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Where Communication and
Reading Difficulties Meet
The crossroads of speech and
reading intervention
Kristin Sankovich, M.S., CCC-SLP
Lauren Castro M.S., CCC-SLP
Webinar Series
November 8th, 2013
Learner Objectives
• Participants will:
▫ Discuss typical reading development in
monolingual and bilingual speakers
▫ Identify relationships between oral language and
reading
▫ Identify language foundations for reading
▫ Identify speech and language difficulties that
contribute to reading difficulties
▫ Identify speech-language intervention techniques
for children with reading difficulties
What is our goal today?
• Relating Speech-language intervention to
reading development
▫ Discuss the SLP’s role
▫ Review/introduce reading development
▫ Present research and statistics on reading
▫ Show the relationship between speech and reading
 Reading development models
▫ Support for why we should intervene
▫ How to intervene
▫ Conclude with case studies as examples
ASHA Guidelines
Research on Reading Development
Speech vs. Language Disorder and Reading
English and Spanish Acquisition
ASHA Guidelines
Do you need Continuing Education or want 
to listen to this course live?
Click here to visit 
the online courses.
ASHA Guidelines
• SLPs play a critical and direct role in literacy
development, due to established connections
between spoken and written language.
▫ Spoken language is the foundation for
reading/writing
▫ Spoken language and reading/writing build on
each other
▫ Children with speech-language impairment often
have difficulty reading
▫ Instruction in spoken language can affect growth
in reading/writing
SLP roles & responsibilities in reading
and writing
• Preventing written language problems by fostering
language acquisition and emergent literacy
• Identifying children at risk for reading and writing
problems
• Assessing reading and writing
• Providing intervention and documenting outcomes
for reading and writing
• Providing assistance to general education teachers,
parents
• Advancing the knowledge base
• Advocating for effective literacy programs
“Reading development is a multi-
faceted, multidimensional, cognitive
process involving the dynamic
interaction of a range of related
variables” (Stanovich & Beck, 2000)
All of the documents and charts in this presentation 
can be downloaded from our Free Resource Library.
Click here to visit the Resource Library
Statistics on Reading Deficits
• 52% of children with language impairment also
have reading difficulties (Tomblin, Zhang, Backwalter &
Catts, 2000).
• Poor reading skills have an ongoing, negative
influence on vocabulary and language
development (Catts & Kamhi, 2005).
• Reading comprehension skills in 3rd grade were
the best predictors of high school dropouts
(California Dept. of Education).
SES as a factor
• Children from higher SES homes (due to social,
language, and literacy enhancement abilities)
are advanced in later reading achievement ( Wasik
& Bond, 2001)
• Children from higher SES homes are more
successful in making the transition from
“learning to read” to “reading to learn” (Campbell,
Kelly, Mullis, Martin & Sainsbury, 2001)
• Matthew effect
Research on reading development in
children
• Frost, et.al, reported the following processes
necessary for reading
Memory
Comprehension
Language
Motivation
Attention
Imagination
Research on reading development in
children
• Frost, et.al, reported the following processes
necessary for reading
Memory
Comprehension
Language
Motivation
Attention
Imagination
Which processes are
also necessary for
communication?
Research on reading development in
children
• Frost, et.al, reported the following processes
necessary for reading
Memory
Comprehension
Language
Motivation
Attention
Imagination
Which processes are
also necessary for
communication?
Research looking at reading fluency
• There is a strong relationship between early
language and phonological awareness/sensitivity
and later reading and spelling development (Lipka
& Siegel, 2007; Snowling ,Adams, Bishop & Stothard, 2001)
• RAN is significant predictor of reading fluency
Research looking at Reading Fluency
• Phonological Awareness
▫ Is a strong predictor of reading fluency, especially
in orthographically inconsistent systems
▫ Is more taxed in orthographically inconsistent
systems (e.g. English) than in orthographically
consistent systems (Spanish, Greek).
