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A Scientific Success Story: A Scientific Success Story: Specific Reading Specific Reading Disabilities, or Disabilities, or Developmental Dyslexia Developmental Dyslexia Dr. Joseph K. Torgesen Dr. Joseph K. Torgesen Florida State University and Florida State University and Florida Center for Reading Research Florida Center for Reading Research Florida Council for Exceptional Children, Florida Council for Exceptional Children, October, 2006 October, 2006

A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

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Page 1: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

A Scientific Success Story: A Scientific Success Story: Specific Reading Disabilities, or Specific Reading Disabilities, or

Developmental DyslexiaDevelopmental Dyslexia

Dr. Joseph K. TorgesenDr. Joseph K. TorgesenFlorida State University and Florida State University and

Florida Center for Reading ResearchFlorida Center for Reading Research

Florida Council for Exceptional Children, October, Florida Council for Exceptional Children, October, 20062006

Page 2: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Alexis….Alexis….

Page 3: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

To identify students like Alexis, we developed To identify students like Alexis, we developed definitions by exclusion:definitions by exclusion:

Alexis, and many other students, have reading difficulties not caused by:

Low intelligence, or general ability Lack of support, or learning opportunities, at

home Poor instruction Other disabilities like vision or hearing

Made the assumption, that these disabilities were intrinsic to the child, but didn’t know what they actually were

Page 4: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

A short detour: How do we define a A short detour: How do we define a proficient reader – what is our ultimate proficient reader – what is our ultimate instructional goal in reading?instructional goal in reading?

We want students to be able to read grade We want students to be able to read grade level text with a strong level of level text with a strong level of understandingunderstanding

Reading ComprehensionReading Comprehension is our ultimate goal – is our ultimate goal – we want children to be able to understand we want children to be able to understand and learn from what they read. This, for and learn from what they read. This, for example, is what the example, is what the FCATFCAT measures. measures.

Page 5: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

What skills, knowledge, and

attitudes are required for good

reading comprehension?

Page 6: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

What we know about the factors that What we know about the factors that affect reading comprehensionaffect reading comprehension

Proficient comprehension of text is influenced by:Proficient comprehension of text is influenced by:

Accurate and fluent word reading skillsAccurate and fluent word reading skills

Oral language skills (vocabulary, linguistic comprehension)Oral language skills (vocabulary, linguistic comprehension)

Extent of conceptual and factual knowledgeExtent of conceptual and factual knowledge

Knowledge and skill in use of cognitive strategies to Knowledge and skill in use of cognitive strategies to improve comprehension or repair it when it breaks down.improve comprehension or repair it when it breaks down.

Reasoning and inferential skillsReasoning and inferential skills

Motivation to understand and interest in task and Motivation to understand and interest in task and materialsmaterials

Page 7: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Reading is a multifaceted skill, gradually acquired over years of instruction and practice.

The Many Strands that are Woven into Skilled Reading(Scarborough, 2001)

BACKGROUND KNOWLEDGE

VOCABULARY KNOWLEDGE LANGUAGE STRUCTURES VERBAL REASONING

LITERACY KNOWLEDGE

PHON. AWARENESS

DECODING (and SPELLING) SIGHT RECOGNITION

SKILLED READING: fluent execution and coordination of word recognition and text comprehension.

LANGUAGE COMPREHENSION

WORD RECOGNITION

increasingly

automatic

increasingly

strategic

Skilled Reading- fluent coordination of

word reading and comprehension

processes

Page 8: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

1. Difficulty learning to 1. Difficulty learning to read wordsread words accurately and fluently accurately and fluently

2. Insufficient vocabulary, general knowledge, and 2. Insufficient vocabulary, general knowledge, and reasoning skills to support reasoning skills to support comprehensioncomprehension of of written languagewritten language

3. Absence or loss of initial 3. Absence or loss of initial motivationmotivation to read, or failure to read, or failure to develop a mature appreciation of the rewards of to develop a mature appreciation of the rewards of reading.reading.

Three potential stumbling blocks to Three potential stumbling blocks to becoming a good readerbecoming a good reader (NRC Report, 1998)(NRC Report, 1998)

Page 9: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

What is the most critical What is the most critical problem for students with problem for students with

specific disabilities in specific disabilities in reading, or dyslexia?reading, or dyslexia?

