title: Effectiveness of a 10-week tier-1 response to intervention program in improving fine motor and visual-motor skills in general education kindergarten students.
abstract: OBJECTIVE
  This study examined the efficacy of a 10-wk Tier 1 Response to Intervention (RtI) program developed in collaboration with classroom teachers to improve the fine motor and visual-motor skills of general education kindergarten students.
  
  
  METHODS
  We recruited 113 students in six elementary schools. Two general education kindergarten classrooms at each school participated in the study. Classrooms were randomly assigned to the intervention and control groups. Fine motor skills, pencil grip, and visual-motor integration were measured at the beginning of the school year and after the 10-wk intervention.
  
  
  RESULTS
  The intervention group demonstrated a statistically significant increase in fine motor and visual-motor skills, whereas the control group demonstrated a slight decline in both areas. Neither group demonstrated a change in pencil grip.
  
  
  CONCLUSIONS
  This study provides preliminary evidence that a Tier 1 RtI program can improve fine motor and visual-motor skills in kindergarten students.
authors: Occupational Therapy Program, State University of New York Downstate Medical Center, Brooklyn, NY 11203, USA. Alisha.ohl@downstate.edu
authors: Alisha M
authors: AM
authors: Ohl
authors: Hollie
authors: H
authors: Graze
authors: Karen
authors: K
authors: Weber
authors: Sabrina
authors: S
authors: Kenny
authors: Christie
authors: C
authors: Salvatore
authors: Sarah
authors: S
authors: Wagreich
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills; D009788:Occupational Therapy / Q000379:methods*