▫ Phonological awareness and letter naming in
kindergarten predicted at-risk or typical reading
development in Grade 3 for ESL and monolingual
students1
Research looking at Reading
Comprehension
• Early language development is a developmental
precursor and good predictor of children’s early
reading development (Teal & Sulzby, 1986)
• Improving vocabulary and word knowledge is an
important part of developing reading
comprehension (Vaughn et al, 2006)
Research Looking at Reading
Comprehension
• Semantic skills at age 3 and phonological
awareness at age 6 both predicted reading skills
at age 16 (Frost, et. al., 2005)
• Letter identification, working memory, rhyme
detection and phoneme deletion (phonological
awareness) in kindergarten predicted fourth-
grade word reading. (Lesaux, Rupp, & Siegel, 2007)
The Ultimate Goal in Reading:
Comprehension & Fluency
• Two aspects of reading development
▫ Word recognition/decoding words/reading fluency
 Children are learning to decode in the first two years of
school
 Phonological awareness, phoneme discrimination tasks,
rhyming, onset-rime, syllable awareness
▫ Reading comprehension
 Children are reading to learn in later elementary years
(second grade and up).
 Syntax, semantics, and discourse skills required
Reading Comprehension Model
Reading Comprehension Model
Reading Fluency Model
Reading ComprehensionReading Comprehension
Reading FluencyReading Fluency
Phonological
Awareness
Phonological
Awareness
Syllable ID
(Spn)
Syllable ID
(Spn)
RhymingRhyming
Onset-RimeOnset-Rime
Phonemic
Awareness
Phonemic
Awareness
Syllable
Blending/Segmentation
Syllable
Blending/Segmentation
Orthographic
Coding
Orthographic
Coding
Rapid
Automatic
Naming
Rapid
Automatic
Naming
Letter-Sound
Correspondence
Letter-Sound
Correspondence
Rapid Serial NamingRapid Serial Naming
Listening ComprehensionListening Comprehension
MorphologyMorphology
Oral
Vocabulary
Oral
Vocabulary
Word
Meanings
Word
Meanings
Word RelationshipsWord Relationships
SyntaxSyntax DiscourseDiscourse
Narrative
Structure
Narrative
Structure
Conversational
Patterns
Conversational
Patterns
ExpositoryExpository
ProceduralProcedural
Phonological
Memory
Phonological
Memory
English and Spanish systems
• English is opaque (orthographically
inconsistent)
▫ Onset-rime
• Spanish is transparent (orthographically
consistent)
▫ Syllable
Efficacy of Intervention
• Language of instruction should be kept at a
suitable level of complexity and clarification to
better accommodate children’s speed of oral
language processing (Bishop & Leonard, 2000;
Nation, 2005)
 Engaging children in reciprocal verbal interactions that
support the child in producing more linguistically complex
dialogues directly facilitates the development of children’s
language proficiency and indirectly the development of their
reading skills
 Both visual and verbal models of intervention resulted in
gains in reading comprehension for adequate decoders/poor
comprehenders2
Common traits of effective intervention
• They are comprehensive
• Varied teaching methods
• Theory driven
• Opportunities for positive relationships to
develop
A word on dyslexia
• A disorder in reading and writing despite
ostensibly normal oral language abilities.
Language Impairment Dyslexia
Specific Language
Impairment
Typical Development
Language Difficulties
Yes
Yes
No
No
ReadingDifficulties
Ongoing Collaboration between
Educators and SLPs
Speech and Language Interventions:
Supporting Reading Fluency
• Phonological Awareness Intervention
▫ Blending and Segmenting Syllables
▫ Phonological Sound Inventory-take words from a story
for the child to blend and segment
• Minimal Pairs
▫ Distinguish between rake/wake or huele/duele
• High Frequency Word Lists
▫ Support sight word recognition
Speech and Language Interventions:
Supporting Reading Fluency
• Core Vocabulary Model
▫ Relating concepts through categories
• Story Grammar Instruction
▫ Teaching identification of characters, setting,
initiating event, a sequence of events and a
resolution
Speech and Language Interventions:
Supporting Reading Fluency
• Literacy Kits
▫ Pre-teach story vocabulary/articulation word lists
▫ Create games to provide additional exposure to
content
• Graphic Organizers for Story Comprehension
▫ Semantic mapping
▫ Venn Diagram
Overview of Reading Programs
Esperanza Estrellitas Voyager/
Pasaporte
Visualizing &
Verbalizing
Attention Low High Moderate High
Motivation Low High Moderate High
Memory High High Moderate Moderate
Imagination Low Low Low High
Language High Low High High
Spanish Yes Yes Yes No
English No No Yes Yes
Speech vs. Language
Speech Impairment
• Articulation Disorder
• Phonological Delay
• Phonological Disorder
Language Impairment
• Expressive Language
Impairment
• Receptive Language
Impairment
• Impaired Discourse skills
Case Study:
• 2nd grader
▫ Significant phonological and articulation delays
▫ Highly unintelligible
▫ Higher language/highly verbal
▫ Low reading fluency -> Decreased reading
comprehension
▫ High comprehension of material read to him
▫ Intervention targeting core vocabulary and high
frequency word lists paired with a phonological
approach
Case Study:
• Kindergartener
▫ Phonological awareness difficulties
▫ Needs help identifying story grammar
components and answering questions about
stories appropriately.
