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加速慢性无反应儿童接受第三级指导:需要什么级别的数据才能确保选择的准确性?

Accelerating chronically unresponsive children to tier 3 instruction: what level of data is necessary to ensure selection accuracy?

机构信息

Vanderbilt University, Nashville, TN 37203, USA.

出版信息

J Learn Disabil. 2012 May-Jun;45(3):204-16. doi: 10.1177/0022219412442151. Epub 2012 Apr 6.

DOI:10.1177/0022219412442151
PMID:22491810
Abstract

Response-to-intervention (RTI) approaches to disability identification are meant to put an end to the so-called wait-to-fail requirement associated with IQ discrepancy. However, in an unfortunate irony, there is a group of children who wait to fail in RTI frameworks. That is, they must fail both general classroom instruction (Tier 1) and small-group intervention (Tier 2) before becoming eligible for the most intensive intervention (Tier 3). The purpose of this article was to determine how to predict accurately which at-risk children will be unresponsive to Tiers 1 and 2, thereby allowing unresponsive children to move directly from Tier 1 to Tier 3. As part of an efficacy study of a multitier RTI approach to prevention and identification of reading disabilities (RD), 129 first-grade children who were unresponsive to classroom reading instruction were randomly assigned to 14 weeks of small-group, Tier 2 intervention. Nonresponders to this instruction (n = 33) were identified using local norms on first-grade word identification fluency growth linked to a distal outcome of RD at the end of second grade. Logistic regression models were used to predict membership in responder and nonresponder groups. Predictors were entered as blocks of data from least to most difficult to obtain: universal screening data, Tier 1 response data, norm referenced tests, and Tier 2 response data. Tier 2 response data were not necessary to classify students as responders and nonresponders to Tier 2 instruction, suggesting that some children can be accurately identified as eligible for Tier 3 intervention using only Tier 1 data, thereby avoiding prolonged periods of failure to instruction.

摘要

干预反应 (RTI) 方法旨在结束与智商差异相关的所谓等待失败的要求。然而,具有讽刺意味的是,有一群孩子在 RTI 框架中等待失败。也就是说,他们必须在有资格接受最密集干预 (第 3 层) 之前,同时在普通课堂教学 (第 1 层) 和小组干预 (第 2 层) 中失败。本文的目的是确定如何准确预测哪些处于危险中的儿童对第 1 层和第 2 层没有反应,从而使无反应的儿童能够直接从第 1 层进入第 3 层。作为预防和识别阅读障碍 (RD) 的多层次 RTI 方法的功效研究的一部分,129 名对课堂阅读教学没有反应的一年级儿童被随机分配到 14 周的小组第 2 层干预中。使用与二年级末 RD 远端结果相关的一年级单词识别流畅性增长的本地标准,确定对该指导无反应的儿童(n=33)。使用逻辑回归模型预测反应者和无反应者群体的成员资格。预测因素作为从最容易获得的数据块输入:通用筛选数据、第 1 层响应数据、规范参考测试和第 2 层响应数据。不需要第 2 层响应数据来对第 2 层教学的反应者和无反应者进行分类,这表明仅使用第 1 层数据就可以准确识别有资格接受第 3 层干预的学生,从而避免长时间的教学失败。

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