Coping Successfully With Dyslexia An Initial Study of An Inclusice School Based Resilience Programme
Coping Successfully With Dyslexia An Initial Study of An Inclusice School Based Resilience Programme
A dyslexia coping programme entitled Success and Dyslexia was implemented in two primary
schools within a whole-class coping programme and whole-school dyslexia professional
development context. One hundred and two year 6 students, 23 of whom had dyslexia,
undertook surveys pretest, post-test and at 1-year follow-up. Effectiveness of the coping
programme and maintenance of effects for the students after transition to secondary school
were investigated. Inclusion of contrast group data in the follow-up year suggested significant
positive changes at first and second follow-ups in locus of control and nonproductive coping
may also be associated with increase in age. Most trends were in the expected direction,
especially for students with dyslexia. At follow-up, students with dyslexia reported similar
perceived control and adaptive coping to students without dyslexia rather than a decrease
in these areas as is usually the case. A larger sample and an ongoing control group are needed
to confirm these results. Copyright © 2013 John Wiley & Sons, Ltd.
*Correspondence to: Nola Firth, PhD, Centre for Adolescent Health, Murdoch Children’s Research Institute,
Royal Children’s Hospital, Flemington Road, Parkville, Victoria, Australia, 3052. E-mail: nola.fi[email protected]
Copyright © 2013 John Wiley & Sons, Ltd. DYSLEXIA 19: 113–130 (2013)
114 N. Firth et al.
Copyright © 2013 John Wiley & Sons, Ltd. DYSLEXIA 19: 113–130 (2013)
Coping Successfully with Dyslexia 115
Findings included increased perceived control and productive coping strategies for
students who had undertaken the coping programme compared with a control group.
A number of studies including a systematic review of school mental health pro-
motion initiatives suggest however that for maximum impact and sustainability,
mental health interventions need to be broader than the curriculum and to focus
also on the whole-school environment (Bond, Glover, Godfrey, Butler, & Patton,
2001; Devaney et al, 2006; Firth et al., 2008; Greenberg et al., 2003; Wells, Barlow,
& Stewart-Brown, 2003). Dyslexia-friendly school environments are examples of
this approach and are therefore recommended by some researchers in addition
to targeted mental health programmes (Firth et al., 2008; Humphrey, 2002).
Humphrey found that children attending units for students with SLD, where staff
were dyslexia aware and supportive, had higher self-esteem than students who had
dyslexia and were in mainstream schools. The students at the units also reported
feeling isolated and excluded when they were in the mainstream setting. Dyslexia-
friendly mainstream schools as promoted by the British Dyslexia Association
(BDA) involve a policy outlining appropriate practice at four levels: school leader-
ship, teaching and learning, classroom environment and partnership with parents
and students. The policy includes initiatives such as teacher training in dyslexia
awareness and support, systematic dyslexia screening and classroom practice such
as nonprint-based access to curriculum and means of expression. For a complete
description, see Riddick, 2006 or the BDA site: http://www.bdadyslexia.org.uk/
quality-mark-and-accreditation.html. Dyslexia-friendly schools are widespread in
the UK (Rose, 2009). Initial evaluation of these schools has been encouraging.
Measures have included numbers of expulsions, tribunal hearings and phone calls
from concerned parents, and interviews with students, but there is a need for
more detailed data over an extended period (Riddick, 2006).
The current study builds on the findings of the study of Firth et al. (2008).
To introduce the programme at an optimum time and counter the increase in
school disengagement that can accelerate in the early secondary school years
(Russell, 2003), the coping programme was introduced in the last year of
primary school rather than in the early secondary school years. Additionally, to
increase the priority given to the programme within the school and its
sustainability (Bond et al., 2001; Firth et al., 2008; Greenberg et al., 2003), it
was embedded within a universal coping programme and within a model of
dyslexia-friendly whole-school change.
The study involved both qualitative and quantitative methods and associated
research questions. This paper reports on the quantitative findings from the
project. Qualitative outcomes regarding sustainability of the intervention have
been reported (Firth, Frydenberg, & Bond, 2012). The research questions
reported in this paper are as follows:
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116 N. Firth et al.
(4) Do students (both those with and without dyslexia) in the intervention group
at follow-up report increased well-being, perceived control and adaptive cop-
ing gains compared with students (both those with and without dyslexia) in the
follow-up contrast group?
METHOD
Participants
Two government-funded co-educational primary schools (with approximately 650
students in each school) agreed to participate in the study. The schools were
regional schools about 40 km on the western side of Melbourne in the state of
Victoria, Australia. Approximately a third of the students in both schools received
a government-funded education maintenance allowance that is assessed on family
income level, and both schools had weekly individual specialist support for
some students in literacy or maths. One hundred and two of a total of 157 year
6 students and their parents consented to participate. Student ages ranged from
10 to 11 years (mean age was 10.6). Forty-six students were male, and 56 were
female. Following screening/testing, 23 students were classified as having dyslexia
(8 female, 15 male). Teachers reported that the students were primarily
Australian-born and of Anglo/European background. Year 6 class teachers taught
the universal component of the coping programme to all students, and teachers
who were interested and available taught the dyslexia component.
Because of funding constraints, it was not possible to include a control group
throughout the study, but after the intervention and during the follow-up year, a
grant enabled the recruitment of a contrast group of 39 students (see Wilkinson,
Task Force on Statistical Inference, & APA Board of Scientific Affairs, 1999
regarding contrast group terminology and use). These students were from four
secondary schools that were close to the primary schools and were attended also
by many of the students who had completed the intervention the previous year.
Students in this contrast group had not attended either of the primary schools
where the programme had been implemented. Twenty-three students were girls,
and 16 were boys. Of this group, 10 students were assessed as having dyslexia.
