Welcome to Learning Ally’s blog. You've come to the right place if you are an innovative teacher who wants to transform more struggling readers into grade-level achievers.
November 3, 2018 by Valerie Chernek
Imagine a world in which all children can see themselves in the pages of a book by relating to a character … a protagonist*.
Diverse literature often reflects and honors the lives of young people, and mirrors our own experience. These stories are curiously written to help children and teens discover their identity, feel more valued, less afraid and alone.
This type of literature provides opportunities for children and teens to learn about someone’s life and experience their own life through the eyes of the characters. When you assign diverse literature, you can help to foster a new respect for students’ differences, and promote more empathy toward others.
Introducing diverse literature in your school reading program is a great way to widen class discussions and build a new culture of readers, that includes all types of learners.
Did you know that Learning Ally has many audiobooks that can be classified as diverse literature?
The Hate U Give by Angie Thomas is a great example of juvenile fiction in our current times. The book was published in February 2017 and remained on the New York Times YA best-sellers list for 50 weeks. The story is in movie theaters now across the U.S. and receiving positive reviews.
Why not download and listen to our human-narrated audiobook version of The Hate U Give with your students. The heroine, Starr Carter, is a high schooler who describes how she feels living two lives in a world of racism and activism. It is appropriate for students in grade 9 (age 14 and above), and has a Lexile level of HL59OL. The movie is rated PG13.
To date, this audiobook has been downloaded more than 1700 times by Learning Ally members. Listen to this video clip of our skilled voice-over artist narrating this story and bringing the characters to life.
Do you have a favorite diverse literature title? If so feel free to share it with us in the comments.
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Learning Ally is a leading nonprofit edtech organization delivering a comprehensive learning solution for struggling readers in elementary, middle and high schools. Our proven solution includes an extensive library of human-read audiobooks that students want and need to read, along with a suite of teacher-focused resources that ensure student success. Schedule a quick demo to learn how your school or district can transform more struggling readers into grade-level achievers. 800-221-1098
Categories: Audiobook Library, Books, Authors, & Movies, Curriculum & Access, Education & Teaching
Guest blog by Tracy Block-Zaretsky, Dyslexia Training Institute
Have you looked up dyslexia on the Internet just to find overwhelming definitions, data and symptoms? It is daunting for parents and teachers. You don’t know what to believe or what to look for in a child or teen that is struggling to read. Why?
No two people with dyslexia will look exactly alike in their symptoms and the manifestations of those symptoms. There are multiple symptoms, and they can range from mild to severe. The more severe the symptoms the earlier they will become apparent. Some symptoms show up later in the learning process, because a child may learn to mask them, and may display high intellect and the ability to develop compensatory strategies. This is common when the symptoms of dyslexia are mild and/or the student is gifted (high IQ).
Let’s start with a symptom that most people believe: Seeing letters and words backwards. It is developmentally normal to reverse letters through first grade. It is uncommon to continue to have reversal issues past first grade. Students with dyslexia are not seeing letters backwards, their brains are having difficulty learning that directionality matters when it comes to reading print.
Before students start learning to read, directionality does not matter in defining an object. An elephant is an elephant no matter which way it is facing, or standing, or laying down. However, we have specific ways to form letters and orient them on a line. Learning this form and orientation can be more challenging for a student with dyslexia (or dysgraphia). These learners see print like you and I, but have challenges with reversals of letters and words well beyond what is developmentally normal.
Comprehension – Patterns and Structures
Another common symptom is difficulty remembering a word a student has seen and practiced. They may have figured a word out on one page, just to struggle to recognize the same word in the next occurrence. Students with dyslexia have a difficult time picking up language patterns and structures not explicitly taught. They may be able to pick up patterns not related to language (ie: math, art), but not language patterns and structures. This is why students with dyslexia have a difficult time rhyming-- a language pattern that their brain does not process well.
I have never met a student with dyslexia that didn’t struggle to spell. All the rainbow writing, air writing, tracing, etc., that is typically taught and repeated doesn’t help. Frustration mounts as student begin to acknowledge they cannot spell words in their written work that they use all the time in their native language and oral responses. Written work of students with dyslexia rarely reflects their intellectual abilities. This can be humiliating.
Reading Avoidance and Coping Mechanisms
We often hear these statements about students who struggle to read: “She avoids reading and writing.” “He just don’t seem to want to apply himself.” “She isn’t working to her potential.”
