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Research & Practice
Associate Editor Column
Dave Edyburn


Measuring Assistive Technology Outcomes in Reading

Given the importance of the topic of assistive technology outcomes to both researchers and practitioners, a series of Research and Practice columns have been devoted to the topic of measuring assistive technology outcomes in specific academic domains. Interested readers may wish to review previous columns in the series: overview of key concepts associated with measuring assistive technology outcomes (18-1), assessing assistive technology outcomes in writing (18-2), and assessing assistive technology outcomes in mathematics (18-4).

In the final column of this series, we examine issues associated with measuring assistive technology outcomes in reading. Despite the critical importance of learning how to read, little attention has focused on how technology can be used to augment the performance of struggling readers (National Reading Panel, 2000). Likewise, much remains to be learned about measuring the outcomes associated using technology to compensate for poor reading performance.

Reading and Technology
Learning to read is the predominant focus of instruction in grades 1-3. Every school year, hundreds of thousands of young children celebrate the developmental milestone associated with learning to read independently. While the research literature describing the process of reading is extensive (Schallert, Fairbanks, Worthy, Maloch, & Hoffman, 2002; Schmidt, Rozendal, & Greenman, 2002; Stahl & Hayes, 1997), children generally progress through developmental processes involving letter and word recognition, decoding, comprehension, and fluency to become skilled readers.

The current accountability climate associated with implementation of the No Child Left Behind Act of 2001 (NCLB) (P.L. 107-110), outlines a national educational goal that all children will be able to read by the end of grade 3. A key component of NCLB is known as, Reading First, a $900 million grant program that promotes the use of scientifically based research to provide high-quality reading instruction for grades K-3, in order to help every student in every state become a successful reader (http://www.nochildleftbehind.gov/start/facts/readingfirst.html). This federal mandate has raised awareness about the importance of helping all children learn to read and the value of interventions that make a difference.

In grade 4 and beyond, problems in reading are magnified given that the focus of instruction shifts from learning to read to reading to learn. The predominant instructional model is based on learning from print (Hynd, 1998; Sorrells & Britton, 1998). As a result, how can students demonstrate appropriate academic achievement when the instructional model expects reading proficiency at grade level and their disability reflects skills at a much lower level?

McCormick (1999) indicates that the most useful discrepancies for determining whether a reading delay is serious enough to warrant instruction in a special program are: primary grades, 1 year; intermediate grades, 2 years; secondary level, 3 years. If these criteria are used, about 15% of the students in the United States need remedial, clinical, or LD reading services, and about 3% of all students have severe reading problems. Many labels are used to describe students with reading difficulties: delayed reader, struggling reader, disabled reader, dyslexic, print disabled, and learning disabled. One of the leading reasons for referral to special education involves reading difficulties. Estimates suggest that 80% of students with learning disabilities receive services for a reading disability (Bryant, Young, & Dickson, 2001). The knowledge base documenting the array of skill deficits and specific instructional and remedial reading interventions for students with disabilities is extensive (Bos & Vaughn, 2001; Meese, 2000; Miller, 2001).

Despite the critical importance of learning how to read, the knowledge base on beginning and struggling readers is disproportionately focused on instruction and remediation. That is, helping students acquire the necessary skills to read independently. However, if remedial approaches always worked, we would never see high school students that couldn't read independently beyond the second or third grade level.

What happens when a students fails to learn to read? Historically, educators search for different instructional methods or materials. Seldom do they raise the question: Are there other ways of performing the task? Routine failure to attain appropriate levels of academic performance should trigger assistive technology consideration. That is, compensatory strategies that use technology to enhance performance. To-date, little attention has focused on systemic decision-making concerning the selection and use of instructional and assistive technology interventions that make it possible for students to learn from text when the intrinsic nature of their disability negatively impacts their decoding, fluency, and comprehension skills (Edyburn, 2003a).

