Assessment & Research

The written language performance of children with Attention Deficit Hyperactivity Disorder in Taiwan.

Lee et al. (2014) · Research in developmental disabilities 2014
★ The Verdict

Taiwanese kids with ADHD stumble most when they must pull whole Chinese characters from memory—give partial cues and voice-to-text first.

✓ Read this if BCBAs in Mandarin-speaking schools who write IEP goals for writing.
✗ Skip if Clinicians serving only alphabetic languages.

01Research in Context

01

What this study did

The team tested 48 Taiwanese kids with ADHD and 48 classmates without ADHD. All were 7-11 years old and spoke Mandarin at home.

Each child copied Chinese characters, wrote them from memory, and filled in missing parts of words. The tasks took 30 minutes.

02

What they found

Kids with ADHD scored lower on every writing test. Six out of ten fell below the 25th percentile.

The biggest gap was retrieving and building whole characters. Spacing and stroke order were less affected.

03

How this fits with other research

Broc et al. (2013) saw the opposite pattern in French kids with language impairment. Those children spelled better when they chose the words themselves, not when the teacher dictated.

The two studies seem to clash, but the tasks differ. Hom-Yi used strict recall of complex symbols. Lucie let kids tell stories, which lightens memory load.

Chen et al. (2014) also worked in Mandarin. Preschoolers with SLI struggled to store new word forms. Together the papers show Mandarin learners need extra retrieval practice, whether for spoken words or written characters.

04

Why it matters

If you work with Mandarin-speaking students who have ADHD, start by checking character recall, not just neatness. Give cloze sheets with partial cues and let them use voice-to-text for first drafts. Build retrieval strength before you polish handwriting.

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→ Action — try this Monday

Hand the student a fill-in-the-character worksheet instead of blank paper and let them say the word aloud before writing.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
50
Population
adhd
Finding
negative
Magnitude
medium

03Original abstract

Poor writing is common in children with Attention Deficit Hyperactivity Disorder (ADHD). However, the writing performance of children with ADHD has been rarely formally explored in Taiwan, so the purpose of this study was to investigate writing features of children with ADHD in Taiwan. There were 25 children with ADHD and 25 normal children involved in a standardization writing assessment - Written Language Test for Children, to assess their performance at the dictation, sentence combination, adding/deducting redical, cloze and sentence making subtests. The results showed that except for the score of the sentence combining subtest, the score of children with ADHD was lower than the normal student in the rest of the subtests. Almost 60% of ADHD children's scores were below the 25th percentile numbers, but only 20% for normal children. Thus, writing problems were common for children with ADHD in Taiwan, too. First, children with ADHD performed worse than normal children on the dictation and cloze subtests, showing the weaker abilities of retrieving correct characters from their mental lexicon. Second, children with ADHD performed worse on the adding/deducting redical subtest than normal children did. Finally, at the language level, the score of children with ADHD on the sentence combination subtest was not lower than normal children, implicating their normal grammatic competence. It is worth mentioning that Taiwanese children with ADHD ignore the details of characters when they are writing, a finding that is common across languages.

Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2014.04.006