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August 29, 2026American Journal of Speech-Language Pathology

Functional Reading Activities to Motivate and Empower: Maintenance of Reading Outcomes for Young Adults With Intellectual and Developmental Disabilities Following a Randomized Controlled Trial

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Authors

APAlison PrahlKFKaitlynn FrazeAKAnupama Kannan

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Overview

Randomized trial demonstrates sustained strategy use but diminished comprehension gains in young adults with intellectual disabilities, highlighting the need for ongoing literacy supports.

Key Points

  • To evaluate whether reading gains from a strategy-based literacy intervention were maintained 6 months post-intervention in young adults with intellectual and developmental disabilities, and to assess intervention social validity.
  • Follow-up analysis of a randomized controlled trial comprising 44 young adults with intellectual and developmental disabilities (ages 18–26 years) assigned to the FRAME intervention (n = 23) or control (n = 21).
  • Trial outcomes, including reading comprehension strategy use (proximal) and reading comprehension questions (distal), were evaluated via telepractice at pretest, posttest, and 6-month follow-up, alongside post-intervention qualitative interviews.
  • FRAME participants maintained significant, though reduced, improvements in strategy use compared to controls at the 6-month follow-up (p = .040).
  • Between-group differences in distal reading comprehension questions were not sustained at 6 months (p = .091).
  • Participants reported high intervention acceptability, highlighting perceived gains in comprehension, self-improvement, and daily independence.

Cite This Study

Prahl et al. (2026) studied this question.

synapsesocial.com/papers/6a92995f8e5d7d1fc0c113eahttps://doi.org/10.1044/2026_ajslp-26-00004
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