Helping Children with Reading Disability in Chinese: The Response to Intervention Approach with Effective Evidence-Based Curriculum

  • Connie Suk-Han HoEmail author
  • Yau-Kai Wong
  • Chor-Ming Lo
  • David W. Chan
  • Kevin Kien-hoa Chung
  • Sau-Ching Lo
Part of the Literacy Studies book series (LITS, volume 8)


To accomplish effective evidence-based intervention for children with reading disability (RD), it is important to integrate basic and applied research findings and take into consideration some language-specific learning demands. In this chapter, research findings regarding the cognitive profile of Chinese RD are reported and the relevance of the profile for teaching Chinese children with RD is discussed. In particular, a Chinese tiered intervention model with core reading instruction curriculum, which we have developed and implemented in 37 primary schools in Hong Kong, is introduced. This Chinese model has successfully improved the various cognitive skills, literacy skills, and learning motivation of the children in the Program Schools. In particular, 18–58 % of poor readers in Tier 2 and 7 % dyslexic readers in Tier 3 remedial groups, who originally fell below the benchmark, reaching the benchmark of Chinese literacy after receiving the intervention for 1–2 years. Comparing the core reading components in Chinese and the Big Five in English suggests that different cognitive demands are needed for reading diverse orthographies—phonological training is essential for learning to read English, whereas orthographic and morphological training is significant for reading success in Chinese.


Chinese Orthographic skills Morphological skills Reading disability Response to intervention Tiered intervention model 


