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Research Article
Purpose: This article includes results from a multistate Results: Multilevel multivariate regression was conducted
randomized controlled trial designed to investigate the with results showing that students receiving the language-
impacts of a language-focused classroom intervention on focused intervention significantly outperformed those in the
primary grade students’ proximal language skills and distal control group in comprehension monitoring and vocabulary,
reading comprehension skills. with effect sizes ranging from 0.55 to 1.98. A small effect in
Method: The sample included 938 children from 160 understanding text (narrative) was found in 3rd grade only.
classrooms in 4 geographic regions in the United States; Multilevel path analyses were then conducted to examine if the
each classroom was randomly assigned to 1 of 2 experimental intervention had a positive impact on reading comprehension
conditions (2 variations of a language-focused intervention) through the influence of proximal language outcomes. In all
or business-as-usual control. For this study, the 2 experimental 3 grades, instruction impacted reading comprehension via
conditions were collapsed, as they represented minor the mediation of vocabulary, with sizable effects (1.89–2.26);
differences in the language-focused intervention. All no other indirect pathways were significant.
children completed assessments at multiple time points Conclusions: This study provides evidence that a language-
during the academic year. Proximal measures (curriculum- focused intervention can positively impact students’
aligned measures of vocabulary, comprehension monitoring, performance on language measures that are closely
and understanding narrative and expository text) were aligned with the intervention, with indirect, large effects
administered throughout the school year. Distal measures on distal reading comprehension measures. Theoretically,
of reading comprehension were administered at the beginning this study provides causally interpretable support for the
and the end of the school year. language bases of reading comprehension.
P
oor reading comprehension among U.S. children 1988; Connor, Morrison, Fishman, Schatschneider, &
and youth is an ongoing concern; indeed, nationally Underwood, 2007). In contrast, there has been less atten-
representative data show stagnant performance in tion to improving children’s reading comprehension, al-
reading achievement over the past decades (Snyder, de Brey, though it is a decidedly important component of skilled
& Dillow, 2016), with only about one third of fourth graders reading. To address this issue, the Institute of Education
exhibiting proficient reading skill. Poor reading achievement Sciences of the U.S. Department of Education created the
is associated with adversities in a number of areas, including Reading for Understanding Initiative in 2010. The pur-
educational progress, employment opportunities, and pose of this initiative was to commit extensive funding
health outcomes (Ritchie & Bates, 2013). In recent decades, (more than $100,000,000) to investigative teams to develop,
considerable efforts have been directed toward developing refine, and evaluate effective approaches for improving
effective interventions for improving children’s decoding reading comprehension for children and youth.
skills, many with successful outcomes (Ball & Blachman, The present article describes the results of a multistate
experimental evaluation of a whole-class comprehension-
focused intervention developed by the Language and Read-
a
Ohio State University, Columbus ing Research Consortium (LARRC), a group of investigators
Correspondence to Laura Justice: justice.57@osu.edu from multiple sites and disciplines who received funding
Editor-in-Chief: Sean Redmond to investigate reading comprehension development and
Editor: Stephen Camarata instruction in preschool through third grade. The primary
Received January 12, 2019
Revision received March 28, 2019
Accepted April 17, 2019 Disclosure: The authors have declared that no competing interests existed at the time
https://doi.org/10.1044/2019_JSLHR-L-19-0015 of publication.
2812 Journal of Speech, Language, and Hearing Research • Vol. 62 • 2812–2828 • August 2019 • Copyright © 2019 American Speech-Language-Hearing Association
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aim of the LARRC team was to determine the effects of that instruction targeting vocabulary knowledge can lead to
“language-focused” whole-class interventions, representing improvements in reading comprehension. However, as pre-
an enhancement of or supplement to the typical classroom viously noted, the extant research provides evidence that
language arts curriculum—for improving reading compre- reading comprehension is associated with a variety of differ-
hension in the primary grades. ent language skills, including not only vocabulary but also
LARRC’s focus on language-focused intervention as one’s grammar abilities, inferencing skills, text structure
a means for improving overall reading comprehension is knowledge, and comprehension monitoring (Cain et al.,
based on firm theoretical evidence showing that children’s 2001; Cain, Oakhill, & Bryant, 2004). In fact, recent evi-
language comprehension is intricately related to reading dence finds that these language skills are influential to read-
comprehension skills (e.g., Kintsch & Kintsch, 2005; Perfetti, ing comprehension across the continuum of reading skill
2007). By third grade, children’s language skills explain (LARRC & Logan, 2017).
