The Effectiveness of Cognitive Remediation Programs among Children with Neuro-Developmental Disorder (Dyslexia)
DOI:
https://doi.org/10.6000/2292-2598.2025.13.01.8Keywords:
Reading Mastery, Reading Skills, Dyslexia, COGENT, PREP, OdishaAbstract
Background: Recent studies highlight that children with reading and learning disabilities experience greater difficulties in cognitive processes than normal children. Meanwhile, previous research provides evidence that psychological interventions can enhance reading and learning skills. However, the application of cognitive interventions for this population is still lacking.
Objective: The study attempted to improve reading skills in dyslexic children by using cognitive remediation programs and to explore the efficacy of Cognition Enhancement Training (COGENT) and PASS Reading Enhancement Program (PREP).
Methods: One group pre-test and post-test research design has been used in this study. Initially, 147 children in class V of 10-11 years were purposively selected from three schools in the Cuttack district of Odisha. In the screening process, the Test of Word Reading Efficiency (TOWRE) test was applied among children, and 14 children were identified as dyslexic. The Word Reading Mastery Test-Revised (WRMT-R) was used to evaluate the effectiveness of intervention programs. A correlated sample t-test was used to examine the significant increase in scores after interventions.
Results: The t-test value for word identification was 13.88 (p <0.01), and for passage comprehension was 14.38 (p <0.01) of WRMT-R. The intervention of COGENT & PREP significantly enhanced reading skills such as phonetic decoding efficiency, phonological awareness, phonological memory, rapid naming, reading mastery, and planning ability after receiving these programs.
Conclusion: The COGENT and PREP remediation programs have been statistically proven to enhance the reading skills of dyslexic children.
References
Nukari JM, Poutiainen ET, Arkkila EP, Haapanen ML, Lipsanen JO, Laasonen MR. Both individual and group-based neuropsychological interventions of dyslexia improve processing speed in young adults: A randomized controlled study. J Learn Disabil 2020; 53(3): 213-27.
Wagner RK, Zirps FA, Edwards AA, Wood SG, Joyner RE, Becker BJ, et al. The prevalence of dyslexia: A new approach to its estimation. J Learn Disabil 2020; 53(5): 354-65.
Stevens EA, Hall C, Vaughn S. Language and reading comprehension for students with dyslexia: An introduction to the special issue. Ann Dyslexia [Internet] 2022; 72(2): 197-203.
Dong Y, Tang Y, Chow BWY, Wang W, Dong WY. Contribution of vocabulary knowledge to reading comprehension among Chinese students: A meta-analysis. Front Psychol [Internet] 2020; 11.
Vellutino FR, Fletcher JM, Snowling MJ, Scanlon DM. Specific reading disability (dyslexia): what have we learned in the past four decades? J Child Psychol Psychiatry [Internet] 2004; 45(1): 2-40.
Ben-Dror I, Pollatsek A, Scarpati S. Word identification in isolation and in context by college dyslexic students. Brain Lang [Internet]. 1991; 40(4): 47190.
Lovett MW, Barron RW, Frijters JC. Word identification difficulties in children and adolescents with reading disabilities. Handbook of learning disabilities 2013: 329-60.
Anis O. Dyslexia. WikiJ Med [Internet] 2019; 6(1): 5.
Protopapa C, Smith-Spark JH. Self-reported symptoms of developmental dyslexia predict impairments in everyday cognition in adults. Res Dev Disabil [Internet] 2022; 128: 104288.
Anjos ABLD, De Araújo Barbosa AL, Azoni CAS. Phonological processing in students with developmental dyslexia, ADHD and intellectual disability. Rev CEFAC [Internet] 2019; 21(5).
Gutschmidt K, Wenninger S, Montagnese F, Schoser B. Dyslexia and cognitive impairment in adult patients with myotonic dystrophy type 1: a clinical prospective analysis. J Neurol [Internet] 2020; 268(2): 484-92.