A child starts out in school trying their best to learn, to be like their peers, to please teachers and parents. As hard as they try, they are not learning. They are letting others down. It doesn’t make sense to them why they struggle so much. They are not seeing a payoff and begin to think there is something wrong with them and they are stupid. Some students will turn into wallflowers or just the opposite act out in class to avoid reading and writing. These are not signs of not applying themselves or not working to potential, these are cries for help!
Learned helplessness is an unintended result of having learning disabilities that many students with dyslexia experience. Well-meaning teachers, aides, parents or tutors who aren’t trained or skilled at working with struggling learners, unintentionally lead student’s to believe they are not able to do a task without “help.”
When a student states they cannot do something and the person helping them shows the student how to do it, often completing a portion if not all of the work, over time, the student requires more and more help, and loses the ability to learn 'how to learn.' This feeling of “helplessness,” spirals negative beliefs about themselves as learners. They can lose faith in themselves that affects not only school. They may be labeled as lazy or not applying themselves, and not receiving adequate academic expectations and goals that match their intellectual ability.
More Struggling Readers Can Achieve
We are getting smarter. I want to give you hope for the future and a current look at what’s happening around dyslexia now.
-- More awareness about dyslexia and support for legislative change is happening due to parents advocating and groups like Decoding Dyslexia. (Check DecodingDyslexia.net to find your state’s group.)
-- More schools and institutes are educating and training teachers and parents to look for dyslexia in struggling learners, and how to teach them, but there is more work to do to get schools on board.
-- More research to study dyslexia and comorbid* conditions is happening in the U.S. and around the world.
-- More parents are advocating for dyslexia screening processes that start as early as kindergarten, but don’t stop at any grade to avoid students falling through the cracks.
-- More teachers and specialists are developing personalized learning plans and IEPs that include explicitly teaching patterns and structures of the English language, but also incorporating reading and writing accommodations, like assistive technology, audiobooks, reading devices and speech-to-text, that remove barriers to curriculum so that students can access and produce grade-level content and are motivated to read and write daily.
-- More educators and parents are aware that a student’s self-belief is as important as their academic prowess.
About Tracy Block-Zaretsky
Tracy Block-Zaretsky is the co-founder of the Dyslexia Training Institute. She has provided remediation for children and adults with dyslexia for the past 20 years and has developed and taught workplace and family literacy program. She is a certified Special Education advocate assisting parents and children through the Individual Education Plan (IEP) and 504 Plan process. She is a past President of the San Diego Branch of the International Dyslexia Association. Tracy has training in Structured Word Inquiry, the Orton-Gillingham approach, Lindamood-Bell programs, Read Naturally and a variety of reading and writing assessments. She co-created and produced, "Dyslexia for a Day: A Simulation of Dyslexia," and has provided professional development for educators and training for parents at numerous conferences, private on-site trainings and online courses and webinars. Tracy is also a parent of a child with dyslexia, dysgraphia, ADD and Executive Function Disorder.
Learning Ally is a leading nonprofit edtech organization delivering a comprehensive learning solution for struggling readers in elementary, middle and high schools. Our proven solution includes an extensive library of human-read audiobooks that students want and need to read, along with a suite of teacher-focused resources that ensure student success. Schedule a quick demo to learn how your school or district can transform more struggling readers into grade-level achievers. Call 800-221-1098.
To get involved, learn more about the Dyslexia Training Institute, about Learning Ally’s reading accommodation and audiobook library, and share this Edwebinar, “What Dyslexia Red Flags are for Students in Different Grades.”
*Comorbid definition - ‘existing simultaneously with and usually independently of another medical condition.’
Categories: Audiobook Library, dyslexia, Education & Teaching, Learning Disabilities, Reading Strategies for K-12, Student Centric Learning, The Digital Age
November 2, 2018 by Valerie Chernek
Learning Ally today announced that the organization’s mobile reading app has been named a "Best Assistive Technology App or Tool" finalist for the 2018 Tech Edvocate Awards. The mobile reading app provides access to Learning Ally’s library of human-read audiobooks, with enhanced classroom tools for students.
Learning Ally is a leading edtech provider of a comprehensive audiobook solution offering an equitable reading experience for students in grades 3-12 with learning differences.