Students and their parents in this group were primarily Australian-born and of
Anglo/European background. Of the 10 students who had dyslexia in the contrast
group, four were male, and six were female.
Dyslexia screening
The definition of dyslexia used in the study was based on Australian definitions
recorded by the recent National Dyslexia Working Party (2010), the National
Health and Medical Research Council (1990) definition of learning disabilities and
the definition of SLD used by the Australian Temperament Project (Prior, 1996).
According to these definitions, students who have SLD/dyslexia have neurological
processing problems that are likely to be genetically based and lifelong, and are highly
resistant to change despite excellent teaching. Because these problems are indepen-
dent of intelligence, they may be experienced by students at all levels including those
who are gifted. These students have significant difficulty (e.g. are 2 years or more
below expected level for age) with reading, spelling or mathematics and have
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Coping Successfully with Dyslexia 117
The Intervention
A withdrawal coping programme for year 6 students who had dyslexia was nested
within a classroom coping programme involving all year 6 students, which in turn
nested within whole-school dyslexia professional development and change. This
inclusive model of whole-school change rather than that of a stand-alone
programme for a particular target group has been shown to promote the priority
and resources needed to ensure implementation fidelity and sustainability of
mental health in schools programmes (Bond et al., 2001).
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118 N. Firth et al.
were unfamiliar with this model. A researcher visited the schools at least fortnightly
to provide ongoing professional development, facilitate an environment for teacher
reflection on effective support of students with dyslexia in school policy and
programmes, maintain project momentum (Butler, Bond, Glover, & Patton, 2002;
Glover & Butler, 2004) and monitor programme implementation. These visits
continued over a period of a year during the implementation of the universal and
intensive dyslexia component of the coping programme. The researcher had a
background of extensive experience in working with teachers and with students
who had dyslexia.
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Coping Successfully with Dyslexia 119
Programme structure
The structure of the universal and dyslexia support components of the
programme involved the aforementioned core mandatory segment of content
and process for each session with reinforcement activities that could be chosen
and adapted to meet individual school and student needs. Examples of reinforce-
ment activities included the following: blowing up a balloon, writing on it a negative
thought and jumping on the balloon; inviting a speaker who has dyslexia to speak
to the students/teachers/parents; being a mentor for a younger student who has
dyslexia; making a Snakes and Ladders game using positive and negative coping
strategies; making an advertisement for clever coping; videoing role plays; and
sharing and discussing related stories, art, poems and films.
Both the universal and dyslexia support components of the programme
incorporated best practice instruction for students who have SLD including
dyslexia. These are explicit instruction (Purdie & Ellis, 2005; Westwood,
2001), teaching of strategies (Deshler, 2005; Gresham, 1998; Meltzer et al.,
2004; Vaughn, Gersten, & Chard, 2000), clear structure, opportunity for intensive
revision, opportunity for generalization of skills (Borkowski & Muthukrishna,
1992; Gresham, 1998; Westwood, 2001), emphasis on student motivation
(Gresham, 1998) and print-free mediums (Firth, 2001). Content and sequencing is
summarized in Figure 1. See also the published programme (Firth & Frydenberg,
2011) for further details regarding content and process.
Procedure
The universal coping programme component and the concurrent, additional
dyslexia support component each involved ten 50-min lessons over a period of
11 weeks. Year 6 class teachers delivered the universal component of the coping
programme to all year 6 students, including those with dyslexia, in each of the
schools. This programme was implemented during normal class time. The dyslexia
support component was taught in a withdrawal situation during school time by an
assistant principal in one school and by a leading teacher in the other school. Both
teachers were highly experienced but neither had special education qualifications
or training. The teachers for both the universal and dyslexia components partici-
pated in professional development sessions of approximately 2-h duration, and
teachers were provided with a manual. Teachers were also given on-site
fortnightly support during the 10-week intervention period by a researcher who
had a background of extensive experience in working with teachers and with
students who had dyslexia.
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120 N. Firth et al.
Lewis, 1993).
3 Your Coping Profile Coping strategies and styles - individual profile graphs.
5 Choose Clever Coping Coping strategies that may be non- productive (self-
thoughts.
Evaluation
Procedure
Students completed surveys regarding perceived control, coping, well-being and
school engagement before the intervention (t0) and twice after programme
completion. First follow-up was after programme completion (t1) and second
follow-up was 12 months later after transition to secondary school (t2). All test
and questionnaire items were read aloud to the students.
Instruments
The perceived control measures. The perceived control measures used in this study
were The Locus of Control Scale for Children (Nowicki & Strickland, 1973) and the
Arc Self-Determination Scale (Wehmeyer, 1996). The Locus of Control Scale for
Children measures the extent to which a child feels they have control over their
lives (internal locus of control) as distinct from being controlled by external
circumstances (external locus of control). Each item involves a statement (e.g.
‘Do you believe that if somebody studies hard enough he or she can pass any
subject?’). The scale has been widely used (Mamlin, Harris, & Case, 2001;
Richardson, Bergen, Martin, Roeger, & Allison, 2005) and is amenable to change
in response to programmes for students who have learning disabilities (e.g. Firth
et al., 2008; Gomez, 1997). Responses take the form of a choice between yes
and no. Higher scores indicate more external locus of control. The Cronbach’s
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Coping Successfully with Dyslexia 121
alpha in the current study increased over the three data collection times from 0.57
at pretest to 0.67 at post-test and to 0.70 at follow-up.
The perceived control section of the Arc Determination Scale (Wehmeyer, 1996)
involves 14 items that measure self-determination or the feeling of being in
control. Items elicit choices between two alternative statements that respondent
feels best describes them (e.g. ‘I usually do what my friends want me to’ or ