Longitudinal prediction and prevention of early reading difficulty

The results of many studies suggest that early reading problems are associated with deficiencies in certain spoken language skills. Children who encounter reading difficulty tend to be deficient in the perception of spoken words, the ability to retain linguistic material in temporary memory, and the ability to comprehend certain spoken sentences, as well as in their awareness about the phonological structure of spoken words. This paper summarizes these findings and provides an explanation in terms of the requirements of skilled reading. It further reviews the results of two longitudinal studies which show that inferior performance in kindergarten tests of language skills may presage future reading problems in the first grade. Based on these studies, procedures are suggested for kindergarten screening and for some ways of aiding children who, by virtue of inferior performance on the screening tests, might be considered at risk for early reading difficulties. Presented at the 33rd Annual Conference of The Orton Dyslexia Society, San Diego, California, November 1983. This paper was prepared while the author was a Fulbright Fellow at the Research Institute of Logopedics and Phoniatrics at the University of Tokyo, Tokyo, Japan. Much of the research herein described was supported by NICHD Grant HD-01994 and BRS Grant 05596 to Haskins Laboratories, Inc.     

Perceptual screening: Toward identification,prediction and prevention of reading disabilities

Conclusions There is some evidence that optimal perceptual development occurs by the time a child is eight years of age; and similarly, evidence that remediation of maladaptation and reading difficulties is far more difficult to achieve after eight or nine years of age. There is also theoretical and empirical evidence suggesting that there are optimal periods to intervene in order to influence development of all human characteristics (Bloom, 1964). Since perception seems to be maximally developed by eight years of age, it seems quite clear that intervention to improve on the developmental progression of perception should occur before that age. However, one thing that is not clear from previous studies, is whether instruction directed toward a child’s weak perceptual area is more beneficial than instruction directed toward the child’s strong perceptual area. Perhaps, through early group screening and empirically testing the modality concept, important data can be gathered regarding the efficacy of teaching toward a strong learning characteristic or propensity, or teaching toward a weak area in order to develop that area to an adequate level and to maximize the ability to learn beginning reading. Preparation of paper was partially supported by funds from HEW, National Advisory Committee on Dyslexia and Related Reading Disorders. An earlier version of paper was submitted by invitation to that committee.     

Early language intervention: A deterrent to reading disability

Reading is a language art! In acquiring competence in reading we build on proficiencies already available in the primary (spoken) language system. Language is made up of three primary components that impact on reading—phonology, or the sound structure of language including syllables and phonemes; syntax, or the rules governing the sequential ordering of words in phrases and sentences; and semantics, or the meaning system that is attached to words and phrases as a consequence of experiences in a variety of contexts. All three depend upon adequate short- and long-term memory capacities and functioning for their growth and refinement. Additionally, the bridging of speech to print, or the task of establishing sound/symbol correspondences in beginning reading draws not only upon phonological competencies and memory, it is also dependent upon the discovery that words are made up of smaller and isolable parts. This knowledge is often referred to as auditory segmenting which is one aspect of metalinguistic awareness. This paper will discuss these five language roots of reading. The authors will report on research that demonstrates that children, upon school entrance, do not all possess equal levels of competencies in these five critical language areas. Since success in beginning reading is dependent upon the adequate development and functioning of each of the five language areas noted above, early school experiences should be directed toward language development, as well as reading instruction, if we are to reduce the incidence of reading difficulties in our schools. Finally, we will offer suggestions for enhancing language competencies that will support and promote the acquisition of reading.     

Specific reading disability: Follow-up studies

Twenty-four children with specific reading disability, originally studied and treated at the Bellevue Hospital Mental Hygiene Clinic between 1949 and 1951, were reexamined as young adults between 1961 and 1962 with the battery of tests given to them ten to 12 years before. Their specific perceptual problems and evidence of lack of clear- out cerebral dominance persists, although in less severe form. Those patients who as children had neurological signs in addition to the specific reading disability showed less improvement than those who had none.     

