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Best practice in phonological awareness intervention for children with speech disorder Gail Gillon,PhD and Brigid McNeill, PhD College of Education University of Canterbury
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Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

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Page 1: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Best practice in phonological awareness

intervention for children with

speech disorder

Gail Gillon,PhD and

Brigid McNeill, PhD

College of Education

University of Canterbury

Page 2: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Disclosure

The authors have no financial relationship with any

content or material presented in this workshop.

Intervention materials referred to during the

workshop that have been used in Gillon et al

intervention research can be freely downloaded for

teaching or future research purposes

www.education.canterbury.ac.nz www.education.canterbury.ac.nz/people/gillon/resources.shtml

ASHA Short Course presentation, Nov, 2013

Page 3: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Workshop outline

Introduction:

• Global context of USA reading achievement

• Literacy challenges

Effective intervention practices: Phonological awareness

• Workshop activity- integrated PA activity

Class based intervention (coaching/mentoring model)

• Workshop activity working with teachers

Culturally responsive evidenced based practices

• Discussion

Page 4: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

International Context

2011 Progress in International Reading Literacy

Study (PIRLS):

Page 5: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

•Focus on reading comprehension

and home and school literacy

environments

•45 countries assessed 4th- 5th grade

children and administered parental and

school principal questionnaires

•Average age of USA children = 10.2

years

•12, 726 US children assessed, 370

schools

•Children with disability or language

barriers excluded (6.5%)

Page 6: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

International Comparisons (45 countries)

1. Hong Kong 571 (61) 2. Russian Federation 568 (66) 3. Finland 568 (64) 4. Singapore 567 (80) 5. Northern Ireland 558 (76)

6. United States 556 (73)

7. Denmark 554 (64) 8. Croatia 553 (60) 9. Chinese Taipei 553 (67) 10. Ireland 552 (75) 11. England 552 (82) 12. Canada 548 (69) 13. Netherlands 546 (54) 14. Czech Republic 545 (61) 15. Sweden 542 (65) 16. Italy 541 (66) 17. Germany 541 (66) 18. Israel 541 (86) 19. Portugal 541 (66) 20. Hungary 539 (78) 21. Slovak Republic 535 (69) 22. Bulgaria 532 (82) 23. New Zealand 531 (88)

Mean score (SD)

USA has continued to improve its reading achievement over time (2001,2006,2011)

Mean Score (SD)

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Gender difference

Boys continue to achieve lower scores on average compared to girls. Internationally, There has been little reduction in the reading gender achievement gap over the last decade.

Page 8: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

USA Reading comprehension trends by gender

500

510

520

530

540

550

560

570

2001 2006 2011

girls

Boys Average Scaled reading Score

Year PIRLS assessment administered

Page 9: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

USA average achievement by socioeconomic school composition

500

510

520

530

540

550

560

570

580

590

600

High SES Mid SES Low SES

Average reading comp. scaled score

School composition by student economic background

Page 10: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

USA compared to other countries

Country High SES Low SES Difference

NZ 560 489 71

Australia 556 500 56

England 568 527 41

Canada 557 533 24

Finland 576 541 35

Hong Kong 586 568 12

USA 591 537 54

Page 11: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

International challenges

Reduce inequalities between high and low

performing readers

Raise literacy achievement for:

1. Children from minority and indigenous

populations

2. Children from low SES areas

3. Children with disability

4. Boys

The Literacy Challenge

Page 12: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Incidence of SLI plus reading and writing difficulties

47%

8%

45%

Children with S/LI N= 294

Reading and writing difficulties

Writing difficulties only

Within expected range

Retrospective study from birth- 19 years; children from Rochester

Minnesota (Stoeckel et al, 2013)

Page 13: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Young children with speech sound disorder

Atypical speech error patterns

(e.g., Preston et al, 2013)

Poor phonological awareness (e.g., Gillon, 2000)

Additional language impairment

(e.g., Sices et al, 2007)

Increased

risk for

reading and

spelling

difficulties

Page 14: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Intervention framework Component model (Aaron, Joshi, Gooden, & Bentum, 2008)

Ecological component

Psychological component

Cognitive component

Word recognition and

comprehension : e g

Phonological awareness,

vocabulary, letter phonics

knowledge, reading fluency

Motivation,

self perception,

expectations,

interest

Home, school

cultural influences,

parental involvement

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Effective classroom practices

What classroom practices are effective in

facilitating young children’s learning?

