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Increasing reading comprehension of two hyperactive children: preliminary investigation.

The differential effectiveness of oral and silent reading on comprehension was evaluated for two third-grade children who were hyperactive and who displayed comprehension deficits. Oral reading resulted in significantly fewer comprehension errors than did silent reading. Time to read a story and number of comprehension errors were negatively correlated. Several possible mechanisms involved in the effect of responding orally were discussed.

Attention↗

Effect of allergy medication on children's reading comprehension.

The impact of a very common over-the-counter antihistamine, chlorpheniramine, was measured in respect to the reading comprehension of 12 normal school-age children (5 boys and 7 girls) who had a history of allergic rhinitis. Each subject served as his/her own control, and a double-blind design was employed. Each child's parent was given two bottles of cherry syrup and told to administer the syrup in Bottle A for 3 days and then that in Bottle B for 3 days according to directions on the bottle. Parents and children did not know which bottle contained the medication. One of the two forms of a standardized reading comprehension test was administered at the end of each 3-day period in the allergist's office by a trained test administrator. Students were randomly assigned to the two conditions and to the form of the test administered. The mean reading comprehension scores of the drug and placebo drugs were 59 and 60, respectively, which were not significantly different. This study would indicate that common across-the-counter antihistamines should not adversely affect typical school activities such as reading comprehension if used appropriately. Even if some drowsiness or inattention may occur, children's cognitive functions are not affected sufficiently to disrupt learning.

Adolescent↗

Does classroom amplification aid comprehension?

Many classrooms are noisy and this interferes with listening and teaching. FM soundfield (FM) amplification systems have been developed which provide a uniform soundfield throughout the classroom and increase the speech-signal:noise ratio. The effect on comprehension of such a system was investigated. Forty-nine pupils (comprising the two top classes of a mainstream primary school) participated in this study, with a mean age of 9.92 years (range 8.58-11.42 years). The Neale Analysis of Reading Ability (Neale, 1988a, b) was modified and administered as a spoken comprehension test. Tests of nonverbal intelligence, auditory memory and a questionnaire were given. The passages spoken though the FM amplification system were understood better than the comparable unamplified passages. Auditory memory, sex and non-verbal intelligence had no effect on improved comprehension. FM amplification significantly improved comprehension and could be considered for use in other schools.

Amplifiers, Electronic↗

Syntactic comprehension in children with expressive language impairment.

Two groups of language-impaired children, an 'expressive language impairment' group and a 'development dyspraxic' group, aged between 4 and 6 years, were assessed on a set of test sentences designed to tap syntactic comprehension. Expressive language was profiled for both experimental groups. A control group completed the syntactic comprehension test only. The results indicate that children with apparently isolated defects of expressive syntax do, in fact, have subtle deficits of comprehension in comparison to age-matched controls. The deficit can be detected in a syntactic decoding task. Comprehension strategies used by this group are examined. The 'dyspraxic' group did not perform significantly differently to controls.

Child↗

Factors influencing accuracy of estimation of comprehension problems in patients following cerebrovascular accident, by doctors, nurses and relatives.

Previous work has shown that doctors, nurses and relatives are inaccurate at estimating the comprehension problem of stroke patients. Possible factors that influence the accuracy of these judgements were studied, including confidence of the respondents, the severity of the comprehension problems of the patients and factors specific to relatives (educational background and the length of the relative's relationship with the patient). Doctors, nurses and relatives involved with 30 recently aphasic stroke patients were asked to estimate how patients would perform on the comprehension sections of two tests (Western Aphasia Battery and Functional Communication Profile). Results show that although all respondents over-estimated patients' comprehension abilities, they were more accurate for patients who had mild problems. Doctors and nurses who were more confident about their predictions tended to be more accurate on some parts of the tests than those with less confidence, whereas relatives were equally inaccurate when giving high and low confidence judgements. Length of relationship and educational level did not predict relative's accuracy.

Aged↗

The computational implementation of the landscape model: modeling inferential processes and memory representations of text comprehension.

The complexity of text comprehension demands a computational approach to describe the cognitive processes involved. In this article, we present the computational implementation of the landscape model of reading. This model captures both on-line comprehension processes during reading and the off-line memory representation after reading is completed, incorporating both memory-based and coherence-based mechanisms of comprehension. The overall architecture and specific parameters of the program are described, and a running example is provided. Several studies comparing computational and behavioral data indicate that the implemented model is able to account for cycle-by-cycle comprehension processes and memory for a variety of text types and reading situations.