an estimated 60% of the variance in children’s reading com- To date, relatively few multicomponent language
prehension (LARRC, 2015), and the contribution of lan- interventions have been examined for effects on reading
guage skill to reading contribution is important across the comprehension, with a few exceptions (Clarke, Snowling,
continuum of reading skill (LARRC & Logan, 2017). In Truelove, & Hulme, 2010; Williams et al., 2014; Williams,
fact, among the least skilled comprehenders in third grade Stafford, Lauer, Hall, & Pollini, 2009). One example is
(bottom tertile), skills in grammar, vocabulary, and higher seen in the work by Williams et al., who developed and
level language appear more influential to reading compre- tested a supplemental classroom intervention for second-
hension than for the most skilled comprehenders (LARRC grade students that provided explicit instruction targeting a
& Logan, 2017). This suggests that language skill may be variety of language skills, including vocabulary, grammar,
an important lever of change for improving reading com- and text structure knowledge (Williams et al., 2009). Vocabu-
prehension across the full distribution of reading skill. lary instruction focused not only on concepts central to the
Among the most critical determinants of language topic of texts being read (e.g., warm- and cold-blooded ani-
comprehension are language skills transcending both lower mals) but also on “clue words” that helped children to com-
(i.e., automatic) and higher (i.e., integrative) level pro- prehend certain expository texts. For instance, when reading
cesses (Perfetti, 2007). Lower level language skills, such as compare–contrast texts, children received instruction on
vocabulary and grammar, are significant contributors to such clue words as both, compare, and alike. Also, children
reading comprehension (Verhoeven & Van Leeuwe, 2008). engaged in extensive textual analysis of expository text, in-
These skills are viewed as “necessary but not sufficient” for cluding grammatical analyses (e.g., examining coherence
reading comprehension and, in essence, are thought to lay within paragraphs) and text structure analysis (e.g., pro-
the foundation for higher level language skills. Higher ducing graphic organizers depicting a paragraph’s exposi-
level skills include making inferences, using text structure tory structure). Compared to children in two counterfactual
knowledge, and comprehension monitoring, and these conditions, children provided with explicit instruction focused
skills are viewed as critical for the integrative elements of on vocabulary, grammar, and text structure skills showed
skilled reading comprehension that allow one to create a better reading comprehension on distal (transfer) experi-
mental model of text (Cain, Oakhill, Barnes, & Bryant, mental developed tasks and improvements in targeted vo-
2001). cabulary skills and background knowledge (see Williams
Given the contribution of language skills to skilled et al., 2009). The results of a study by Clarke et al. (2010)
reading comprehension, some have proposed that instruction also demonstrated promising results of language-focused
directly targeting language skills has the potential to result instruction with 8- to 9-year-old students. In this randomized
in improvements in reading comprehension (Bowyer-Crane controlled trial (RCT), students who received instruction
et al., 2008; Williams, Hall, & Lauer, 2004). This argument targeting vocabulary, narrative ability, and listening com-
was first tested in a seminal study conducted by Beck, prehension outperformed students in a control condition
Perfetti, and McKeown (1982), in which fourth-grade on a standardized measure of reading comprehension, and
students were provided with explicit vocabulary instruction these gains were maintained at an 11-month follow-up. It is
using a variety of tasks, such as word definition activities. important to note that the instruction provided in this study
Results indicated that the vocabulary instruction had a posi- was delivered individually, not in a classroom setting.
tive, significant effect on not only vocabulary skills but Similar to the intervention developed and tested by
also students’ reading comprehension. These studies, as well Clarke et al. (2010), the present experiment examined effects
as others (Cirino, Pollard-Durodola, Foorman, Carlson, of a comprehensive language-focused intervention—Let’s
& Francis, 2007; Zipke, Ehri, & Cairns, 2009), provide pre- Know!—on the language skills and reading comprehension
iminary evidence that providing direct instruction in of first- to third-grade students; a principal distinction be-
language skills can positively impact children’s reading tween this work and that of Clarke et al. was that the in-
comprehension. tervention described here was implemented by classroom
Typically, efforts to positively impact reading compre- teachers and delivered to the entire classroom. Designed as
hension via language instruction focus on one specific lan- a supplement to the classroom’s typical language arts cur-
guage skill, such as vocabulary or inference making. For riculum, Let’s Know! was developed and tested over a 3-year
instance, Beck et al.’s (1982) previously cited work showed period in a process that adhered to the curriculum research
No. lessonsa
Lesson type Description Broad Deep
Hook Designed to capture children’s attention and provide an overview of the unit and final project. 1 1
Read to Me Designed to promote children’s exposure and engagement with rich text, opportunities to 3 3
engage in rich discussions, use of higher level inferential language, and comprehension
monitoring skills.
Words to Know Designed to build children’s knowledge and use of unit vocabulary words. 4 4
Words to Know Practice Additional Words to Know lessons. 0 4
Text Mapping Designed to target objectives related to the production and comprehension of different 4 0
grammatical structures including recasting, think alouds, and navigational words.
Integration Designed to provide children with an opportunity to learn and practice retelling, inferencing 4 4
strategies, and finding the main idea to help them become more strategic readers.
Integration Practice Additional Integration lessons. 0 4
Read to Know Designed to promote children’s engagement with reading by allowing them the autonomy to 4 0
make decisions about what they read and helping them to select texts that are of interest
to them.
Show Me What You Teachers administer the CAMs to the study-selected children. Results are used to inform the 1 1
Know (CAM) Stretch & Review lessons. Time to practice CAMs was also incorporated into each unit.
Stretch & Review Developed by the teachers based on CAM results, designed to individualize instruction, and 2 2
either review key concepts or delve deeper into unit topics.
Close Designed to provide children a hands-on experience in which they can integrate the skills 1 1
and knowledge developed over the unit.
2814 Journal of Speech, Language, and Hearing Research • Vol. 62 • 2812–2828 • August 2019
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intervention on students’ reading comprehension in the pri- overlaps with that described in LARRC et al. (2017),
mary grades, with a specific focus on testing the theory of which examined the effects of the Let’s Know! interven-
change inherent to the intervention’s design—namely, that tion on curriculum-aligned language measures using the
Let’s Know! yields positive effects on language skills that, preschool to third-grade sample from Cohort 1 of the
in turn, positively affect reading comprehension. RCT.
This study addressed two aims within the context of
a large-scale, multistate RCT involving two successive co- Teacher Sample
horts of first- to third-grade students and their teachers. To recruit teachers into the study, school districts across
(Note that the RCT also included preschool and kinder- six states were pursued as possible participants based on
garten students; those results are analyzed separately, as school/district size, diversity of students served, and geo-
measures of reading comprehension were not collected on graphic proximity and prior engagement in research part-
these youngest participants.) The first purpose was to ex- nerships with university sites with which the investigators
amine the impacts of Let’s Know! on the language skills of were affiliated. While the districts generally reflected a con-
first- through third-grade students over an academic year, venience sample, careful attention was paid toward identi-
specifically comprehension monitoring, vocabulary, and fying districts that helped to balance differences across the
text comprehension (narrative and expository). We theorized states with respect to student demographics, especially race/
that students whose teachers implemented Let’s Know! for ethnicity and rurality. Once permission was provided by
an academic year would outperform children in control district leaders, project staff held information sessions in
classrooms on these outcomes, thus generally serving to each district to provide teachers with information about study
replicate preliminary findings recently reported in the litera- goals and activities. Subsequently, teachers self-selected into
ture (LARRC et al., 2017). The second purpose was to de- the study and provided informed consent. Those enrolled
termine the extent to which the effects of the intervention into the study agreed to implement one of two variations of
on children’s language skills would transfer to effects on Let’s Know! into their core language arts curriculum or to
reading comprehension skills, as reflected in the theory of maintain their business-as-usual (BAU) curriculum; the two
change that guided the design of the Let’s Know! interven- variations represented modest distinctions in the scope of
tion. Specifically, this theory of change contends that chil- language-focused instruction taking place, as referenced
dren’s reading comprehension is highly influenced by their previously (for complete description of the versions, see
language skills (LARRC & Logan, 2017) and that instruc- Ahn & Vassileva, 2016; LARRC, 2016). Only minimal de-
tion targeting such skills should causally affect reading tails as to what implementation of Let’s Know! would entail
comprehension. This theory therefore proposes that the ef- were provided at the consent stage, although we empha-
fects of Let’s Know! on students’ reading comprehension are sized that teachers assigned to one of two experimental
mediated by their language skills. Thus, the questions ad- conditions would need to be prepared to make adjustments
dressed in this study were twofold: (a) To what extent does to their language arts curriculum.
