Phonics training improves reading in children with neurofibromatosis type 1 : A prospective intervention trial

Journal article


Arnold, Shelley S., Barton, Belinda, McArthur, Genevieve, North, Kathryn N. and Payne, Jonathan M.. (2016). Phonics training improves reading in children with neurofibromatosis type 1 : A prospective intervention trial. Journal of Pediatrics. 177, pp. 219-226. https://doi.org/10.1016/j.jpeds.2016.06.037
AuthorsArnold, Shelley S., Barton, Belinda, McArthur, Genevieve, North, Kathryn N. and Payne, Jonathan M.
Abstract

Objective
To examine the efficacy of a phonics-training program in children with neurofibromatosis type 1 (NF1) and reading difficulties.

Study design
Thirty children (7-12 years of age) with NF1 completed a double-baseline, 24-week intervention trial. Literacy outcome measures were assessed at 4 time points: (1) at baseline; (2) after an 8-week no-treatment period; (3) immediately post-treatment; and (4) at follow-up 8 weeks post-treatment. Repeated-measures ANOVA were conducted to examine change over time for all outcome measures, and significant main effects were explored with planned comparisons. Predictors of treatment effects were examined by linear regressions.

Results
Ninety percent of participants completed the intervention. Intervention-specific improvements were observed across a range of literacy outcomes, including reading accuracy (nonword reading, Cohen d = 1.10; regular-word reading, Cohen d = 0.32), letter-sound knowledge (Cohen d = 0.80), blending (Cohen d = 0.88), repetition of nonsense words (Cohen d = 0.94), phonemic decoding fluency (Cohen d = 0.55), and reading comprehension (Cohen d = 0.31). Improvements were maintained 8 weeks post-treatment. Age (P = .03) and working memory (P = .02) significantly influenced efficacy, with greatest improvements observed in older children with stronger verbal working memory capacity.

Conclusions
Home-based, computerized reading intervention was effective in improving the reading and reading-related abilities of children with NF1 and reading difficulty.

Trial registration
Australian and New Zealand Clinical Trials Registry: ACTRN12611000779976

Keywordsneurofibromatosis type 1; reading deficit; phonics training; phonological awareness; intervention
Year2016
JournalJournal of Pediatrics
Journal citation177, pp. 219-226
PublisherElsevier Inc.
ISSN0022-3476
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jpeds.2016.06.037
PubMed ID27480199
Scopus EID2-s2.0-84979784663
Page range219-226
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online22 Sep 2016
Publication process dates
Accepted10 Jun 2016
Deposited06 Jul 2023
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