small reward (i. e., sucker) to student for their effort.
5. Dismiss student.
6. The examiner utilizes the corresponding scoring packet to score the screener and
Intervention Plan
The school psychologist intern was the only person responsible for the implementation of
the intervention, as well as the collection of baseline and progress monitoring data. The
intervention was implemented for six weeks, approximately twice a week. The intervention was
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typically implemented with Abby in the school psychologists office, or a workroom, depending
on availability. Due to the students classroom and other intervention schedules, the time of day
the intervention was done varied from week to week, depending on when Abby was available.
The materials used during each intervention session included a number two pencil and two
worksheets (letters and/or numbers) from the My Printing Book, which were strategically
selected based on the problem letters/numbers that Abby was struggling to master. An example
of one of the worksheets from the My Printing Book can be found in Appendix E.
Abby was instructed to pick up her pencil, get a comfortable and appropriate grip, and tell the
intern when she was ready to begin. The student was then instructed to write the capital letter (or
number) where the worksheet prompted her, starting at the guiding dot or line (see Appendix E
for reference). Feedback was provided to Abby as needed. Abby was then instructed to complete
the lower case letter (or number) section, using the guiding dots and lines as prompted; feedback
was provided accordingly. Finally, Abby was instructed to complete bottom portion of the
worksheet, which prompts the student to write words that involve the target letter, using a model
for reference. Number worksheets prompted Abby to write the target number consecutively or
amongst a series of other numbers (see Appendix E). During each session, Abby completed two
worksheets; including either a combination of two target letters, or a target letter and a target
number. A treatment integrity list was utilized to ensure that the intervention was being
implemented with fidelity and to obtain treatment integrity data throughout the intervention.
1. Present student with one worksheet for a target letter/number from the HWT My
2. Instruct the student to write the upper case letter (or number, if number worksheet),
utilizing the guiding features that are provided. The intern is to provide scaffolding,
3. Instruct the student to write the lower case letter (or number) as prompted, utilizing the
guiding features that are provided. Provide scaffolding, guidance, and feedback regarding
4. Instruct the student to complete the bottom section that applies the target letter/number in
words or series of numbers, utilizing the models and guiding features provided. Provide
5. Once one worksheet is complete, present the student with the second target letter/number
worksheet from the My Printing Book and repeat steps 1-4 until complete.
6. Provide a small reward (i. e., sucker) to the student for their effort.
7. Dismiss the student and document which target letter/numbers were addressed during that
session.
Goal Setting
The overall goal of this intervention plan was to improve Abbys handwriting
proficiency. The long-term goal was to help Abby be able to master basic handwriting skills, so
that she can move onto developing more complex writing skills, like narratives and essays that
she will be required to do in her later elementary years. For this particular intervention and
measurement strategy (the 2nd grade proficiency screener), ideal goal was for Abby to be able to
complete a 2nd grade screener of handwriting proficiency with zero errors by the end of the
intervention phase (Appendix F). According to the IDOE, second graders should have already
mastered basic handwriting skills and should be focusing on developing writing skills related to
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content. To meet this standard, the long-term goal for Abby was to have her completing basic
handwriting skills with 100% accuracy, and with 0 errors according to the HWT scoring packet
(Appendix F).
Baseline data collection indicated Abby was able to complete a 2nd grade screener of
handwriting proficiency with 61-64% accuracy and an average of 12-13 errors per screener
(Appendix F). Due to the six-week time frame, the expected goal for the end of the intervention
was to have Abby writing with 85% accuracy and a maximum of 6 errors per screener.
Increasing Abbys accuracy by approximately 20% and overall decreasing the number of
memory, orientation, and placement errors made, was calculated to be a feasible and obtainable
A short-term goal was established for this intervention in order to assess Abbys
improvement on a weekly basis, in attempt to reach each short-term goal week by week. The
short-term goal for Abby was to decrease the number of errors made per screener worksheet by
1, which would increase her accuracy percentage as a result. By setting this short-term goal and
reaching for it each week, Abby would be on track to reach her expected goal of 6 errors per
screener and increasing her accuracy rate by 20% by the end of the intervention period
(Appendix F).
Measurement Strategy
The Handwriting Without Tears 2nd grade screener of handwriting proficiency was used
to monitor the effectiveness of the intervention and Abbys skills. Progress monitoring data was
collected and tracked by the school psychologist intern throughout the intervention. The
proficiency screener was conducted on a weekly basis, on the last day of the week that the
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intervention was done. The intern plotted the progress monitoring data using an Excel
spreadsheet, on which each data point represented the number of errors (memory, orientation, or
placement) made by Abby on that weeks screener. Abbys accuracy was calculated to
supplement the error data by subtracting the number of errors made from 34, as there were 34
letter/number opportunities per screener. See Appendix G, which includes baseline and progress
monitoring data.
Decision-Making
Based on practicum course discussions and previous knowledge, the school psychologist
intern planned to use three decision-making points during the intervention phase. Each decision-
making point was intended to be at the end of each two-week phase. Based on Abbys short-term
goal of decreasing her number of errors by 1 per screener, each decision-making point looked at
whether or not Abby had decreased her number of errors by at least 2 over the course of the two-
When Abby did not reach her short-term goal of decreasing her number of errors by 1
each week and 2 by each decision-making point, intervention modifications were considered.