Let’s Know! impact the language skills of primary grade chil- The sample of 184 first- to third-grade teachers was
dren, including comprehension monitoring, vocabulary, and primarily White/Caucasian (91%), although 6% were Asian
language comprehension, and (b) to what extent does Let’s and 3% were of other races or multiracial. Four percent
Know! impact the reading comprehension skills of primary of teachers identified as Hispanic or Latino. On average,
grade children via the influence of language skills? teachers were 42 years old (SD = 10.5 years, range: 23–
65 years) and had nearly 8 years of experience teaching the
current grade level (SD = 6.2 years, range: 0–32 years). An
Method average classroom included 22 children (SD = 3.4, range:
8–30). Almost two thirds of classrooms were in suburban
Participants settings (62%), with 25% in urban settings and 13% in rural
Preschool to third-grade students enrolled in public settings. According to the teacher report, nearly all (95%)
schools across six states were enrolled in two sequential classrooms were using a specific language arts curriculum,
cohorts (2013–2014 and 2014–2015 academic years) to to which Let’s Know! served as a supplement.
conduct an RCT of the Let’s Know! classroom-based inter-
vention. Each cohort contains a unique sample of students. Student Sample
Because the outcome measures in the RCT differed for All children whose teachers enrolled in the study were
the preschool to kindergarten students and for the first- exposed to their teachers’ assigned study conditions. Con-
to third-grade students, this article is limited to the latter sent, therefore, was requested of children’s caregivers to al-
group of students (N = 997) to assess the potential effects low their children to participate in ongoing assessments to
of the intervention on students’ language and reading assess effects of instructional conditions on language and
comprehension outcomes. As most preschool and kinder- reading skills. To ascertain the children for ongoing assess-
garten students cannot read text, curricular effects for ments, study information was provided to all children in
these youngsters were assessed using language-specific each classroom via “backpack mail”; this included an infor-
measures, and results are examined under separate cover. mational brochure, an informed consent form, and a brief
Note that the sample utilized in this study partially screening questionnaire that captured information used to
2816 Journal of Speech, Language, and Hearing Research • Vol. 62 • 2812–2828 • August 2019
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Table 2. Descriptive information by condition and grade for the analytic sample (N = 938).
Grade 1 (n = 326)
Control Let’s Know!
Information n % n %
our interest in examining the effects of Let’s Know! on represents intervention effects achieved in less-than-ideal
reading comprehension via children’s language skills. implementation.
Fidelity of implementation to Let’s Know! was mea-
sured in two primary ways. First, teachers maintained
written logs of their daily implementation of lessons, and BAU Condition
these were collected by staff regularly. Examination of logs Teachers in the BAU condition were asked to main-
by project staff showed that, on average, 68 of 85 total tain their typical approach to language arts instruction over
lessons (80%) were implemented (range: 8%–100%). Second, the academic year. To address potential Hawthorne effects,
research staff conducted seven observations per teacher BAU teachers completed study activities that paralleled
across the academic year for randomly selected Let’s Know! those in the treatment condition, to include participating
lessons. Staff coded for the absence or presence of 12 key in an approximate amount of PD, receiving stipends, hav-
features of lessons using a fidelity checklist developed for ing classroom observations conducted in their classrooms,
this purpose. Across all observations conducted (n = 635), and completing curriculum-aligned study measures for their
teachers implemented an average of nine of the key features students, even though in the BAU classrooms, these were
(range: 2–10). As with many large-scale classroom-based not actually aligned to the language arts curriculum. The
interventions, fidelity did not achieve the gold standard major distinction between teacher experiences across the
of implementation, and there was a high level of variabil- treatment and BAU conditions is that the latter teachers
ity across teachers (Bleses et al., 2017). Thus, this study did not receive the Let’s Know! materials (e.g., lesson plans,
Grade 2 (n = 325)
Control Let’s Know!
