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7/12/2019
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Handwriting and Typing AppsAnne Cronin, Ph.D., OTR/L, ATP, FAOTA
West Virginia Capacity Building InstituteAugust 1, 2019
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Anne Cronin,Occupational Therapist Link to handouts
http://bit.ly/WVCBI• Occupational therapists and
occupational therapy assistants help people of all ages participate in the things they want and need to do through the therapeutic use of everyday activities (occupations).
• Occupational therapy helps people function in all of their environments (e.g., home, work, school, community) and addresses the physical, psychological, and cognitive aspects of their well‐being through engagement in occupation.
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
7/12/2019
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Handwriting and Typing Apps
“This session will provide an overview of app assessment and exploration of current apps, including the selection feature specific to the child.”
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Difficulties with writing
• Writing is a complex process that involves both the sensorimotor aspects of writing, language abilities and the cognitive components supporting the creating or composing written material.
• The focus here is on early literacy/language and the sensorimotor aspects of writing.
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Written ProductivitySensorimotor aspects:
• Hand skills for holding and managing the paper and writing utensil
• Visual perception for visually guiding the hand, envisioning letters and letter formation, as well as forming words.
Cognitive/Self‐regulation aspects:
• Attention and persistence
• Impulse control
• Error detection/correction
• Frustration tolerance
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Difficulties with writing
• Early writing difficulty is often seen in copying letters (visual perceptual/visual motor deficits)
• Once the letters are learned a common error is in transcription of words (orthographic coding deficits) and spelling (orthographic plus phonological coding deficits).
• Deficits in self‐regulation and executive function can also contribute to difficulties
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
7/12/2019
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Written Productivity
Literacy and writing are interconnected.
Early supports for writing are also supports for literacy
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Low Incidence AT Implementation:Individual level
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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High Incidence AT Implementation:Building, School, and District level
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Handwriting and Typing Apps
In general, handwriting and typing apps are best suited to the high incidence type students.
• Hard to customize
• Programmed to advance quickly
Any use of apps should be supported by an evaluation of written productivity.
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
7/12/2019
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AT Written Productivity Evaluation Process
1. Referral Process 2. Data GatheringResource Exploration
Feature MatchingEquipment/Strategy Trials
Identify functional outcomes
Report/Action PlanAssess outcome data and client needs
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
AT Written Productivity Evaluation ProcessData gathering‐ Students
Abilities• Physical
• Visual Perceptual
• Sensory Processing
• Social emotional
• Cognitive
• Organization
• Vision/hearing/tactile….
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Environmental Considerations
• Student to adult position
• Teacher expectations
• Amount of supervision/support
• Number/type of settings where skill is needed
• Lighting/Noise/Clutter
• Physical accessibility
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AT Written Productivity Evaluation Process
Writing Task Expectations
• Amount of writing
• Expected time to complete writing
• Structure of tasks
• Reading requirements
• Format for writing
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
AT Written Productivity Evaluation Process: Feature MatchingThink in terms of a flow chart or “decision tree” that summarizes the range of possibilities to consider. Flexibility is paramount, and initial strategies can be tried, abandoned, or modified as the Client’s needs change.
Two primary “branches” for consideration:
• Does the client present with a physical and/or sensory (e.g., visual) issue that impedes writing?
• Does the client present with a learning, language, and/or cognitive issue that impedes writing?
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
7/12/2019
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Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Assessment of Written
Productivity
Has physical or sensory issue and cannot write well
Has learning, language or
cognitive issue and cannot write well
Consider keyboarding rather than handwriting
Consider Speech Recognition*
Consider alternate/custom access to computer
Consider keyboarding rather than handwriting
Consider Spell‐check and read‐back options
Consider word prediction
Consider word prediction
Consider visual supports and graphics
Consider teaching supports
Consider Apps
Speech (Voice) RecognitionConsider the STUDENT'S SKILLS:
Is there a gap between the student's current writing skills and the curricular expectations?
Can the student Learn the skills needed to functionally use speech recognition?
Generally. speech recognition works well for students who can express thoughts and ideas better verbally than in writing.
It has a good chance of working if the student can learn or already has the following skills:
• Consistency of enunciation, volume and pitch
• SyntacticaL speech patterns
• Ability to inhibit "uhms" and "ahhs"
• Ability to express ideas in verbal language
• Attention to auditory and visual details
• Ability to multitask
• Ability to edit
• Ability to problem‐solve
• Ability to self‐monitor
• Ability to tolerate frustration
• Motivation to use technology as an alternative writing method
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
From Cochrane and Kelly, 2014
7/12/2019
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Speech (Voice) Recognition
This term refers to software that converts auditory speech to visual text—so called “voice‐to‐text” software that has these features: • Include vocabularies and recognition models for a variety of natural languages
• Create and share documents containing text converted through voice recognition
• Provide updates to language models and allow users to improve vocabularies
• Deliver adaptive features to allow the transcription of noisy speech
• Capture information by telephone, handheld recorders, or mobile devices
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Speech (Voice) Recognition
• Speech recognition is usually NOT the only writing strategy in a student's toolbelt. • Consider it along with other tools that match specific writing tasks and environments
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Speech Recognition Tools with Good Reviews
Windows based Computer or
Tablet
Dragon [~$150]
Google Docs Voice Typing [free in G
suite]
Windows 10 Speech
Recognition [free]
Braina Pro [$49/year,
Windows only]
Speechnotes[browser based
$10]
Smart Phone
Dragon Anywhere
[~$150]
GBoard
Apple Computer or tablet
Dragon [~$150]
Apple dictation [free]
Speechnotes[browser based
$10]
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Speech (Voice) Recognition
VoiceIn Voice Typing
• This speech‐to‐text extension allows the user to dictate text for any text box or text entry portion of a web page.