Abby was able to decrease the number of memory, orientation, and placement errors made per
screener by at least 2 errors by each decision-point, with the exception of the most recent
progress monitoring data point (Appendix G). While she made expected progress by each
decision-making point, the intern had planned modifications to implement if she did not make
such progress. One modification that could have been implemented was to incorporate a third
target letter/number worksheet per intervention session. This would provide an additional
practice opportunity and could allow Abby to receive even more feedback and guidance. Another
HANDWRITING WITHOUT TEARS 15
modification considered for this intervention was to analyze Abbys screeners and make sure the
Treatment Integrity
the Intervention Plan and Baseline Data sections. While the intern was the only person
involved with the implementation of this intervention and data collection, these lists were made
and used to ensure that the intern was implementing the procedures with fidelity for each session.
In addition to these lists of steps, the intern recorded the date of the session, whether or not the
steps were followed correctly, and whether or not progress monitoring was collected. The list of
steps were followed with 100% fidelity, however, progress monitoring data was not always
collected later in the week as intended. Due to the Thanksgiving holiday, progress-monitoring
data was collected early in the week and only after one day of the intervention. Similarly, the
school districts two week long fall break prevented the intern from working with the student
immediately after baseline data collection. Although the intervention was implemented with
fidelity in regards to the intervention steps, the schedule that the intervention followed and when
progress-monitoring data was collected could have been more effective and efficient.
Progress Monitoring
using the Handwriting Without Tears 2nd grade screener of handwriting proficiency. The
screener was administered once per week, typically at the end of the last session of the
intervention for the week. The HWT 2nd grade screener of proficiency was used to collect data
orientation, and placement (Appendix C). The screener was scored using the 2nd grade screener-
scoring packet and Abbys total number of errors was recorded per screener (Appendix B). The
numbers of errors were then graphed on an Excel spreadsheet. The weeks were plotted on the x-
axis, while the number of errors was plotted on the y-axis. This progress monitoring graph
demonstrated Abbys progress over the course of the intervention phase, measured by the
decrease in the number of errors she made per progress monitoring screener (Appendix G).
Formative Evaluation
According to the progress monitoring data collected and plotted throughout the
intervention phase, Abby made progress consistently throughout the first four weeks of
implementation (see Appendix G). From the baseline phase to the end of week four, Abby had
decreased her number of errors per screener of proficiency by 6 or 50%, which also meant her
accuracy had increased similarly. Therefore, by the end of week four, Abby had reached the
expected goal of decreasing the number of errors she made by half. Prior to the intervention,
Abby was making 12-13 errors per 34-letter/number screener worksheet. She decreased that
number to 10 after week one, 9 after week two, 6 after week three, and 5 errors after week four.
There was one week of regression during the intervention phase, and that occurred at week five
when Abby completed the proficiency screener and made a total of 6 errors. Despite the minor
regression at week five, Abby decreased her number of errors back down to 5 during the last
week of the intervention. The intern refrained from making any modifications during the
intervention phase, as Abby met the short-term goal on a weekly basis and at the decision-
making points.
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Summative Evaluation
According to the progress monitoring data, Abby was able to reach and slightly surpass
her goal of being able to complete the 2nd grade proficiency screener with a 50% decrease in
errors, and overall increase her handwriting skill accuracy. Starting with a baseline average of
12.5 errors, Abby was writing letters and numbers with only 5 errors pertaining to memory,
orientation, and placement by the end of the intervention phase. Therefore, Abby was able to
improve her formation/memory, orientation, and placement skills over the course of the
intervention. Although there was slight regression and essentially a plateau during the final
weeks, Abby improved her handwriting skills from both an objective and subjective evaluation.
Objectively, she improved at a rate that allowed her to reach her short term goal from week to
week, and was making progress towards reaching her long-term goal of making zero errors
related to formation, orientation, and placement. From a subjective perspective, Abby was no
longer confusing her lower case bs and ds, forgetting to dot her lower case is and js, and
starting and ending her letters/numbers within 1/16 of the baselines provided.
While there were some implementation hiccups and complications due to the districts
fall break, thanksgiving break, and the students schedule, the intervention produced some
success in regards to Abbys handwriting tendencies. It has yet to be decided if the intervention
will continue into the spring semester. The intervention data and Abbys other intervention plans
will be discussed by the intern and Abbys teacher to decide what is best in regards to proceeding
References
Handwriting Without Tears. (2015). Research Review. Retrieved from Learning Without Tears
website.
Hape, K., Flood, N., McArthur, K., Sidara, C., Stephens, C., & Welsh, K. (2014). A pilot study
of the effectiveness of the Handwriting Without Tears curriculm in first grade. Journal of
Indiana Department of Education. (2014). Indiana Academic Standards 2014. Retrieved from the
Lust, C., & Donica, D. (2011). Effectiveness of a handwriting readiness program in Head Start:
Owens, L. (2004). The effects of the Handwriting Without Tears program on the handwriting of
Richmond, Virginia.
Roberts, G. I., Derkach-Ferguson, A. F., Slever, J. E., & Rose, M. S. (2014). An examination of
Schneck, C., Shasby, S., Myers, C., & DePoy Smith, M. L. (2012). Handwriting Without Tears
Appendix A
RIOT/ICEL Assessment Worksheet
Statement of Student Problem: Basic handwriting skills
Appendix B
Appendix C
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Appendix D
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Appendix E
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Appendix F
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Appendix G