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The impact of multisensory instruction on learning letter names and sounds, word reading, and spelling

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Abstract

The purpose of this study was to investigate whether the use of simultaneous multisensory structured language instruction promoted better letter name and sound production, word reading, and word spelling for second grade children with typical development (N = 6) or with dyslexia (N = 5) than structured language instruction alone. The use of non-English graphemes (letters) to represent two pretend languages was used to control for children’s lexical knowledge. A multiple baseline, multiple probe across subjects single-case design, with an embedded alternating treatments design, was used to compare the efficacy of multisensory and structured language interventions. Both interventions provided explicit systematic phonics instruction; however, the multisensory intervention also utilized simultaneous engagement of at least two sensory modalities (visual, auditory, and kinesthetic/tactile). Participant’s graphed data was visually analyzed, and individual Tau-U and weighted Tau-U effect sizes were calculated for the outcome variables of letter name production, letter sound production, word reading, and word spelling. The multisensory intervention did not provide an advantage over the structured intervention for participants with typical development or dyslexia. However, both interventions had an overall treatment effect for participants with typical development and dyslexia, although intervention effects varied by outcome variable.

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References

  • Adams, M. (1990). Beginning to read: Thinking and learning about print. Urbana-Champaign, IL: University of Illinois at Urbana-Champaign.

    Google Scholar 

  • Adams, M. J., Bereiter, C., Carruthers, I., Case, R., Hirshberg, J., McKeough, A., et al. (2000). Open court reading. Columbus, OH: SRA/McGraw-Hill.

    Google Scholar 

  • Alexander, A. W., & Slinger-Constant, A.-M. (2004). Current status of treatments for dyslexia: Critical review. Journal of Child Neurology, 19, 744–758.

    Article  Google Scholar 

  • Apel, K. (2011). What is orthographic knowledge? Language, Speech, and Hearing Services in Schools, 42, 592–603.

    Article  Google Scholar 

  • ASHA Panel on Audiologic Assessment. (1997). Guidelines for audiologic screening. Retrieved from American Speech-Language-Hearing Association: http://www.asha.org/docs/html/GL1997-00199.html

  • Baddelely, A., Gathercole, S., & Papagno, C. (1998). The phonological loop as a language learning device. Psychological Review, 105, 158–173.

    Article  Google Scholar 

  • Baddeley, A. (2000). The episodic buffer: A new component of working memory? Trends in Cognitive Science, 4, 417–423.

    Article  Google Scholar 

  • Barlow, D. H., & Hayes, S. C. (1979). Alternating treatment design: One strategy for comparing the effects of two treatments in a single subject. Journal of Applied Behavior Analysis, 12, 199–210.

    Article  Google Scholar 

  • Barlow, D. H., & Hersen, M. (1984). Single-case experimental designs strategies for studying behavior change. Elmsford, NY: Pergamon Press Inc..

    Google Scholar 

  • Bell, N. (1991). Gestalt imagery: A critical factor in language comprehension. Annals of Dyslexia, 41, 246–260.

    Article  Google Scholar 

  • Berninger, V. W., Abbott, R. D., Jones, J., Wolf, B., Gould, L., Anderson-Youngstrom, M., & Apel, K. (2006a). Early development of language by hand: Composing, reading, listening, and speaking connections; three letter-writing modes; and fast mapping in spelling. Developmental Neuropsychology, 29, 61–92.

    Article  Google Scholar 

  • Berninger, V., Abbott, R., Thomson, J., Wagner, R., Swanson, L., Wijsman, E., & Raskind, W. (2006b). Modeling phonological core deficits within a working memory architecture in children and adults with developmental dyslexia. Scientific Studies of Reading, 10, 165–198.

    Article  Google Scholar 

  • Berninger, V. W. (2001). Understanding the ‘Lexia’ in dyslexia: A multidisciplinary team approach to learning disabilities. Annals of Dyslexia, 51, 23–48.

    Article  Google Scholar 

  • Berninger, V., & Amtmann, D. (2003). Preventing written expression disabilities through early and continuing assessment and intervention for handwriting and/or spelling problems: Research into practice. In L. Swanson, K. Harris, & S. Graham (Eds.), Handbook of learning disabilities (pp. 345–363). New York: The Guildford Press.