Paths to reading comprehension in at-risk second-grade readers

Two studies of second graders at risk for reading disability, which were guided by levels of language and functional reading system theory, focused on reading comprehension in this population. In Study 1 (n = 96), confirmatory factor analysis of five comprehension measures loaded on one factor in both fall and spring of second grade. Phonological decoding predicted accuracy of real-word reading; automatic letter naming predicted rate of real-word reading; accuracy and rate of both real-word reading (more so than decoding of pseudowords) and text reading predicted reading comprehension; and Verbal IQ also predicted reading comprehension. In Study 2 (n = 98), the treatment group (before/after school clubs receiving an integrated instructional approach that was supplementary to the general reading program) improved significantly more in phonological decoding and state standards for reading fluency than the control group (general reading program that had some code instruction but emphasized comprehension). The rate of phonological decoding explained 60.3% of real-word reading. Both treatment and control children improved significantly in reading comprehension, but controlling for pretreatment individual differences in oral vocabulary or in phonological decoding eliminated this effect. Taken together, the results of the two studies support two paths to reading comprehension: one from vocabulary and verbal reasoning, and one from written language that has multiple links between subskills: (a) alphabetic principle --> phonological decoding, (b) automatic phonological decoding --> accurate real-word reading, (c) automatic letter coding ---> automatic word reading, and (d) automatic word reading --> fluent text reading. Instructional implications of both paths and the links within the written language are discussed.     

A developmental approach to reading disability: accuracy and speed criteria of normal and deficient reading skill

The constructs of accuracy and speed were adopted as performance criteria against which to define 2 clinical samples of disabled readers. Accuracy-disabled subjects had failed to achieve reliable age-appropriate word recognition skills. Rate-disabled readers were age-appropriate in word recognition accuracy but deficient in reading speed. These disabled readers were compared to fluent normal children selected to be reading at the same level of accuracy as the rate-disabled subjects but at a significantly faster rate. All aspects of the accuracy-disabled subjects' reading systems proved deficient, and these children were less able to learn new sound-symbol associations in a task simulating initial reading acquisition. The rate-disabled subjects exhibited a basic deficit in word recognition speed, compromised accuracy when reading in context, and compromised spelling when competing visual patterns were available. A multidimensional oral language impairment was found to accompany the accuracy disability, while the rate disability appeared restricted to language in its visible form and the naming of visual representations. A visual naming speed impairment was associated with both profiles of deficient reading skill.     

Temporal processing and reading disability

The present investigation examined thehypothesis that early auditory temporalprocessing deficits cause later specificreading disability by impairing phonologicalprocessing (Farmer & Klein 1995; Tallal1980, 1984). Temporal processing ability atschool entry was examined using Tallal'sRepetition Test in a large unselected sample ofover 500 children followed over subsequentyears. Although our data confirmed the presenceof certain non-speech auditory processingdeficits in children later classified asspecific reading-disabled, many findings wereclearly at odds with a causal interpretation ofthis relationship. (1) Reading-disabled (RD)children were impaired at school entry on thesubtest with long interstimulus intervals(ISIs) but not the critical short-ISIsubtest. (2) RD children were not inferior toreading-age (RA) controls. (3) A subgroup of RDchildren with evidence of temporal deficitswere no less proficient on later phonologicalor reading measures than RD children with noevidence of early temporal impairment. (4)Although there was a reliable concurrentcorrelation between temporal deficits andphonological awareness at school entry(suggesting a possible common causeexplanation), early temporal deficits did notpredict later phonological impairment,pseudoword processing difficulties, or specificreading disability. On the other hand, earlytemporal deficits did predict later oralreceptive vocabulary and reading comprehensionweaknesses. These findings suggest thatauditory temporal deficits in dyslexics may beassociated with the same dysphasic-typesymptoms observed by Tallal and her colleaguesin specific language-impaired populations, butdo not cause the core phonological deficitsthat characterize dyslexic groups.     

