Background: Handwriting is critically important for school-age children in the current education system. Poor handwriting performance during primary school can negatively affect students’ academic achievement and self-confidence. Objectives: To summarize the average Chinese handwriting performance of local primary school students in Macao using a Smart Handwriting Analysis Platform, identify students at the critical stage of Chinese handwriting difficulties, and understand the concerns of parents and teachers regarding students’ Chinese handwriting. Methods: A cross-sectional study was conducted from 2019 to 2021. The Smart Handwriting Analysis and Recognition Platform (SHARP) was used to collect and analyze Chinese handwriting performance among 789 typically developing students (Grades 1–6) and 79 students with Special Educational Needs (SEN) in Macao. One-way ANOVA was used to examine differences in Chinese handwriting indicators across grades, and independent-samples t-tests were used to compare performance between typically developing students and SEN students. Parents of participating students completed the Handwriting Ability Checklist (HAC), and homeroom teachers or Chinese language teachers recorded students with handwriting difficulties through additional annotations. Results: Chinese handwriting ability among Macao primary school students showed a typical developmental trend. Significant differences were found between typically developing students and SEN students in character boundary exceeding and writing errors. Approximately 9–14% of typically developing students performed at the critical level across SHARP indicators. School teachers paid greater attention to students’ writing accuracy. Combining the parent-completed HAC with SHARP results enabled more effective identification of students with Chinese handwriting difficulties. Conclusion: The SHARP can assist teachers and occupational therapists in the early identification of students with Chinese handwriting difficulties. By collecting Chinese handwriting performance data from local typically developing and SEN students in Grades 1–6, local norms for Chinese handwriting proficiency among Macao primary school students have been established.
Education and Youth Development Bureau, 2025, Non-tertiary Education Student Number Survey Results for the 2024/2025 School Year. Government of Macau Special Administrative Region.
Feder K, Majnemer A, 2007, Handwriting Development, Competency, and Intervention. Developmental Medicine & Child Neurology, 49(4): 312–317.
Tseng M, Chow S, 2000, Perceptual-Motor Function of School-age Children With Slow Handwriting Speed. The American Journal of Occupational Therapy, 54(1): 83–88.
Ratzon N, Efraim D, Bart O, 2007, A Short-term Graphomotor Program for Improving Writing Readiness Skills of First-grade Students. The American Journal of Occupational Therapy, 61(4): 399–405.
Rosenblum S, Weiss P, Parush S, 2003, Product and Process Evaluation of Handwriting Difficulties. Educational Psychology Review, 15: 41–81.
Tan L, Feng C, Fox P, et al., 2001, An fMRI Study with Written Chinese. Neuroreport, 12(1): 83–88.
Chow S M, Choy S W, Mui S K, 2003, Assessing Handwriting Speed of Children Biliterate in English and Chinese. Perceptual and Motor Skills, 96(2): 685–694.
Racine M, Majnemer A, Shevell M, et al., 2008, Handwriting Performance in Children with Attention Deficit Hyperactivity Disorder (ADHD). Journal of Child Neurology, 23(4): 399–406.
Fuentes C, Mostofsky S, Bastian A, 2009, Children with Autism Show Specific Handwriting Impairments. Neurology, 73(19): 1532–1537.
Chang S H, Yu N Y, 2010, Characterization of Motor Control in Handwriting Difficulties in Children with or without Developmental Coordination Disorder. Developmental Medicine & Child Neurology, 52(3): 244–250.
Tam H, 2008, A Validation Study on Handwriting Ability Checklist (HAC), thesis, The Hong Kong Polytechnic University.
Maldarelli J, Kahrs B, Hunt S, et al., 2015, Development of Early Handwriting: Visual-Motor Control During Letter Copying. Developmental Psychology, 51(7): 879.
Li-Tsang C, Wong A, Leung H, et al., 2013, Validation of the Chinese Handwriting Analysis System (CHAS) for Primary School Students in Hong Kong. Research in Developmental Disabilities, 34(9): 2872–2883.
Li M, Leung H, Li T, et al., 2019, Measuring the Tilt and Slant of Chinese Handwriting in Primary School Students: A Computerized Approach. PLoS One, 14(11): e0223485.
Li-Tsang C, Li T, Yang C, et al., 2022, Evaluating Chinese Handwriting Performance of Primary School Students Using the Smart Handwriting Analysis and Recognition Platform (SHARP). MedRxiv, 2022-02.
Lam S, Au R, Leung H, et al., 2011, Chinese Handwriting Performance of Primary School Children with Dyslexia. Research in Developmental Disabilities, 32(5): 1745–1756.
Hamstra-Bletz L, Blöte A, 1993, A Longitudinal Study on Dysgraphic Handwriting in Primary School. Journal of Learning Disabilities, 26(10): 689–699.
Overvelde A, Hulstijn W, 2011, Handwriting Development in Grade 2 and Grade 3 Primary School Children with Normal, At Risk, or Dysgraphic Characteristics. Research in Developmental Disabilities, 32(2): 540–548.
Poon K, Li-Tsang C, Weiss T, et al., 2010, The Effect of a Computerized Visual Perception and Visual-Motor Integration Training Program on Improving Chinese Handwriting of Children with Handwriting Difficulties. Research in Developmental Disabilities, 31(6): 1552–1560.
Weintraub N, Yinon M, Hirsch I, et al., 2009, Effectiveness of Sensorimotor and Task-Oriented Handwriting Intervention in Elementary School-aged Students with Handwriting Difficulties. OTJR: Occupation, Participation and Health, 29(3): 125–134.
Lang S, Kumke P, Ray C, et al., 2005, Consequences of Using Testing Accommodations: Student, Teacher, and Parent Perceptions of and Reactions to Testing Accommodations. Assessment for Effective Intervention, 31(1): 49–62.
Di Pietro G, Biagi F, Costa P, et al., 2020, The Likely Impact of COVID-19 on Education: Reflections Based on the Existing Literature and Recent International Datasets. Luxembourg: Publications Office of the European Union.
Organization for Economic Co-operation and Development, 2020, Education and COVID-19: Focusing on the Long-term Impact of School Closures. OECD Publishing.