Communication and Literacy, support is delivered within the framework of ‘Preparation for Life and Work’. At the outset of this study, the literacy skills of students working at Entry Level (on the Adult Literacy Core Curriculum) or above
were profiled when they entered the College. Students who were not able to understand the format of this assessment, due to their complex difficulties, did not have a formal assessment of their emerging literacy skills and were not included in any sessions specifically designed to target reading and spelling skills.
However, there is an increasing awareness that students who are working at the Milestone Level (Adult Pre-Entry Curriculum Framework) have early literacy skills which may be a vital part of their inclusive communication strategy. Such students may have whole word recognition skills that allow them to recognise familiar names and signs. They may also use visual processing strengths to support
spoken language.
Learners with Autistic Spectrum Disorders differ greatly in their overall reading skills. Among those who can read, their comprehension level varies widely from reading aloud without comprehension to being able to comprehend written material better than spoken language. While learners demonstrate even minimal
understanding that written words carry meaning, written language presents opportunities for improving comprehension (and, as a result, daily function) and promoting long term language development. Shane and Weiss-Kapp 2008 p 120
The Down’s Syndrome Educational Trust recognise that students with Down’s Syndrome may learn language through a visual route, arguing that reading activities are an important way in which language skills can be developed in young adults with Down’s Syndrome â€" despite the fact that such teenagers may have a specific impairment of the phonological loop component of working memory which
will hinder the development of vital reading skills (Buckley and Le Provost, 2002).
It appears that, for some students who remain at the early stages or literacy
acquisition, the stumbling block is the acquisition of phonological processing
skills which allow them to progress to a phonic route to reading which would
allow decoding new and unfamiliar words, and therefore the development
of more functional reading skills.
The Lexion Assessment and Teaching Software.
The Lexion program was developed in Sweden to improve the reading skills of school age children with literacy difficulties.
Lexion has undergone extensive standardisation in the UK (Jones, 2006) and
teachers and speech and language therapists have begun to explore its potential
for assessing and supporting children whose literacy difficulties are related to
a range of communication difficulties (Girling and Jones 2008).
Lexion focuses on phonological processing and has an interactive assessment which is divided into modules. Following this, a summary is generated together with tailor-made exercises for the individual student based on their performance in the assessment.
The Organisation of the Project Carrying out a structured project with a
group of learners with complex needs was always going to be an interesting
experience. Arden College was an ideal place to carry out this study due to the
close working relationship between the Skills for Life Co-coordinator and the
Speech and Language Therapist.
The pilot took the form of four single case studies. The four students involved were profiled on the Lexion assessment2, then worked for half a term on the exercises (generated by Lexion) for one module (Reading Comprehension). At this point the learners were reassessed using Lexion, and then worked for a further
term on the exercises selected for two other modules (Remembering Picture Sequences and Phonological Awareness: syllable and word level). Finally, the students were reassessed.
Unfortunately, one subject (JA) missed several sessions due to illness. The re-assessments were carried out by the Speech and Language Therapist. The classroom-based practice was overseen by the Skills for Life Co-coordinator. The students had a weekly class (lasting 30 minutes) in which they carried out the work. Two of the students had one-to-one support.
The Students
Student RA
RA is 22 years old and has been diagnosed as being on the autistic
spectrum. He has very little spoken language and communicates using a small set of signs and body language. Within sessions RA will use symbols, and some written language to carry out his work. At the outset of the project, RA’s communication target was set at Milestone 8 and his literacy targets at Entry 13.
Student SP
SP is 21 years old and has Down Syndrome. He communicates using spoken language. At the outset of the project, SP’s communication target was set at Entry 2 and his literacy targets at Milestone 8.
Student AM
MA is 19 years old and has been diagnosed as being on the autistic spectrum.
She has little spoken language and primarily communicates using body language and vocalisation. Within sessions, MA will use symbols and some written language to carry out her work. At the outset of the project, MA’s communication target was set at Milestone 8 and her literacy target at Entry 1.
