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CTRI Number  CTRI/2026/02/103448 [Registered on: 09/02/2026] Trial Registered Prospectively
Last Modified On: 29/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Multisensory activities]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Study to Improve Handwriting Skills in Children Using Activities that engage Multiple Senses 
Scientific Title of Study   Effectiveness of using multisensory activities on handwriting skills among children with dysgraphia 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Lekha S 
Designation  UG Student 
Affiliation  Chettinad Academy of Research and Education 
Address  OT Pediatric division,Ward number 24, Department of Occupational Therapy, Chettinad General Hospital,Chettinad Health City,Rajiv gandhi salai(OMR),Kelambakkam ,Chennai ,Tamilnadu,India

Chennai
TAMIL NADU
603103
India 
Phone  7200277326  
Fax    
Email  lekha152005@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Lekha S 
Designation  UG Student 
Affiliation  Chettinad Academy of Research and Education 
Address  OT Pediatric division,Ward number 24, Department of Occupational Therapy, Chettinad General Hospital,Chettinad Health City,Rajiv gandhi salai(OMR),Kelambakkam ,Chennai ,Tamilnadu,India

Chennai
TAMIL NADU
603103
India 
Phone  7200277326  
Fax    
Email  lekha152005@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Lekha S 
Designation  UG Student 
Affiliation  Chettinad Academy of Research and Education 
Address  OT Pediatric division,Ward number 24, Department of Occupational Therapy, Chettinad General Hospital,Chettinad Health City,Rajiv gandhi salai(OMR),Kelambakkam ,Chennai ,Tamilnadu,India

Chennai
TAMIL NADU
603103
India 
Phone  7200277326  
Fax    
Email  lekha152005@gmail.com  
 
Source of Monetary or Material Support  
OT Pediatric division,Ward Number 24,Department of Occupational Therapy,Chettinad General Hospital,Chettinad Health City,Rajiv Gandhi Salai, Kelambakkam,Chennai,Tamilnadu,India,603103 
 
Primary Sponsor  
Name  Lekha S  
Address  OT Pediatric division,Ward Number 24,Department of Occupational Therapy,Chettinad General Hospital,Chettinad Health City,Rajiv Gandhi Salai, Kelambakkam,Chennai,Tamilnadu, India,603103 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Nil  Nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vignesh N  Chettinad General Hospital  OT Pediatric division,Ward number 24, Department of Occupational Therapy, Chettinad General Hospital,Chettinad Health City,Rajiv gandhi salai(OMR),Kelambakkam ,Chennai ,Tamil Nadu,India
Chennai
TAMIL NADU 
9750122121

n.vignesh789@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee for Student Research   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F818||Other developmental disorders of scholastic skills,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Handwriting Proficiency Screening Questionnaire  The effect of the intervention will be assessed by comparing the results of the pre test collected in the beginning and post test after completing 4 week intervention period. 
Intervention  Multisensory activities  Before enrolling each participant in the study, informed consent will be obtained from the parents or legal guardians, along with assent from the children, using consent forms approved by the Institutional Ethics Committee of Chettinad Health and Research Institute.A total of 50 children aged 7 to 14 years, diagnosed with dysgraphia (specific learning disorder – written expression), will be recruited from the Child Rehabilitation Centre, inclusive schools, and the Occupational Therapy Department of Chettinad Health and Research Institute. Eligibility will be confirmed through initial screening based on DSM-5 diagnostic criteria. After obtaining informed consent and confirming eligibility, participants will be randomly allocated into two groups—an experimental group and a control group—with 25 participants in each group, following a randomized controlled trial design. Baseline (pre-intervention) assessment of handwriting skills will be conducted for all participants using the  
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  Diagnosed with dysgraphia based on DSM-5 criteria.Children whose parents or guardians provide informed consent.Children willing to participate and attend intervention sessions regularly. 
 
ExclusionCriteria 
Details  Children diagnosed with other neurodevelopmental disorders such as ADHD, Autism Spectrum disorder or Intellectual disability.Children with neurological, orthopedic,or visual impairments affecting handwriting.Children or parents/guardians unwilling to participate or refusing consent. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Handwriting Proficiency Screening Questionnaire(HPSQ)  Handwriting skills will be assessed using the Handwriting Proficiency Screening Questionnaire(HPSQ) Before the intervention(Pre-intervention) and reassessed after four weeks of Multisensory activities intervention(Post-intervention) 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   10/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study is a randomized, parallel-group, active-controlled trial designed to evaluate the effectiveness of multisensory activities on handwriting skills among children with dysgraphia. A total of 50 children aged 7 to 14 years, diagnosed with dysgraphia, will be recruited from the Child Rehabilitation Centre, inclusive schools, and the Occupational Therapy Department of Chettinad Health and Research Institute. Informed consent will be obtained from parents or legal guardians, and assent will be obtained from the children prior to participation. Eligibility will be confirmed using DSM-5 diagnostic criteria and the Handwriting Proficiency Screening Questionnaire to identify handwriting difficulties. Participants will be randomly allocated into two groups, with 25 children in each group. The experimental group will receive a multisensory activities–based handwriting intervention, while the control group will receive routine occupational therapy for handwriting.The

 intervention will be administered for a total of 12 sessions, conducted three sessions per week, with each session lasting 45 minutes. Pre- and post-intervention assessments will be conducted using the Handwriting Proficiency Screening Questionnaire. The collected data will be statistically analyzed to determine the effectiveness of multisensory activities on handwriting skills among children with dysgraphia.
 
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