Dr  Karen Ray

Dr Karen Ray

Lecturer

School of Health Sciences

Career Summary

Biography

Karen is a registered occupational therapist and lecturer with The University of Newcastle, Australia. Karen has experience spanning thirty years, including mental health and paediatric services, primarily in school based settings. Karen has worked in clinical, educational and policy implementation roles in child and adult mental health. For the past ten years she has worked with schools, both as part of learning support teams and in conducting research focussing on interventions that maximise student participation, educational engagement and well being. As a clinician, Karen has enjoyed creating collaborative opportunities with schools to embed services that enhance child development and participation in education. This interest and focus on whole class, embedded approaches to occupational therapy in schools lead Karen into PhD studies. Karen's PhD investigated the impact of a whole class intervention for handwriting fluency in Kindergarten (the first year of formal schooling in NSW) and a particular focus on the downstream impacts of the intervention on literacy. Karen's Doctorate was supervised by both the School of Occupational Therapy and the School of Education at the University of Newcastle. Karen now works as a lecturer and course coordinator, bringing together her interest in cultivating future occupational therapists, and her desire to continue research in her fields of interest. 

A major study has been undertaken through my PhD program involving the development and implementation of a whole class, co-taught approach to handwriting intervention for Kindergarten children, Write Start-K. The study has encompassed the evaluation of pilot data, the development of a theoretical model for handwriting fluency acquisition, and the revision and retesting of the program based on this model in a two group comparison study. Findings from the revised and updated intervention indicated that Write Start-K positively impacted handwriting fluency, reading and writing composition for the intervention group, with greater growth observed for the intervention group at post-intervention and follow up data collection points. This PhD program of study required high levels of collaboration with Department of Education staff, and a thorough knowledge of curriculum for Early Stage 1. My experience working directly for schools over a number of years has enabled this project to be successfully implemented and analysed. A number of publications attracting international interest have arisen from this work. 



Qualifications

  • Doctor of Philosophy in Occupational Therapy, University of Newcastle
  • BACHELOR OF APPLIED SCIENCE (OCCUPATIONAL THERAPY), University of Sydney

Keywords

  • Child development
  • Co-teaching practices
  • Handwriting fluency
  • Occupational Therapy
  • School based practice

Fields of Research

Code Description Percentage
520406 Sensory processes, perception and performance 40
321302 Infant and child health 60

Professional Experience

UON Appointment

Title Organisation / Department
Lecturer University of Newcastle
School of Health Sciences
Australia

Awards

Prize

Year Award
2021 School of Health Sciences HDR Publication of the Year
School of Health Sciences, College of Health Medicine and Wellbeing, University of Newcastle

Invitations

Speaker

Year Title / Rationale
2023 Letter Form Assessment: Background, use and interpretation

Teaching

Code Course Role Duration
OCCT 2253 Communication for Occupational Therapy Practice
College of Health, Medicine & Wellbeing - The University of Newcastle
Course Coordinator 19/7/2021 - 3/9/2021
OCCT3264 Children Youth and Families: An Occupational Approach
College Health, Medicine and Wellbeing - The University of Newcastle (Australia)
Course Coordinator 22/2/2021 - 2/4/2021
OCCT3264 Children Youth and Families: An Occupational Approach
College Health, Medicine and Wellbeing - The University of Newcastle (Australia)
Course Coordinator 21/2/2022 - 1/4/2022
OCCT 2254 Beginning Professional Practice Occupational Therapy
College of Health, Medicine & Wellbeing - The University of Newcastle
Course Coordinator 19/7/2021 - 19/11/2021
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (5 outputs)

