跳至主要内容
临床试验/NCT06403007
NCT06403007已完成不适用

Tackling Two of the Most Important Unresolved Tasks in Reading Intervention

York University2 个研究点 分布在 1 个国家目标入组 964 人开始时间: 2024年6月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
964
试验地点
2
主要终点
Morphological analogies (inflected and derivational)

研究概览

简要总结

An important question in education is how to help young children who struggle to learn to read despite being well-taught in their regular classrooms. Many of the children with low reading ability also come from disadvantaged backgrounds.

There is not a lot of evidence on how to support children with low reading ability become better readers. This is especially true when children still have low reading ability despite experiencing attempts to teach them in both their regular whole class and then in small groups. As a result, in this study we will explore the best ways of training teachers to use programs that we have developed to support reading for these children who have not responded well to earlier teaching (this is one of the tough jobs in our project title). These programs have several new elements. One element is teaching morphology. Morphology means shared word meanings such as the shared meanings between words like sign, design, signal, and signature. Another element is called set-for-variability. This means teaching children to have mental flexibility in using relationships between letters and sounds to read English. We will run our study to see whether including these new elements leads to children with low reading ability improving their reading. By doing this we will help children teachers and families and also contribute to a science of reading.

To achieve these goals, we will carry out two phases of study. In phase 1, we will randomly allocate 50 schools to one condition where we will teach morphology and 50 schools to the other condition where we will teach set-for-variability. In all schools we will also encourage teachers to teach children to use the relationships between letters and sounds to read words. This is called phonics. Doing such work and still having impact in a large number of schools is a major challenge. This is the second of the tough jobs referred to in our project title. In each school we will come in and train teachers of grade 1 and 2 children how to use our programs, and focusing on the children who have low reading ability. In the second part of the study, we will work with a smaller set of children in Grade 3 who still have low reading ability despite our earlier work. In this latter case the groups of children may be both smaller in number and the teaching may go on for longer to have an effect.

详细描述

Overview

Poor readers face many risks. Low-literate children are at higher risk of attention difficulties, socio-emotional and mental health issues including low self-esteem, learned helplessness, anxiety, depression, suicidal ideation, self-harm, drug abuse and other health risks. Multiple socio-economic risks emerge from low literacy as well. We thus plan to extend programmatic work with a sub-set of the same sample of children we have worked with at Tier 1 (effective whole class) into Tier 2 (supplemental small group) reading intervention and then Tier 3 (further extended supplemental intervention) to examine how to use two promising interventions to solve one of the lingering challenges in reading intervention - improving reading of treatment non-responders in real school contexts run by regular teachers. We plan to take on the second unresolved task in reading intervention (impact at scale) by running this as a scaled up randomised control trial (RCT) in around 100 schools in multiple school boards in Quebec Alberta and Ontario, Canada.

Interventions and intervention responsiveness

The literature on Response-to-Intervention (RtI) documenting effective Tier 1 and Tier 2 early reading interventions studies suggests that an explicit pedagogical focus on both the grapho-phonemic and morphological aspects of the written English facilitate reading attainment. In previous work (Georgiou, 2016-21; Savage, 2012-17), we contributed to this literature by working with a sample of children in Alberta and Quebec (Georgiou, 2022; Georgiou et al., 2021; Savage et al., 2018; 2020). In these projects, we helped over 95% of students to become typical readers. However, 4.5% of children in our sample continued to struggle despite interventions. Such children have been labeled 'treatment resistors' (Blachman, 1994). More work is needed on these promising theory-driven interventions at tier 2. A very modest research base exists on interventions for these children at tier 3, where intensive, sustained small group or individual literacy tutoring is deployed in RtI models. Al Otaiba et al. (2014) identified only nine reasonably well-executed studies. Griffiths and Stuart (2013) described only promising case studies. Arias-Gundín and Llamazares (2021) systematically reviewed tiered interventions and reported finding three mixed Tier 2/Tier 3 interventions and six Tier 3 interventions. About half of the reported studies produced no significant treatment effects. Arguably, if these children did not benefit from existing interventions, the need for new theorised approaches is clear.

Theoretical contrasts in the 2 study arms

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
6 Years 至 9 Years(Child)
性别
All
接受健康志愿者

入选标准

  • Formal parent consent letter received
  • Child assent received
  • Screening phase data: We use 2 reading screening measures in a screening phase of the study. These are: Sight Word Reading Efficiency (real words) from the Test of Word Reading Efficiency (TOWRE-2; Torgesen et al., 2012), and the (Sight Word Reading Efficiency (real words) and Phonemic Decoding Efficiency (nonwords) from the Test of Word Reading Efficiency (TOWRE-2; Torgesen et al., 2012), and the Test of Silent Word Reading Fluency-2 (TOSWRF-2; Mather et al., 2014)). Two scores of 3 below a standard score of 90 includes a child in the study.

排除标准

  • No parent consent
  • No child assent
  • Two scores of 3 NOT below a standard score of 90 includes a child in the study.
  • Teacher judgement that child not ready or suited for the intervention.

研究组 & 干预措施

A. Phonics plus morphology instruction

Experimental

Teachers in all schools in this arm receive three hours of phonics plus morphology professional development training as a group and the intervention manual. They receive in-school support and coaching subsequent to this.

干预措施: Phonics plus morphology (Behavioral)

B. Phonics plus set-for-variability instruction

Experimental

Teachers in all schools in this arm receive three hours of phonics plus set-for-variability professional development training as a group and the intervention manual. They receive in-school support and coaching subsequent to this of equivalent duration to that in the other arm.

干预措施: Phonics plus set-for-variability (Behavioral)

结局指标

主要结局

Morphological analogies (inflected and derivational)

时间窗: Change measure: Baseline and 6 months and 9 months

An oral test of morphological awareness

The Castles & Coltheart 3

时间窗: Change measure: Baseline and 6 months and 9 months

A research-standardised test of regular (phonically decodable such as 'chance') exception (words that contain letter-to-sound patterns that are not phonically decodable such as 'choir') and pseudowords (made up words such as 'jeaph')

Set-for-variability

时间窗: Change measure: Baseline and 6 months and 9 months

An oral language test of children's ability correct the pronunciation of exception words such as 'choir'

Phoneme elision subtest from the Comprehensive Test of Phonological Processing 2 (Wagner et al., 2012)

时间窗: Change measure: Baseline and 6 months and 9 months

A standarised measure of phonological awareness

Morphological Awareness - Word Reading Task

时间窗: Change measure: Baseline and 6 months and 9 months

A polysyllabic word reading test containing items such as 'signature' and 'disagreement'

Wide Range Achievement Test V Word reading

时间窗: Change measure: Baseline and 6 months and 9 months

A standardized measure of word reading accuracy

次要结局

  • Picture Comprehension Test(Change measure: baseline and 6 and 9 months)
  • Vocabulary(Administered at baseline only)
  • Nonverbal Matrices(Administered at baseline only)
  • the Test of Silent Word Reading Fluency-2 (TOSWRF-2; Mather et al., 2014(Administered at screening test)
  • Test of Word Reading Efficiency (TOWRE-2; Torgesen et al., 2012)(Administered at screening test)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Robert Savage

Professor and Dean of the Faculty of Education

York University

研究点 (2)

Loading locations...

相似试验