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DOI: 10.1055/s-0044-1779038
Effect of Phonological Awareness-Focused Interventions on Phonological Errors and Phonemic Awareness in Young School-Age Children
Abstract
This study aimed to explore the effects of an integrated phonological awareness intervention on phonological errors and phonemic awareness among young school-age children. Three children with at least one phonological error pattern and below-average phonological awareness skills participated in a non-concurrent multiple baseline single-subject design across participants' investigation. The integrated phonological awareness intervention consisted of completing blending and segmenting activities using 20 trained words, with a dose of 70 to 100 productions of the targeted phonological error pattern for 10, 30-minute sessions. All participants showed improvement in the primary dependent variable of percent consonants correct for their targeted error pattern for trained words. Results for percent phonemes correct showed gains for both blending and segmenting for all participants. All the participants transferred targeted skills to untrained words with their error pattern and generalized blending and segmenting to consonant–vowel–consonant words that did not contain their target error pattern in a pretest/posttest. Integrated phonological awareness intervention was an effective method of simultaneously improving speech production and phonemic awareness skills for young school-age children across 5 hours of treatment. The intervention was designed to be replicable by school-based speech-language pathologists seeking to efficiently support students with phonological errors and phonological awareness deficits.
Keywords
phonological awareness - phonemic awareness - phonological errors - integrated intervention - young school-age childrenData Availability Statement
All data generated or analyzed during this study are included in this published article.
Publication History
Article published online:
08 February 2024
© 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
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References
- Al Otaiba, S., Puranik, C., Zilkowski, R., & Curran, T. (2009). Effectiveness of early phonological awareness interventions for students with speech or language impairments. The Journal of Special Education, 43(2), 107–128
- American Speech-Language-Hearing Association. (2010). Roles and responsibilities of speech-language pathologists in schools. Accessed January 2, 2024 at: https://www.asha.org/SLP/schools/prof-consult/guidelines
- American Speech-Language-Hearing Association. (2020a). 2020 Schools Survey report; SLP caseload and workload characteristics. Accessed January 2, 2024 at: https://www.asha.org/Research/memberdata/Schools-Survey/
- American Speech-Language-Hearing Association. (2022). Supply and demand resource list for speech-language pathologists. Accessed January 2, 2024 at: www.asha.org
- Anthony, J. L., Aghara, R. G., Dunkelberger, M. J., Anthony, T. I., Williams, J. M., & Zhang, Z. (2011). What factors place children with speech sound disorders at risk for reading problems? American Journal of Speech-Language Pathology, 20(2), 146–160
- Benway, N. R., Garcia, K., Hitchcock, E., McAllister, T., Leece, M. C., Wang, Q., & Preston, J. L. (2021). Associations between speech perception, vocabulary, and phonological awareness skill in school-aged children with speech sound disorders. Journal of Speech, Language, and Hearing Research: JSLHR, 64(2), 452–463
- Bishop, D. V., & Adams, C. (1990). A prospective study of the relationship between specific language impairment, phonological disorders and reading retardation. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 31(7), 1027–1050
- Boada, K. L., Boada, R., Pennington, B. F., & Peterson, R. L. (2022). Sequencing deficits and phonological speech errors, but not articulation errors, predict later literacy skills. Journal of Speech, Language, and Hearing Research: JSLHR, 65(6), 2081–2097
- Brosseau-Lapré, F., & Roepke, E. (2019). Speech errors and phonological awareness in children ages 4 and 5 years with and without speech sound disorder. Journal of Speech, Language, and Hearing Research: JSLHR, 62(9), 3276–3289
- Brosseau-Lapré, F., & Roepke, E. (2022). Implementing speech perception and phonological awareness intervention for children with speech sound disorders. Language, Speech, and Hearing Services in Schools, 53(3), 646–658
- Brumbaugh, K. M., & Smit, A. B. (2013). Treating children ages 3-6 who have speech sound disorder: a survey. Language, Speech, and Hearing Services in Schools, 44(3), 306–319
- Cabbage, K., Farquharson, K., & DeVeney, S. (2022). Speech sound disorder treatment approaches used by school-based clinicians: an application of the experience sampling method. Language, Speech, and Hearing Services in Schools, 53(3), 860–873
- Cabbage, K. L., Farquharson, K., Iuzzini-Seigel, J., Zuk, J., & Hogan, T. P. (2018). Exploring the overlap between dyslexia and speech sound production deficits. Language, Speech, and Hearing Services in Schools, 49(4), 774–786
- Denne, M., Langdown, N., Pring, T., & Roy, P. (2005). Treating children with expressive phonological disorders: Does phonological awareness therapy work in the clinic? International Journal of Language & Communication Disorders, 40(4), 493–504