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Speech Recognition
Sounds good but it takes hours of training and practice for fluency:
• Inaccuracies common (especially with young people’s voices) Client needs clear, consistent speech articulation and lots of patience to self‐correct as you go.
• Not usually well accepted by younger students, better with high school and adult
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Word Prediction
Word prediction is the type of software program in which you type a letter, various word choices pop up, and you pick the one you want. These programs are used with a word processing program
• Can be effective for:• Clients who are poor spellers (but who recognize the correctly spelled word)
• Clients with fine motor difficulties and type slowly (generally less that about 10 words‐per‐minute)
Co:Writer (Don Johnston) and Word Q 2 (Quillsoft) are some of the most commonly used programs.
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Word prediction
• Built in to some keyboards and word processors
• Co:Writer Universal• Good for phonetic or invented speller
• Topic related vocabulary prediction
4http://vimeo.com/104430354
Why (and when) to use an app for handwriting?• There are many game‐based apps for young children that teach the alphabet and letter forms• Research supports that the best way to support handwriting skills is through handwriting……
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
7/12/2019
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Why (and when) to use an app for typing?• There are many game‐based apps to teach and practice typing
• There are word‐prediction and grammar support apps
• There are “voice over” apps that say aloud what you type
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
To use an App or Not?
The use of an app compared to completing a task without an app
4 3 2 1
Engaging A high level of engagement in the task results from the use of the app.
A moderate level of engagement in the task results from the use of the app.
The same level engagement in the task results from use of the app.
Less engagement in the task results from use of the app.
Efficient A significant savings of time and/or resources results from use of the app.
Some savings of time and/or resources results from use of the app.
No savings of time/and or resources results from use of the app.
Use of the app requires additional time and/or resources.
Effective A significant improvement in the learning outcome results from using the app.
Some improvement in the learning outcome results from using the app.
No improvement in learning outcome results from using the app.
Use of the app had a negative effect on learning outcome.
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Rubric by Cleary and Persch
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How to Choose?List of Lists of Apps
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
How to Choose? Learn from others
Join a blog or twitter feed, Pinterest….
Professional meetings…
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Finding out if the app is useful….
1. Download a free lite version
2. Check it out on YouTube
3. App Store Reviews
4. Trial and error
5. Use a Rubric…
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Three E Technology rubric – or should I use this App?
Efficient?
• Does it save time, energy, or resources?
Engaging?• Is a person more likely to engage in activity (increase time on task or volition)?
• Engaging alone is probably not sufficient to justify use.
Effective?• Does it produce ‘better’ learning outcomes?
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Does it do something you cannot do otherwise?
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Does it do something you cannot do otherwise?
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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The Rubric!
App Previous Method
Engaging
Efficient
Effective
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Other rubrics: Evaluation Rubric for IPod Apps (Walker, 2010)
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Other rubrics: Mobile Application Rating Scale(MARS) App Classification
Generally considered the “gold standard”, it is designed to score apps on the criteria of engagement, functionality, aesthetics, and information quality.
Reference: Stoyanov, S.R., Hides, L., Kavanagh, D.J., Zelenko, O., Tjondronegoro, D., Mani, M. (2015). Mobile app rating scale: a new tool for assessing the quality of health mobile apps. JMIR Mhealth Uhealth,
Volume 3:e27.
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Other rubrics: Mobile Application Rating Scale(MARS) App Classification • The MARS scale is a well‐known standardised tool developed by the Queensland University of Technology by which health apps can be compared. It is designed to score apps on the criteria of engagement, functionality, aesthetics, and information quality. The MARS scale is attached as Appendix A.
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Handwriting Apps for Early Childhood Reviewed
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Developmental Progression of Keyboarding Skill
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Typing Apps Reviewed
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Ethical, Legal, and Boundary Issues with Apps
• Client Confidentiality and Internet Security
• Communication issues with clients in transition
• Licensure issues with TeleHealth and TeleEducation
• Access to Wi‐Fi networks
• IT supports required
• Help clients make choices about intellectual property and ‘on‐task’ behaviors
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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https://sites.google.com/a/nssed.org/supporting‐learners‐in‐chrome/writing‐tasks
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
Common AT Software Supports for Students when Apps are not enoughProduct Description
CoWriter, Word Q Word Prediction Software
Clicker 5/PixWriter Picture Supported Writing Software
WYNN / Kurzweil Optical CharacterRecognition/Electronic Study Aids
Read Out Loud Text To Speech
Dragon Naturally Speaking Speech to Text
Kidspiration, Inspiration, Draft Builder
Graphic Organizers/Concept Mapping
Classroom Suite Switch Accessible Program for Academics
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science
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Anne Cronin,Occupational Therapist Link to handouts
http://bit.ly/WVCBI• [email protected]
Division of Occupational Therapy Department of Human Performance and Applied Exercise Science