▫ Incomplete syntax
▫ Limited vocabulary in amount and variety
▫ Audio File
Conclusions
• Overall goal: academic success
• Our current intervention often addresses
reading and writing foundations and it is
important for us to be able to explain how.
• Knowing that our students may additionally
have reading difficulties, we can more efficiently
address their difficulties, we benefit by providing
them with academic success, giving them more
opportunities to practice what we teach them
and gain knowledge for themselves.
Click to visit www.bilinguistics.com
Difference or Disorder? 
Understanding Speech and Language 
Patterns in Culturally and Linguistically 
Diverse Students
Rapidly identify speech‐language 
patterns related to second language 
acquisition to 
distinguish difference from disorder.

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Where Communication and Reading Difficulties Meet

  • 1. Where Communication and Reading Difficulties Meet The crossroads of speech and reading intervention Kristin Sankovich, M.S., CCC-SLP Lauren Castro M.S., CCC-SLP Webinar Series November 8th, 2013
  • 2. Learner Objectives • Participants will: ▫ Discuss typical reading development in monolingual and bilingual speakers ▫ Identify relationships between oral language and reading ▫ Identify language foundations for reading ▫ Identify speech and language difficulties that contribute to reading difficulties ▫ Identify speech-language intervention techniques for children with reading difficulties
  • 3. What is our goal today? • Relating Speech-language intervention to reading development ▫ Discuss the SLP’s role ▫ Review/introduce reading development ▫ Present research and statistics on reading ▫ Show the relationship between speech and reading  Reading development models ▫ Support for why we should intervene ▫ How to intervene ▫ Conclude with case studies as examples
  • 4. ASHA Guidelines Research on Reading Development Speech vs. Language Disorder and Reading English and Spanish Acquisition
  • 7. ASHA Guidelines • SLPs play a critical and direct role in literacy development, due to established connections between spoken and written language. ▫ Spoken language is the foundation for reading/writing ▫ Spoken language and reading/writing build on each other ▫ Children with speech-language impairment often have difficulty reading ▫ Instruction in spoken language can affect growth in reading/writing
  • 8. SLP roles & responsibilities in reading and writing • Preventing written language problems by fostering language acquisition and emergent literacy • Identifying children at risk for reading and writing problems • Assessing reading and writing • Providing intervention and documenting outcomes for reading and writing • Providing assistance to general education teachers, parents • Advancing the knowledge base • Advocating for effective literacy programs
  • 9. “Reading development is a multi- faceted, multidimensional, cognitive process involving the dynamic interaction of a range of related variables” (Stanovich & Beck, 2000)
  • 11. Statistics on Reading Deficits • 52% of children with language impairment also have reading difficulties (Tomblin, Zhang, Backwalter & Catts, 2000). • Poor reading skills have an ongoing, negative influence on vocabulary and language development (Catts & Kamhi, 2005). • Reading comprehension skills in 3rd grade were the best predictors of high school dropouts (California Dept. of Education).
  • 12. SES as a factor • Children from higher SES homes (due to social, language, and literacy enhancement abilities) are advanced in later reading achievement ( Wasik & Bond, 2001) • Children from higher SES homes are more successful in making the transition from “learning to read” to “reading to learn” (Campbell, Kelly, Mullis, Martin & Sainsbury, 2001) • Matthew effect
  • 13. Research on reading development in children • Frost, et.al, reported the following processes necessary for reading Memory Comprehension Language Motivation Attention Imagination
  • 14. Research on reading development in children • Frost, et.al, reported the following processes necessary for reading Memory Comprehension Language Motivation Attention Imagination Which processes are also necessary for communication?