Cognition↗

Working memory and updating processes in reading comprehension.

In this study, we examine the relation between reading comprehension ability and success in working memory updating tasks. Groups of poor and good comprehenders, matched for logical reasoning ability, but different in reading comprehension ability, were administered various updating tasks in a series of experiments. In the first experiment, the participants were presented with lists of words, the length of which (4-10 words) was unknown beforehand, and were required to remember the last 4 words in each series. In this task, we found a decrease in performance that was related to longer series and poor reading ability. In the second experiment, we presented lists of nouns referring to items of different sizes, in a task that simulated the selection and updating of relevant information that occurs in the on-line comprehension process. The participants were required to remember a limited, predefined number of the smallest items presented. We found that poor comprehenders not only had a poorer memory, but also made a greater number of intrusion errors. In the third and fourth experiments, memory load (number of items to be selected) and suppression request (number of potentially relevant items) were manipulated within subjects. Increases in both memory load and suppression requests impaired performance. Furthermore, we found that poor comprehenders produced a greater number of intrusion errors, particularly when the suppression request was increased. Finally, in a fifth experiment, a request to specify the size of presented items was introduced. Poor comprehenders were able to select the appropriate items, although their recall was poorer. Altogether, the data show that working memory abilities, based on selecting and updating relevant information and avoiding intrusion errors, are related to reading comprehension.

Adult↗

On doing two things at once: temporal constraints on actions in language comprehension.

In two experiments, we investigated how text comprehension is influenced by the interaction between the properties of actions and the temporal relations specified by adverbs. Participants read short narratives describing a protagonist who performed two actions that involved similar sensorimotor systems (e.g., chopping wood and painting a fence) or different ones (e.g., whistling a melody and painting a fence). The actions were described as simultaneous or successive by means of the temporal adverbs while and after, respectively. Comprehension, both in Spanish and in English, was markedly impaired (longer reading times and lower subjective coherence) for sentences including the adverb while and actions involving the same sensorimotor system. However, when one of the same sensorimotor system actions was described as a mental plan (e.g., chopping wood and thinking of painting a fence), comprehension was equally easy with the adverbs while and after. These results are compatible with a revised version of the indexical hypothesis that specifies how comprehension is guided by syntax and embodied constraints within multiple noninteracting mental spaces.

Adolescent↗

Conceptual metaphors are not automatically accessed during idiom comprehension.

Do conceptual analogies motivate idiom use and comprehension in discourse? For example, a story in which a person is described as fuming would be analogically consistent with an idiom such as blew her top, but inconsistent with an idiom such as bite his head off. Earlier work by Nayak and Gibbs (1990) had suggested that people use such analogical information during idiom comprehension. We replicated their findings in an idiom choice task, suggesting that people can indeed make use of such knowledge. However, when reading times were used to assess idiom comprehensibility, no effects of analogical consistency were found. We conclude that conceptual analogies play little, if any, role in idiom comprehension unless people have the time (and motivation) to make considered judgments.

Adult↗

Topic-vehicle interaction in metaphor comprehension.

Property comparison models of metaphor comprehension assume that the topic and vehicle terms in metaphors are both understood to be referring to their conventional literal referents. In contrast, the interactive property attribution model (Glucksberg, McGlone, & Manfredi, 1997) assumes that the vehicle is understood to be referring to a metaphoric category that includes the topic's literal referent as a member. A priming paradigm was used to test the implications of these different models. Prior to interpreting a metaphor, participants read (1) the topic or vehicle concept alone, (2) a sentence ascribing a metaphor-relevant property to one concept, or (3) a sentence ascribing a metaphor-irrelevant property to one concept. All of the prime types facilitated metaphor comprehension with the exception of sentences ascribing metaphor-irrelevant properties to vehicles. The failure of these sentences (but not their topic counterparts) to facilitate metaphor comprehension is attributable to their priming an inappropriate literal interpretation of the vehicle term. These results are consistent with the claim that irrelevant information is suppressed during language comprehension (Gernsbacher, 1990) and support the interactive property attribution model.

Cognition↗

The temporal structure of spoken sentence comprehension in Chinese.