- DeThorne, L. S., Hart, S. A., Petrill, S. A., Deater-Deckard, K., Thompson, L. A., Schatschneider, C., & Davison, M. D. (2006). Children's history of speech-language difficulties: genetic influences and associations with reading-related measures. Journal of Speech, Language, and Hearing Research: JSLHR, 49(6), 1280–1293
- Dodd, B., Crosbie, S., McIntosh, B., Ozanne, A., & Teitzel, T. (2000). The Preschool and Primary Inventory of Phonological Awareness. Psychological Corporation
- Ehri, L. C., Nunes, S. R., Willows, D. M., Schuster, B. V., Yaghoub-Zadeh, Z., & Shanahan, T. (2001). Phonemic awareness instruction helps children learn to read: evidence from the National Reading Panel's meta-analysis. Reading Research Quarterly, 36(3), 250–287
- Farquharson, K., McIlraith, A., Tambyraja, S., & Constantino, C. (2022). Using the experience sampling method to examine the details of dosage in school-based speech sound therapy. Language, Speech, and Hearing Services in Schools, 53(3), 698–712
- Gillon, G. T. (2000). The efficacy of phonological awareness intervention for children with spoken language impairment. Language, Speech, and Hearing Services in Schools, 31(2), 126–141
- Gillon, G. T. (2002). Follow-up study investigating the benefits of phonological awareness intervention for children with spoken language impairment. International Journal of Language & Communication Disorders, 37(4), 381–400
- Gillon, G. T. (2005). Facilitating phoneme awareness development in 3- and 4-year-old children with speech impairment. Language, Speech, and Hearing Services in Schools, 36(4), 308–324
- Gillon, G. T. (2017). Phonological Awareness: From Research to Practice. Guilford Publications
- Grawburg, M., & Rvachew, S. (2007). Phonological awareness intervention for preschoolers with speech and sound disorders. Canadian Journal of Speech-language Pathology and Audiology : CJSLPA = Revue Canadienne d'Orthophonie et d'Audiologie : RCOA, 1(31), 19–26
- Hall-Mills, S., Ireland, M., Flynn, P. F., & Hoffman, L. (2023). School-based speech-language pathologists' engagement with evidence-based practice: an update with implications for implementation research. Language, Speech, and Hearing in School., 54, 1155–1164
- Hearnshaw, S., Baker, E., & Munro, N. (2019). Speech perception skills of children with speech sound disorders: a systematic review and meta-analysis. Journal of Speech, Language, and Hearing Research: JSLHR, 62(10), 3771–3789
- Hesketh, A., Adams, C., Nightingale, C., & Hall, R. (2000). Phonological awareness therapy and articulatory training approaches for children with phonological disorders: a comparative outcome study. International Journal of Language & Communication Disorders, 35(3), 337–354
- Hesketh, A., Dima, E., & Nelson, V. (2007). Teaching phoneme awareness to pre-literate children with speech disorder: a randomized controlled trial. International Journal of Language & Communication Disorders, 42(3), 251–271
- 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. Exceptional Children, 71(2), 165–179
- Hulme, C., Hatcher, P. J., Nation, K., Brown, A., Adams, J., & Stuart, G. (2002). Phoneme awareness is a better predictor of early reading skill than onset-rime awareness. Journal of Experimental Child Psychology, 82(1), 2–28
- Hume, S. B., Schwarz, I., & Hedrick, M. (2018). Preliminary investigation of the use of phonological awareness paired with production training in childhood apraxia of speech. Perspectives of the ASHA Special Interest Groups, 3(16), 38–52
- Juel, C. (1988). Learning to read and write: a longitudinal study of 54 children from first through fourth grades. Journal of Educational Psychology, 80(4), 437–447
- Justice, L. M., Chow, S. M., Capellini, C., Flanigan, K., & Colton, S. (2003). Emergent literacy intervention for vulnerable preschoolers: relative effects of two approaches. American Journal of Speech-Language Pathology, 12(3), 320–332
- Kruse, L. G., Spencer, T. D., Olszewski, A., & Goldstein, H. (2015). Small groups, big gains: efficacy of a tier 2 phonological awareness intervention with preschoolers with early literacy deficits. American Journal of Speech-Language Pathology, 24(2), 189–205
- Ledford, J. R., & Gast, D. L. (2018). Single Case Research Methodology: Applications in Special Education and Behavioral Sciences. 3rd edition. Routledge
- Loudermill, C., Greenwell, T., & Brosseau-Lapré, F. (2021). A comprehensive treatment approach to address speech production and literacy skills in school-age children with speech sound disorders. Seminars in Speech and Language, 42(2), 136–146
- Lugg, R. (2010). The Learning Staircase Auditory Discrimination Test. The Learning Staircase. Accessed January 2, 2024 at: https://cdn.learningstaircase.co.nz/assets/Uploads/Printables/Auditory%20Discrimination%20Test.pdf
- Mann, V. A., & Foy, J. G. (2007). Speech development patterns and phonological awareness in preschool children. Annals of Dyslexia, 57(1), 51–74
- Marante, L., Hall-Mills, S., & Farquharson, K. (2023). School-based speech-language pathologists' stress and burnout: a cross-sectional survey at the height of the COVID-19 pandemic. Language, Speech, and Hearing Services in Schools, 54, 456–471