  1. Aaron, P. G., Joshi, M., & Williams, K. A. (1999). Not all reading disabilities are alike. Journal of Learning Disabilities, 32, 120–137.CrossRefGoogle Scholar
  2. Bishop, D. V. M., & Snowling, M. J. (2004). Developmental dyslexia and specific language impairment: Same or different? Psychological Bulletin, 130, 858–886.CrossRefGoogle Scholar
  3. Bos, C. S., Mather, N., Narr, R. F., & Babur, N. (1999). Interactive, collaborative professional development in early literacy instruction: Supporting the balancing act. Learning Disabilities Research & Practice, 14, 227–238.CrossRefGoogle Scholar
  4. Braze, D., Tabor, W., Shankweiler, D. P., & Mencel, W. E. (2007). Speaking up for vocabulary: Reading skill differences in young adults. Journal of Learning Disabilities, 40, 226–243.CrossRefGoogle Scholar
  5. Catts, H. W., Hogan, T. P., & Adlof, S. M. (2005). Developmental changes in reading and reading disabilities. In H. Catts & A. Kamhi (Eds.), The connections between language and reading disabilities (pp. 25–40). Mahwah: Lawrence Erlbaum Associates.Google Scholar
  6. Chan, W. S. (2002). The concomitance of dyslexia and emotional/behavioral problems: A study on Hong Kong children. Unpublished Master’s thesis, University of Hong Kong.Google Scholar
  7. Chan, D. W., Ho, C. S.-H., Tsang, S.-M., Lee, S.-H., & Chung, K. K.-H. (2007). Prevalence, gender ratio, and gender differences in reading-related cognitive abilities among Chinese children with dyslexia in Hong Kong. Educational Studies, 33, 249–265.CrossRefGoogle Scholar
  8. Chao, Y. R. (1968). A grammar of spoken Chinese. Berkeley, CA: University of California Press.Google Scholar
  9. Cheung, K., & Bauer, R. S. (2002). The representation of Cantonese with Chinese characters. Journal of Chinese Linguistics Monograph Series, 18, 487.Google Scholar
  10. Chhabra, V. (2006). Building capacity to deliver multi-tiered reading intervention in public schools and the role of Response to Intervention (RtI). Perspectives on Language and Literacy, 32, 40–46.Google Scholar
  11. Chik, P. P.-M., Ho, C. S.-H., Yeung, P.-S., Chan, D. W., Chung, K. K.-H., Luan, H., et al. (2011). Syntactic skills in sentence reading among Chinese elementary school children. Reading and Writing. doi: 10.1007/s11145-010-9293-4.Google Scholar
  12. Chik, P. P.-M., Ho, C. S.-H., Yeung, P.-S., Wong, H. Y.-K., Chan, D. W., Chung, K. K.-H., et al. (2012). Contribution of discourse and morphosyntax skills to reading comprehension in Chinese dyslexic and typically developing children. Annals of Dyslexia. doi: 10.1007/s11881-010-0045-6.Google Scholar
  13. Chow, B. W.-Y., Ho, C. S.-H., Wong, S. W.-L., Waye, M. M. Y., & Bishop, D. V. M. (2011). Genetic and environmental influences on Chinese language and reading abilities. PLoS ONE. [].
  14. Chow, B. W.-Y., McBride-Chang, C., Cheung, H., & Chow, C. S. (2008). Dialogic reading and morphology training in Chinese children: Effects on language and literacy. Developmental Psychology, 44(1), 233–244.CrossRefGoogle Scholar
  15. Chung, F. H. K., & Leung, M. T. (2008). Data analysis of Chinese characters in primary school corpora of Hong Kong and mainland China: Preliminary theoretical interpretations. Clinical Linguistics & Phonetics, 22(4–5), 379–389.CrossRefGoogle Scholar
  16. Danielson, L., Doolittle, J., & Bradley, R. (2007). Professional development, capacity building, and research needs: Critical issues for Response to Intervention implementation. School Psychology Review, 36, 632–637.Google Scholar
  17. Duanmu, S. (2009). Syllable structure: The limits of variation. Oxford: Oxford University Press.Google Scholar
  18. Fan, K. Y. (1986, September). Graphic symbol of Chinese character modernization. Paper presented at the meeting of the Symposium of Chinese Character Modernization, Beijing, China.Google Scholar
  19. Gough, P. B., & Tunmer, W. E. (1986). Decoding, reading, and reading disability. Remedial and Special Education, 7, 6–10.CrossRefGoogle Scholar
  20. Haager, D., Klingner, J. K., & Vaughn, S. (Eds.). (2007). Validated reading practices for three tiers of intervention. Baltimore: Brookes.Google Scholar
  21. Ho, C. S. H., Chan, D. W. O., Tsang, S. M., & Lee, S. H. (2000). The Hong Kong Test of Specific Learning Difficulties in Reading and Writing (HKT-SpLD). Hong Kong, China: Hong Kong Specific Learning Difficulties Research Team.Google Scholar
  22. Ho, C. S.-H., Chan, D., Tsang, S.-M., Lee, S.-H., & Luan, V. H. (2004). Cognitive profiling and preliminary subtyping in Chinese developmental dyslexia. Cognition, 91, 43–75.CrossRefGoogle Scholar
  23. Ho, C. S.-H., Leung, M.-T., & Cheung, H. (2011). Early difficulties of Chinese preschoolers at familial risk for dyslexia: Deficits in oral language, phonological processing skills, and print-related skills. Dyslexia. doi: 10.1002/dys.429.Google Scholar
  24. Ho, C. S.-H., Wong, H. Y.-K., Lo, J. C.-M., Chan, D. W.-O., Chung, K. K.-H., Tsang, S.-M., et al. (2011). The Hong Kong Chinese Literacy Assessment for Junior Primary School Student (CLA-P). Hong Kong, China: Hong Kong Specific Learning Difficulties Research Team.Google Scholar
  25. Ho, C. S.-H., Wong, H. Y.-K., Yeung, P.-S., Chan, D. W., Chung, K. K.-H., Lo, S.-C., et al. (2011). The core components of reading instruction in Chinese. Reading and Writing. doi: 10.1007/s11145-011-9303-1.Google Scholar
  26. Ho, C. S.-H., Yau, P. W.-Y., & Au, A. (2003). Development of orthographic knowledge and its relationship with reading and spelling among Chinese kindergarten and primary school children. In C. McBride-Chang & H.-C. Chen (Eds.), Reading development in Chinese children (pp. 51–71). Westport, CT: Praeger.Google Scholar
  27. Hoosain, R. (1991). Psycholinguistic implications for linguistic relativity: A case study of Chinese. Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
  28. Kang, J. S. (1993). Analysis of semantics of semantic-phonetic compound characters in modern Chinese. In Y. Chen (Ed.), Information analysis of usage of characters in modern Chinese (pp. 68–83). Shanghai, China: Shanghai Education Publisher (in Chinese).Google Scholar