Three experiments with 60 native Chinese speakers were conducted to examine the temporal structure of spoken sentence comprehension in Chinese. In the two sentence-gating experiments, listeners heard sentence fragments of various sizes, either successively or individually, and decided on the agent role of the sentence. In the agent-naming experiment, listeners repeated aloud the sentence agent upon hearing the sentence. Converging evidence was derived from these experiments indicating the usefulness of sentence gating in tapping into the temporal structure of comprehension and in evaluating listeners' comprehension on the basis of partial information. Results from these experiments show that partial sentence information plays a very important role in Chinese sentence comprehension, and that Chinese listeners integrate incomplete and ungrammatical sentence fragments by reference to complete and grammatical models in the language. It is argued that these processing characteristics reflect properties of the Chinese language in which few morphological, grammatical, and syntactic constraints are placed on the relationships between sentence constituents.

Adult↗

A review and analysis of the clinical- and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: 1998-2000 update.

PURPOSE: This article is the fifth in a series of critical reviews of the clinical effectiveness and cost-effectiveness studies of comprehensive, multifactorial health promotion and disease management programs conducted in worksites. As with the previous reviews, the purpose of this article is to review and assess the randomized control trials that have focused on both clinical and cost outcomes of worksite health promotion and disease management programs. For this current review, a new category of quasi-experimental studies has been added because this represents a major new trend in such interventions over the last 2 years. Comprehensive worksite programs are those that provide an ongoing, integrated program of health promotion and disease prevention that integrates specific components into a coherent, ongoing program that is consistent with corporate objectives and includes program evaluations of both clinical and cost outcomes. DATA SOURCES: A comprehensive search was conducted using a multistage process that included MEDLINE, ERIC, ADI, EDGAR, CARL, Inform, and Lexis-Nexis databases and direct inquiries to worksite researchers. INCLUSION AND EXCLUSION CRITERIA: The search identified 27 new studies to which the following inclusion criteria were applied: research conducted in the United States; results published in English; methodological quality of nonexperimental (pre- and postmeasures but no comparison group); quasi-experimental to randomized control trials; and both clinical and cost outcomes. Exclusion criteria were studies outside of the United States; non-English publications; and clinical or cost outcomes only. Fifteen studies remained for this review. FINDINGS EXTRACTION METHODS: Findings extraction and analysis of the 15 studies was done by extracting the relevant population, intervention design, clinical results, and cost outcomes from the published article. As in previous reviews, findings are summarized in a table format that extracts and describes each study by the following: (1) study author(s); (2) corporate site; (3) purpose of the evaluation; (4) employee population; (5) percentage of program participants; (6) number of employees included in the evaluation; (7) brief description of the intervention; (8) evaluation design; (9) evaluation period; (10) outcomes; (11) research rating; and (12) findings. FINDINGS SYNTHESIS: Based on these 15 studies, a methodological critique was conducted with brief reference to appropriate prior studies. Conclusions regarding study quality and new trends over the time period of 1998 to 2000 are discussed. MAJOR CONCLUSIONS: Results from randomized clinical trials and quasi-experimental designs suggest that providing individualized risk reduction for high risk employees within the context of comprehensive programming is the critical element of worksite interventions. Despite the many limitations of the current methodologies of the 15 new studies, the vast majority of the research to date indicates positive clinical and cost outcomes.

Cost-Benefit Analysis↗

[Effects of signals on memory and comprehension of history text: insertion of signals that relate the main text with corresponding information in the margins].

History texts for elementary school children have unique discourse structures that involve variety of information and style. This study investigated the effects of signals that relate the main text with corresponding information in the margins on memory and comprehension of the text. One hundred thirty-five undergraduate students were assigned to read the text being divided into two groups: texts with signals, and texts without signals. The text with signals contained four signals, for example, "look at the picture above". After reading the text, subjects recalled the text content (written information only) and took a comprehension test. The result of recall task suggested that students who read the text with signals remembered more information in the margins than those who read the text without signals. In the comprehension test, those in the former group indicated integrated comprehension of the two parts of the text.

Adult↗

The comprehensibility of Australian educational literature for patients with asthma.

BACKGROUND: Education of patients with asthma is aimed at improving their knowledge, skills and attitudes, and thus compliance and control. Patient information pamphlets play a role in education, medication information and informed consent processes, and must be understood. We assessed the comprehensibility of Australian pamphlets on asthma. METHOD: 50 Australian pamphlets on asthma (written in English for adults) were selected from the Asthma Foundation, a teaching hospital in South Australia, the pharmaceutical industry, the National Asthma Campaign and specialist books and journal articles. The Australian Rix readability formula was used to estimate the grade of reading difficulty, and thus comprehensibility, of these patient information pamphlets (grade 1 = most comprehensible; grade 12 = most difficult). RESULTS: The mean grade of reading difficulty of the 50 patient information pamphlets was 8 (SD, 1.4; range, 6-11). One-third were written at or above grade 9 and two-thirds were at or above grade 8. CONCLUSION: As recent educational attainment data suggest that up to 52% of 15-69-year-olds in Australia comprehend text at or below grade 7, a substantial number of pamphlets on asthma are beyond the reading and comprehension abilities of many of their target population.

