Date of Award


Document Type

Scholarly Project

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy

First Advisor

Wanda Lauer


In the early-elementary school curriculum, foundational skills are established to promote success in education and beyond. With limited remediation opportunities in the areas of fine motor and social skills, students are not receiving adequate resources to foster academic success. Students who demonstrate deficits in fine motor and social skills are prone to negative peer and teacher perception, a lack of self-esteem, decreased mental flexibility, and an inability to communicate knowledge effectively (Case-Smith et al., 2014; Lust & Donica, 2011; Taverna et al., 2020). These adverse consequences often result in a negative attitude towards school and low academic performance, which may persist throughout life if not addressed early on (Fox et al., 2020).