  • 15. Research on reading development in children • Frost, et.al, reported the following processes necessary for reading Memory Comprehension Language Motivation Attention Imagination Which processes are also necessary for communication?
  • 16. Research looking at reading fluency • There is a strong relationship between early language and phonological awareness/sensitivity and later reading and spelling development (Lipka & Siegel, 2007; Snowling ,Adams, Bishop & Stothard, 2001) • RAN is significant predictor of reading fluency
  • 17. Research looking at Reading Fluency • Phonological Awareness ▫ Is a strong predictor of reading fluency, especially in orthographically inconsistent systems ▫ Is more taxed in orthographically inconsistent systems (e.g. English) than in orthographically consistent systems (Spanish, Greek). ▫ Phonological awareness and letter naming in kindergarten predicted at-risk or typical reading development in Grade 3 for ESL and monolingual students1
  • 18. Research looking at Reading Comprehension • Early language development is a developmental precursor and good predictor of children’s early reading development (Teal & Sulzby, 1986) • Improving vocabulary and word knowledge is an important part of developing reading comprehension (Vaughn et al, 2006)
  • 19. Research Looking at Reading Comprehension • Semantic skills at age 3 and phonological awareness at age 6 both predicted reading skills at age 16 (Frost, et. al., 2005) • Letter identification, working memory, rhyme detection and phoneme deletion (phonological awareness) in kindergarten predicted fourth- grade word reading. (Lesaux, Rupp, & Siegel, 2007)
  • 20. The Ultimate Goal in Reading: Comprehension & Fluency • Two aspects of reading development ▫ Word recognition/decoding words/reading fluency  Children are learning to decode in the first two years of school  Phonological awareness, phoneme discrimination tasks, rhyming, onset-rime, syllable awareness ▫ Reading comprehension  Children are reading to learn in later elementary years (second grade and up).  Syntax, semantics, and discourse skills required
  • 21.
  • 25. Reading ComprehensionReading Comprehension Reading FluencyReading Fluency Phonological Awareness Phonological Awareness Syllable ID (Spn) Syllable ID (Spn) RhymingRhyming Onset-RimeOnset-Rime Phonemic Awareness Phonemic Awareness Syllable Blending/Segmentation Syllable Blending/Segmentation Orthographic Coding Orthographic Coding Rapid Automatic Naming Rapid Automatic Naming Letter-Sound Correspondence Letter-Sound Correspondence Rapid Serial NamingRapid Serial Naming Listening ComprehensionListening Comprehension MorphologyMorphology Oral Vocabulary Oral Vocabulary Word Meanings Word Meanings Word RelationshipsWord Relationships SyntaxSyntax DiscourseDiscourse Narrative Structure Narrative Structure Conversational Patterns Conversational Patterns ExpositoryExpository ProceduralProcedural Phonological Memory Phonological Memory
  • 26. English and Spanish systems • English is opaque (orthographically inconsistent) ▫ Onset-rime • Spanish is transparent (orthographically consistent) ▫ Syllable
  • 27. Efficacy of Intervention • Language of instruction should be kept at a suitable level of complexity and clarification to better accommodate children’s speed of oral language processing (Bishop & Leonard, 2000; Nation, 2005)  Engaging children in reciprocal verbal interactions that support the child in producing more linguistically complex dialogues directly facilitates the development of children’s language proficiency and indirectly the development of their reading skills  Both visual and verbal models of intervention resulted in gains in reading comprehension for adequate decoders/poor comprehenders2
  • 28. Common traits of effective intervention • They are comprehensive • Varied teaching methods • Theory driven • Opportunities for positive relationships to develop
  • 29. A word on dyslexia • A disorder in reading and writing despite ostensibly normal oral language abilities. Language Impairment Dyslexia Specific Language Impairment Typical Development Language Difficulties Yes Yes No No ReadingDifficulties