Information n % n %
Children (classrooms) 110 (18) 215 (36)
Attrition rate of children (classrooms)a 7.0 (10.0) 9.7 (12.2)
Teacher/classroom characteristics
Teacher minority status 0 0.0 3 8.6
Public school 16 94.1 34 97.1
Use of state-developed curricula 13 76.5 19 54.3
Use of locally developed curricula 13 76.5 29 82.9
Use of commercial curricula 12 70.6 22 62.9
Child characteristics
Female 63 53.7 108 50.2
Minority status (non-White/Hispanic) 34 31.5 57 36.1
Primary home language: English 80 96.4 151 94.4
IEP status 7 6.5 20 9.4
Parent HD: high school/GED 42 39.3 74 34.9
Parent HD: associate/bachelor’s 40 37.4 89 42.0
Parent HD: graduate 19 17.8 40 18.9
M SD Range M SD Range
Teacher/classroom characteristics
Teacher years teaching current grade 11.76 7.06 2–27 12.01 7.11 1–25
Class size 21.65 2.94 17–29 21.57 2.93 15–28
Child age (months) 95.75 7.76 83–131 94.73 6.93 80–121
Child pretest scores
Let’s Know! vocabulary 4.44 2.84 0–18 5.73 3.71 0–21
TNR story grammar 19.27 9.51 0–51 19.10 7.77 0–36
GMRT-4 25.43 8.36 7–38 25.66 7.89 5–37
RCM narrative 5.88 2.35 0–10 5.77 2.38 0–10
RCM expository 3.98 1.95 0–7 3.75 2.04 0–7
Child proximal outcomes (sum score)b
Comprehension monitoring 8.85 3.20 1–16 11.92 3.60 0–16
Let’s Know! vocabulary 15.38 7.57 1–35 41.71 13.44 0–63
Understanding narrative text 10.19 1.93 4–12 9.92 1.98 2–12
Understanding expository text 5.14 1.59 1–8 5.10 1.76 0–8
Child distal outcomes (posttest)b
GMRT-4 31.66 5.48 11–39 30.98 6.79 10–39
RCM narrative 7.47 1.65 3–10 6.93 2.11 0–10
RCM expository 4.74 1.47 0–7 4.33 1.75 0–7
(table continues)
storybooks) nor training in their use, and they were not effects on children’s skills in three areas: comprehension
observed for fidelity to the Let’s Know! lessons. monitoring, vocabulary, and text comprehension. CAMs
were administered by children’s teachers near the end of
the first through fourth units (Week 6, Week 13, Week 20,
Measures
Week 24) following standardized scripts and scoring in-
Of primary interest in this study are measures of structions. Teachers were also provided training on imple-
students’ language skills and reading comprehension. Two menting the CAMs via a narrated PowerPoint training
types of measures were used to represent potential effects completed prior to implementing the first CAM. Extensive
of Let’s Know! on children’s skills. First, curriculum-aligned pilot work was done prior to field implementation to ensure
measures (CAMs) that were closely aligned to the interven- that teachers could reliably score the CAMs. Note that CAMs
tion’s scope and sequence were collected at the end of each were conducted by both treatment and control teachers.
instructional unit by children’s teachers. Second, a distal Sum scores of each measure were computed within grade
measure of children’s reading comprehension was con- to be used as proximal outcomes in the analyses.
ducted in the fall and spring of the academic year by re-
search staff. Comprehension Monitoring
A comprehension monitoring measure was used to as-
CAMs sess children’s ability to apply comprehension monitoring
CAMs were administered by teachers across the aca- strategies when listening to short passages containing incon-
demic year and served as proximal measures of Let’s Know! gruous information. Passages were aligned with the Let’s
2818 Journal of Speech, Language, and Hearing Research • Vol. 62 • 2812–2828 • August 2019
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Table 2. (Continued).
Grade 3 (n = 287)
Control Let’s Know!
Information n % n %
Children (classrooms) 106 (18) 181 (30)
Attrition rate of children (classrooms)a 3.6 (5.3) 6.7 (14.3)
Teacher/classroom characteristics
Teacher minority status 0 0.0 5 16.7
Public school 16 88.9 26 86.7
Use of state-developed curricula 10 55.6 15 51.7
Use of locally developed curricula 14 77.8 21 72.4
Use of commercial curricula 8 44.4 17 58.6
Child characteristics
Female 54 50.9 91 50.3
Minority status (non-White/Hispanic) 26 25.5 51 29.1
Primary home language: English 74 94.9 127 93.4
IEP status 8 7.8 9 5.1
Parent HD: high school/GED 28 27.2 67 37.2
Parent HD: associate/bachelor’s 47 45.6 66 36.6
Parent HD: graduate 23 22.3 32 17.8
M SD Range M SD Range
Teacher/classroom characteristics
Teacher years teaching current grade 8.89 7.39 1–26 8.63 6.99 0–23.
Class size 22.06 4.19 8–27 22.37 3.14 16–30.
Child age (months) 107.31 7.27 95–130 106.25 6.66 94–127.
Child pretest scores
Let’s Know! vocabulary 7.13 4.49 0–21 8.60 4.92 0–23.
TNR story grammar 20.91 8.50 0–45 23.41 7.68 2–40.
GMRT-4 28.52 10.41 7–46 30.56 9.74 6–47.
RCM narrative 3.95 1.90 0–7 4.09 1.79 0–8.
RCM expository 4.23 1.98 0–7 4.57 1.98 0–7.
Child proximal outcomes (sum score)b
Comprehension monitoring 10.79 5.04 0–16 13.35 3.20 0–16.
Let’s Know! vocabulary 18.77 8.77 5–42 45.23 12.53 6–63.
Understanding narrative text 10.16 1.70 5–12 10.89 1.34 6–12.
Understanding expository text 5.23 1.66 1–8 5.19 1.63 0–8.
Child distal outcomes (posttest)b
GMRT-4 34.38 9.06 8–47 34.94 8.52 12–48.
RCM narrative 4.66 1.78 0–8 4.76 1.53 0–8.
RCM expository 4.92 1.93 0–7 5.27 1.73 0–7.
Note. IEP = Individualized Education Program; GED = General Education Development; HD = highest degree; TNR = Test of Narrative Retell
(Petersen & Spencer, 2012); GMRT-4 = Gates–MacGinitie Reading Tests–Fourth Edition (MacGinitie et al., 2000); RCM = Reading Comprehension
Measure (Leslie & Caldwell, 2011).
a
Attrition rate of the initial sample (including analytical sample and the removed cases). For example, 4.3 (20.8) means that, for Grade 1, control
group, 4.3% of the initially recruited children attritted and 20.8% of the initially recruited classrooms attritted. bMaximum scores: Let’s Know!
vocabulary (pretest) = 38; TNR story grammar pretest: Grade 1 = 36, Grade 2 = 56, Grade 3 = 56; Comprehension monitoring = 16; Understanding
narrative text = 12; Understanding expository text = 8; Let’s Know! vocabulary (sum score) = 64; GMRT-4: Grade 1 = 39, Grade 2 = 39, Grade 3 = 48;
RCM narrative: Grade 1 = 6, Grade 2 = 10, Grade 3 = 8; RCM expository: Grade 1 = 4, Grade 2 = 7, Grade 3 = 7.
