The causal role of phoneme awareness and letter-sound knowledge in learning to read: combining intervention studies with mediation analyses

There is good evidence that phoneme awareness and letter-sound knowledge are reliable longitudinal predictors of learning to read, though whether they have a causal effect remains uncertain. In this article, we present the results of a mediation analysis using data from a previous large-scale intervention study. We found that a phonology and reading intervention that taught letter-sound knowledge and phoneme awareness produced significant improvements in these two skills and in later word-level reading and spelling skills. Improvements in letter-sound knowledge and phoneme awareness at the end of the intervention fully mediated the improvements seen in children's word-level literacy skills 5 months after the intervention finished. Our findings support the conclusion that letter-sound knowledge and phoneme awareness are two causal influences on the development of children's early literacy skills.     

Reviews

Gorbachev, Glasnost and The Gospel by Michael Bourdeaux. Hodder and Stoughton, 1990. 226 pp. Hardback, £13.95. Paperback, £8.99.

The Lutheran Church and the East German State: Political Conflict and Change under Ulbricht andHonecker by Robert F. Goeckel. Cornell University Press, 1990. 328 pp.

With God, For the People by Laszlo Tokes with David Porter. London: Hodder and Stoughton, 1990. Paperback, 226 pp., £3.50.

In the Eye of the Romanian Storm by Felix Corley and John Eibner. Old Tappan, New Jersey: Fleming H. Revell Company, 1990. Paperback, 272 pp., $6.95.     

Can Giving Clients a Choice in Food Selection Help to Meet Their Nutritional Needs?: Investigating a Novel Food Bank Approach for Asylum Seekers

The aim of this research was to investigate whether a foodbank working directly with people seeking asylum and incorporating client choice, located in Melbourne Australia, can meet the nutritional requirements of asylum seekers. A structured process of direct observation was used to document each item selected from the foodbank in a single basket. The food baskets of 116 asylum seekers, all over the age of 18, who were wholly reliant on the foodbank were analysed for nutritional content. Analysis revealed that an average basket was deficient in almost all micronutrients including vitamins A, C, D and E, folate, calcium and zinc. Baskets were found to have higher than recommended levels of sodium and fat. Despite the foodbank allowing clients to individually select the food they wish to consume, the food baskets remained nutritionally inadequate. This may be due the structure of the foodbank, the nature of relying on community donations of food and complexities surrounding healthy food choice among asylum seekers. Providing choice around food acquisition is one way to promote dignity in the refugee determination process; however, this may not be the best way to provide a nutritionally adequate diet. In addition to donor guidelines that highlight the need for nutritionally and culturally appropriate foods, further supplementary nutritional education may be required to encourage healthy food choices where they exist.     

Mothers’ Experiences of Parent-Reported and Video-Recorded Observational Assessments

Rigorous evaluation of early childhood interventions requires accurate and efficient measurement. Researchers commonly use parent-reported surveys or direct observations; both of which have inherent strengths and limitations. Existing attempts to understand the correspondence between these methods have been primarily quantitative in design. Little is known about parents’ unique, subjective experiences of parent-reported surveys and direct parent-child observations. In this paper, we describe the experiences of ten mothers of children aged 24 months, recruited from a randomised controlled trial of a nurse home visiting program for mothers at risk of experiencing social adversity. After completing both a survey and video-recorded parent-child observation, mothers participated in in-depth semi-structured interviews which were analysed thematically. Mothers voiced concerns about how researchers may view their parenting skills, and their child’s behaviour and development. Contrary to previous quantitative evidence, mothers reported parent and child behavioural change, which they attributed to the researcher’s presence. Mothers described how the structured requirements of the observation contributed to forced and unnatural interactions. The survey was viewed as a welcome opportunity to reflect on parenting skills, the parent-child relationship and the child’s development. Mothers identified practical strategies for minimising parent-child discomfort during video-recorded observations, such as the researcher averting their gaze or stepping out of the room. We highlight opportunities for enhanced data validity in research and clinical settings, strengthened participant engagement, and minimisation of participant discomfort. Given the exploratory nature of this study, we do not claim that results are necessarily generalisable to other parent or general populations. Further research is warranted to build the evidence regarding parent participation in early childhood research.     

The Role of Children��s Appraisals on Adjustment Following Psychological Maltreatment: A Pilot Study

Little is known about the cognitive mechanisms involved in the development of psychopathology following psychological maltreatment in children. This study therefore examined the role of thinking styles on children's outcomes following this subtype of maltreatment. Children who had experienced past maltreatment (n?=?24) and a control group (n?=?26) were assessed using self-report questionnaires. Maltreatment history, cognitive styles and psychological outcomes, such as depression, posttraumatic stress disorder (PTSD) and self-esteem were assessed. Parents/caregivers also completed a measure of child internalizing and externalizing behaviours. Psychological maltreatment made a significant contribution to children's self-reported depression and low self-esteem, and parent reported internalizing and externalizing problems, even after controlling for other abusive experiences. This was not the case for PTSD symptoms. Further, children's cognitive styles were associated with self-reported depression, self-esteem and PTSD. They did not, however, predict parent-rated emotional and behavioural problems. This study provides preliminary support for a cognitive model of adjustment following psychological maltreatment. The results indicate the need for enhanced community awareness about the impact of psychological maltreatment, and suggest a direction for therapeutic intervention.     

Decision-Making About Inherited Cancer Risk: Exploring Dimensions of Genetic Responsibility

Since genetic information has implications for family members, some choices about genetic risk may be influenced by perceptions of responsibility to relatives. Drawing upon 25 semi-structured interviews with test recipients in Canada, this study explored decisions about inherited breast-ovarian and colon cancer. Qualitative data analysis revealed the pervasive significance of genetic responsibility in test decisions. We highlight three dimensions of genetic responsibility: 1) to know about the self for self; 2) to know about the self for others; 3) to know about the self to oblige others to know. It is argued that these dimensions of genetic responsibility have implications for test decisions, family relationships and other family members’ desire to know (or not know) and to act (or not act) with respect to their own genetic risk. In particular, genetic responsibility may play out as a framing of a relative’s moral obligation to know their risk that could obviate any interest they might have in not knowing. We conclude that perceptions of responsibility to—and of−other family members be thoroughly explored in genetic counseling sessions.