    Google Scholar 

  • Berninger, V., Lee, Y.-L., Abbott, R., & Breznitz, Z. (2013). Teaching children with dyslexia to spell in a reading-writer's workshop. Annals of Dyslexia, 63, 1–24.

    Article  Google Scholar 

  • Berninger, V., Nielsen, K., Abbott, R., Wijsman, E., & Raskind, W. (2008). Writing problems in developmental dyslexia: Under-recognized and under-treated. Journal of School Psychology, 46, 1–21.

    Article  Google Scholar 

  • Berninger, V., Vaughan, K., Abbott, R., & Brooks, A. (2000). Language-based spelling instruction: Teaching children to make multiple connections between spoken and written words. Learning Disability Quarterly, 23, 117–135.

    Article  Google Scholar 

  • Bhat, P., Rapport, M. K., & Griffin, C. (2000). A legal perspective on the use of specific reading methods for students with learning disabilities. Learning Disability Quarterly, 23, 283–297.

    Article  Google Scholar 

  • Birsh, J. (2006). What is multisensory structured language? Perspectives, Fall, 15–20.

    Google Scholar 

  • Block, C. C., Parris, S. R., & Whiteley, C. S. (2008). CPMs: Akinesthetic comprehension strategy. The Reading Teacher, 6, 460–470.

    Article  Google Scholar 

  • Brossart, D., Vannest, K. J., Davis, J. L., & Patience, M. A. (2014). Incorporating nonoverlap indices with visual analysis for quantifying intervention effectiveness in single-case experimental designs. Neuropsychological Rehabilitation, 24, 464–491.

    Article  Google Scholar 

  • Campbell, M. L., Helf, S., & Cooke, N. L. (2008). Effects of adding multisensory components to a supplemental reading program on the decoding skills of treatment resisters. Education and Treatment of Children, 31, 267–295.

    Article  Google Scholar 

  • Caro, T. M., Roper, R., Young, M., & Dank, G. R. (1979). Inter-observer reliability. Behaviour, 69, 303–315.

    Article  Google Scholar 

  • Clark, D. B., & Uhry, J. K. (1995). Dyslexia theory and practice of remedial instruction (second ed.). Baltimore: York Press.

    Google Scholar 

  • Constantinidou, F., Danos, M., Nelson, D., & Baker, S. (2011). Effects of modality presentation on working memory in school-age children: Evidence for the pictorial superiority hypothesis. Child Neuropsychology, 17, 173–196.

    Article  Google Scholar 

  • Cox, A. (1992). Foundations for literacy structures and techniques for multisensory teaching of basic written english language skills. Cambridge: Educators Publishing Service, Inc.

  • Crane, S. (1996). Star wars miniature battles imperial entanglements. West End Games.

  • Ehri, L., & McCormick, S. (1998). Phases of word learning: Implications for instruction with delayed and disabled readers. Reading and Writing Quarterly, 14, 135–163.

    Article  Google Scholar 

  • Ehri, L. C., & Wilce, L. S. (1985). Movement into reading: Is the first stage of printed word learning visual or phonetic? Reading Research Quarterly, 20, 163–179.

    Article  Google Scholar 

  • Ehri, L. C. (2014). Orthographic mapping in the acquistion of sight word reading, spelling memory, and vocabulary learning. Scientific Studies of Reading, 18, 5–21.

    Article  Google Scholar 

  • Fiske, K. E. (2008). Treatment integrity of school-based behavior analytic interventions: A review of research. Behavior Analysis in Practice, 1, 19–25.

    Article  Google Scholar 

  • Ferron, J., & Jones, P. K. (2006). Tests for the visual analysis of response-guided multiple-baseline data. The Journal of Experimental Education, 75, 66–81.

    Article  Google Scholar 

  • Foorman, B. R., Francis, D. J., Winikates, D., Mehta, P., Schatschneider, C., & Fletcher, J. M. (1997). Early interventions for children with reading disabilities. Scientific Studies of Reading, 1, 255–276.

    Article  Google Scholar 

  • Gabrieli, J. (2009). Dyslexia: A new synergy between education and cognitive neuroscience. Science, 325, 280–283.