Page 16: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Instructional approaches that have a significant positive effect on children’s

learning (Hattie, 2005)

• Teacher feedback (effect size, 0.81);

• Direct instructional approaches (0.81);

• Phonological awareness (0.66);

• Early intervention (0.66);

• Peer assessment strategies (0.63);

• Self assessment strategies (0.56);

• Setting challenging goals (0.59); and

• Mastery learning approaches (0.55)

Quality professional development for teachers

also has a positive influence (effect size 0.48)

Page 17: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Effective Teaching

• Monitor development and adapt instruction to

meet individual needs.

• Expect success in all children

• Integral parental involvement

• Well supported by educators/health care workers

with specialist knowledge when required.

• Strong instructional leadership

(Foorman et al 2006)

Page 18: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Phonological

awareness

4- 5 years School Reading

Achievement

Phonological awareness is a

powerful predictor of early

reading success ( see Gillon, 2004

for a review)

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Metalinguistic awareness

Phonological Awareness

• Syllable awareness

• Onset- rime awareness

• Phoneme awareness

Phonological processing abilities

Storing

Phonological

information

Retrieving

phonological

information

Semantic/syntactic/

pragmatic

Morphological awareness

Phonological awareness in relation to

phonological processing and meta linguistic

awareness (Gillon, 2004)

Page 20: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Effective practices

Page 21: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

• Developing young children’s phoneme awareness knowledge will help facilitate their knowledge of letter sound relationships

Page 22: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Practical implications: integrated model may

be most efficient: Teach letter name, letter

sound and PA concurrently

Kim, Y. S., Y. Petscher, et al. (2010). "The Contributions of Phonological

Awareness and Letter-Name Knowledge to Letter-Sound Acquisition-A

Cross-Classified Multilevel Model Approach." Journal of Educational

Psychology 102(2): 313-326.

Phonological awareness

Letter sound

Letter name

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“Invented spelling” strategies reinforce children’s spelling errors and have little value in advancing children’s reading and spelling development

Page 24: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Invented spelling (with feedback) can help children

understand the link between speech and print

when reading and spelling

• Say the word drawn out: exaggerated

articulation

• Encourage children to write the sounds they

hear in the word (integrate phonological and

orthographic cues)

• Provide scaffold individual feedback- closer

approximation to correct spelling

Senechal, M., G. Ouellette, et al. (2012). "The role of invented spelling

on learning to read in low-phoneme awareness kindergartners: a

randomized-control-trial study." Reading and Writing 25(4): 917-934.

Page 25: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Video example

• Teacher- aide supporting child with down

syndrome to integrate phonological and

orthographic knowledge during story

writing.

Page 26: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Child with Down syndrome post PA intervention 1

Aged 6;1

Supported story writing

I have a baby. I’m going to

play with her at home

I hav a dae im goig to plyw wif hr ta home

Page 27: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

train

chips

sun

cat

dinosaur

Participant 1

Aged 6;1

Independent Spelling

(after 2 terms of schooling)

Page 28: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Bilingual or multilingual speakers will be at a disadvantage in their development of phonological awareness in English

Page 29: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Wren, Y., H. Hambly, et al. (2013). "A review of the impact of

bilingualism on the development of phonemic awareness skills in

children with typical speech development." Child Language

Teaching & Therapy 29(1): 11-25.

• PA skills transfer across languages

• Evidence does not suggest disadvantage.