"We are thrilled to be a finalist for best assistive technology app," says Cynthia Hamburger, Learning Ally’s COO. "Our mobile app delivers a superior digital reading experience for today’s tech-savvy learners. Students have everything they need to complete reading assignments on time and on point. Students who once struggled to read can now demonstrate what they know."
Learning Ally's mobile app with new classroom tools focuses on student-centric learning with enriched capabilities. These include students’ ability to customize reading preferences, streamline reading assignments, and communicate directly with teachers to ask questions, send completed homework and receive feedback for personalized learning. With new reading enhancements such as bookmarking, notetaking and an in-app dictionary, students can build background knowledge, prepare book reports with citations, perform research, write summaries, and create large vocabulary lists.
Bridging the gap between students' reading skills and their cognitive ability to learn and comprehend grade-level content, Learning Ally's human-read audiobooks help boost academic gains and drive improved social-emotional outcomes for struggling learners. The mobile app gives students access to audiobooks and grade-level content at any time in a format they can easily absorb to be successful in their learning process.
The Tech Edvocate, published by Dr. Matthew Lynch, focuses on shifts in education policy to enhance learning opportunities for American P–20 students. Each year, a panel of edtech leaders, PreK–12 teachers, college professors, K–12 administrators, and K–12 parents, choose a top winner and finalist(s) in several categories to recognize companies, people and products that represent the "best in edtech."
About Learning Ally
Learning Ally, a leading nonprofit edtech organization, delivers a comprehensive and cost-effective learning solution for struggling readers in grades 3–12. The organization’s proven solution features an extensive library of human-read audiobooks that students want and need to read, with a suite of teacher-focused resources to ensure student success.
In 2018, Learning Ally received a distinguished Library of Congress Literacy Award for its outstanding commitment and innovative research-based best practices to ensure literacy for all in U.S. schools.
To learn how your school or district can become a member of Learning Ally in support of struggling readers, schedule a Learning Ally demo or call 800-221-1098.
Categories: Assistive Technology, Audiobook Library, In the news, Learning Disabilities, Student Centric Learning, The Digital Age
November 2, 2018 by Mir Ali
Learning Ally, a leading ed-tech nonprofit reaching more than 375,000 students last year, is one of fifteen honorees receiving the 2018 Library of Congress Literacy Award. The annual award recognizes the outstanding achievements of organizations (national and international) whose innovative and research-based best practices serve to improve literacy worldwide.
Andrew Friedman, CEO of Learning Ally, said, “We are extremely proud of this prestigious recognition and want to congratulate all of the nominees who share a mission of universal literacy. Throughout our history, Learning Ally has worked tirelessly to ensure all students who struggle to read due to learning differences and vision impairments have the same opportunities to realize their full academic potential by providing them with an equitable reading solution.”
Learning Ally has more than 70 years’ experience creating reading accommodations to help struggling readers reach their full academic potential. The organization has an extensive library of high quality human-read audiobooks and a suite of educator tools and resources to ensure student success. Research shows the solution has a positive impact. In a 2018 survey, more than 85% of educators agreed Learning Ally solutions helped students take greater ownership of their learning, achieve academically, and better comprehend grade-level texts.
Today, Learning Ally is driven by a keen desire to provide equal opportunities to learn for all struggling readers so they can succeed academically, and in life. The organization maintains a strong focus on innovation to truly support students with learning differences in tech-enabled classrooms. To better serve each student and support them on a deeper level, Learning Ally has developed more customized launch plans, personalized student reading incentive programs, and real-time reports to monitor student progress. This iterative and inclusive approach to developing products and services ensures all students with learning differences have equitable access to grade level content, can work to their ability, keep pace with their peers, possess a strong belief in self, and have hope for their future.
For Learning Ally, accessibility for all struggling readers is more than an ideal, it’s a promise. The organization believes all students with learning differences can succeed in school and in life with the right support and timely accommodations.
Learn more about Learning Ally’s audiobook solutions for educators and students.