    Article  Google Scholar 

  • Gibbs, S., Campbell, M., Helf, S., & Cooke, N. (2006). Early reading tutor. Columbus, OH: SRA/McGraw-Hill.

    Google Scholar 

  • Gibson, E., Gibson, J., Pick, A., & Osser, H. (1962). A developmental study of the discrimination of letter-like forms. Journal of Comparative and Physiological Psychology, 55, 897–906.

    Article  Google Scholar 

  • Goldman, R., & Fristoe, M. (2000). Goldman-Fristoe Test of Articulation 2. Circle Pines, MN: Pearson.

    Google Scholar 

  • Gray, S. (2005). Word learning by preschoolers with specific language impairment: Effect of phonological or semantic cues. Journal of Speech, Language, and Hearing Research, 48, 1452–1467.

    Article  Google Scholar 

  • Gray, S., Pittman, A., & Weinhold, J. (2014). Effect of phonotactic probability and neighborhood density of word-learning configuration by preschoolers with typical development and specific language impairment. Journal of Speech, Language, and Hearing Research, 57, 1011–1025.

    Article  Google Scholar 

  • Gupta, P., & Tisdale, J. (2009). Word learning, phonological short-term memory, phonotactic probability and long-term memory: Towards an integrated framework. Philosophical Transactions of the Royal Society, 364, 3755–3771.

    Article  Google Scholar 

  • Hallahan, D. P., & Mercer, C. D. (2007, November 19). Learning disabilities: Historical perspectives. Retrieved from National Research Center on Learning Disabilities: http://www.nrcld.org/resources/ldsummit/hallahan2.html

  • Henry, M., & Hook, P. (2006). Multisensory instruction: Then and now. Perspectives, 32, 9–11.

    Google Scholar 

  • Horner, R. H., Carr, E. G., Halle, J., McGee, G., Odom, S., & Wolery, M. (2005). The use of single-subject research to identify evidence-based practice in special education. Council for Exceptional Children, 71, 165–179.

    Article  Google Scholar 

  • Horner, R., Swaminathan, K., Sugai, G., & Smolkowski, K. (2012). Considerations for the systematic analysis and use of single-case research. Education and Treatment of Children, 35, 269–290.

    Article  Google Scholar 

  • Hosszu, G. (2012). Heritage of scribes: The relation of Rovas scripts to Eurasian writing systems. Budapest: Rovas Foundation, Hungary.

  • Hulme, C. (1981). The effects of manual tracing on memory in normal and retarded readers: Some implications for multi-sensory teaching. Psychological Research, 43, 179–191.

    Article  Google Scholar 

  • Hulme, C., Monk, S., & Ives, S. (1987). Some experimental studies of multi-sensory teaching: The effects of manual tracing on children's paired-associate learning. British Journal of Developmental Psychology, 5, 299–307.

    Article  Google Scholar 

  • Joshi, M. R., Dahlgren, M., & Boulware-Gooden, R. (2002). Teaching reading in an inner city school through a multisensory teaching approach. Annals of Dyslexia, 52, 229–242.

    Article  Google Scholar 

  • Kaufman, A. S., & Kaufman, N. l. (2004). Kaufman assessment battery for children (Second ed.). Circle Pines, MN: AGS.

    Google Scholar 

  • Kershener, S., Flynn, S., Prince, M., Potter, S. C., Craft, L., & Alton, F. (2014). Using data to improve fidelity when implementing evidence-based programs. Journal of Adolescent Health, 54, S29–S36.

    Article  Google Scholar 

  • Liberman, I. Y., Shankweiler, D., Fisher, F. W., & Carter, B. (1974). Explicit syllable and phoneme segmentation in the young child. Journal of Experimental Child Psychology, 18, 201–212.

    Article  Google Scholar 

  • Lyon, R. G., Shaywitz, S. E., & Shaywitz, B. A. (2003). A definition of dyslexia. Annals of Dyslexia, 53, 1–14.

    Article  Google Scholar 

  • MacArthur, C., & Graham, S. (1987). Learning disabled students’ composing under three methods of text production: Handwriting, word processing, and dictaiton. The Journal of Special Education, 21, 22–42.

  • Mayer, R. E., & Anderson, R. B. (1991). Animations need narrations: An experimental test of a dual-coding hypothesis. Journal of Educational Psychology, 83, 484–490.