Jednoróg K, Gawron N, Marchewka A, Heim S, Grabowska A. Cognitive subtypes of dyslexia are characterized by distinct patterns of grey matter volume. Brain Struct Funct [Internet] 2013; 219(5): 1697-707.
De Lima RF, Salgado-Azoni CA, Dell’Agli BAV, Baptista MN, Ciasca SM. Behavior problems and depressive symptoms in developmental dyslexia: risk assessment in Brazilian students. PubMed [Internet] 2020; 17(3): 141-8.
Zuppardo L, Serrano F, Pirrone C, Rodriguez-Fuentes A. More than words: Anxiety, self-esteem, and behavioral problems in children and adolescents with dyslexia. Learn Disabil Q [Internet] 2021; 46(2): 77-91.
Xiao P, Zhu K, Feng Y, Jiang Q, Xiang Z, Zhang Q, et al. Associations between dyslexia and children’s mental health: findings from a follow-up study in China. Psychiatry Res [Internet] 2023; 324: 115188.
Martan V, Mihić S, Čepić R. Teachers’ knowledge about students with dyslexia and professional development. Eur J Contemp Educ [Internet] 2023; 12(2).
Ferraz E, Gonçalves TDS, Freire T, De Lima Ferreira Mattar T, Lamônica DAC, Maximino LP, et al. Effects of a phonological reading and writing remediation program in students with dyslexia: intervention for specific learning disabilities. Folia Phoniatr Logop [Internet] 2018; 70(2): 59-73.
Zygouris NC, Avramidis E, Karapetsas AV, Stamoulis GI. Differences in dyslexic students before and after a remediation program: a clinical neuropsychological and event-related potential study. Appl Neuropsychol Child [Internet] 2017; 7(3): 235-44.
Leloup G, Anders R, Charlet V, Eula-Fantozzi B, Fossoud C, Cavalli E. Improving reading skills in children with dyslexia: efficacy studies on a newly proposed remedial intervention—repeated reading with vocal music masking (RVM). Ann Dyslexia [Internet] 2021; 71(1): 60-83.
Martins RA, Ribeiro MG, Pastura GMC, Monteiro MC. Remediação fonológica em escolares com TDAH e dislexia. CoDAS [Internet] 2020; 32(5).
Santos BD, Capellini SA. Programa de remediação com a nomeação rápida e leitura para escolares com dislexia: elaboração e significância clínica. CoDAS [Internet] 2020; 32(3).
Mahapatra S, Das JP, Stack-Cutler H, Parrila R. Remediating reading comprehension difficulties: A cognitive processing approach. Read Psychol 2010; 31(5): 428-53.
Khalid M, Anjum G. Use of remedial teaching approaches for dyslexic students: Experiences of remedial teachers working in urban Pakistan. Cogent Psychol. [Internet] 2019; 6(1).
Das JP. Reading difficulties and dyslexia: An interpretation for teachers. Sage Publications; 2009.
Aboras YA, Elbanna MM, Abdou RM, Salama HM. Development of a remediation program for Egyptian dyslexic children. Alex J Med 2012; 48(2): 147-54.
Bonacina S, Cancer A, Lanzi PL, Lorusso ML, Antonietti A. Improving reading skills in students with dyslexia: the efficacy of a sublexical training with rhythmic background. Front Psychol 2015; 6: 1510.
Flaugnacco E, Lopez L, Terribili C, Montico M, Zoia S, Schön D. Music training increases phonological awareness and reading skills in developmental dyslexia: A randomized control trial. PLoS One 2015; 10(9): e0138715.
Fusco N, Germano GD, Capellini SA. Eficácia de um programa de intervenção percepto-viso-motora para escolares com dislexia. CoDAS 2015; 27: 128-34.
Habib M, Lardy C, Desiles T, Commeiras C, Chobert J, Besson M. Music and dyslexia: a new musical training method to improve reading and related disorders. Front Psychol 2016; 7: 26.
Atmaca F, Yıldız-Demirtaş V. Does cognitive training affect the reading and writing skills of students with specific learning disabilities? Learn Disabil Q [Internet] 2022; 46(2): 106-19.
