Stevens Elizabeth A, Austin Christy, Moore Clint, Scammacca Nancy, Boucher Alexis N, Vaughn Sharon
Georgia State University.
University of Utah.
Except Child. 2021 Jul;87(4):397-417. doi: 10.1177/0014402921993406. Epub 2021 Feb 22.
Over the past decade, parent advocacy groups led a grassroots movement resulting in most states adopting dyslexia-specific legislation, with many states mandating the use of the Orton-Gillingham approach to reading instruction. Orton-Gillingham is a direct, explicit, multisensory, structured, sequential, diagnostic, and prescriptive approach to reading for students with or at risk for word-level reading disabilities (WLRD). Evidence from a prior synthesis and What Works Clearinghouse reports yielded findings lacking support for the effectiveness of Orton-Gillingham interventions. We conducted a meta-analysis to examine the effects of Orton-Gillingham reading interventions on the reading outcomes of students with or at risk for WLRD. Findings suggested Orton-Gillingham reading interventions do not statistically significantly improve foundational skill outcomes (i.e., phonological awareness, phonics, fluency, spelling; effect size [ES] = 0.22; = .40), although the mean ES was positive in favor of Orton-Gillingham-based approaches. Similarly, there were not significant differences for vocabulary and comprehension outcomes (ES = 0.14; = .59) for students with or at risk for WLRD. More high-quality, rigorous research with larger samples of students with WLRD is needed to fully understand the effects of Orton-Gillingham interventions on the reading outcomes for this population.
在过去十年中,家长倡导组织发起了一场草根运动,导致大多数州通过了针对诵读困难症的立法,许多州强制要求在阅读教学中采用奥顿-吉林厄姆教学法。奥顿-吉林厄姆教学法是一种直接、明确、多感官、结构化、循序渐进、诊断性和规定性的阅读教学法,适用于有单词层面阅读障碍(WLRD)或有此风险的学生。先前综合研究和有效方法信息中心报告的证据显示,缺乏对奥顿-吉林厄姆干预措施有效性的支持。我们进行了一项荟萃分析,以检验奥顿-吉林厄姆阅读干预措施对有WLRD或有此风险的学生阅读成绩的影响。研究结果表明,奥顿-吉林厄姆阅读干预措施在统计学上并未显著改善基础技能成绩(即语音意识、自然拼读、流利度、拼写;效应量[ES]=0.22;p = 0.40),尽管平均效应量为正值,有利于基于奥顿-吉林厄姆的教学法。同样,对于有WLRD或有此风险的学生,词汇和阅读理解成绩也没有显著差异(ES = 0.14;p = 0.59)。需要对更多有WLRD的学生样本进行更高质量、更严谨的研究,以全面了解奥顿-吉林厄姆干预措施对该人群阅读成绩的影响。