Intervention for Dyslexia - The British Dyslexia Association
Intervention for Dyslexia - The British Dyslexia Association
Intervention for Dyslexia - The British Dyslexia Association
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progressing normally (36 boys and 29 girls) <strong>for</strong>med the control group. Prior to starting<br />
school all the children in the study (N=1,284) had been administered a battery of<br />
cognitive tests of language, memory, intelligence and attention, as well as pre-reading<br />
measures such as letter and word identification, and print awareness. Further tests of<br />
cognition and literacy were given when the children were in 1 st grade. <strong>The</strong> instructional<br />
approach emphasised phonological awareness, the alphabetic principle, building sightword<br />
vocabulary, and developing comprehension strategies.<br />
At both kindergarten and 1 st grade, the at-risk readers were significantly poorer than the<br />
normal readers on measures of phonological awareness, rapid automatised naming,<br />
verbal fluency, verbal memory and verbal learning, but not on measures of intelligence,<br />
semantic skills or visual processing. <strong>The</strong> results showed that 67% of the at-risk readers<br />
scored within the average or above-average range on standardised tests of reading<br />
achievement after only one semester of daily one-to-one tutoring, which supports the<br />
view that in most cases these children’s difficulties had been due to experiential and<br />
instructional deficits, consistent with observations by Clay (1987). However, 33% of the<br />
tutored children scored below the normal range (30 th centile) and 15% well below the<br />
normal range (15 th centile), suggesting that these children’s difficulties had a different or<br />
additional cause. Expressed as percentages of the total population from which they were<br />
drawn, 3% were still below the normal range and 1.5% well below the normal range.<br />
Children who showed the most accelerated growth in reading in response to intervention<br />
approached the level of normal readers and maintained their progress subsequent to the<br />
intervention, whereas children who showed the least acceleration in reading<br />
development continued to per<strong>for</strong>m worse than the other groups subsequent to the<br />
intervention. <strong>The</strong> tests that significantly distinguished the high reading growth children<br />
from the low reading growth children were those assessing letter and number<br />
identification in kindergarten, and rapid automatised naming, phonological memory and<br />
grammatical judgment in 1 st grade. Cognitive profiles of children who responded most<br />
readily to the intervention were closer to those of normally achieving readers than were<br />
the cognitive profiles of those who were found difficult to remediate.<br />
Overall, the study by Vellutino et al. (1996) not only supports the view that deficits in<br />
phonological skills and verbal memory are associated with risk of reading failure, but<br />
also that children who have poorer response to a one-to-one intervention are more<br />
severely affected in these cognitive domains than are children who make a swift<br />
response to one-to-one intervention. On the basis of our current understanding of<br />
dyslexia (see Section 1.3.1 and Vellutino et al., 2004) it is likely that a considerable<br />
proportion of the poorer responding children were dyslexic.<br />
2.2.3 Torgesen et al. (1999)<br />
Torgesen, Wagner, Rashotte, Rose, Lindamood & Conway (1999) screened children in<br />
13 schools at the beginning of kindergarten on letter name knowledge and phonological<br />
awareness. Children who scored poorly on these tests were deemed to be at risk of<br />
reading difficulties and were selected <strong>for</strong> intervention, with those scoring below standard<br />
score 75 on vocabulary (Stan<strong>for</strong>d-Binet) being excluded. 180 at-risk children were<br />
randomly assigned to one of four treatment conditions:<br />
1. regular classroom support<br />
<strong>Intervention</strong> <strong>for</strong> <strong>Dyslexia</strong> 31