Year Citation Altmetrics Link
2024 Schlosser RW, Prabhu A, 'Interrogating Neurotypical Bias in Facilitated Communication, Rapid Prompting Method, and Spelling 2 Communicate Through a Humanistic Lens', CURRENT DEVELOPMENTAL DISORDERS REPORTS, 11 32-40 (2024) [C1]
DOI 10.1007/s40474-024-00296-w
Co-authors Ben Bailey
2022 Ray K, Dally K, Rowlandson L, Tam KI, Lane AE, 'The relationship of handwriting ability and literacy in kindergarten: a systematic review', READING AND WRITING, 35 1119-1155 (2022) [C1]
DOI 10.1007/s11145-021-10224-8
Citations Scopus - 4Web of Science - 2
2022 Ray K, Dally K, Lane AE, 'Impact of A Co-taught Handwriting Intervention for Kindergarten Children in A School Setting: A Pilot, Single Cohort Study', Journal of Occupational Therapy, Schools, and Early Intervention, 15 244-264 (2022) [C1]

Write Start is a co-taught, whole of class approach to handwriting instruction developed for students in grade one and delivered collaboratively by teachers and occupational thera... [more]

Write Start is a co-taught, whole of class approach to handwriting instruction developed for students in grade one and delivered collaboratively by teachers and occupational therapists. Write Start emphasizes the development of handwriting fluency utilizing evidence-based cognitive and perceptual motor strategies within a station-based teaching approach. This pilot study assessed the impact of a modified Write Start on handwriting fluency in Australian kindergarten students (first year of formal schooling), and investigated the effects of early literacy on intervention outcomes using a retrospective analysis of existing clinical data. Participants were kindergarten students (n¿=¿81; mean age¿=¿65.9¿months) attending a large independent primary school in a regional metropolitan center. Participants received the modified Write Start, over one school term, in two x 45 minute sessions per week for 8 weeks. Handwriting fluency was measured pre- and post-intervention using a researcher-designed tool, the Letter Form Assessment (LFA), based on and extending commonly used measures. LFA scores for the whole cohort were significantly higher post-intervention, indicating improved handwriting after the intervention (Z¿=¿-4.457, p <¿.0001). In order to determine if school entry ability impacted responsiveness to the intervention, students were assigned to a high or low performing tier based on scores from three early literacy skills measured by teachers as part of routine assessment at school entry (n¿=¿70). There was no effect of Low or High Tier literacy skills groupings on change to LFA score for phonics (f (19, 50)¿=¿1.11, p =¿.36), phonemic awareness (f (19,50)¿=¿1.32, p =¿.21) or writing (f (19,50)¿=¿0.59, p =¿.89). The modified Write Start shows promise as an effective intervention for kindergarten handwriting, however further revisions and testing should address the potential impact of literacy and the interrelationship of perceptual motor and cognitive skills on outcomes.

DOI 10.1080/19411243.2021.1975604
2021 Ray K, Dally K, Colyvas K, Lane AE, 'The Effects of a Whole-Class Kindergarten Handwriting Intervention on Early Reading Skills', Reading Research Quarterly, 56 S193-S207 (2021) [C1]

The ultimate goal of reading is to comprehend written text, and this goal can only be attained if the reader can decode written words and understand their meanings. The science of... [more]

The ultimate goal of reading is to comprehend written text, and this goal can only be attained if the reader can decode written words and understand their meanings. The science of reading has provided compelling evidence for the subskills that form the foundation of decoding. Decoding words requires understanding of the alphabetic principle and letter¿sound, or grapheme¿phoneme, correspondence. In the first year of formal schooling (kindergarten), this same understanding is also required for young learners who are learning to write the letters of the alphabet. In this article, we examine the effectiveness of a handwriting intervention, Write Start¿K, that emphasizes the recall, retrieval, reproduction, and repetition (the 4Rs model) of grapheme¿phoneme relations. We conducted a two-group, pre/posttest study at two Australian schools across four kindergarten classes (n = 77 students). One school received the intervention, and the other continued with standard teaching. Participants (mean age¿= 5 years 8.45 months, standard deviation = 4.18 months) at both schools were assessed at baseline, immediately after the eight-week intervention period, and at 12 weeks following the end of the intervention (follow-up). We used linear mixed models to determine the statistical significance of effects over three time intervals. We identified statistically significant Group × Time effects for letter name knowledge and word reading, whereas changes in letter sound knowledge and nonsense word¿reading fluency approached statistical significance. These results indicate that a handwriting intervention, incorporating repeated practice in recalling and reproducing letter forms, had a statistically significant impact on early reading skills.