How Does Technology Enhance Reading Performance?
Reading educators have had a long-standing interest in the use of technology for helping emerging and struggling readers (Reinking, 1987; Reinking, McKenna, Labbo, & Kieffer, 1998). In recent years, a variety of instructional interventions that utilize technology for enhancing reading performance have gained widespread acceptance for engaging beginning and struggling readers in developmentally appropriate reading activities.

Some examples of technology enhanced reading interventions include: concept mapping software like Inspiration used as a tool for facilitating reading comprehension (http://www.inspiration.com), language translation tools like Bable Fish for converting texts from one language to another for English Second Language Learners (http://world.altavista.com), tiered reading materials provide similar information at different interest and ability levels (http://www.windows.ucar.edu), Start-to-Finish books are available in print, audio, and CDROM formats to support readers with different learning styles and needs (http://www.donjohnston.com), and Read 180 intimately links reading instruction with assessment (http://www.scholastic.com). In addition, a variety of efforts have been directed at engaging students in reading through hypermedia-based reading materials (Anderson-Inman & Reinking, 1998; Boone, Higgins, Falba, & Langley, 1993; Pang & Kamil, 2002). While the anecdotal and descriptive evidence about the value, utility, and promise of these interventions are adequate to convince many practitioners, in general, the emerging research base in the area of technology and reading does not rise to meet the NCLB standard of scientifically-based research.

Assistive Technology and Reading
The application of technology as assistive technology for individuals with difficulties in reading has largely been overlooked in the literature. One leading assistive technology textbook devotes only one-half page to the topic of assistive technology and reading (Cook and Hussey, 2002). Since reading is primarily a cognitive function, this gap in the literature is consistent with the profession's developmental delay in recognizing applications of assistive technology for disabilities, which are primarily cognitive in nature, rather than the historical evolution of assistive technology, which has been driven in response to physical and sensory disabilities (Edyburn, 2003b, 2000).

Current efforts to harness the potential of technology for struggling readers are responses based on marketplace developments. The abundance of marketplace tools that involve text-to-speech (e.g., CAST eReader, Kurzweil 3000, PDF Aloud, Reading Bar, ReadPlease, TextHelp, WordQ, Write:Outloud, WYNN) hold particular promise that sometime soon, everyone will be able to click on words or select portions of text and have the information read to them.

While the literature describes a number of applications of text-to-speech for struggling readers (Cavanaugh, 2002; Lankutis, 2001; Poftak, 2001), the research is promising but so far inconclusive that these tools enhance reading performance and subsequent educational achievement (Boyle, Washburn, Rosenberg, Connelly, Brinckerhoff, & Banerjee, 2002; Dawson, Venn, & Gunter, 2000; Willis, Koul, & Paschall, 2000).
Measuring Outcomes When Technology is Used
to Enhance Reading Performance

Interest in the measurement of assistive technology outcomes is a relatively recent phenomenon. In contrast, there is a considerable literature on measuring the reading abilities of children. In general, little information is available to inform decision-making about assistive technology for learning. To-date, we have identified limited information in the literature regarding measuring the outcomes of assistive technology as it could be used to enhance reading performance and educational achievement. In practical terms, this means the profession does not have a consistent response to critical questions, such as: If a child has repeatedly failed to read and understand printed text, how much failure data do we need before we have enough evidence that the child can't perform the task? When do we intervene? And, what do we do about it?

For the purpose of this discussion, let's consider one example of assistive technology for a student with a significant reading disability. The IEP team has documented decoding, reading rate, and fluency skills significantly below grade level. However, the student displays good comprehension when information is read to him. After trying a variety of text-to-speech products, the team selects a system that allows the teacher to scan portions of the textbook into the computer and the student is able to listen to the material as it is read to him. Given that the student's performance indicates substandard performance in reading, and the IEP team has identified what it feels is appropriate assistive technology, how does one measure the outcome of the assistive technology?

