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N/A N=241 Randomized Double-blind Diagnostic

Knowledge Accessibility and Availability in Forming Knowledge-to-Text Inferences Among Middle Grade Readers

Reading Problem

Enrolled (actual)
241
Serious AEs
0.0%
Results posted
May 2024
Primary outcome: Primary: Change in Knowledge Accessibility and Availability — 13.2; 13.7; 12.28; 13.50 score on a scale (0 to 14)

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Supported (Behavioral)
Age
Pediatric · 10+ yrs
Sex
All
Sponsor
Buena Vista University
Primary completion
May 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Knowledge Accessibility and Availability
13.2; 13.7; 12.28; 13.50; 11.65; 12.60
SECONDARY
Direct and Indirect Effect of Reading Comprehension for Grade Level Texts on Knowledge Accessibility & Availability
103; 106
SECONDARY
Direct and Indirect Effect of Reading Strategy Use for Content Area Texts on Knowledge Availability and Accessibility
159.92; 145.72
SECONDARY
Direct and Indirect Effect of Word and World Knowledge and Understanding on Knowledge Accessibility and Availability
89.9; 96.1
SECONDARY
Direct and Indirect Effect of Reading Fluency for Words on Knowledge Accessibility and Availability
89.2; 90.46
SECONDARY
Direct and Indirect Effect of Text to Text Inference Making on Knowledge Accessibility and Availability
12.1; 13.9
SECONDARY
Direct and Indirect Effect of Nonverbal Reasoning on Knowledge Accessibility and Availability
98.2; 106.5
SECONDARY
Direct and Indirect Effect of Working Memory for Words on Knowledge Accessibility and Availability
98.0; 100.8
SECONDARY
Test of Word Reading Efficiency Sight Word Reading. Construct: Word Reading
97.06; 100.91
SECONDARY
Direct and Indirect Effect of Working Memory for Text on Knowledge Accessibility and Availability
95.8; 99.6
SECONDARY
Direct and Indirect Effect of Reading Fluency for Nonwords on Knowledge Accessibility and Availability
97.80; 100.22
SECONDARY
Direct and Indirect Effect of Reading Fluency for Connected Text on Knowledge Accessibility and Availability
167; 168
SECONDARY
Direct and Indirect Effect of Reading Comprehension for Grade Level Texts on Knowledge Accessibility and Availability
510; 519
SECONDARY
Direct and Indirect Effect of Word, World, and Domain Knowledge on Knowledge Accessibility and Availability
99; 100

Summary

Recent adolescent-based research shows that inference making improves across grades 6-12, uniquely accounts for variance in sentence- and passage-level comprehension, and that individual differences in inference making relate in a principled way to variations in reading comprehension for readers of all abilities (Barth et al., 2015; Barnes et al., 2015). These findings suggest that comprehension requires inference making and that comprehension fails when readers do not possess relevant knowledge (i.e., availability) or slowly retrieve (i.e., accessibility) and integrate knowledge from text or semantic memory during reading (Kendeou, 2015). To date, only one study has examined the effects of knowledge availability and accessibility on inference making among adolescents. To extend this limited body of research, this project will conduct two experimental studies designed to examine (a) the extent to which knowledge-base availability and accessibility relates to the accuracy and rate of constructing inferences using that knowledge (Aim 1) and (b) the extent to which retrieval practice (i.e., spaced practice testing) increases knowledge availability and accessibility and improves the accuracy and rate of forming inferences using that knowledge-base among middle grade readers (Aim 2). In addition, this project will integrate investigative research into an undergraduate Honors Research Program by developing an investigative laboratory component that engages undergraduates in conducting applied research (Aim 3). The research design uses 558 students in grades 5-8. To address Aim 1, mixed effects explanatory item response models will fit to the trial-by-trial reading accuracy and speed data. Repeated measures analysis of variance models will address Aim 2 with analysis of variance models used for Aim 3. The expected outcomes of the proposed research include (a) understanding how knowledge availability and accessibility relate to inference making among adolescent readers; (b) understanding the sources of inference making difficulty; and (c) methods for improving knowledge availability and accessibility and inference making to broadly implement in secondary grade classrooms.

Eligibility Criteria

Inclusion Criteria

  • Must be able to hear study directions and stimuli

Exclusion Criteria

  • Students who are enrolled in a Life Skills class focused on activities of daily living
  • Students who are enrolled in English as a Second language introductory classes
  • Students with severe disabilities that impact reading and listening.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03782012). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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