Bilingual children either do not differ from

monolingual children or bilingual children

may have an advantage – depends on

languages being learned

Clinical idea: Use words from the children’s native or other

language alongside English words in phonological

awareness , reading and spelling activities.

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PA and Bilingual speakers

Wren and Hambly 2012 Child Language Teaching and Therapy 29(1) 11–25

> Or = Phoneme segmentation blending isolation deletion tasks

Bilingual Monolingual

Page 31: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Language characteristics influence PA performance

English and languages with some similar characteristics (French, Italian, Spanish)

English and Chinese

Strength of PA compared to monolingual speakers

Page 32: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Intensive intervention to improve young children's knowledge of rhyme is likely to significantly improve their reading ability

Page 33: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Nancollis, Lawrie, Dodd et al. (2005). "Phonological awareness

intervention and the acquisition of literacy skills in children from

deprived social backgrounds." Language Speech and Hearing

Services in Schools 36(4): 325-335..

A 9- week programme

that focused on rhyme

and syllable awareness

for preschool British

children had little effect

on improving later

literacy development

Implication: focus predominantly at

the phoneme level

Phonemes

Segment

Blend

manipulate

identify

Page 34: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Video: Initial Phoneme Identity

Page 35: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

• It is more effective to integrate phonological awareness activities with speech production goals for children with speech sound disorder than working on speech goals only

Page 36: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

(G. Gillon, 2000, 2002, 2005)

Integrated intervention that targets speech

production, letter sound knowledge and

phoneme awareness can lead to improved

• speech articulation

• phoneme awareness

• reading and spelling development

compared to therapy that focuses only on

speech production goals

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Drawing young children's’ attention to print and sounds in words during shared book reading can be distracting for the child and has little added benefit.

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Piasta, S. B., L. M. Justice, et al. (2012). "Increasing Young Children's Contact

With Print During Shared Reading: Longitudinal Effects on Literacy

Achievement." Child Development 83(3): 810-820.

Teachers use of print referencing techniques during

shared book reading on a regular basis has superior

long term benefits for children’s reading development

compared to reading the story only.

Draw attention to letters on

page

Make explicit link

between speech and

print

Identify first letters

and phonemes in words

Examples

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This is the letter s. It makes the sss SSS is the first

sound. sound in Spot.

Parental involvement: Print Referencing

Prompt Sheet

van Bysterveldt, A.K., Gillon, G. and Foster-Cohen, S. (2010) Integrated

speech and phonological awareness intervention for pre-school children with

Down syndrome. International Journal of Language & Communication

Disorders 45(3): 320-335. http://dx.doi.org/10.3109/13682820903003514.

Page 40: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Video clip

• Parent reading to young child with Down

syndrome

van Bysterveldt, Gillon, G. and Foster-Cohen, S.

(2010)

Page 41: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Children with severe speech disorders (e.g.,

apraxia of speech) can benefit from relatively

short periods of phonological awareness

instruction (e.g between 20 – 25 hours of

intervention over a 3 month period)

Page 42: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

McNeill, B. C., G. T. Gillon, et al. (2009). "Effectiveness of an

integrated phonological awareness approach for children with

childhood apraxia of speech (CAS)." Child Language Teaching &

Therapy 25(3): 341-366.

Nine from 12 children with CAS (aged 4- 7

yrs) showed significant gains in:

phonological awareness

speech targets

Letter sound knowledge

following two, 6-week blocks of intervention

(24 hrs total).

Page 43: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Integrated model for children with speech sound

disorder

Phonological

awareness

Letter knowledge

Reading Spelling

Speech

Goals

Phoneme

segmentation,

identify, blending,

matching,

manipulation- use

speech target

words as stimulus

items Phoneme

segmentation

/blending with

letter blocks

Invented spelling,

using PA in

writing stories

Reading stories

using print

referencing

Use letters and printed

words (with picture

cues) to prompt

speech goals

Page 44: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Accelerating early reading success for children with speech sound disorder

Ecological Domain

Psychological domain

Cognitive Domain

Specific intervention

Integrated phonological

awareness, speech, literacy

Focus on success,

scaffold feedback,

Activities with high

interest and active

participation, value

and reward effort.