As a member of the Assistive Technology Outcomes Measurement System (ATOMS) Project (http://www.atoms.uwm.edu), we have identified the following design, measurement, analysis, and decision-making factors that will need to be addressed in the process of creating outcome systems for measuring the impact of assistive technology:
o Conceptual foundations
o Research designs
o Standardization of the performance task
o Standardization of the data collection and coding process
o Analyze results using standardized metrics and benchmarks
o Decision-making

In the sections that follow, each component is described in the context of trying to answer the question: How do you measure the outcomes of assistive technology in reading?

Conceptual Foundations
Historically, not being able to read meant someone had to read everything for you. Personal readers and books on tapes are examples of the limited palette of compensatory strategies that have been made available to individuals with a reading disability. The concept of using technology to read everything for you is not an idea that has been extensively consideration in the reading literature. Rather, such ideas are more common in science fiction. As a result, there is an urgent need for theoretical foundations to guide the development and use of reading assistive technologies.

Two recent works provide important frameworks for filling a void in the area of assistive technology for struggling readers. Dyck and Pemberton (2002) advanced a model for making decisions about text adaptations and outlined the theoretical rationale for five types of text adaptations: bypass reading, decrease reading, support reading, organize reading with graphic organizers, and guide reading. Inspired by the Dyck and Pemberton model but disappointed that assistive technology was not critical to the interventions, Edyburn (2003a) created a taxonomy of text modification strategies that highlighted both instructional and assistive technology interventions. These preliminary efforts are encouraging developments for both research and practice in understanding the application of assistive technology in reading.

Research Designs
Central to the definition of assistive technology is the expectation of enhanced performance. Smith (2000) outlines a theoretical view known as Time Series Concurrent and Differential (TSCD) Approach which involves a series of performance measures of an individual when s/he is completing a specific task, with AT, and without AT. Ideally, the results reflect a pattern that shows growth in improved performance in both conditions, however, the performance with AT is significantly greater than the performance without AT. The differences between the two measurements isolates the specific impact of AT and provides evidence of the impact and outcome over time.

The general utility of this approach for research seeking to measure the outcomes of assistive technology for reading is unknown. While the approach is potentially useful and practical for measuring component skills of the reading process (e.g., reading rate, comprehension questions answered correctly), the challenges of measuring less discrete components of the reading process (e.g., reading enjoyment) is problematic.

Alternatively, A-B-A single-subject research designs will reveal interesting patterns of performance for an individual during baseline (without AT), intervention (with AT), and revert to baseline concerning any number of variables (e.g., minutes spent reading, comprehension questions answered correctly, etc.). This methodology is essential for making decisions about the effectiveness of specific assistive technology for an individual student but has limitations for informing general professional practice.

The importance of identifying high-quality research methodology for reading assistive technology research is critical. The ongoing controversy surrounding the National Reading Panel (2000) report, the subsequent debates and critiques of research methodology for defining best practice (Block & Pressley, 2002; Kamil, Mosenthal, Pearson, & Barr, 2002), concerns about what types of data count as evidence of reading achievement (Murphy, Shannon, Johnston, & Hansen, 1998), and the use and misuse of research in policymaking (Pressley, 2002; Smith, 2003) are instructive for our embryonic efforts.

Standardize the Performance Task
Reading performance is often assessed through informal reading inventories, curriculum-based assessments, and standardized tests. Typically, assessments of reading involve a variety of skills (letter and word recognition, vocabulary, reading rate, and comprehension (e.g., literal, inferential, critical). While there are a number of common standardized measures of reading achievement, no single test is a recognized standard. As a result, measuring the outcomes of reading assistive technology will be more problematic than assessment of outcomes of assistive technology for math and writing which have standardized representative tasks to facilitate comparison of performance between students.

Standardize the Data Collection and Coding Process
A routine measure of reading comprehension involves answering assorted questions about the material a person has read. While the nature of the comprehension questions will vary from assignment to assignment, comprehension question taxonomies illustrate a fairly standard set of questions (e.g., main idea, fact retrieval, inferential). Typically, data is collected concerning the percentage of comprehension questions answered correctly. As a result, standardizing comprehension question sets in multiples of 5 or 10 to permit conversion to percentage appears desirable.