Adolescent↗

Comprehensive orientation: the road to retention.

This study evaluated the relationship between the type of orientation received by registered nurse employees in the hospital and the turnover behavior of these employees within the first 12 months of employment. The comprehensiveness of the orientation programs of six major metropolitan hospitals was evaluated using a structure evaluation tool. The records of registered nurses who attended the September 1988 orientation programs at these hospitals were examined to identify their employment status and pertinent demographic data one year from the date of participation in orientation. Data were analyzed to determine if an association existed between the comprehensiveness of orientation and employment status. The data revealed no significant difference between "stayers" and "leavers" after participation in orientation programs meeting greater than 80 percent of the criteria for program comprehensiveness. Significantly more "leavers" than "stayers" resulted from participation in programs meeting greater than 90 percent of the criteria for program comprehensiveness.

Chi-Square Distribution↗

Comprehension of quality care indicators: differences among privately insured, publicly insured, and uninsured.

This study explores consumers' comprehension of quality indicators appearing in health care report cards. Content analyses of focus group transcripts show differences in understanding individual quality indicators and among three populations: privately insured; Medicaid; and uninsured. Several rounds of coding and analysis assess: the degree of comprehension; what important ideas are not understood; and what exactly is not understood about the indicator (inter-rater reliability exceeded 94 percent). Thus, this study is an educational diagnosis of the comprehension of currently disseminated quality indicators. Fifteen focus groups (5 per insurance type) were conducted with a total of 104 participants. Findings show that consumers with differing access to and experiences with care have different levels of comprehension. Indicators are not well understood and are interpreted in unintended ways. Implications and strategies for communicating and disseminating quality information are discussed.

Awareness↗

[Deficit of language comprehension in a child with semantic-pragmatic disorder--dissociation between the phonemic and semantic processing abilities].

We studied the language comprehension deficit of a 11-year-old child with a semantic-pragmatic disorder. We used an original test battery using abstract nouns common to the tasks of repetition, reading aloud, auditory comprehension and comprehension of written words. Although he could repeat and read aloud words as good as normal controls, he could not choose correct pictures from semantically or phonemically resembling pictures by listening to or reading target words. This test demonstrated the dissociation between his phonemic and semantic processing abilities. An examination of the cerebral blood flow with SPECT suggested that the dysfunction of the left temporal lobe caused the deficit in language comprehension.

Brain↗

Comprehensive lipid analysis: a powerful metanomic tool for predictive and diagnostic medicine.

The power and accuracy of predictive diagnostics stand to improve dramatically as a result of lipid metanomics. The high definition of data obtained with this approach allows multiple rather than single metabolites to be used in markers for a group. Since as many as 40 fatty acids are quantified from each lipid class, and up to 15 lipid classes can be quantified easily, more than 600 individual lipid metabolites can be measured routinely for each sample. Because these analyses are comprehensive, only the most appropriate and unique metabolites are selected for their predictive value. Thus, comprehensive lipid analysis promises to greatly improve predictive diagnostics for phenotypes that directly or peripherally involve lipids. A broader and possibly more exciting aspect of this technology is the generation of metabolic profiles that are not simply markers for disease, but metabolic maps that can be used to identify specific genes or activities that cause or influence the disease state. Metanomics is, in essence, functional genomics from metabolite analysis. By defining the metabolic basis for phenotype, researchers and clinicians will have an extraordinary opportunity to understand and treat disease. Much in the same way that gene chips allow researchers to observe the complex expression response to a stimulus, metanomics will enable researchers to observe the complex metabolic interplay responsible for defining phenotype. By extending this approach beyond the observation of individual dysregulations, medicine will begin to profile not single diseases, but health. As health is the proper balance of all vital metabolic pathways, comprehensive or metanomic analysis lends itself very well to identifying the metabolite distributions necessary for optimum health. Comprehensive and quantitative analysis of lipids would provide this degree of diagnostic power to researchers and clinicians interested in mining metabolic profiles for biological meaning.

Biomarkers↗