Efficacy of an Intervention to Improve Fluency in Children With Developmental Dyslexia in a Regular Orthography

Abstract

The purpose of this study was to examine the efficacy of a method to improve reading fluency in children with dyslexia. The method, which we named “subsyllabic,” was aimed at automatizing the recognition of syllables within words in connected texts, presented by ad hoc software. Two versions of this method—one self-paced and the other one with automatic syllable identification—were compared to a method based on phonemic awareness, assisted reading, and other psycholinguistic exercises. The efficacy of the two versions of the subsyllabic method was further studied by repeating the first version twice and the second version three times using an AB design, with each phase lasting approximately 3 months. This part of the study provided not only follow-up data but also useful information on if and how fluency may change after repeated treatment. Outcomes obtained by a total of 63 children with dyslexia suggested that the subsyllabic method was superior to the control method and that the use of an automatic presentation of target syllables produced better results. Furthermore, we observed that fluency improved approximately at the same rate after each treatment repetition. Our data support the possibility of improving reading fluency at a significant clinical level, at least for regular orthographies. The crucial component of the subsyllabic method seems to be the facilitation of syllable recognition within words in connected texts and the emphasis on their rapid recognition using an automatized procedure.

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References

Breznitz, Z. (1997). Enhancing the reading of dyslexics by reading acceleration and auditory masking. Journal of Educational Psychology, 89, 103—113.

Breznitz, Z. (2002). Asynchrony of visual— orthographic and auditory—phonological word recognition processes: An underlying factor in dyslexia. Reading and Writing: An Interdisciplinary Journal, 15, 15—42.

Breznitz, Z. , & Lauren Berman, L. (2003). The underlying factors of word reading rate. Educational Psychology Review, 15, 247—265.

Carreiras, M. , Alvares, C.J. , & De Vega, M. (1993). Syllable frequency and visual word recognition in Spanish. Journal of Memory and Language, 32, 766—780.

Carreiras, M. , & Grainger, J. (2004). Sublexical representations and the “front end” of visual word recognition. Language and Cognitive Processes, 19, 321—331.

Chard, D.J. , Vaughn, S. , & Tyler, B. (2003). A synthesis of research on effective interventions for building reading fluency with elementary students with learning disabilities . Journal of Learning Disabilities, 35, 386—406.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York : Academic Press.

Cornoldi, C. , Colpo, M. & Gruppo MT (1998). La valutazione oggettiva della lettura [The objective assessment of reading]. Florence, Italy: Edizioni OS.

Harm, M.W. , McCandliss, B.D. , & Seidenberg, M.S. (2003). Modelling the successes and failures of interventions for disabled readers. Scientific Studies of Reading, 7, 155—182.

10.

Klicpera, C. , & Schabmann, A. (1993). Do German speaking children have a chance to overcome reading and spelling difficulties? A longitudinal survey from the second to the eighth grade. European Journal of Psychology of Education , 8, 307—323.

11.

Kuhn, M.R. , & Stahl, S.A. (2003). Fluency: A review of developmental and remedial practices. Journal of Educational Psychology, 95, 3—21.

12.

Landerl, K. , Wimmer, H. , & Frith, U. (1997). The impact of orthographic consistency on dyslexia: A German—English comparison. Cognition, 63, 315—334.

13.

Lundberg, I. , & Hoien, T. (1990). Patterns of information processing skills and word recognition strategies in developmental dyslexia. Scandinavian Journal of Educational Research, 34, 231—240.

14.

Lyon, G.R. , & Moats, L.C. (1997). Critical conceptual and methodological considerations in reading intervention research. Journal of Learning Disabilities , 30, 578—588.

15.

Martin-Chang, S.L. , & Levy, B.A. (2005). Fluency transfer: Differential gains in reading speed and accuracy following isolated word and context training. Reading and Writing, 18, 343—376.

16.

Meyer, M.S. , & Felton, R.H. (1999). Repeated reading to enhance fluency: Old approaches and new directions. Annals of Dyslexia, 49, 283—306.

17.

Necoechea, D.M. , & Swanson, H.L. (2003). The role of reading intervention research in the identification of children with reading difficulties: A meta-analysis of the literature funded by the NICHD. Advances in Learning and Behavioral Disabilities, 16, 83—161.

18.

Paulesu, E. , Frith, U. , Snowling, M. , Gallagher, A. , Morton, J. , Frackowiak, R.S.J. , et al. (1996). Is developmental dyslexia a disconnection syndrome? Evidence from PET scanning. Brain, 119, 143—157.

19.

Rodrigo, M. , & Jimenez, J.E. (1999). An analysis of the word naming errors of normal readers and reading disabled children in Spanish. Journal of Research in Reading, 22, 180—197.

20.

Seymour, P.H.K. , Aro, M. , & Erskine, J.M. (2003). Foundation literacy acquisition in European orthographies . The British Journal of Psychology, 94, 143—174.

21.

Snowling, M. (2000). Dyslexia (2nd ed.). Oxford: Blackwell.

22.

Thaler, V. , Ebner, E.M. , Wimmer, H. , & Landerl, K. (2004). Training reading fluency in dysfluent readers with high reading accuracy: Word specific effects but low transfer to untrained words. Annals of Dyslexia, 54, 89—113.

23.

Tijms, J. , Hoeks, J.W. , Paulussen-Hoogeboom, M.C. , & Smolenaars, A.J. (2003). Long-term effects of a psycholinguistic treatment for dyslexia. Journal of Research in Reading, 26, 121—140.

24.

Tressoldi, P.E. , Stella, G. , & Faggella, M. (2001). The development of reading speed in Italians with dyslexia: A longitudinal study. Journal of Learning Disabilities , 34, 67—78.

25.

Tressoldi, P.E. , Vio, C. , & Lonciari, I. (2000). Treatment of specific developmental reading disorders, derived from single-and dual-route models. Journal of Learning Disabilities, 33, 278—285.

26.

Wimmer, H. (1993). Characteristics of developmental dyslexia in a regular writing system. Applied Psycholinguistics, 14, 1—33.

27.

Wimmer, H. (1996). The early manifestation of developmental dyslexia: Evidence from German children. Reading and Writing: An Interdisciplinary Journal, 8, 171—188.

28.

Wimmer, H. , & Mayringer, H. (2002). Dysfluent reading in the absence of spelling difficulties: A specific disability in regular orthographies. Journal of Educational Psychology, 94, 272—277.

29.

Wolf, M. , & Bowers, P.G. (1999). The double-deficit hypothesis for the developmental dyslexias. Journal of Educational Psychology, 91, 415—438.

30.

Wolf, M. , Miller, L. , & Donnelly, K. (2000). Retrieval, automaticity, vocabulary, elaboration, orthography (RAVE-O): A comprehensive, fluency-based reading intervention program. Journal of Learning Disabilities, 33, 375—386.

31.

Yap, R. , & van der Leij, A. (1993). Word processing in dyslexics. An automatic decoding deficit? Reading and Writing, 5, 261—279.

32.

Zoccolotti, P. , De Luca, M. , Di Pace, E. , Judica, A. , Orlandi, M. , & Spinelli, D. (1999). Markers of developmental surface dyslexia in a language (Italian) with high grapheme—phoneme correspondence. Applied Psycholinguistics, 20, 191—216.