This project was part of a research initiative in collaboration with Wendi Trummert, DrOT, OTR/L, a practicing school-based occupational therapist in the Puyallup School District. The purpose of our project was to compare the effectiveness of certain service delivery models and intervention approaches to improve handwriting outcomes for school-aged children. Our search of the literature yielded a total of 20 applicable research studies, which utilized a wide variety of models and approaches. There was limited research specifically comparing service delivery and/or specific components of handwriting interventions. Our findings indicated that there are a variety of effective service delivery models and approaches to handwriting interventions. Furthermore, direct practice was a consistent component of programs producing handwriting improvements. A recommendation for future research is to directly compare service delivery models and intervention approaches to handwriting. This would allow practitioners to identify which specific aspects of service delivery could best support handwriting for students. Our knowledge translation products were specifically designed for our collaborating practitioner to present to her colleagues within the Puyallup School District. These products included a prepared in-service presentation detailing our research and findings, handouts regarding service delivery and approaches, and an annotated bibliography including relevant research articles to inform practitioners. Post-product responses and feedback were overall positive from our collaborator, although we were not able to receive feedback from colleagues who participated in the presentation due to time constraints.

Publication Place

Tacoma, Washington


University of Puget Sound

Project Chairperson

Sheryl Zylstra, DOT, OTR/L


Publication Date



Capstone Project





Degree Program

Occupational Therapy

Degree Level

Master of Science


Occupational Therapy


University of Puget Sound