  29. Keenan, J. M., Betjemann, R. S., Wadsworth, S. J., DeFries, J. C., & Olson, R. K. (2006). Genetic and environmental influences on reading and listening comprehension. Journal of Research in Reading, 29, 75–91.CrossRefGoogle Scholar
  30. Kirby, J. R., & Savage, R. S. (2008). Can the simple view deal with the complexities of reading? Literacy, 42, 75–82.CrossRefGoogle Scholar
  31. Kratochwill, T. R., Volpiansky, P., Clements, M., & Ball, C. (2007). Professional development in implementing and sustaining multitier prevention models: implications for Response to Intervention. School Psychology Review, 36, 618–631.Google Scholar
  32. Lee, H. M. (Ed.). (2000). Commonly used Chinese character set. Hong Kong, China: Hong Kong Institute of Education (In Chinese).Google Scholar
  33. Li, C. N., & Thompson, S. A. (1981). Mandarin Chinese: A functional reference grammar. Berkeley, CA: University of California Press.Google Scholar
  34. Lubliner, S., & Smetana, L. (2005). The effects of comprehensive vocabulary instruction on Title I students’ metacognitive word-learning skills and reading comprehension. Journal of Literacy Research, 37, 163–200.CrossRefGoogle Scholar
  35. McBride-Chang, C., Wagner, R. K., Muse, A., Chow, B. W. Y., & Shu, H. (2005). The role of morphological awareness in children’s vocabulary acquisition in English. Applied Psycholinguistics, 26, 415–435.CrossRefGoogle Scholar
  36. McCutchen, D., Abbott, R. D., Green, L. B., Beretvas, N., Cox, S., Potter, N. S., et al. (2002). Beginning literacy: Links among teacher knowledge, teacher practice, and student learning. Journal of Learning Disabilities, 35, 69–86.CrossRefGoogle Scholar
  37. McCutchen, D., & Berninger, V. W. (1999). Those who know, teach well: Helping teachers master literacy-related subject-matter knowledge. Learning Disabilities Research and Practice, 14, 215–226.CrossRefGoogle Scholar
  38. McDaniel, M. A., & Pressley, M. (1989). Keyword and context instruction of new vocabulary meanings: Effects of text comprehension and memory. Journal of Educational Psychology, 81, 204–213.CrossRefGoogle Scholar
  39. Nation, K., & Cocksey, J. (2009). The relationship between knowing a word and reading it aloud in children’s word reading development. Journal of Experimental Child Psychology, 103, 296–308.CrossRefGoogle Scholar
  40. National Reading Panel. (2000). Teaching children to read: An evidence based assessment of the scientific research literature on reading and its implications for reading instruction. Bethesda, MD: National Reading Panel, National Institute of Child Health and Human Development.Google Scholar
  41. Nelson, J. R., & Stage, S. A. (2007). Fostering the development of vocabulary knowledge and reading comprehension through contextually-based multiple meaning vocabulary instruction. Education and Treatment of Children, 30, 1–22.CrossRefGoogle Scholar
  42. Packard, J. L. (2000). The morphology of Chinese: A linguistic and cognitive approach. Cambridge, UK: Cambridge University Press.CrossRefGoogle Scholar
  43. Shu, H., Chen, X., Anderson, R. C., Wu, N., & Xuan, Y. (2003). Properties of school Chinese: Implications for learning to read. Child Development, 74, 27–47.CrossRefGoogle Scholar
  44. Shu, H., McBride-Chang, C., Wu, S., & Liu, H. (2006). Understanding Chinese developmental dyslexia: Morphological awareness as a core cognitive construct. Journal of Educational Psychology, 98(1), 122–133.CrossRefGoogle Scholar
  45. Snowling, M. J., Gallagher, A., & Frith, U. (2003). Family risk of dyslexia is continuous: Individual differences in the precursors of reading skill. Child Development, 74(2), 1–16.CrossRefGoogle Scholar
  46. Tilly, W. D. (2003, December). How many tiers are needed for successful prevention and early intervention? Heartland Area Education Agency's Evolution from four to three tiers. Paper presented at the National Research Center on Learning Disabilities Response to Intervention Symposium, Kansas City, MO.Google Scholar
  47. Vellutino, F. R., Scanlon, D. M., & Tanzman, M. S. (1994). Components of reading ability: Issues and problems in operationalizing word identification, phonological coding and orthographic coding. In G. R. Lyon (Ed.), Frames of reference for the assessment of learning disabilities: New views on measurement issues (pp. 279–332). Baltimore: Brookes.Google Scholar
  48. Wadsworth, S. J., Olson, R. K., Pennington, B. F., & DeFries, J. C. (2000). Differential genetic etiology of reading disability as a function of IQ. Journal of Learning Disabilities, 33, 192–199.CrossRefGoogle Scholar
  49. Wanzek, J., Wexler, J., Vaughn, S., & Ciullo, S. (2010). Reading interventions for struggling readers in the upper elementary grades: A synthesis of 20 years of research. Reading and Writing, 23, 889–912.CrossRefGoogle Scholar
  50. Yeung, P.-S., Ho, C. S.-H., Chik, P. P.-M., Lo, L.-Y., Luan, H., Chan, D. W., et al. (2011). Reading and spelling Chinese among beginning readers: What skills make a difference? Scientific Study of Reading. doi: 10.1080/10888438.2010.482149.Google Scholar
  51. Zhou, Y. K. (1980). Precise guide to pronunciation with Chinese with Chinese phonological roots. Jilin: Jilin People’s Publishing Co. (In Chinese).Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • Connie Suk-Han Ho
    • 1
    Email author
  • Yau-Kai Wong
    • 2
  • Chor-Ming Lo
    • 3
  • David W. Chan
    • 4
  • Kevin Kien-hoa Chung
    • 3
  • Sau-Ching Lo
    • 1
  1. 1.Psychology DepartmentThe University of Hong KongHong KongChina
  2. 2.Department of Applied Social SciencesThe Hong Kong Polytechnic UniversityHong KongChina
  3. 3.Department of Special Education and CounsellingThe Hong Kong Institute of EducationHong KongChina
  4. 4.Faculty of EducationThe Chinese University of Hong KongHong KongChina

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