Persistent arithmetic, reading, or arithmetic and reading disability

The achievement of 1,075 school children was followed to the end of grade 7 or 8. Retrospective details of birth, medical history, and infant adaptive behavior, as well as current information about preschool behavior, were provided by parents before kindergarten entry when their children were ages four to five. At that time, each child was given language, preacademic, and visual-motor tests, and a short-form verbal IQ was obtained. For grades 1 to 8, a mean 6.9 percent qualified as low in arithmetic (including 3.9 percent low only in arithmetic) and 9 percent as low in reading (including 6 percent low only in reading). Groups of children with persistent disability in arithmetic only (2.3 percent), reading only (6.6 percent), and arithmetic plus reading (3.4 percent) were compared on all variables, and gender differences were examined. The specific arithmetic group was superior to the other two groups in preschool verbal IQ and language, and had suffered more birth problems and illness. As found by Rourke and his colleagues (e.g., Rourke and Finlayson 1978) for older children, boys with a specific arithmetic disability showed a preschool profile with high verbal scores and low nonverbal scores. Many gender differences were found for the total sample, but few for the learning disability subgroups.     

Responsiveness to mathematical problem-solving instruction: comparing students at risk of mathematics disability with and without risk of reading disability

This study assessed responsiveness to a 16-week mathematical problem-solving treatment as a function of students' risk for disability. Among 301 third graders, TerraNova scores were used to categorize students as at risk for both reading and mathematics disability (MDR/RDR; 20 control and 12 experimental), at risk for mathematics disability only (MDR-only; 5 and 8), at risk for reading disability only (RDR-only; 12 and 15), or not at risk (NDR; 60 and 69). Interactions among at-risk status, treatment, and time showed that as a function of treatment, MDR/RDR, MDR-only, and RDR-only students improved less than NDR students on computation and labeling, and MDR/RDR students improved less than all other groups on conceptual underpinnings. Exploratory regressions suggested that MDR/RDR students' math deficits or their underlying mechanisms explained a greater proportion of variance in responsiveness to problem-solving treatment than reading deficits or their underlying mechanisms.     

Genetic and environmental etiologies of reading disability: A twin study

Previous twin studies of reading disability employed a comparison of concordance rates in identical and fraternal twin pairs as a test for genetic etiology. Recently, a statistically more powerful multiple regression analysis of twin data has been formulated to assess the importance of genetic factors in the development of reading difficulties. Application of this analysis to twin data from the Colorado Reading Project yields definitive evidence for a genetic etiology. Results from this study suggest that approximately 40 percent of the deficit observed in the disabled readers is due to genetic factors, 35 percent is due to environmental influences shared by members of twin pairs, and about 25 percent is the result of environmental factors unique to the individual and/or error variance. This work was supported in part by a program project grant from the NICHD (HD-11681).     

Phonological basis in reading disability: A review and analysis of the evidence

Poor readers are known to do consistently worsethan their normal reading peers on tasks ofphonological processing. They are characterizedby their difficulties in printed wordrecognition, phonological awareness andphonological decoding. An increasing body ofevidence points to deficits in speechperception as a source of subtle but ramifyingeffects in reading impaired children andadults. These deficits may be traced to poorlycoded phonological representations. Thisarticle will attempt to explain poor readers'difficulties in phonological coding by drawingon a gestural account speech development.Implications of this approach for readingintervention will be presented.     

The right and wrong places to look for the cognitive locus of reading disability

A coherent conception of dyslexia has been difficult to arrive at because research findings have continually created logical paradoxes for the psychometric definition of reading disability. One such paradox is that cognitive research has undermined the assumption of specificity in the definition of dyslexia. The assumption of specificity is the underlying premise that the cognitive problems characteristic of the dyslexic child are reasonably specific to the reading task and do not implicate broader domains of cognitive functioning. This paper demonstrates how to develop hypotheses about the cognitive deficits of dyslexic children that do not undermine the assumption of specificity. Phonological awareness is explored as one candidate process. It is argued that in order to avoid the pitfalls surrounding the assumption of specificity three things are important: 1) We must understand the operation of Matthew effects in education (rich-get-richer and poor-get-poorer effects); 2) Strict psychometric criteria must be used to define dyslexia; 3) We must continually be aware that dyslexia does not demarcate a discrete category, separate from other groups of poor readers, but represents the outcome of the application of an arbitrary criterion in a continuous distribution.