Know! instructional content. In one-on-one sessions, teachers Know! units. Words taught and tested were selected based
read the child two passages and asked the child to identify on their prevalence in children’s books featured in Let’s Know!
what did not make sense in the passage and to identify a fix- lessons, importance for understanding unit content, and rele-
up strategy they could apply (e.g., reread text). The teacher vance to a variety of learning contexts (e.g., reading, math,
used a rubric to score each item as correct (2 points), correct science). All words were lower frequency words. For each
after prompting (1 point), or incorrect (0 points). The maxi- of four separate administrations, corresponding to the
mum possible points was 4 per unit and 16 over four CAM close of each of four units within the Let’s Know! class-
assessments. Reliability as measured by ordinal α was .85. rooms, teachers asked children to provide a definition of
each of eight target words, and teachers rated responses as
Vocabulary correct (2 points), partially correct (1 point), or incorrect
A vocabulary measure was used to assess children’s (0 points) using a scoring protocol that listed acceptable
knowledge of vocabulary words taught across the four Let’s answers. The maximum possible points was 16 per unit
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regression with CAM scores serving as outcomes of interest fit to evaluate the adequacy of the model. Generally, models
(see Figure 1). Since CAMs were administered at multiple were considered an acceptable fit for the data if the SRMR
time points over the academic year and CAM items varied and RMSEA were less than 0.08 and the CFI was at least
across the three grade levels, we treated each grade as a sep- .90 (Hu & Bentler, 1999; MacCallum, Browne, & Sugawara,
arate sample and analyzed sum scores combined across 1996). In addition, we tested mediation models controlling
units. A multilevel (mixed) model was applied, in which for potential differences between the Let’s Know! Broad
classroom effects were treated as random components, to and Deep conditions. The results were robust to the addi-
account for the nested data structure. For each grade, treat- tion of the condition variable for all grade levels and sug-
ment effects were estimated for all proximal measures si- gested that intervention variation did not lead to significant
multaneously using multivariate modeling to account for differences in the process models. We therefore report here
the correlation between outcomes. the models combining the two Let’s Know! conditions.
To test the effects of Let’s Know! on the distal out- The primary analyses to estimate relations and assess
come of reading comprehension, we employed multilevel model fit were conducted in Mplus 7.11 (Muthén & Muthén,
structural equation modeling to model cascading pathways, 1998–2010). The significance of the standardized path co-
specifically the effects of Let’s Know! on four proximal out- efficients was determined by comparing the z ratio to a
comes (CAMs) and, in turn, their influence on reading com- critical value at 0.05 level. Aside from statistical signifi-
prehension, represented by a latent construct measured by cance, we further estimated effect sizes (d) following the
three observed indicators (see Figure 2). We hypothesized guidelines recommended by the What Works Clearinghouse.
that the effects of Let’s Know! on reading comprehension
would be completely mediated by children’s improvements
in targeted language skills as represented by the CAMs. To Missing Data
appropriately assess the unique contribution of Let’s Know!, The analytic sample included 938 children who had
we controlled for demographics (child gender, age, minority data on at least one of the seven outcome measures. Of
status, caregivers’ highest level of education) and pretest vo- these 938 children, 587 (70%) had complete data on all
cabulary and narrative Test of Narrative Language (Gillam outcomes. The percentage of missing data ranged from 2%
& Pearson, 2017) scores in both proximal and distal out- to 8% for demographic variables and from 0% to 4% for
comes. Given the 2-1-1 data structure (i.e., random assign- other pretest assessments. Missing data were treated using
ment to conditions occurred at the classroom level, whereas multiple imputation (MI; Little & Rubin, 1987). Inclusive
outcomes were measured at the child level), we followed the imputation (Schafer & Olsen, 1998) was conducted sepa-
procedures suggested by Preacher, Zyphur, and Zhang (2010) rately for each grade, such that MI models included all
to estimate the indirect pathways (ab) in the model. Fit of proximal and distal measures, as well as other variables
the structural equation models was assessed with root-mean- theoretically or empirically related to the outcomes or miss-
square error of approximation (RMSEA), comparative fit ingness, based on the analyses of attrition and initial equiv-
index (CFI), and standardized root-mean-square residual alence described above. Ten data sets were imputed in
(SRMR). Since the conventional fit index, namely the chi- Blimp 6.6 (Keller & Enders, 2017) for each grade using
square fit statistic, tends to be very sensitive to sample size, multilevel (mixed-effects) linear models, in which classroom
it is preferable to take into account multiple indices of model effects were treated as random components. These imputed
Figure 1. Diagram of multilevel multivariate regression to test the effects of Let’s Know! on proximal outcomes
(curriculum-aligned measures).
data sets were then analyzed via the MI module in Mplus, reading comprehension measures. However, some signifi-
from which 10 sets of results were obtained and combined cant differences existed between conditions on other pretest
to generate the final estimates. measures, such that children assigned to the treatment
condition scored significantly higher on Let’s Know! vocab-
ulary as compared to those in BAU at pretest ( p = .028 in
Results Grade 1, p = .001 in Grade 2, and p = .011 in Grade 3).
Attrition and Initial Equivalence In Grade 3, children also showed initial differences on a
narrative task ( p = .015) that favored the treatment condi-
Nine hundred thirty-eight of 997 children (94.1%) tion. Nonequivalent variables were subsequently used as
had data on at least one outcome variable at any time covariates in the primary analyses.
point and were retained in the analytic sample. Of the Correlation coefficients among all outcome variables
59 children removed from the sample, the majority of at- are displayed in Table 3. With the exception of the correla-
trition (n = 38, 64.4%) was due to teacher withdrawal, tion between comprehension monitoring and vocabulary
such that children were lost from the study if their teacher (.51–.66), correlation among the proximal measures was
left the study. The percentage of teacher withdrawal rate relatively low (average r = .30), as was the correlation be-
did not differ significantly by condition (12.7% and 12.5%). tween proximal and distal measures (average r = .292).
