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This pilot study examines word reading improvements in students with difficulties, suggesting better outcomes with integrated interventions.
Students in grades 2 through 4 with significant word reading difficulties were randomly assigned to one of two 10-week interventions. In the Dual Treatment condition, decoding instruction emphasized regularity in spelling-sound correspondence, sound-by-sound decoding, and separately taught high-frequency words on a whole-word basis. In the Integrated condition, decoding instruction interleaved regularity and variability in spelling-sound correspondence, targeted larger letter units, and aligned high-frequency word instruction with decoding. At posttest, statistically significant differences favored the Integrated condition on standardized word reading efficiency ( g = 0.37), silent word identification fluency ( g = 0.41), and an intervention-aligned list of words not targeted in either condition ( g = 0.26). Although not statistically significant, effect sizes also favored the Integrated condition on standardized sentence reading efficiency ( g = 0.25), intervention-aligned letter-sound correspondence ( g = 0.24), and other word lists taught or not taught in both conditions ( g s = 0.12 to 0.21). A nonstatistically significant effect favored the Dual Treatment condition on intervention-aligned correct letter sequences spelling ( g = −0.19), and null effects were observed on a standardized oral reading fluency ( g = 0.04) and intervention-aligned whole word spelling ( g = 0.02). Supported exposure to greater variability in spelling-sound correspondence may improve generalized word reading skills.
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Clemens et al. (2026) studied this question.
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