Student JA
JA is 21 years old and has been diagnosed as being on the autistic spectrum. He has very little spoken language and communicates using a few signs and body language. Within sessions JA will use symbols to carry out his work. At the outset of the project, JA’s communication target was set at Milestone 6 and his literacy
target at milestone 8. JA missed several sessions due to illness. See page 36 for the results
Discussion
The results from this preliminary study indicated that the students gained higher scores on the majority of modules between assessments 1 and 2, and for two sudents, between assessments 2 and 3. The results of this pilot study appear to indicate that JA benefited least from the Lexion programme â€" due perhaps to
the shorter practice time that he had. Students AM and SP showed evidence of steady improvement through out the study with their final scores being higher on almost all modules â€" although some modules showed little change (In the case of AM: Phonological awareness; for SP: Reading) Student RA showed a gain in performance between tests 1 and 2 but a slight decrease between tests 2 and 3. However, there was still an improvement between performance on test
1 and on test 3.
RA, MA and SP the scores on reassessment were higher than the scores on first assessment. However, the improvement in the phonological processing underlying
reading was only measured on the Lexion test itself and therefore it is only possible to conclude that practice with the Lexion programme led to improvement in reading skills as measured by the Lexion assessment.
This question will be addressed by an extension of this study in which
students will also assessed on an unconnected literacy assessment,
backed up by measures taken from real life functioning. However, the difficulty
of finding an assessment of reading that gives a true estimate of the literacy
skills of these complex students is the issue which partly generated our
interest in the Lexion programme. Presentation of the results of this study may lead to discussion in which colleagues can suggest an appropriate measure.
It is interesting to speculate on the reason that RA’s performance appeared
to peak at the second assessment. One factor in this might be that he appeared to answer more quickly when he felt that he understood a task â€" leading to RA answering before he had processed all the information. It might be that a chanism for (regularly) reminding students to process the information fully, might address this issue.
Some aspects of the assessment and the intervention program are worthy of
note:
• The recording of performance both in terms of actual score and item chosen was very valuable
• The fact that the exercises are targeted to the specific student (and can be personalised further) was excellent
• There are extensive opportunities for practice within the program
• It is possible to email the exercises to students or to store them on a pen drive. Performance logs can be mailed back to the tutor/therapist so that new exercises can be prepared (and sent).
However, there are some areas that appear to require further development:
• Some activities are rather abstract and perhaps less suitable for students with learning disabilities/complex needs. However, the nature of phonological awareness
is that it is an abstract ‘meta-skill’ and it is difficult to see how some elements can be made more concrete.
• The Swedish accent appeared to be confusing at times.
• The summary provided by the assessment package was not as detailed as, for example, that provided by the Skills for Life Diagnostic assessment and could
perhaps be improved.
• At times the verbal introduction to the test modules was rather complex bearing in mind the learners’ language comprehension skills.
• In addition, the software â€" due to its scope, richness and diversity â€" requires an investment of time and expertise in order to be utilised fully.
The UK distributors, Propeller Multi-Media, are planning to organise training workshops.
Conclusion
This small scale study had several valuable outcomes which mean that
Arden College will be continuing to offer students the opportunity to develop their literacy (phonological processing) skills in a structured way using the Lexion assessment and intervention program.
• The students enjoyed the work and were motivated to use the program in both their session and their less structured ICT time.
• The program offered opportunities not readily available in other forms, to practice complex phonological processing tasks, and to develop phonological awareness and memory.
• The students that completed the two terms’ work made significant gains as measured by the Lexion assessment.
• The question of the generalisability of the results remains to be
explored.
• The project highlighted the benefits of a multidisciplinary approach.
The authors are grateful for the support of Annika Hallsvik (Lexion project) in
the setting up of this project.
References
Buckley, S & Le Provost, P Speech and Language Therapy for Children with
Down Syndrome. The Down Syndrome Educational Trust 2003
Girling, F. & Jones M. Supporting children with communication difficulties. Bulletin
2008; 675, 18-19.
Gunnilstam, O & MÃ¥rtens, M. Lexion (English version) Frolunda Data 2006
Jones, M. 1996 Linking Reading and Spelling Special Children November/December 2006
Shane, H. & Weiss-Kapp Visual Language in Autism. Plural Publishing 2008