The rest of the students attrited due to findings of ineligibil-
ity postenrollment (n = 5), difficulty in data collection (n = 6),
parents’ withdrawal of consent (n = 4), or school transfer Effects of Let’s Know! on Language Skills
(n = 6). Overall, the student attrition rate was slightly higher To investigate the effects of Let’s Know! on language
for the Let’s Know! classrooms (7.0%) than for BAU class- skills, representing outcomes proximal to the intervention,
rooms (3.8%; p = .045). Further tests showed that there we conducted multilevel multivariate regression analyses.
were no significant differences between the analytical sample For each grade level, we simultaneously estimated the im-
and the attrited sample in terms of child demographics, child pact of Let’s Know! on four CAMs, namely, comprehension
baseline performance in selected measures (Let’s Know! monitoring, Let’s Know! vocabulary, and text comprehen-
vocabulary and TNR narrative), teacher characteristics (eth- sion (narrative and expository). We also included as covari-
nicity and years of experience), or classroom-level features ates the aforementioned demographic variables and pretest
(grade level, class size, school type, and curriculum used). measures on which conditions appeared to initially differ.
Initial equivalence across study conditions for both Estimated coefficients of treatment and their effect sizes
classroom- and child-level factors was assessed for each (d) are summarized in Table 4.
grade. No significant classroom-level difference was de-
tected. As for child-level characteristics, children from the Comprehension Monitoring
BAU and treatment classrooms did not differ in terms of The intraclass correlation (ICC; generated from the
gender, age, race, ethnicity, parental education, home unconditional model) ranged from .29 (Grade 3) to .54
language, IEP status, or children’s pretest scores on the (Grade 1) across grades for the comprehension monitoring
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Table 3. Pearson correlation coefficients among student key outcomes by grade.
Grade Measure 1 2 3 4 5 6
Note. Correlation coefficients are combined over 10 imputed data sets. RCM = Reading Comprehension Measure; GMRT-4 = Gates–MacGinitie
Reading Tests–Fourth Edition.
sum scores. This indicates that a substantial amount of classroom differences contributed vastly to the variation in
variation can be accounted for by classroom differences. vocabulary scores. An additional 38% (Grade 3) to 58%
After controlling for covariates, an additional 15% (Grade 3) (Grade 2) of the variance was attributable to study condi-
to 39% (Grade 1) of the variance was accounted for by tion beyond what was accounted for by covariates. On av-
condition. Overall, Let’s Know! had a positive effect on erage, children from classrooms implementing Let’s Know!
comprehension monitoring scores, in that students in Let’s significantly outperformed those in BAU classrooms by
Know! significantly outperformed those assigned to the con- 23–27 points (of a maximum of 64). The effect size was
trol condition by 2–5.5 points, out of a maximum of 16. large across grades (d > 1.98).
The effect size was large for Grade 1 (1.24) and moderate
for Grade 2 (0.71) and Grade 3 (0.55). Text Comprehension
The ICC for scores on the narrative text comprehen-
Let’s Know! Vocabulary sion measures ranged from .24 (Grade 3) to .42 (Grade 1).
The ICC for the Let’s Know! vocabulary measure After controlling for covariates, condition further accounted
ranged from .72 (Grade 2) to .78 (Grade 1), implying that for an additional 2%–7% of variance in total scores. While
Comprehension monitoring
Let’s Know! 5.52 6.25 < .001 1.24 2.46 3.23 .001 0.71 2.18 2.97 .003 0.55
Let’s Know! vocabulary
Let’s Know! 26.95 11.74 < .001 2.23 23.46 10.89 < .001 1.98 24.10 12.45 < .001 2.14
Understanding narrative text
Let’s Know! 0.21 0.45 .653 0.09 −0.35 −0.97 .335 −0.18 0.50 2.13 .033 0.33
Understanding expository text
Let’s Know! 0.21 0.72 .471 0.12 0.04 0.17 .868 0.03 −0.08 −0.28 .783 −0.05
Note. Model estimates are combined over 10 imputed data sets. Covariates are not shown in the table but are included in the model. Covariates
used include children’s scores on relevant pretest assessments (Let’s Know! vocabulary, TNR story grammar), parent highest education
level, child gender, age, and minority status. CAM = curriculum-aligned measure; Coef. = coefficient; z = ratio of the parameter estimate to
its standard error, used for approximate z test; d = child-level effect size computed in accordance with What Works Clearinghouse
recommendations.
Level 1
CM → RC −0.05 −0.59 .554 0.03 0.49 .621 0.02 0.32 .746
VA → RC 0.79 6.32 < .001 0.56 4.27 < .001 0.73 6.56 < .001
NR → RC 0.10 1.34 .180 0.04 0.63 .528 0.02 0.36 .716
EP → RC 0.09 2.04 .042 0.12 2.24 .025 0.03 0.49 .627
Level 2
CM → RC 0.01 0.04 .967 0.05 0.19 .852 −0.11 −0.20 .846
VA → RC −0.08 −0.27 .791 −0.08 −0.63 .531 −0.08 −0.45 .656
NR → RC 0.03 0.06 .950 0.44 1.92 .055 0.66 1.13 .260
EP → RC 0.48 0.26 .792 −0.07 −0.16 .872 0.35 0.51 .610
LK → CM 1.07 6.11 < .001 0.72 3.69 < .001 0.56 3.25 .001
LK → VA 1.45 11.75 < .001 1.52 11.43 < .001 1.31 11.08 < .001
LK → NR 0.17 0.74 .461 −0.20 −1.11 .267 0.31 1.98 .048
LK → EP 0.04 0.20 .839 0.15 1.03 .301 −0.07 −0.39 .699
Cross-level indirect effects
LK → CM → RC −0.04 −0.12 .902 −0.09 0.05 0.28 .781 0.14 −0.06 −0.19 .849 −0.12
LK → VA → RC 1.03 2.06 .040 2.26 0.72 2.36 .018 1.89 0.85 3.34 .001 1.89
LK → NR → RC 0.03 0.33 .740 0.06 −0.09 −0.93 .351 −0.24 0.22 1.02 .308 0.48
LK → EP → RC −0.00 −0.01 .990 −0.01 0.00 0.03 .973 0.01 −0.02 −0.25 .802 −0.04
SRMR SRMR SRMR
Model fit RMSEA CFI w/n b/t RMSEA CFI w/n b/t RMSEA CFI w/n b/t
0.079 .901 .026 .063 0.072 .921 .027 .075 0.047 .951 .028 .054
Note. Model estimates are combined over 10 imputed data sets. Covariates are not shown in the table but are included in the model.