- McCormack, J., McLeod, S., McAllister, L., & Harrison, L. J. (2009). A systematic review of the association between childhood speech impairment and participation across the lifespan. International Journal of Speech-Language Pathology, 11(2), 155–170
- McNeill, B. C., Gillon, G. T., & Dodd, B. (2009). Effectiveness of an integrated phonological awareness approach for children with childhood apraxia of speech (CAS). Child Language Teaching and Therapy, 25(3), 341–366
- Miller, J. F., & Chapman, R. S. (1981). The relation between age and mean length of utterance in morphemes. Journal of Speech and Hearing Research, 24(2), 154–161
- Moriarty, B. C., & Gillon, G. T. (2006). Phonological awareness intervention for children with childhood apraxia of speech. International Journal of Language & Communication Disorders, 41(6), 713–734
- Mullen, R., & Schooling, T. (2010). The National Outcomes Measurement System for pediatric speech-language pathology. Language, Speech, and Hearing Services in Schools, 41(1), 44–60
- National Reading Panel. (2000). Report of the National Reading Panel: Reports of the subgroups. Washington, DC: National Institute of Child Health and Human Development Clearinghouse
- Phillips, B. M., Menchetti, J. C., & Lonigan, C. J. (2008). Successful phonological awareness instruction with preschool children: lessons from the classroom. Topics in Early Childhood Special Education, 28(1), 3–17
- Portney, L. G., & Watkins, M. P. (2009). Foundations of Clinical Research: Applications to Practice (3rd ed.). Pearson Prentice Hall
- Preston, J. L., Hull, M., & Edwards, M. L. (2013). Preschool speech error patterns predict articulation and phonological awareness outcomes in children with histories of speech sound disorders. American Journal of Speech-Language Pathology, 22(2), 173–184
- Raitano, N. A., Pennington, B. F., Tunick, R. A., Boada, R., & Shriberg, L. D. (2004). Pre-literacy skills of subgroups of children with speech sound disorders. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 45(4), 821–835
- Reading Rockets. (n.d.) How now brown cow phoneme awareness activities. Accessed January 2, 2024 at: https://www.readingrockets.org/article/how-now-brown-cow-phoneme-awareness-activities
- Rehfeld, D. M., Kirkpatrick, M., O'Guinn, N., & Renbarger, R. (2022). A meta-analysis of phonemic awareness instruction provided to children suspected of having a reading disability. Language, Speech, and Hearing Services in Schools, 53(4), 1177–1201
- Roth, F. P., Troia, G. A., Worthington, C. K., & Handy, D. (2006). Promoting awareness of sounds in speech (PASS): the effects of intervention and stimulus characteristics on the blending performance of preschool children with communication impairments. Learning Disability Quarterly, 29(2), 67–88
- Schuele, C. M., & Boudreau, D. (2008). Phonological awareness intervention: beyond the basics. Language, Speech, and Hearing Services in Schools, 39(1), 3–20
- Scruggs, T. E., & Mastropieri, M. A. (1998). Summarizing single-subject research. Issues and applications. Behavior Modification, 22(3), 221–242
- Secord, W., & Donohue, J. S. (2014). Clinical Assessment of Articulation and Phonology-2. Super Duper Publications
- Selin, C. M., Rice, M. L., Girolamo, T. M., & Wang, C. J. (2022). Work setting effects on speech-language pathology practice: implications for identification of children with specific language impairment. American Journal of Speech-Language Pathology, 31(2), 854–880
- Sugden, E., Baker, E., Munro, N., Williams, A. L., & Trivette, C. M. (2018). Service delivery and intervention intensity for phonology-based speech sound disorders. International Journal of Language & Communication Disorders, 53(4), 718–734
- Tambyraja, S. R., Schmitt, M. B., Justice, L. M., Logan, J. A., & Schwarz, S. (2014). Integration of literacy into speech-language therapy: a descriptive analysis of treatment practices. Journal of Communication Disorders, 47, 34–46
- Tambyraja, S. R., Schmitt, M. B., Farquharson, K., & Justice, L. M. (2015). Stability of language and literacy profiles of children with language impairment in the public schools. Journal of Speech, Language, and Hearing Research: JSLHR, 58(4), 1167–1181
- Tambyraja, S. R., & Schmitt, M. B. (2020). Embedding evidence-based practices to address literacy in school-based speech-language therapy. Topics in Language Disorders, 40(4), 341–356
- Templin, M. (1957). Certain Language Skills in Children: Their Development and Interrelationships. The University of Minnesota Press
- Ukrainetz, T. A., Nuspl, J. J., Wilkerson, K., & Beddes, S. R. (2011). The effects of syllable instruction on phonemic awareness in preschoolers. Early Childhood Research Quarterly, 26(1), 50–60
- Watson, P. J., & Workman, E. A. (1981). The non-concurrent multiple baseline across-individuals design: an extension of the traditional multiple baseline design. Journal of Behavior Therapy and Experimental Psychiatry, 12(3), 257–259
- Wilder, A., & Redmond, S. M. (2022). The reliability of short conversational language sample measures in children with and without developmental language disorder. Journal of Speech, Language, and Hearing Research: JSLHR, 65(5), 1939–1955
- Williams, K. (2014). Phonological and Print Awareness Scale [Manual]. Western Psychological Services