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反应干预作为阅读障碍风险的识别策略。

Response to intervention as an identification strategy of the risk for dyslexia.

机构信息

Departamento de Psicobiologia, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

出版信息

Codas. 2024 Jun 10;36(4):e20230031. doi: 10.1590/2317-1782/20242023031pt. eCollection 2024.

Abstract

PURPOSE

To develop on intervention process to identify children at risk of dyslexia, based on the Response to Intervention model. Specifically, to identify the pattern of changes in post-intervention performance in tasks of phonological awareness, working memory, lexical access, reading and writing; and to analyze which cognitive functions had a significant effect on the discriminating students at risk of dyslexia.

METHOD

Sample of 30 participants with Reading and writing difficulties, aged 8-11, from public/private schools, students from 3rd to 5th grade. Participants were submitted to a battery of cognitive-linguistic tests, before and after 12 intervention sessions. To monitor their performance, five reading and writing lists of words and pseudowords were applied. We qualitatively and quantitatively analyzed the differences in pre- and post-intervention performance of each participant; and among participants in the post-assessment, to understand the patterns of dyslexia vs non-dyslexia groups.

RESULTS

There were statistically significant changes in: rapid automatized naming, narrative text comprehension, phonological awareness, rate and typology of hits/misses in reading and writing, and reading speed. Being the last three variables the most sensitive to discriminate the two groups, all with less post-intervention gains for the dyslexia group.

CONCLUSIONS

The intervention focused on the stimulation of phonological skills and explicit and systematic teaching of graphophonemic correspondences contributed positively to the evolution of the group's participants. The intervention response approach favored the identification of children with a profile at risk for dyslexia, as distinct from children with other learning difficulties.

摘要

目的

基于反应干预模型,开发一种识别有阅读障碍风险儿童的干预过程。具体来说,确定在语音意识、工作记忆、词汇访问、阅读和写作任务中的干预后表现变化模式;并分析哪些认知功能对区分有阅读障碍风险的学生有显著影响。

方法

共有 30 名阅读和写作困难的参与者,年龄在 8-11 岁之间,来自公立/私立学校,3 至 5 年级的学生。参与者接受了一系列认知语言测试,在 12 个干预课程前后进行。为了监测他们的表现,应用了五个阅读和写作单词和伪词列表。我们对每个参与者的干预前后表现进行了定性和定量分析;并在后评估中对参与者进行了分析,以了解阅读障碍和非阅读障碍组的模式。

结果

在快速自动命名、叙事文本理解、语音意识、阅读和写作的速度和类型、阅读速度方面都有显著变化。后三个变量对区分两组最敏感,阅读障碍组的干预后增益都较小。

结论

重点关注语音技能刺激和图形-音位对应明确而系统教学的干预,对小组参与者的发展产生了积极影响。干预反应方法有利于识别有阅读障碍风险的儿童,与有其他学习困难的儿童不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb13/11189365/cfc02ba9a39b/codas-36-4-e20230031-g01-en.jpg

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