Autism & Developmental

Using Structural Equation Modeling to analyze handwriting of children and youth with Autism Spectrum Disorder.

van den Bos et al. (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

Letting autistic kids pause with the pen in the air improves handwriting more than forcing continuous strokes.

✓ Read this if BCBAs running school-age handwriting goals or fine-motor groups.
✗ Skip if Clinicians focused only on early verbal language or adults.

01Research in Context

01

What this study did

van den Bos et al. (2024) used a math model called SEM to look at every tiny stroke kids make while writing. They compared autistic youth to same-age peers without autism. A digital tablet tracked pen lifts, air time, and final letter quality.

02

What they found

The same writing model fit both groups, but autistic kids used longer air strokes—time when the pen is off the paper. Surprisingly, these longer pauses predicted neater letters, not messier ones. Weaker executive skills, like planning, tied to worse legibility.

03

How this fits with other research

Halstead et al. (2018) meta-analysis says autistic students usually write shorter, less legible work. The new study agrees overall writing is weaker, yet shows a hidden strength: pausing in the air helps.

Bartov et al. (2024) studied kids with DCD and also used a tablet. They found weak grip force hurt writing. Nellie’s team found air timing, not grip, matters in autism. Same tool, different lever—both point to fine-motor micro-skills.

Milgramm et al. (2021) saw inefficient motor planning in young autistic kids. Longer air strokes look like a smart planning fix older kids discover on their own.

04

Why it matters

Stop rushing autistic writers to keep the pen moving. Let them lift, plan, then place the next stroke. Build in brief executive warm-ups—dot-to-dot or maze tracks—before writing tasks. These tiny schedule tweaks cost nothing and may boost legibility more than extra practice sheets.

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→ Action — try this Monday

Count air-stroke seconds during three letters; praise any lift longer than one second.

02At a glance

Intervention
not applicable
Design
other
Sample size
100
Population
autism spectrum disorder
Finding
weakly positive
Magnitude
small

03Original abstract

This study tests a handwriting model for children and youth with Autism Spectrum Disorder (ASD) that displays the relationships between handwriting process and product characteristics, and the predictors of these characteristics. Structural Equation Modelling was used to test the model for children and youth with ASD (n = 50) and typically developing peers (n = 50), ages 10 to 15, for a copying and freestyle handwriting task. Findings suggest a generic handwriting model applying to both groups and both handwriting tasks. Unique effects for children and youth with ASD were identified for: (1) high interdependence of handwriting process characteristics, (2) longer pen stroke in air leading to better legibility, and (3) lower scores for executive functions leading to lower scores for legibility.

Journal of autism and developmental disorders, 2024 · doi:10.1093/geronb/61.4.p228