Covariates used include children’s scores on relevant pretest assessments (Let’s Know! vocabulary, TNR story grammar), parent highest
education level, child gender, age, and minority status. Coef. = coefficient; z = ratio of the parameter estimate to its standard error, used
to approximate z test; d = child-level effect size computed in accordance with What Works Clearinghouse recommendations; CM = comprehension
monitoring; RC = reading comprehension (latent variable); VA = Let’s Know! vocabulary; NR = understanding narrative texts; EP = understanding
expository texts; LK = Let’s Know! treatment; RMSEA = root-mean-square error of approximation; CFI = comparative fit index; SRMR =
standardized root-mean-square residual; w/n = within; b/t = between.
a significant, positive effect was observed in Grade 3 We then investigated whether Let’s Know! exerted an
(b = 0.50, p = .033, d = 0.33), no statistical differences or indirect effect on reading comprehension through its influ-
sizeable effect sizes were found between control and inter- ence on language skills, as represented in the CAMs. As
vention classrooms in Grade 1 or Grade 2. With respect shown in Table 5, the theoretical model fits the data reason-
to expository text comprehension, for the sum scores, the ably well (RMSEA = 0.047–0.079, CFI = .901–.951, SRMR
ICC ranged from .15 (Grade 3) to .20 (Grades 1–2). Con- within = .026–.028, SRMR between = .054–.075). As re-
dition contributed negligible amount of extra variance ported previously, Let’s Know! significantly impacted chil-
(< 2%) after controlling for covariates. Children assigned dren’s performance on comprehension monitoring and
to Let’s Know! classrooms showed no significant differ- vocabulary across all three grade levels and had a posi-
ences than those assigned to control classrooms, and all tive effect on narrative text comprehension in Grade 3
effect sizes were negligible. only. Of the four proximal outcomes, children’s perfor-
mance on Let’s Know! vocabulary consistently predicted
reading comprehension ( p < .001), whereas scores of ex-
Indirect Effects of Let’s Know! pository text comprehension were associated with reading
comprehension only in Grade 1 ( p = .042) and Grade 2
on Reading Comprehension ( p = .025).
To test the impact of Let’s Know! on reading compre- The indirect effects of Let’s Know! on reading com-
hension, we conducted multilevel path analyses based on prehension were simultaneously estimated along with the
the theory of change depicted in Figure 2. Since reading pathways from predictor to mediators (a) and mediators to
comprehension was treated as a latent variable in the model, outcomes (b) via the product of the pathways (ab). For all
we first validated the construct via two-level confirmatory three grades, Let’s Know! significantly impacted reading
factor analyses prior to the primary analyses. Across all comprehension via the mediation of vocabulary (ab = 0.72–
grades, the model fit was satisfactory (RMSEA < 0.08, 1.03, p < .05), with sizable effects (d = 1.89–2.26). However,
CFI > .95, SRMR < .08). other indirect pathways were nonsignificant.
2824 Journal of Speech, Language, and Hearing Research • Vol. 62 • 2812–2828 • August 2019
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Discussion potentially indirect effects on reading comprehension. The
present results suggest that primary grade teachers can
Reading comprehension is a multicomponent skill provide explicit, systematic instruction targeting language
that is influenced by both decoding and language compre- skills—vocabulary skills, comprehension monitoring, and
hension (Hoover & Gough, 1990). Among skilled readers, text comprehension—which in turn can elevate children’s
language skills explain a greater amount of variance in reading comprehension via mediating pathways.
reading comprehension than decoding (LARRC & Logan, However, also relevant to considering these practical
2017), leading to considerable efforts to identify strategies implications is that many students in this study did not
for improving those language skills that contribute most receive the full Let’s Know! intervention due to low levels
strongly to skilled reading comprehension. The investiga- of implementation by some teachers. For instance, we re-
tion presented here was designed to leverage the relations ported that an average of 80% of lessons were implemented
between language skills and reading comprehension as a with significant range across teachers (8%–100%). This
means for improving the latter. In all three grades, the suggests that some primary grade teachers may require
language-focused Let’s Know! intervention impacted reading support when implementing Let’s Know! or similar language-
comprehension via the mediation of vocabulary, with sizable focused interventions. Evolving research on effective avenues
effects. These results converge with a small but growing for coaching and mentoring teachers suggests that a variety
line of research showing that explicit instruction focusing of methods may be effective for improving implementation,
on lower and/or higher language skills can positively im- such as situated coaching models embedded in the class-
pact those target skills and have an indirect contribution room (Friedman & Woods, 2015) and telecoaching using
to reading comprehension as well (e.g., Clarke et al., 2010; bug-in-the-ear technologies (Schaefer & Ottley, 2018).
Williams et al., 2004, 2009). Theoretically, this experiment further solidifies the
The findings of this work have practical and theoretical critically important contribution of language skills to read-
appeal. With respect to practical implications, Let’s Know! ing comprehension, as indoctrinated in the simple view of
is a multicomponent curricular supplement that targets a reading (Hoover & Gough, 1990) and supported in a large
variety of language components rather than focusing on number of correlational studies (e.g., Catts, Adlof, &
one specific language component (e.g., vocabulary). A review Weismer, 2006; Kershaw & Schatschneider, 2012; Tunmer
of the extant literature indicates there are few programs & Chapman, 2012). The simple view of reading proposes
that are specifically designed to explicitly address multiple that reading comprehension is a product of decoding and
components of oral language (but see Clarke et al., 2010; language comprehension, with language comprehension
Williams et al., 2009). One potential benefit of instructing becoming more influential to reading comprehension as the
on a variety of skills is that it is currently unclear which reader matures and becomes a more fluent decoder (LARRC,
domains of language are most influential to skilled read- 2015). There have been relatively few experimental tests of
ing comprehension. Research reports suggest that an ar- the influence of language skills on reading comprehension,
ray of lower and higher level skills contribute to reading with the work by Bowyer-Crane et al. (2008) as a notable
comprehension, including grammar, vocabulary, text exception. In that study, primary grade students with reading
structure knowledge, comprehension monitoring, and comprehension difficulties received explicit, systematic lan-
inferencing (Cain & Oakhill, 1999; Cain et al., 2001; Clarke guage-focused instruction thrice weekly in 30-min sessions
et al., 2010; Williams et al., 2009, 2014). Let’s Know! was for 20 weeks. Although reading comprehension was not ex-
designed in such a way that the explicit skills targeted were plicitly taught and children did not work with written texts,
interspersed throughout an entire academic year and were they showed a significant improvement in reading compre-
targeted relatively deeply. Research has shown that learn- hension relative to children in two counterfactual condi-
ing opportunities that are distributed across time are an tions; moreoever, these positive effects persisted to nearly
advantageous way to provide learning opportunities to 1 year later. That study provided convincing evidence of
students (e.g., Cepeda, Pashler, Vul, Wixted, & Rohrer, the causal role of language skill in reading comprehension.