About The Library of Congress Literacy Awards Program
Since 2013, The Library of Congress Literacy Awards Program awarded $1.4 million to 66 institutions in 30 countries through the generous contributions of David M. Rubinstein. Administered by the Library’s Center for the Book, Congress created the program to stimulate public interest in books and reading, and to encourage development of innovative methods for promoting literacy through effective best practices. This year, a selection committee evaluated 59 nominations with top monetary prizes awarded to Reading Is Fundamental, Washington, DC, East Side Community School, New York City, and Instituto Pedagógico para Problemas del Lenguaje, Mexico City. http://www.read.gov/literacyawards
Learning Ally is a leading nonprofit ed-tech organization delivering a comprehensive learning solution for struggling readers in elementary, middle and high schools. Our proven solution includes an extensive library of human-read audiobooks that students want and need to read, along with a suite of teacher-focused resources that ensure student success.
Learning Ally successfully partners with more than 15,000 U.S. schools, districts and leading state education systems across the country to empower over 375,000 students with improved comprehension, vocabulary, fluency and critical thinking skills. For over 70 years, the organization has helped to transform the lives of struggling readers by bridging the gap between their reading capability and their academic potential to become confident, lifelong learners who thrive in school and beyond.
Categories: In the news
When we first learn to drive a car, we expend our brainpower on technical skills such as speed, turn signals, and road signs. We use both hands on the wheel. It takes significant cognitive capacity to remember to look in the mirrors to change lanes. At this stage of our learning process, we have not mastered the “automaticity” of the skills needed to drive a car, but with practice and confidence, our lower level processing becomes automatic.
This is true in the classroom too. If we cannot easily perform lower-level reading processes such as phonemic awareness, phonics, and decoding with “automaticity,” we will find it more difficult to free up our mental capacity to concentrate on the task. When our cognitive load becomes too intense to comprehend, there is enhanced likelihood that gaps in our learning process will exist – thus affecting reading achievement and feelings of failure. This scenario happens for many learners in lower socio-economic status, struggling readers and students with learning disabilities, like dyslexia.
Multi-Faceted Reading Definitions – ‘Reading for Meaning’
Research suggests that the act of reading is multi-faceted:
1) An explicit skill building activity necessary to access print.
2) An ability to comprehend text that comes from accurate word decoding.
While researchers debate the definition of finite reading skills such as fluency (Rasinski et al., 2011), there is a consensus that reading does involve understanding written text and constructing meaning from that text (Afflerbach et al., 2011).
What happens if teachers only pay attention to one reading definition? Let’s test this.
Read the following excerpt from Diary of a Wimpy Kid, a popular series for ages 7-13, and with a Lexile level of 950:
Today is the first day of school, and right now we’re just waiting around for the teacher to hurry up and finish the seating chart. So I figured I might as well write in this book to pass the time. By the way, let me give you some good advice. On the first day of school, you got to be real careful where you sit. You walk into the classroom and just plunk your stuff down on any old desk and the next thing you know the teacher is saying – ‘I hope you all like where you’re sitting, because these are your permanent seats’ (Kinney, 2007).
If you mastered the skills of decoding and fluency, pulling words from the page by attaching sounds to letters and reading with correct rate, (automaticity and prosody,) then you are likely to make sense of the text. Your brain met the automaticity of the lower level processes. (Kendou, 2014).
Now, read the following excerpt from a medical journal about developmental dyslexia:
Two female subjects showed multiple instances of focal myelinated conical infraction, with neuronal loss, gliosis, and myelination of the scars affecting perisylvian and cerebral arterial border-zone territories. The presence of myelin in the scars suggested that the injury preceded the second or third year of postnatal life. One of the males showed, in addition to microdysgenesis, a small number of these myelinated scars. The brain of the twenty-year-old female had no scars in the cortex but did have a small number of ectopias distributed equally between the hemispheres. Other abnormalities included a bilobar hippocampal oligondendraglioma and a frontal arteriovenous anomaly in one female case; one male and another female case also showed arteriovenous anomalies and a male showed arthitectonic abnormalities in the lateralis posterior and medial geniculate nuclei of the thalamus” (Galaburda et al., 1985, p. 223)
Did you exhaust brainpower to decode all the technical words in this text? Did it slow you down? Did you try context clues or isolating root words and affixes to decipher the vocabulary? Did you feel less smart when you read the second passage as the first?
This is an example of cognitive load theory, suggesting that our working memory can only handle two or three pieces of information at a time. The limitations of working memory overloads the finite skills of full comprehension. (Rueda, 2011 & Foorman et al., 2011).