Shared book reading

at home with print

referencing, value

other languages in

stories and activities

Class instruction in

PA – integrated into

literacy activities

Page 45: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Cognitive

components

Page 46: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Psychological components

Success

Motivation

Interest

Page 47: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Ecological components

Page 48: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Workshop activity

Refer to Handout: Casestudy

Page 49: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Finn Aged 7 years 6 months (Monolingual English- NZ European, Middle SES) Confirmed diagnosis of Childhood apraxia of speech

Percent consonants correct (PCC) 63.8%

Percent vowels correct (PVC) 94.0%

Prominent speech error patterns (i.e.,

used over 40% of occasions)

Cluster reduction

Velar fronting

Palatal fronting

Percent

usage

46%

72%

50%

Inconsistency percentage 48%

Page 50: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Word Pronunciation Spelling

kangaroo

/dænəru/

(konw)

girl

/dal/

(gllei)

dinosaur

/daɪndədɔ/

(dosns)

teeth

/tiɵ/

(tishn)

Chips

/dɪs/

(tist)

Cake

/deɪt/

(cmk)

Page 52: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

star stop

Page 53: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

car

star

Page 54: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Phoneme Segmentation Bingo

“sleep”

Page 55: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Design phonological awareness activities to facilitate

correct articulation of s clusters

Target

words

Stop

Star

Sleep

Spy

Slide

spin

Speech to

print

Use letter

blocks or

white

board to

spell &

read

target

words

contrast

top/stop

Phoneme

segmentation

/blending

Use

target

words in

segment

ating

and

blending

activities

Phoneme

identify

Find

words

that

start

with /s/

Page 56: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Design phonological awareness activities to reduce

velar fronting error pattern

Target

words

Single

syllable

words

Speech to

print

Use letter

blocks or

white board

to spell &

read target

words

Phoneme

segmentation/

blending

with target

speech words

Phoneme

identify

/matching

/sorting

initial

and/or final

sounds

Page 57: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

core

car

can

Page 58: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching
Page 59: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Phoneme identity

car

Page 60: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Item Pre (6;6) Post (6;11)

rain

kangaroo

girl

shark

dinosaur

teeth

fish

chips

bridge

cake

*Items not directly trained in intervention

r ran

cau kangwoo

jo gol

c shak

danc dinshor

tc tef

fohpne fish

thedhcl

qanenelc

ddenlce

tis

bish

kak

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Spelling Sensitivity System (Apel and Masterson, 2010)

‘Developmental’ approach to assessing spelling

Gives credit for representation of phonological, morphological and orthographic information

Separate the spelling item into its elements (phonemes, affixes) and a score assigned ◦ Conventional = 3 points

◦ Plausible = 2 points

◦ Implausible and incorrect = 1 point

◦ Omitted = 0 points

Page 62: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Spelling Activity

Use the Spelling sensitivity system

(Masterson & Apel, 2010) to score these spelling attempts

Target word Child’s spelling

No. of elements in target word

Score

girl know

teeth gllei

chips tishn

cake cmk

◦Conventional = 3 points

◦Plausible = 2 points

◦Implausible and incorrect = 1 point

◦Omitted = 0 points

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Kyla’s Response Target mb mail sd side jk junk sh chin Js dress lp lamp sp sep Rd road Pt peeked pk picking

Invented Spelling Task: Kyla (aged 6 years; 0 months)

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Kyla’s Response Target mb (3, 0, 1) mail = 3 elements sd (3, 0, 3) side = 3 elements jk junk sh chin Js dress lp lamp sp sep Rd road Pt (3, 0, 0, 1) peeked (= 4 elements) pk picking

Invented Spelling Task: Kyla (aged 6 years; 0 months)

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Adjusting Task Difficulty

Low level task

Practice tasks

Challenging task

Ki- wi B- ir- d N- e- s - t

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Task difficulty

Which task is harder?

