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提高诵读困难儿童阅读技能的研究:一种新提出的补救干预措施——重复阅读与声乐掩蔽(RVM)的疗效研究。

Improving reading skills in children with dyslexia: efficacy studies on a newly proposed remedial intervention-repeated reading with vocal music masking (RVM).

机构信息

Département d'Orthophonie, Laboratoire Cognition Behavior Technology (EA 7276), Université Côte d'Azur, Nice, France.

CERTA (Centre Référent des Troubles des Apprentissages), Fondation Lenval, CHU-Nice, Nice, France.

出版信息

Ann Dyslexia. 2021 Apr;71(1):60-83. doi: 10.1007/s11881-021-00222-4. Epub 2021 Apr 6.

Abstract

In this work, two different studies are examined to evaluate the effectiveness of a novel intervention program for the improvement of reading ability in children with dyslexia, known as repeated reading with vocal music masking (RVM). The proposed remedial approach is inspired by Breznitz's original work. The studies assess a 5-week program of intensive RVM training in a pre-post-test clinical paradigm, as well as a longitudinal paradigm where it is compared to 8 months of the standard remediation program (SRP). The results of both studies support the efficacy of the newly proposed RVM method. Notably in the longitudinal study, the reading speed of children, as well as related phonological, visuo-attentional, and cognitive skills, and attitudes toward reading, were measured regularly. Significant improvements in reading efficiency and related skills were observed, as well as greater motivation to read after RVM training. A modeling of the data specifically linked executive and processing speed skills to be involved in RVM training, suggesting that RVM may help rebalance the phonological and orthographic coding procedures necessary for efficient reading. The short, intensive, and focused nature of RVM training makes it a viable and attractive intervention for clinical practice. As preliminary results are promising, RVM training may prove to be a valuable tool that clinicians can call upon to effectively treat reading fluency disorders, especially when standard programs do not provide results.

摘要

在这项工作中,我们研究了两项不同的研究,以评估一种新的干预计划对改善阅读障碍儿童阅读能力的有效性,该计划称为重复阅读与声乐掩蔽(RVM)。所提出的补救方法受到 Breznitz 原始工作的启发。这些研究评估了为期 5 周的密集 RVM 训练在前后测试临床范式中的效果,以及将其与 8 个月的标准补救计划(SRP)进行比较的纵向范式。这两项研究的结果都支持了新提出的 RVM 方法的有效性。特别是在纵向研究中,我们定期测量了儿童的阅读速度以及相关的语音、视觉注意力和认知技能,以及对阅读的态度。观察到阅读效率和相关技能的显著提高,以及 RVM 训练后阅读的动机增强。对数据的建模特别将执行功能和处理速度技能与 RVM 训练联系起来,表明 RVM 可能有助于重新平衡阅读所需的语音和正字法编码过程。RVM 训练的短、密集和集中性质使其成为临床实践中的一种可行且有吸引力的干预措施。由于初步结果很有希望,因此 RVM 训练可能被证明是一种有价值的工具,临床医生可以利用它有效地治疗阅读流畅性障碍,尤其是当标准计划没有效果时。

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