The results indicated the following:
- no difference between groups for legibility, form, alignment, and space as measured by the Minnesota Handwriting Assessment.
- a statistical difference noted between the two groups for size
- sizing errors showed that 55% of the students in the double-lined paper group used the middle guideline as a top guideline
Reference: Whitney Reidlinger MAOTR/L, Catherine Candler PhDOTRBCP & Marsha Neville PhDOT. Comparison of Differently Lined Paper on Letter Production Quality in First Graders. Journal of Occupational Therapy, Schools, & Early Intervention Volume 5, Issue 2, 2012 pgs 155-164 DOI:10.1080/19411243.2012.701544