Cunningham et al., (2011) stated, “…when word recognition is not yet automatized, the reader experiences significant cognitive demands while decoding text. As a reader matures, and the demands of conceptually more difficult texts require the use of complex thinking strategies, a reduction in conscious attention is necessary at the word recognition level to free up cognitive energy required for comprehension” (p. 260).
In the time it took to read the first passage to the second, your intelligence did not change. What changed was your ability to decode content and understand what you read. In the second passage, our brainpower had to drive into overload to use our lower level processes.
“Reading fluency helps to reduce the cognitive demand and thus makes text comprehension easier for the reader” (Rueda, 2011).
Dr. Maryanne Wolf (2008), in her book Proust and the Squid, builds a visual story of what reading is about by uncovering the precepts of reading as defined by Marcel Proust, “Proust saw reading as a kind of intellectual sanctuary, where human beings have access to thousands of realities they might never encounter or understand otherwise” (p. 6).
For struggling readers and those with learning disabilities, we need to help them find a bridge to content, while being taught the lower level processes of reading. Many educators use an evidence-based structured literacy program, but this approach takes time, maybe one or two years. Just as any young child can comprehend above their ability to read, so can a student that is struggling to read. They require a tool to help them automatize the decoding process and to provide reinforcement of skill building in the lower level processes of reading. Access to human-read audiobooks can serve as a reliable tool to keep both processes going simultaneously -- comprehension and cognition.
If we only allow students to rely on the explicit skills taught, their ability to catch up to grade level will be farther out of reach. As a community of researchers and education professionals, consider three questions:
(1) Are the cognitive capacities and abilities of students, not just learning disabled students, on par with grade level content when the lower level processes of reading are not automatized?
(2) What are the tools and resources that teachers use to create a holistic environment and culture of reading and literacy when time and pacing of curriculum do not allow adequate time spent on explicit instruction?
(3) Are classrooms that take a more holistic approach to reading instruction more effective?
With further investigation into these questions and applying recommended tools such as human-read audiobooks, we can have hope that the achievement gap will lessen over a shorter period of time, and students who struggle with the finite processes of reading can keep pace with peers.
If reading automaticity is an issue for your struggling reader, Learning Ally, a nonprofit providing access to curriculum in human-read audiobook format can bridge the gap between lower level reading processes and reading for thorough comprehension and content mastery.
Alexander, P. A., & Jetton, T. L. (2000). Learning from Text: A Multidimensional and Developmental Perspective. In M. L. Kamil, P. B. Mosenthal, P. D. Pearson, & R. Barr (Eds.), Handbook of Reading Research (Vol. 3, pp. 285-310). Mahwah, NJ: Erlbaum.
Cain, K., Catts, H., Hogan, T., & Lomax, R. (2015). Learning to Read: Should We Keep Things Simple? Reading Research Quarterly, 50(2), 151-169. doi:10.1002/rrq.99
Carbo, M. (1978a). Teaching reading with Talking Books. The Reading Teacher, 32, 267-273.
Casbergue, R. M., & Harris, K. (1996). Listening and Literacy: Audiobooks in the Reading Program. Reading Horizons, 37(1), 48-59.
Cunningham, A. E., & Stanovich, K. E. (1997). Early reading acquisition and its relation to reading experience and ability 10 years later. Developmental Psychology, 33(6), 934-945. doi:10.1037//0012-16126.96.36.1994
Cunningham, A. E., Nathan, R. G., & Schmidt Raher, K. (2011). Orthographic Processing in Models of Word Recognition. In M. L. Kamil, P. Pearson, E. B. Moje, & P. P. Afflerbach (Eds.), Handbook of Reading Research (Vol. 4, pp. 259-285). New York, NY: Routledge.
Cunningham, A. E., Stanovich, K. E., & Maul, A. (2011). Of Correlations and Causes. In N. K. Duke & M. H. Mallette (Eds.), Literacy research methodologies (2nd ed., pp. 50-69). New York, NY: Guilford Press.
Duke, N. K., & Carlisle, J. (2011). The Development of Comprehension. In M. L. Kamil, P. Pearson, E. B. Moje, & P. P. Afflerbach (Eds.), Handbook of Reading Research (Vol. 4, pp. 199-228). New York, NY: Routledge.
