Components of effective remediation for developmental reading disabilities: Combining phonological and strategy-based instruction to improve outcomes

The efficacy of a combination of phonological and strategy-based remedial a pproaches for reading disability (RD) was compared with that of each approa ch separately. Eighty-five children with severe RD were randomly assigned t o 70 intervention hours in 1 of 5 sequences: PHAB/DI (Phonological Analysis and Blending/Direct Instruction) --> WIST (Word Identification Strategy Tr aining), WIST --> PHAB/DI, PHAB/DI x 2, WIST x 2, or CSS --> MATH (Classroo m Survival Skills --> Math, a control treatment). Performance was assessed before, 3 times during, and after intervention. Four orthogonal contrasts b ased on a linear trend analysis model were evaluated. There were generalize d treatment effects on standardized measures of word identification, passag e comprehension, and nonword reading. A combination of PHAB/DI and WIST pro ved superior to either program alone on nonword reading, letter-sound and k eyword knowledge, and 3 word identification measures. Generalization of non word decoding to real word identification was achieved with a combination o f effective remedial components.