Many children with Down syndrome (DS) are capable of developing some readin
g and writing abilities. The purpose of this study was to further the knowl
edge of literacy learning and factors that influence that learning in child
ren with DS. Twelve elementary school children with DS were followed over a
4.5-year period. All the children attended regular education classrooms wi
th personal aides and resource rooms as support. Measures of the children's
reading, language, cognitive, and phonological awareness abilities were co
llected three times. Analyses demonstrated that some reading ability was pr
esent in all but one of the children by the end of the study. Phonological
awareness and word attack skills did not keep pace with word recognition ab
ilities in these children. When age and mental age (i.e., the mean of the a
ge-equivalent scores from the Pattern Analysis and Bead Memory subtests of
the Stanford Binet Intelligence Scale, 4(th) edition) were partialled out,
word attack skill was uniquely predicted by measures of phoneme segmentatio
n and auditory memory as well. Clinical implications of the findings are di
scussed.