A What is the first sound in the word nest

B What is the last sound in the word nest

C not sure

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Task difficulty

Which task is harder?

A How many phonemes in the truck

B How many phonemes in the word goat

C not sure

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Working together with class teachers

Karyn Carson, Gail Gillon & Therese Boustead, 2013 (Ref: LSHSS 2013)

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Sharing Knowledge

Integrated approach

Structured program approach

• Teachers expertise

• SLP expertise

• Integrate into class language activities

• Focus at the phoneme level

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Video clip examples Consider what you might advise the

teacher to change to integrate PA into

activities

Page 71: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Introducing phonological awareness into the class

reading programme

Karyn Carson, Gail Gillon & Therese Boustead, 2013 (Ref: LSHSS 2013)

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PARTICIPANTS

•One-hundred and twenty-nine children (75 girls & 54 boys). classes randomly divided into:

–Group A (n=18, 4 with language delay)

–Group B (n=16, 3 with language delay)

–Group C (n=95, 21 with language delay)

•Sample Demographics: -Aged between 5;00 and 5;02

-12 Government funded schools

-High, middle and low SES

Page 73: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Group A:

Group B:

Usual

Usual

Usual

PA

Usual

Usual

Usual

PA

Usual

Usual

Usual

Usual Group C:

Term 1: Term 2: Term 3: Term 4:

Study Design: A school term = 10 weeks

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• Rhyme Oddity • Initial Phoneme Identity • Final Phoneme Identity • Phoneme Blending • Phoneme Deletion • Phoneme Segmentation • Letter Knowledge

Computer-Based Phonological Awareness Assessment

Assessment Measures

In addition.... Reading: Burt Word Reading Test Calder Non-Word Probes

Spelling: Schonell Spelling Test TOPA Non-Word Subtest

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Computer Assessment • Website

See handout

www.newzealandphonological awarenessdatabse.com

Username Karyn password 123

(mcneill 1357)

Page 76: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Framework:

• 10-weeks

• 4 x 30-minute sessions per week (total 20 hrs)

• Coaching and mentoring model: collaboration between SLT and class teacher: Initial sessions co-taught by SLT and teacher, remainder taught only by teacher

Principles:

- Targeted skills at the phoneme level

- Explicit and systematic instruction

- Frequent and intensive sessions

- Integrated with letter knowledge and written language contexts

- Professional development for teachers

Classroom Phonological Awareness

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4 X 30 minute sessions per week for 10 weeks

Week 1 rhyme

2 initial phoneme identity

3 final phoneme identity

4 & 5 phoneme blending

6& 7 phoneme segmentation

8&9 manipulation with letters

10 Revise weeks 4- 9

Programme Content

Page 78: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Adapted from The Gillon Phonological

Awareness Training Programme

Class Intervention

http://www.education.canterbury.ac.nz/people/gillon/

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DVD examples

Refer to handout

Page 80: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Key research findings

Phonological awareness

Literacy outcomes

Page 81: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Repeated Measures ANOVA: F(3.580, .895)=23.996, p = .000

Tamhane’s T2 Post Hoc Test: Groups A & B: p = .052 ; Groups A & C: p = .000 = ; Groups B & C: p = .000

Phoneme Segmentation Performance in the First Year at School

Nu

mb

er o

f It

ems

Corr

ect

0

2

4

6

8

10

12

14

Start Middle End

Group A

Group B

Group C

Phoneme Segmentation Development

Time of School Year

Page 82: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Repeated Measures ANOVA: F(3.758, .940)=.971, p=.420

Tamhane’s T2 Post Hoc Test: Groups A & B: p = .990; Groups A & C: p = .322; Groups B & C: p = .204