2006). However, with the intervention delivered in pairs or indi-
Although some prior studies have shown that targeting vidually by trained research staff, it was unclear whether
language skills can elevate primary grade students’ reading such work could generalize to whole classes of students and
comprehension (Clarke et al., 2010), an additional practical language-focused intervention being delivered by the public
implication of this study is the finding that language-focused school teacher. Thus, the results of this study have both the-
intervention can be delivered as whole-class instruction and oretical and practical utility.
as a complement to, rather than replacement of, the existing A few ancillary matters regarding the present experi-
language arts curriculum. While some studies have evalu- ment warrant note and help to highlight future research di-
ated language-focused interventions implemented as part rections. First, assessment of teachers’ implementation of
of whole-class instruction in the primary grades (Coyne, Let’s Know! in this study yielded findings similar to other
McCoach, & Kapp, 2007; Coyne et al., 2010; Williams larger scale studies, in that overall implementation was
et al., 2004), such studies have generally focused only on moderate (Bleses et al., 2017; Pianta, Mashburn, Downer,
one targeted language skill and have limited outcome mea- Hamre, & Justice, 2008). As described earlier, Let’s Know!
sures to the targeted language skills without examining lessons were “soft-scripted,” in that teachers were provided
2826 Journal of Speech, Language, and Hearing Research • Vol. 62 • 2812–2828 • August 2019
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students who are struggling with language or reading Cain, K., & Oakhill, J. (1999). Inference making ability and its
growth. relation to comprehension failure in young children. Reading
and Writing, 11(5–6), 489–503.
Cain, K., Oakhill, J., Barnes, M. A., & Bryant, P. E. (2001). Com-
prehension skill, inference-making ability, and their relation to
Acknowledgments knowledge. Memory & Cognition, 29(6), 850–859.
Cain, K., Oakhill, J., & Bryant, P. (2004). Children’s reading com-
This article was prepared by a task force of the Language prehension ability: Concurrent prediction by working memory,
and Reading Research Consortium (LARRC) consisting of Laura verbal ability, and component skills. Journal of Educational
Justice (convener), Mindy Bridges, Hui Jiang, and Jessica Logan. Psychology, 96(1), 31–42.
LARRC project sites and investigators are the following:
Catts, H. W., Adlof, S. M., & Weismer, S. E. (2006). Language
• Ohio State University (Columbus, OH): Laura M. Justice (site deficits in poor comprehenders: A case for the simple view of
principal investigator [PI]), Richard Lomax, Ann O’Connell, Jill reading. Journal of Speech, Language, and Hearing Research,
Pentimonti, Stephen A. Petrill (an LARRC co-investigator from 49(2), 278–293.
2010 to 2013), Shayne B. Piasta. Cepeda, N. J., Pashler, H., Vul, E., Wixted, J. T., & Rohrer, D.
• Arizona State University (Tempe, AZ): Shelley Gray (site PI), (2006). Distributed practice in verbal recall tasks: A review
Maria Adelaida Restrepo. and quantitative synthesis. Psychological Bulletin, 132(3), 354–380.
Cirino, P. T., Pollard-Durodola, S. D., Foorman, B. R., Carlson,
• Lancaster University (Lancaster, United Kingdom): Kate Cain
C. D., & Francis, D. J. (2007). Teacher characteristics, class-
(site PI).
room instruction, and student literacy and language outcomes
• University of Kansas (Lawrence, KS): Hugh Catts (site PI; in bilingual kindergartners. The Elementary School Journal,
now at Florida State University, Tallahassee, FL), Mindy Bridges 107(4), 341–364.
(now at the University of Kansas Medical Center, Kansas, Clarke, P. J., Snowling, M. J., Truelove, E., & Hulme, C. (2010).
KS), Diane Nielsen. Ameliorating children’s reading comprehension difficulties: A
• University of Nebraska–Lincoln (Lincoln, NE): Tiffany Hogan randomized controlled trial. Psychological Science, 21(8),
(site PI; now at MGH Institute of Health Professions, Boston, 1106–1116.
MA), Jim Bovaird, J. Ron Nelson (was an LARRC co-investigator Clements, D. H. (2007). Curriculum research: Toward a frame-
from 2010 to 2012). work for “research-based curricula.” Journal for Research in
This work was supported by Grant R305F100002 of the Mathematics Education, 38, 35–70.
Institute of Education Sciences’ Reading for Understanding Initia- Connor, C. M., Morrison, F. J., Fishman, B. J., Schatschneider, C.,
tive. We are deeply grateful to the numerous staff, research associates, & Underwood, P. (2007). Algorithm-guided individualized read-
school administrators, teachers, children, and families who partici- ing instruction. Science, 315(5811), 464–465.
pated. The views presented in this work do not represent those of Coyne, M. D., McCoach, D. B., & Kapp, S. (2007). Vocabulary
the federal government nor do they endorse any products or find- intervention for kindergarten students: Comparing extended
ings presented herein. instruction to embedded instruction and incidental exposure.
Learning Disability Quarterly, 30(2), 74–88.
Coyne, M. D., McCoach, D. B., Loftus, S., Zipoli, R., Jr., Ruby, M.,
Crevecoeur, Y. C., & Kapp, S. (2010). Direct and extended vo-
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