DOI 10.1002/rrq.395
Citations Scopus - 6Web of Science - 3
Co-authors Kim Colyvas
2021 Sheedy AJ, Brent J, Dally K, Ray K, Lane AE, 'Handwriting Readiness among Digital Native Kindergarten Students', Physical and Occupational Therapy in Pediatrics, 41 655-669 (2021) [C1]

Aims: Handwriting is an essential life skill, impacted by proficiency in visual-motor integration and fine motor control. The increase in the use of digital technology has changed... [more]

Aims: Handwriting is an essential life skill, impacted by proficiency in visual-motor integration and fine motor control. The increase in the use of digital technology has changed the way children interact with their environments, and potentially, the development of the important requisite skills for handwriting. This study examined the ¿handwriting readiness¿ skills of children born in the digital age. Methods: 219 children in their first year of formal schooling (mean age = 5 years, 10 months), completed the Beery Buktenica Developmental Test of Visual Motor Integration (Beery-VMI) and the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) Short Form to assess visual motor integration, overall motor proficiency, and fine motor proficiency. Pencil grasp was also observed. Data analysis consisted of descriptive statistics and comparison to established normative data using summary t-tests. Results: Participants met the expected performance level on the Beery-VMI and the manual dexterity subtest of the BOT-2. However, overall motor proficiency on the BOT-2 for our sample was lower than published normative data. Further, 60.3% of participants used static pencil grasps. Conclusions: The findings prompt us to question the potential contribution of digital technology to changes in motor performance among children in the digital age.

DOI 10.1080/01942638.2021.1912247
Citations Scopus - 4Web of Science - 4
Show 2 more journal articles

Creative Work (1 outputs)

Year Citation Altmetrics Link
2023 Ray K, Letter Form Assessment Version 2 (LFA), Callaghan, NSW (2023)

Other (1 outputs)

Year Citation Altmetrics Link
2021 Ray K, Lane AE, Dally K, 'Learning to read the write way', Learning to read the write way. Callaghan, New South Wales: The University of Newcastle (2021)
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Grants and Funding

Summary

Number of grants 3
Total funding $6,838

Click on a grant title below to expand the full details for that specific grant.


20231 grants / $875

Conference Support Grant$875

Funding body: School of Health Sciences, College of Health Medicine and Wellbeing, University of Newcastle

Funding body School of Health Sciences, College of Health Medicine and Wellbeing, University of Newcastle
Project Team

Karen Ray

Scheme Conference Support Grant
Role Lead
Funding Start 2023
Funding Finish 2024
GNo
Type Of Funding Internal
Category INTE
UON N

20221 grants / $2,489

Letter Form Assessment training module development$2,489

Funding body: School of Health Science, Faculty of Health & Medicine, The University of Newcastle

Funding body School of Health Science, Faculty of Health & Medicine, The University of Newcastle
Project Team

Karen Ray, Tennille Johnson

Scheme Start-Up Funds
Role Lead
Funding Start 2022
Funding Finish 2022
GNo
Type Of Funding Internal
Category INTE
UON N

20211 grants / $3,474

Impacting kindergarten literacy through handwriting: Effective assessment to evaluate intervention. $3,474

Funding body: School of Health Sciences

Funding body School of Health Sciences
Project Team

Karen Ray, Alison Lane, Kerry Dally, Kim Colyvas, Dianne Blackwell

Scheme Research Support Grant Scheme
Role Lead
Funding Start 2021
Funding Finish 2021
GNo
Type Of Funding Internal
Category INTE
UON N
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Dr Karen Ray

Position

Lecturer
School of Health Sciences
College of Health, Medicine and Wellbeing

Contact Details

Email karen.ray@newcastle.edu.au
Phone 02 49854262
Link Twitter

Office

Room HE24
Building Hunter Building
Location Callaghan
University Drive
Callaghan, NSW 2308
Australia
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