0

1

2

3

4

5

6

7

8

9

10

Start Middle End

Group A

Group B

Group C

Rhyme Oddity Performance in the First Year at School

Nu

mb

er o

f It

ems

Co

rrec

t Rhyme Oddity Development

Time of School Year

Page 83: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Repeated Measures ANOVA: F(3.091, .773)=16.817, p=.000

Tamhane’s T2 Post Hoc Test: Groups A & B: p = 1.000; Groups A & C: p = .000; Groups B & C: p = .000

0

5

10

15

20

25

30

Start Middle End

Group A

Group B

Group C

Nu

mb

er o

f It

ems

Co

rrec

t

Word Reading Performance in the First Year at School

Word decoding ability

Time of School Year

Page 84: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Perf

orm

ance

in P

A, R

ead

ing,

& S

pel

ling

Time During the School Year

Term 1 Term 2 Term 3 Term 4

Study Trends

Group A Group B Group C

Phonological Awareness, Reading, & Spelling Development

Page 85: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Percentage of Children At-Risk

Percentage of Children Falling Below Age-Expected Levels on the Neale Analysis of Reading Ability after One Year of Schooling

% o

f C

hild

ren

Fal

ling

Bel

ow

A

ge-E

xpec

ted

Lev

els

0

5

10

15

20

25

30

35

Fluency Comprehension

Classroom PA Instruction (i.e., Groups A & B) Usual Literacy Curriculum

Neale Reading Measures

Page 86: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Results Reading fluency

0

5

10

15

20

25

30

SLI TD SLI TD

Mean Reading Fluency Performance after I year at school between Children Who Received and Did Not Receive Classroom PA

6 Years; 11 Months

6 Years

Usual Literacy Program Classroom Phonological awareness

Mea

n R

aw S

core

s

SLI Speech language impairment; TD Typical development

Page 87: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Results Comprehension

0

1

2

3

4

5

6

7

8

9

SLI TD SLI TD

6 Years; 9 Months

6 Years

Usual Literacy Program Classroom Phonological awareness

Mea

n R

aw S

core

s

SLI Speech language impairment; TD Typical development

Reading Comprehension after One Year of School…..

Mean Reading Comprehension Performance Between Children Who Received and Did Not Receive Classroom PA

Page 88: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Children with LD (Group A): Language Profiles at 5 Years

Child ID #

Gender Ethnicity Receptive Language Index

Expressive Language Index

Speech Sound Production

Vocabulary Phonological Awareness

1A F NZ 89 86

63% 90

<7

2A M NZ 85

83

64%

88

<7

3A M Maori 95

83

89%

93

<7

4A F NZ 93

84

88%

94 <7

Receptive Language Index (CELF-P2): A score between 85-115 is considered within normal limits Expressive Language Index (CELF-P2): A score between 85-115 is considered within normal limits Speech Sound Production: <50% = severe; 50-65% = moderate-severe; 65-85% = mild-moderate; > 85% = mild Vocabulary (PPVT-4): A score between 85-115 is considered within normal limits Phonological Awareness (PIPA: RO, IPI, LS): A standard score between 7-13 is considered within normal limits

Page 89: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Children with LD (Group B): Language Profiles at 5 Years

Child ID #

Gender Ethnicity Receptive Language Index

Expressive Language Index

Speech Sound Production

Vocabulary Phonological Awareness

1B F Maori 93 89

79% 90

<7

2B M NZ 85

80

64%

89

<7

3B M NZ 94 83 70%

96 <7

Receptive Language Index (CELF-P2): A score between 85-115 is considered within normal limits Expressive Language Index (CELF-P2): A score between 85-115 is considered within normal limits Speech Sound Production: <50% = severe; 50-65% = moderate-severe; 65-85% = mild-moderate; > 85% = mild Vocabulary (PPVT-4): A score between 85-115 is considered within normal limits Phonological Awareness (PIPA: RO, IPI, LS): A standard score between 7-13 is considered within normal limits

Page 90: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

0

2

4

6

8

10

12

14

16

18

20

Pre-Instruction

Post-Instruction

Mean Pre and Post Instruction Scores for Children with Delayed Speech Language Development (n=7)

