Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.
Dyslexia. 2013 Nov;19(4):241-55. doi: 10.1002/dys.1466.
Part of the Dutch Dyslexia Programme has been dedicated to early intervention. The question of whether the genetically affected learning mechanism of children who are at familial risk (FR) of developing dyslexia could be influenced by training phoneme awareness and letter-sound associations in the prereading phase was investigated. The rationale was that intervention studies reveal insights about the weaknesses of the learning mechanisms of FR children. In addition, the studies aimed to gather practical insights to be used in the development of a system of early diagnosis and prevention. Focused on the last period of kindergarten before formal reading instruction starts in Grade 1, intervention methods with comparable samples and designs but differences in delivery mode (use of computer or manual), tutor (semi-professional or parent), location (at school or at home), and additional practices (serial rapid naming or simple word reading) have been executed to test the hypothesis that the incidence and degree of dyslexia can be reduced. The present position paper summarizes the Dutch Dyslexia Programme findings and relates them to findings of other studies. It is discussed that the Dutch studies provide evidence on why prevention of dyslexia is hard to accomplish. It is argued that effective intervention should not only start early but also be adapted to the individual and often long-lasting educational needs of children at risk of reading failure.
荷兰阅读障碍计划的一部分致力于早期干预。本研究旨在调查在预备阅读阶段训练音位意识和字母-声音关联是否会影响有阅读障碍家族风险(FR)的儿童的遗传学习机制。其理论依据是,干预研究揭示了 FR 儿童学习机制的弱点。此外,这些研究旨在收集实用的见解,用于开发早期诊断和预防系统。研究聚焦于一年级正式阅读教学开始前的幼儿园最后阶段,采用可比样本和设计但交付模式(使用计算机或手册)、导师(半专业或家长)、地点(在学校或在家)以及额外实践(连续快速命名或简单单词阅读)存在差异的干预方法,以检验这样一种假设,即阅读障碍的发生率和严重程度可以降低。本立场文件总结了荷兰阅读障碍计划的研究结果,并将其与其他研究的结果进行了关联。文中讨论了为什么预防阅读障碍难以实现,荷兰的研究为此提供了证据。文中还提出,有效的干预不仅应尽早开始,还应适应有阅读失败风险的儿童的个体和长期的教育需求。