  • 31. Speech and Language Interventions: Supporting Reading Fluency • Phonological Awareness Intervention ▫ Blending and Segmenting Syllables ▫ Phonological Sound Inventory-take words from a story for the child to blend and segment • Minimal Pairs ▫ Distinguish between rake/wake or huele/duele • High Frequency Word Lists ▫ Support sight word recognition
  • 32. Speech and Language Interventions: Supporting Reading Fluency • Core Vocabulary Model ▫ Relating concepts through categories • Story Grammar Instruction ▫ Teaching identification of characters, setting, initiating event, a sequence of events and a resolution
  • 33. Speech and Language Interventions: Supporting Reading Fluency • Literacy Kits ▫ Pre-teach story vocabulary/articulation word lists ▫ Create games to provide additional exposure to content • Graphic Organizers for Story Comprehension ▫ Semantic mapping ▫ Venn Diagram
  • 34. Overview of Reading Programs Esperanza Estrellitas Voyager/ Pasaporte Visualizing & Verbalizing Attention Low High Moderate High Motivation Low High Moderate High Memory High High Moderate Moderate Imagination Low Low Low High Language High Low High High Spanish Yes Yes Yes No English No No Yes Yes
  • 35. Speech vs. Language Speech Impairment • Articulation Disorder • Phonological Delay • Phonological Disorder Language Impairment • Expressive Language Impairment • Receptive Language Impairment • Impaired Discourse skills
  • 36. Case Study: • 2nd grader ▫ Significant phonological and articulation delays ▫ Highly unintelligible ▫ Higher language/highly verbal ▫ Low reading fluency -> Decreased reading comprehension ▫ High comprehension of material read to him ▫ Intervention targeting core vocabulary and high frequency word lists paired with a phonological approach
  • 37. Case Study: • Kindergartener ▫ Phonological awareness difficulties ▫ Needs help identifying story grammar components and answering questions about stories appropriately. ▫ Incomplete syntax ▫ Limited vocabulary in amount and variety ▫ Audio File
  • 38. Conclusions • Overall goal: academic success • Our current intervention often addresses reading and writing foundations and it is important for us to be able to explain how. • Knowing that our students may additionally have reading difficulties, we can more efficiently address their difficulties, we benefit by providing them with academic success, giving them more opportunities to practice what we teach them and gain knowledge for themselves.

Notes de l'éditeur

  1. Frost, J., Madsbjerg, S., Niedersoe, J., Olofosson, A., & Sorensen, P.M. (2005). Semantic and Phonological Skills in Predicting Reading Development: From 3-16 Years of Age.
  2. Phonological memory is only weakly correlated with reading abilitiy (de Jong & Van derLeij, 1999; Dufva, Niemi & Voeten, 2001; Muter & Snowling, 1998; Parila et al, 2004; Scarborough)RAN is a significant predicory of
  3. In a study by frost he cited that the following processes are necessary for reading. Click one:So which processes are also involved in communication?Click two:So obviously we deal with the first three componentsClick three:An argument can also be made that ALL of the components needed for reading are also needed to provide full rich, communication. We are going to use these areas that Frost suggested and dig deeper into each area as it relates to cognitive abilities and what we address in therapy.
  4. 1 Lipka, O. & Siegel, L. S. (2007). The Development of Reading Skills in Children with English as a Second Language. Scientific Studies of Reading, 11, 2, 105-131.2 Rapid automatized naming is a timed task, where students are required to name different shapes, colors, as fast as possible
  5. Gilliver & Byrne (2009) found that
  6. 1Hay, Elias, Fielding-Barnley, Homel & Freiberg, 2007; Nation, 20032 Johnson-Glenberg, M. C. (2000). Training Reading Comprehension in Adequate Decoders/Poor Comprehenders: Verbal Versus Visual Strategies
  7. Hays, Elias, Fielding-Barnly,Homel & Freiberg, 2007; M. Nation, 2003
  8. Pick a good sentence from article that is beyond comprehension. To demonstrate high fluency-low comprehension.Kid with phonological impairment (Saul video) cannot decode and therefore doesn’t comprehend.LI – Jocelyn or Daniel – fluent reader, poor comprehensionModerate to severe articulation (Miguel & Ismael) with great fluency and reading comprehension.