Page 10: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

1. Difficulty learning to 1. Difficulty learning to read wordsread words accurately and fluently accurately and fluently

2. Insufficient vocabulary, general knowledge, and 2. Insufficient vocabulary, general knowledge, and reasoning skills to support reasoning skills to support comprehensioncomprehension of of written languagewritten language

3. Absence or loss of initial 3. Absence or loss of initial motivationmotivation to read, or failure to read, or failure to develop a mature appreciation of the rewards of to develop a mature appreciation of the rewards of reading.reading.

Three potential stumbling blocks to Three potential stumbling blocks to becoming a good readerbecoming a good reader (NRC Report, 1998)(NRC Report, 1998)

Page 11: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Extreme difficulties mastering the use of Extreme difficulties mastering the use of “phonics” skills as an aid to early, independent “phonics” skills as an aid to early, independent readingreading

• difficulties with the skills of blending and analyzing difficulties with the skills of blending and analyzing

the sounds in words (phonemic awareness). the sounds in words (phonemic awareness).• difficulties learning letter-sound correspondencesdifficulties learning letter-sound correspondences

Slow development of “sight vocabulary” Slow development of “sight vocabulary” arising from:arising from:

•limited exposure to textlimited exposure to text•lack of strategies to reliably identify words in textlack of strategies to reliably identify words in text

Page 12: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

The nature of the underlying difficulty for most The nature of the underlying difficulty for most children who have specific reading disabilities children who have specific reading disabilities

or dyslexiaor dyslexia

Weaknesses in the phonological area of language Weaknesses in the phonological area of language abilityability

inherent, or intrinsic, disabilityinherent, or intrinsic, disability

Page 13: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Temple, 2001, CONB

Visual CortexAuditory

Cortex

Recent Functional Neuroimaging findings on Adults

Page 14: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

The nature of the underlying difficulty for most The nature of the underlying difficulty for most children who have specific reading disabilities children who have specific reading disabilities

or dyslexiaor dyslexia

Weaknesses in the phonological area of language Weaknesses in the phonological area of language abilityability

Expressed primarily by delays in the development Expressed primarily by delays in the development of phonemic awareness and phonics skillsof phonemic awareness and phonics skills

inherent, or intrinsic, disabilityinherent, or intrinsic, disability

Page 15: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

2

4

6

1 2 3 4 5

1

3

5

5.9

2.3

Low PA

K

Ave. PA

Grade level corresponding to age

Rea

ding

Gra

de L

evel

Growth in “phonics” ability of children who begin first grade in the bottom 20% in Phoneme Awareness and Letter Knowledge (Torgesen & Mathes, 2000)

LowAverage

Page 16: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Low PA 5.7

3.5

2

4

6

1

3

5

K

Ave. PA

Grade level corresponding to age 1 2 3 4 5

Growth in word reading ability of children who begin first grade in the bottom 20% in Phoneme Awareness and Letter Knowledge (Torgesen & Mathes, 2000)

Rea

ding

gra

de le

vel

LowAverage

Page 17: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

1 2 3 4 5

Low PA

3.4

2

4

6

1

3

5

K Ave. PA

6.9

Growth in reading comprehension of children who begin first grade in the bottom 20% in Phoneme Awareness and Letter Knowledge (Torgesen & Mathes, 2000)

Grade level corresponding to age

Rea

ding

Gra

de L

evel

LowAverage

Same verbal ability – very different Reading Comprehension

Page 18: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

The Basic Discovery:The Basic Discovery:

Specific reading disabilities, or developmental Specific reading disabilities, or developmental dyslexia, is caused by a weakness, or lack of dyslexia, is caused by a weakness, or lack of talent, in the talent, in the phonological domain of languagephonological domain of language

This weakness makes it difficult to acquire This weakness makes it difficult to acquire phonemic awareness and alphabetic reading phonemic awareness and alphabetic reading skills—which interferes with the growth of skills—which interferes with the growth of accurate reading skills.accurate reading skills.

