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预测诵读困难儿童对持续阅读和拼写干预的反应能力。

Predicting responsiveness to a sustained reading and spelling intervention in children with dyslexia.

作者信息

Tilanus Elisabeth A T, Segers Eliane, Verhoeven Ludo

机构信息

Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.

Marant, Elst, Gelderland, The Netherlands.

出版信息

Dyslexia. 2019 May;25(2):190-206. doi: 10.1002/dys.1614. Epub 2019 Apr 23.

Abstract

The present study aimed to predict responsiveness to a sustained two-phase reading and spelling intervention with a focus on declarative and procedural learning respectively in 122 second-grade Dutch children with dyslexia. We related their responsiveness to intervention to precursor measures (phonological awareness, rapid automatized naming ability, letter knowledge, and verbal working memory) and related word and pseudoword reading and spelling outcomes of the sustained intervention to initial reading and spelling abilities, and first-phase, initial treatment success. Results showed that children with dyslexia improved in reading accuracy and efficiency and in spelling skills during the two phases of the intervention although the gap with typical readers increased. In reading efficiency, rapid automatized naming, and in reading and spelling accuracy phoneme deletion predicted children's responsiveness to intervention. Additionally, children's initial reading abilities at the start of the intervention directly (and indirectly, via initial treatment success, in reading efficiency) predicted posttest outcomes. Responsiveness to intervention in spelling was predicted by phoneme deletion, and spelling at posttest was indirectly, via initial treatment success, predicted by children's initial spelling abilities. Finally, children's initial treatment success directly predicted reading efficiency and spelling outcomes at posttest.

摘要

本研究旨在预测122名患有诵读困难的荷兰二年级儿童对持续两阶段阅读和拼写干预的反应,该干预分别侧重于陈述性学习和程序性学习。我们将他们对干预的反应与前期测量指标(语音意识、快速自动命名能力、字母知识和言语工作记忆)相关联,并将持续干预的相关单词和假词阅读及拼写结果与初始阅读和拼写能力、第一阶段以及初始治疗成功率相关联。结果表明,诵读困难儿童在干预的两个阶段中,阅读准确性和效率以及拼写技能都有所提高,尽管与正常读者的差距有所扩大。在阅读效率、快速自动命名以及阅读和拼写准确性方面,音素删除能够预测儿童对干预的反应。此外,干预开始时儿童的初始阅读能力直接(以及通过初始治疗成功率间接)预测了后测结果。音素删除能够预测拼写方面的干预反应,而后测时的拼写则通过初始治疗成功率,由儿童的初始拼写能力间接预测。最后,儿童的初始治疗成功率直接预测了后测时的阅读效率和拼写结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffaf/6593814/496dcdea8608/DYS-25-190-g001.jpg

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