Two recent advances in the measurement of reading performance offer significant potential for standardizing the data collection and coding process associated with measuring the outcomes of reading assistive technologies. The Dynamic Indicators of Basic Early Literacy Skills (DIBELS) are a set of standardized, individually administered measures of early literacy development (http://dibels.uoregon.edu/). DIBELS are one-minute fluency assessments that allow teachers to gather important curriculum-based assessment data on students' pre-reading and early reading performance. Another innovation in the area of measuring reading performance is the development of the Lexile Framework for Reading (http://www.lexile.com/). Lexiles are a computation metric used to assess the difficulty of text and the skill of the reader. The purpose is to predict the difficulty an individual reader will have with a given text in order to match the reader with appropriate materials for reading instruction.

Analyze Results using Standardized Metrics and Benchmarks
Exceptional performance in reading is often characterized by high rates of fluency and comprehension. Scores on standardized reading assessments are often transformed into percentiles to illustrate how an individual's performance compares with others similar in age. While grade equivalents are sometimes used, often they have been abandoned due to their technical inadequacy and significant potential for misuse.

The Matthew Effect (Stanovich, 1986) is a well-documented effect in reading education. Based on a Biblical metaphor about the rich getting richer, it means that while young children may display small differences in reading ability, over time, the differences become much larger such that effective readers exponentially become more proficient and learn more while poor readers fall farther behind. Understanding the long-term net effect of a reading disability has significant implications for analyzing the results of data collected concerning the use of reading assistive technology. That is, while text-to-speech technology may provide short-term improvement in reading comprehension, will such gains be adequate for closing the achievement gap with non-handicapped peers? If not, what does this mean for measuring the outcome of the assistive technology? If reading assistive technology shows promising potential in short-term gains, should this trigger intensive assistive technology-based remedial interventions to try and close the multi-year gap? Questions like these illustrate the urgent need for significant philosophical and theoretical work regarding the nature of assistive technology for enhancing reading performance.

Decision-making
Reading education is concerned with two primary skills sets: learning to read (grades K-3) and reading to learn (grades 4 and beyond). Students with disabilities often experience developmental delays that limit the benefit they receive from typical reading instruction in the early grades and then are penalized throughout the rest of their academic career because their reading skill sets are not at grade level as the curriculum utilizes a one-size-fits-all reading-to-learn model in grades 4 and beyond. At the present time, little is known about how much failure data needs to accumulate before educators recognize that a child is unable to read and in need of reading assistive technologies. Edyburn (2003a) has argued that this issue is probably not either/or, but rather, what percentage of time/effort should be devoted to instruction and what percentage of time/effort should reading compensation technologies be provided so that the student can have access to the information.

As reading assistive technology performance data is collected, analysis of the student performance data should reveal several factors that will inform decision-making. First, does the graph indicate that reading performance with assistive technology is higher than performance without assistive technology? If so, the case can be made that the assistive technology is an effective intervention for enhancing performance. If not, the data suggest the need additional training or a different intervention.

Second, do the data reflect that the student is able to meet the performance standard (i.e., 80% comprehension)? If so, the case can be made that the reading assistive technology effectively compensates for the person's disability. If the performance standard is not met, the IEP team needs to explore whether additional time is needed for developing mastery, whether additional interventions must be applied concomitantly, or whether a different intervention is needed.

Finally, can high levels of performance be maintained over time? That is, will the routine use of the assistive technology result in consistent high-quality performance in reading? Is there any evidence that the assistive technology is closing the achievement gap known as the Matthew Effect (Stanovich, 1986)?

Summary
The purpose of this article was to provide an introduction to the measurement issues associated with measuring assistive technology outcomes in reading. While the research and pedagogical knowledge base which informs current instructional practice concerning students with disabilities and reading is considerable, much more work needs to be undertaken to determine the kinds of assistive technology that enhance reading performance. In contrast to other academic applications of assistive technology in writing and math, the area of reading appears to lag significantly behind in the development of measurement tools and procedures that will enable the profession to make definitive statements about outcomes of technology enhanced performance in reading.

References

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