Durkin, D. (1978). What Classroom Observations Reveal About Reading Comprehension Instruction. Reading Research Quarterly, 14(4), 481-533. doi:10.1598/rrq.14.4.2
Foorman, B. R., & Connor, C. (2011). Handbook of Reading Research (Vol. 4, pp. 136-156) (M. L. Kamil, P. D. Pearson, E. B. Moje, & P. P. Afflerbach, Eds.). New York, NY: Routledge.
Galaburda, A. M., Sherman, G., Rosen, G., MBiol, F., & Geschwind, N. (1995). Developmental dyslexia: Four consecutive cases with cortical anomalies. Annals of Neurology, 1(2), 222-233. doi:10.1093/neucas/1.2.179-b
Kendeou, P., Broek, P. V., Helder, A., & Karlsson, J. (2014). A Cognitive View of Reading Comprehension: Implications for Reading Difficulties. Learning Disabilities Research & Practice, 29(1), 10-16. doi:10.1111/ldrp.12025
Kinney, J. (2007). Diary of a wimpy kid: Greg Heffley's journal. New York, NY: Amulet Books.
Kucan, L., & Sullivan Palincsar, A. (2011). Locating Struggling Readers in a Reconfigured Landscape. In M. L. Kamil, P. Pearson, E. B. Moje, & P. P. Afflerbach (Eds.), Handbook of Reading Research (Vol. 4, pp. 341-358). New York, NY: Routledge.
Neuman, S. (2011). The Knowledge Gap: Implications for Early Education. In S. B. Neuman & D. K. Dickinson (Eds.), Handbook of Early Literacy Research (Vol. 2, pp. 29-40). Guilford Publications, Incorporated.
Neuman, S. B., & Celano, D. (2006). The knowledge gap: Implications of leveling the playing field for low-income and middle-income children. Reading Research Quarterly, 41(2), 176-201. doi:10.1598/rrq.41.2.2
Paratore, J. R., Cassano, C. M., & Schickedanz, J. A. (2011). Supporting Early (and Later) Literacy Development at Home and at School. In M. L. Kamil, P. Pearson, E. B. Moje, & P. P. Afflerbach (Eds.), Handbook of Reading Research (Vol. 4, pp. 107-135). New York, Routledge.
Paris, S. G. (2005). Reinterpreting the development of reading skills. Reading Research Quarterly, 40(2), 184-202. doi:10.1598/rrq.40.2.3
Pressley, M., Roehrig, A., Bogner, K., Raphal, L. M., & Dolezal, S. (2017). Balanced Literacy Instruction. Focus on Exceptional Children, 34(5), 2-14. doi:10.17161/fec.v34i5.6788
Rasinski, T. V., Reutzel, D., Chard, D., & Linan-Thompson, S. (2011). Reading Fluency. In M. L. Kamil, P. Pearson, E. B. Moje, & P. P. Afflerbach (Eds.), Handbook of Reading Research (Vol. 4, pp. 286-319). New York, NY: Routledge.
Roberts, T. A., Christo, C., & Shefelbine, J. A. (2011). Word Recognition. In M. L. Kamil, P. Pearson, E. B. Moje, & P. P. Afflerbach (Eds.), Handbook of Reading Research (Vol. 4, pp. 227-285). New York, NY: Routledge.
Rueda, R. (2011). Cultrual Perspectives in Reading: Theory and Research. In M. L. Kamil, P. Pearson, E. B. Moje, & P. P. Afflerbach (Eds.), Handbook of Reading Research (Vol. 4, pp. 84-104). New York, NY: Routledge.
Stanovich, K. E., & Cunningham, A. E. (1993). Where Does Knowledge Come From? Specific Associations Between Print Exposure and Information Acquisition. Journal of Educational Psychology, 85(2), 211-229.
Stanovich, K. E. (1986). Matthew Effects in Reading: Some Consequences of Individual Differences in the Acquisition of Literacy. Reading Research Quarterly, 21(4), 360-407. doi:10.1598/rrq.21.4.1.
Stevens, E. A., Walker, M. A., & Vaughn, S. (2016). The Effects of Reading Fluency Interventions on the Reading Fluency and Reading Comprehension Performance of Elementary Students With Learning Disabilities: A Synthesis of the Research from 2001 to 2014. Journal of Learning Disabilities, 50(5), 576-590. doi:10.1177/0022219416638028