Khuntia S, Das PPP. Improving phonological awareness, phonological memory and rapid naming in children with dyslexia: The efficacy of cognitive remediation programs. Indian J Psychol Sci 2020; 13(1). Available from: https://www.napsindia.org/wp-content/uploads/2023/08/Improving-Phonological-Awareness-Phonological-Memory-and-Rapid-Naming-in-Children-with-Dyslexia.pdf
Torgeson JK, Wagner RK, Rashotte CA. Test review: Test of word reading efficiency (TOWRE). Inc.: Austin, TX, USA. 1999.
Hayward DV, Stewart GE, Phillips LM, Norris SP, Lovell MA. Language, phonological awareness, and reading test directory. London, ON, Canada: Canadian Centre for Research on Literacy and Canadian Language and Literacy Research Network 2008. Available from: https://www.researchgate.net/profile/Meridith-Lovell-2/publication/237595404_Language_Phonological_Awareness_and_Reading_Test_Directory/links/5493084c0cf286fe3122c6df/Language-Phonological-Awareness-and-Reading-Test-Directory.pdf
Woodcock RW. Woodcock reading mastery tests-revised. Circle Pines, MN: American Guidance Service; 1987. Available from: https://pearsonclinical.in/solutions/woodcock-reading-mastery-tests-revised-normative-update-wrmt-r-nu/
Sutton JP. Woodcock Reading Mastery Tests Revised/Normative Update (WRMT-R/NU). Diagnostique [Internet]. 1999; 24(1-4): 299-316.
Das JP, Hayward D, Samantaray S, Panda JJ. Cognitive enhancement training (COGENT©): What is it? How does it work with a group of disadvantaged children? J Cogn Educ Psychol [Internet] 2006; 5(3): 328-35.
Das JP, Mishra RK, Pool JE. An experiment on cognitive remediation of word-reading difficulty. J Learn Disabil [Internet]. 1995; 28(2): 66-79.
Das JP, Mishra RK, Kirby JR. Cognitive patterns of children with dyslexia. J Learn Disabil [Internet]. 1994; 27(4): 235-42.
Wolf M, Miller L, Donnelly K. Retrieval, automaticity, vocabulary elaboration, orthography (RAVE-O) a comprehensive, fluency-based reading intervention program. J Learn Disabil 2000; 33(4): 375-86.
Stockard J, Engelmann K. The development of early academic success: The impact of Direct Instruction's Reading Mastery. J Behav Assess Interv Child 2010; 1(1): 2.
Goyal R, Chauhan M. Effectiveness of cognitive intervention based on PASS theory improving working memory and attention in children with reading disability. J ReAttach Ther Dev Divers 2023; 6(10s): 738-42.
Mahapatra S. Cognitive training and reading remediation. J Educ Pract 2015; 6(19): 57-63.
Elwan F, Gaballah S, Khalifa AG. Impairment of some cognitive processes in children with reading disability in middle childhood, late childhood, and early adolescence. Middle East Curr Psychiatry [Internet] 2019; 26(1).
Dębska A, Łuniewska M, Zubek J, Chyl K, Dynak A, Dzięgiel‐Fivet G, et al. The cognitive basis of dyslexia in school‐aged children: A multiple case study in a transparent orthography. Dev Sci [Internet] 2021; 25(2).
Elshani H, Dervishi E, Ibrahimi S, Nika A, Kuqi MM. The impact of cognitive impairment in children with intellectual disabilities. J Int Coop Dev [Internet] 2020; 3(2): 25.
Di Blasi FD, Buono S, Città S, Costanzo AA, Zoccolotti P. Reading deficits in intellectual disability are still an open question: A narrative review. Brain Sci [Internet] 2018; 8(8): 146.
John-Adubasim IC, Ugwu CJ. Dyslexia, neurodevelopmental conditions, and comorbidity: A rule rather than an exception. Arch Neurol Neurosci 2019; 4(2).