    Article  Google Scholar 

  • McIntyre, C., & Pickering, J. (2001). Clinical studies of multisensory structured language education. Dallas: International Multisensory Structured Language Education Council.

    Google Scholar 

  • Moats, L. (2006). How spelling supports reading. American Educator, 29, 12–43.

    Google Scholar 

  • Moats, L., & Farrell, M. (2002). Multisensory instruction. In J. Birsh (Ed.), Multisensory teaching of basic language skills (pp. 1–18). Baltimore: Brookes Publishing Co..

    Google Scholar 

  • National Institute for Literacy. (2008). Developing early literacy: Report of the National Early Literacy Panel. Jessup: Eds Pubs.

  • National Reading Panel. (2000). Teaching children to read: An evidence based assessment of scientific research literature on reading and its implications for reading instruction. Retrieved from National Institute of Child Health and Human Development: http://www.nichd.nih.gov/publications/nrp/report.htm

    Google Scholar 

  • National Reading Panel. (2006). Retrieved from Eunice Kennedy Shriver National Institute of Child Health and Human Development .www.nichd.nih.gov/publications/nrp/pages/smallbook.aspx

  • Nicholson , P. (1982). The old English rune for s. The Journal of English and Germanic Philology, 81, 313–319.

  • Norton, E., & Wolf, M. (2012). Rapid automatized naming (RAN) and reading fluency: Implication for understanding and treatment of reading disabilities. Annual Review of Psychology, 63, 427–452.

    Article  Google Scholar 

  • Oakland, T., Black, J. L., Stanford, G., Nussbaum, N., & Balise, R. R. (1998). An evalation of the dyslexia training program: A multisensory method for promoting reading in students with reading disabilities. Journal of Learning Disabilities, 31, 140–147.

    Article  Google Scholar 

  • Paivio, A. (1991). Dual coding theory: Retrospect and current status. Canadian Journal of Psychology, 45, 255–287.

    Article  Google Scholar 

  • Parker, R., & Vannest, K. (2009). An improved effect size for single-case research: Nonoverlap of all pairs. Behavior Therapy, 40, 357–367.

    Article  Google Scholar 

  • Parker, R. I., Vannest, K. J., & Davis, J. L. (2011a). Effect size in single-case research: A review of nine nonoverlap techniques. Behavior Madifications, 35, 303–322.

    Article  Google Scholar 

  • Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011b). Combining nonoverlap and trend for single-case research: Tau-U. Behavior Therapy, 42, 284–299.

    Article  Google Scholar 

  • Post, Y., & Carreker, S. (2002). Orthographic similarity and phonological transparency in spelling. Reading and Writing: An Interdisciplinary Journal, 15, 317–340.

    Article  Google Scholar 

  • Ramus, F. (2004). Neurobiology of dyslexia: A reinterpretation of the data. Trends in Neuroscience, 27, 720–726.

    Article  Google Scholar 

  • Richards, T. L., Aylward, E. H., Field, K. M., Grimme, A. C., Raskind, W., Richards, A., et al. (2006). Converging evidence for triple word form theory in children with dyslexia. Developmental Neuropsychology, 30, 547–589.

    Article  Google Scholar 

  • Ritchey, K. D., & Goeke, J. L. (2006). Orton-Gillingham and Orton-Gillingham-based reading instruction: A review of the literature. Journal of Special Education, 40, 171–183.

    Article  Google Scholar 

  • Rose, T. E., & Zirkel, P. (2007). Orton-Gillingham methodology for students with reading disabilities: 30 years of case law. The Journal of Special Education, 41, 171–185.

    Article  Google Scholar 

  • Sadoski, M., & Paivio, A. (2001). Imagery and text. Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Sadoski, M., & Paivio, A. (2013). A dual coding theoretical model of reading. In D. Alvermann, N. Unrau, & R. Ruddell (Eds.), Theoretical models and processes of reading (sixth ed., pp. 886–922). Newark, DE: International Reading Association.

    Chapter  Google Scholar 

  • Schoenwald, S. K., Garland, A. F., Chapman, J. E., Frazier, S. L., Sheidow, A. J., & Southam-Gerow, M. A. (2011). Toward the effective and efficient measurement of implementation fidelity. Administration and Policy in Mental Health Services Research, 38, 32–43.