Mea

n P

re a

nd

Po

st In

stru

ctio

n

(R

aw)

Sco

res

Phonological Awareness, Reading, & Spelling Measures

Responsiveness to Instruction

Page 91: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Gain Scores for Children with Typical Development and Speech Language Delay

Mea

n G

ain

Sco

res

Phonological Awareness, Reading, & Spelling Measures

0

5

10

15

20

25

Phoneme Blending

Phoneme Segmentation

Non-Word Reading

Non-Word Spelling

Typical Development

Delayed Language

Responsiveness to Instruction

Page 92: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Key Findings

• Classroom phonological awareness instruction delivered by teachers can be beneficial for literacy development.

• Percentage of at-risk students can be minimized by 6-years of age.

• A short intensive burst can result in significant and maintained benefits for reading and spelling.

• Children with spoken language difficulties can

benefit from classroom PA instruction- their reading and spelling accelerated to the level of their peers with TD peers who did not receive classroom PA but they may need more assistance in transferring skills to reading and spelling activities.

Page 93: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Study details

See handout:

Carson, Gillon and Boustead (2013)

Karyn Carson’s thesis on line reference

Page 94: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

The Gillon Phonological

Awareness Training Programme

Interventions

http://www.education.canterbury.ac.nz/people/gillon/

Page 95: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Initial Phoneme Identity:

• “Here is my friend Frog. Frog starts with the/f/

sound. Joey please take a card from the magic hat.

Ah you found a boat. Let’s listen to the first sound

in boat. Boat starts with a /b/ sound. Do Frog and

boat start with the same sound?"

Classroom Phonological Awareness Program

Activity Examples:

Page 96: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Sheep, the middle sound changed

If that spells shop show me sheep

ee sh p

sh o p

Page 97: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Sheet, the last sound changed

If that spells sheep show me sheet

sh ee t

sh ee p

Page 98: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Show me shop

shop

sh o p

Page 99: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Video example of tracking

sound changes with letter

blocks- Child with CAS

Page 100: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Reference: Angus H Macfarlane,PhD

Professor of Māori Research

University of Canterbury

Christchurch, NEW ZEALAND

Macfarlane, 2012 study:

Key research questions

1. What are the key components of culturally responsive special

education practice?

2. What are the key components of evidence-based special

education practice?

Culturally Responsive Evidence Based Practice

Page 101: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Research Practitioner

skills &

knowledge

Whānau wisdom &

values

Macfarlane, 2013

Page 102: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

“Cultural competence is the acquisition of skills so that we are better able to understand members of other cultures in order to achieve best outcomes….it is about being able to understand the people who we are going to work with, as practitioners…”

(Durie, July 2003; page 2.)

Why is it important to be culturally competent?

Macfarlane, 2013

Page 103: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Culturally Responsive practice.... Cultural safety:

relationship between SLP and

Child- child focused

Cultural competency: practitioner focused, Respecting cultural

difference

Culturally responsive practices Understanding significance of

cultural practices

Promotes respect for cultural diversity

Macfarlane, 2013

Page 104: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Western Science

Stream

Indigenous

knowledge stream

Western Science

Programme Culturally

relevant program

content

Western Science

Grounded

Evaluation

Culturally

relevant

Evaluation

Consensus on Programme

Efficacy

A BRAIDED RIVERS APPROACH (Macfarlane et al, 2011)

Page 105: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

Early reading success:

Core to education success.

Page 106: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

But… early reading success is just

the beginning………

Page 107: Best practice in phonological awareness intervention for ... · integrated phonological awareness approach for children with childhood apraxia of speech (CAS)." Child Language Teaching

The College of Education

University of Canterbury

Contact:

Prof Gail Gillon

College of Education

University of Canterbury

[email protected]

www.education.canterbury.ac.nz www.education.canterbury.ac.nz/people/gillon/resources.shtml