Page 19: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

A recent definition of dyslexia that A recent definition of dyslexia that incorporates the new knowledgeincorporates the new knowledge

““Dyslexia is a specific learning disability that Dyslexia is a specific learning disability that is neurobiological in origin. It is is neurobiological in origin. It is characterized by difficulties with accurate characterized by difficulties with accurate and/or fluent word recognition and by poor and/or fluent word recognition and by poor spelling and decoding abilities. These spelling and decoding abilities. These difficulties typically result from a deficit in difficulties typically result from a deficit in the phonological component of language the phonological component of language that is often unexpected in relation to other that is often unexpected in relation to other cognitive abilities and the provision of cognitive abilities and the provision of effective classroom instruction.” effective classroom instruction.” (Lyon & (Lyon &

Shaywitz, 2003)Shaywitz, 2003)

Page 20: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Important facts about talent in the Important facts about talent in the phonological language domain:phonological language domain:

It is like most other talents in that it is It is like most other talents in that it is distributed distributed normallynormally in the population in the population

Page 21: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

“Phonological talent” is normally distributed in the population

100

50th

85

16th

70

2nd

130

98th

115

84th

Standard Scores

Percentile Ranks

Children can be strong in this talent-like my grandson Andrew

Page 22: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

“Phonological ability” is normally distributed in the population

100

50th

85

16th

70

2nd

130

98th

115

84th

Standard Scores

Percentile Ranks

Children can be moderately weak in this talent-like David

Page 23: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

David

Page 24: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Each of these kinds of weakness is normally distributed in the population

100

50th

85

16th

70

2nd

130

98th

115

84th

Standard Scores

Percentile Ranks

Serious difficulties-probably require special interventions and a lot of extra support-like Alexis

Page 25: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Another important fact about talent in the Another important fact about talent in the phonological language domain:phonological language domain:

It is only weakly correlated with broad It is only weakly correlated with broad verbal ability or general intelligenceverbal ability or general intelligence

Page 26: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Phonological Language Ability is not highly Correlated with General Verbal Ability as measured by IQ tests

Verbal Intelligence

Pho

nolo

gica

l A

bilit

y

Low High

High

Low

Dyslexic

Page 27: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Phonological Language Ability is not highly Correlated with General Verbal Ability as measured by IQ tests

Verbal Intelligence

Pho

nolo

gica

l A

bilit

y

Low High

High

Low

Dyslexic

Page 28: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

One more important fact about talent in One more important fact about talent in the phonological language domain:the phonological language domain:

Children’s ability in this area when they Children’s ability in this area when they come to school is influenced both by come to school is influenced both by

biologically based talent, and by biologically based talent, and by opportunities to learn from their pre-opportunities to learn from their pre-

school environmentschool environment

Page 29: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Children come to school very Children come to school very different from one another in the different from one another in the experience they have had that experience they have had that prepares them for learning to prepares them for learning to

readread

Page 30: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Development of Phonological Development of Phonological SensitivitySensitivity

Cross-sectional study comparing Cross-sectional study comparing the performance of 250 the performance of 250

children from higher income children from higher income families to 170 children from families to 170 children from

lower income families.lower income families.

Children were between two- Children were between two- and five-years of age.and five-years of age.

Page 31: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center
Page 32: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center
Page 33: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

To summarize:To summarize:

Children can come to school weak in Children can come to school weak in phonological ability phonological ability either because of their either because of their biology or their language experiencebiology or their language experience

Regardless of whether they also have Regardless of whether they also have broader weaknesses in verbal ability, broader weaknesses in verbal ability, both both types of children need similar intensive early types of children need similar intensive early reading support in order to prevent reading reading support in order to prevent reading failurefailure

Page 34: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Do we know how to prevent reading Do we know how to prevent reading failure in children who come to school failure in children who come to school with weaknesses in the phonological with weaknesses in the phonological domain?domain?