    Article  Google Scholar 

  • Semel, E., Wiig, E. H., & Secord, W. A. (2003). Clinical evaluation of language fundamentals (Fourth ed.). Toronto: The Psychological Corporation.

  • Shaywitz, S. (1998). Dyslexia. The New England Journal of Medicine, 338, 307–312.

    Article  Google Scholar 

  • Shaywitz, S. E., Morris, R., & Shaywitz, B. A. (2008). The education of dyslexic children from childhood to young adulthood. Annual Reveiw of Psychology, 59, 451–475.

    Article  Google Scholar 

  • Snowling, M. J., & Hulme, C. (2011). Evidence-based interventions for reading and language difficulties: Creating a virtuous circle. British Journal of Educational Psychology, 81, 1–23.

    Article  Google Scholar 

  • Snowling, M. J., & Hulme, C. (2012). Children's reading impairments: From theory to practice. Japanese Psychological Research, 55, 186–202.

    Article  Google Scholar 

  • Tobia, V., & Marzocchi, G. M. (2014). Cognitive profiles of Italian children with developmental dyslexia. Reading Research Quarterly, 49, 437–452.

    Article  Google Scholar 

  • Torgesen, J. K., Alexander, A. W., Wagner, R. K., Roshotte, C. A., Voeller, K., & Conway, T. (2001). Intensive remedial instruction for children with severe reading disabilities: Immediate and long-term instructional approaches. Journal of Learning Disabilites, 34, 33–58.

    Article  Google Scholar 

  • Torgesen, J. K., Wagner, R. K., & Rashotte, C. A. (2012). Test of word reading efficiency (second ed.). Austin: Pro-Ed.

    Google Scholar 

  • Treiman, R., Tincoff, R., Rodriquez, K., Mouzaki, A., & Francis, D. (1998). The foundations of literacy: Learning the sounds of letters. Child Development, 69, 1524–1540.

    Article  Google Scholar 

  • Uhry, J., & Shepherd, M. (1993). Segmentation/spelling instruction as part of a first-grade reading program: Effects on several measures of reading. Reading Research Quarterly, 28, 218–233.

    Article  Google Scholar 

  • Vannest, K.J., Parker, R.I., & Gonen, O. (2011). Single Case Research: web based calculators for SCR analysis. (Version 1.0) [Web-based application]. College Station, TX: Texas A&M University. Retrieved Friday 19th February 2016. Available from singlecaseresearch.org.

  • Vellutino, F., Fletcher, J., Snowling, M., & Scanlon, D. (2004). Specific reading disability (dyslexia): What have we learned in the past four decades? Journal of Child Psychology and Psychiatry, 45, 2–40.

    Article  Google Scholar 

  • Wagner, R., & Torgesen, J. (1987). The nature of phonological processing and its causal role in the acquisition of reading skills. Psychological Bulletin, 101, 192–212.

    Article  Google Scholar 

  • Wemyss, S. (1950). The languages of the world ancient and modern. Philadelphia: Stanley Wemyss.

  • What Works Clearinghouse. (2013). What works clearinghouse reviewer training in single-case design standards: Reference and practice materials(WWC Publication No. 40214.G32). Washington, DC: What Works Clearinghouse.

  • Woodcock, R. (2011). Woodcock reading mastery tests (Third ed.). Toronto: Pearson Education.

  • Zemlin, W. (1998). Speech and hearing science anatomy and physiology, fourth edition. Boston: Allyn and Bacon.

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Acknowledgements

We greatly appreciate Lucasfilm Ltd. for the approval to use the Aurebesh letters from Star Wars © & ™ Lucasfilm Ltd. Many thanks are due to the participants and their families, the reading centers and schools who supported this study, and the visual analysts, research assistants, and volunteers whose support and hard work helped complete the study. We are grateful to the interventionists who went above and beyond to ensure a quality study.

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Schlesinger, N.W., Gray, S. The impact of multisensory instruction on learning letter names and sounds, word reading, and spelling. Ann. of Dyslexia 67, 219–258 (2017). https://doi.org/10.1007/s11881-017-0140-z

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