Page 35: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

An Example of an An Example of an Effective Effective

IntervententionInterventention

Page 36: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Design of Study in which intervention occurredDesign of Study in which intervention occurred1. Most “at risk” first graders from five elementary school - 1. Most “at risk” first graders from five elementary school -

PPVT above 70PPVT above 70

2.Instruction provided in 45 min. sessions every day from 2.Instruction provided in 45 min. sessions every day from October through May in groups of 3 or 5 by experienced October through May in groups of 3 or 5 by experienced teachers or well-trained paraprofessionals teachers or well-trained paraprofessionals

3. Used a structured (scripted) reading program that 3. Used a structured (scripted) reading program that contained instruction and practice in phonemic contained instruction and practice in phonemic awareness, phonics, fluency, and comprehensionawareness, phonics, fluency, and comprehension

4. Used a number of methods to achieve fidelity of 4. Used a number of methods to achieve fidelity of implementationimplementation

3 days of initial training3 days of initial training

Weekly supervisory visitsWeekly supervisory visits

Monthly inservice (3 hours)Monthly inservice (3 hours)

Page 37: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Work on phonemic awarenessWork on phonemic awareness

Page 38: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Blending sounds into wordsBlending sounds into words

Page 39: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Directly building sight recognition of high utility wordsDirectly building sight recognition of high utility words

Page 40: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Reading text…Reading text…

Page 41: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

30

70 75th

50th

25th

October January May

Nati

on

al

Perc

en

tile

Growth in Word Reading Ability

Page 42: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Oct Nov Dec Jan Feb Mar Apr May

Growth in Correct Words Per Minute on First Grade Level Passages

T3 T5 P3 P5

60

55

50

45

40

35

30

25

20

15

10

58.155.952.456.6

Comprehension on SAT9 = 50th percentile

Page 43: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Oct Nov Dec Jan Feb Mar Apr May

Growth in Correct Words Per Minute on First Grade Level Passages for four lowest performers

60

55

50

45

40

35

30

25

20

15

10

55.7

22211715

Page 44: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

What about remediation for What about remediation for older students who did not get older students who did not get

effective preventive effective preventive interventions?interventions?

Page 45: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

A study of intensive, highly skilled intervention with A study of intensive, highly skilled intervention with 60 children who had severe reading disabilities60 children who had severe reading disabilities

Children were between 8 and 10 years of ageChildren were between 8 and 10 years of age

Had been receiving special education services for an average of Had been receiving special education services for an average of 16 months16 monthsNominated as worst readers: at least 1.5 S.D’s below grade levelNominated as worst readers: at least 1.5 S.D’s below grade level

Average Word Attack=69, Word Identification=69, Verbal IQ=93Average Word Attack=69, Word Identification=69, Verbal IQ=93

Randomly assigned to two instructional conditions that both Randomly assigned to two instructional conditions that both taught “phonics” explicitly, but used different procedures with taught “phonics” explicitly, but used different procedures with different emphasisdifferent emphasisChildren in both conditions received 67.5 hours of one-on-one Children in both conditions received 67.5 hours of one-on-one instruction, 2 hours a day for 8 weeksinstruction, 2 hours a day for 8 weeks

Children were followed for two years after the intervention was Children were followed for two years after the intervention was completedcompleted

Page 46: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Interval in Months Between Measurements

P-Pretest Pre Post 1 year 2 year

75

80

85

90

95

LIPS

EP

Growth in Total Reading Skill Before, During, and Following Intensive Intervention

Sta

ndar

d S

core

Page 47: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

As we acquire more and more As we acquire more and more knowledge of what works…..knowledge of what works…..

Another set of questions assumes Another set of questions assumes more and more importance….more and more importance….

How do we make this kind of How do we make this kind of instruction available to every child instruction available to every child who needs it?who needs it?

The challenge for this group--The challenge for this group--

Page 48: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

The essential elements for success

Practices from effectivePractices from effectiveDistricts, Schools, and Districts, Schools, and

ClassroomsClassrooms

Provides information about how to assemble

and integrate all the components that are effective in improving

achievement.

Scientific research in reading and

reading instruction

Provides information about the instructional and assessment procedures that are most effective

Page 49: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

A reason for working toward A reason for working toward effective solutions for all students…effective solutions for all students…

Page 50: A Scientific Success Story: Specific Reading Disabilities, or Developmental Dyslexia Dr. Joseph K. Torgesen Florida State University and Florida Center

Thank You

www.fcrr.orgScience of reading section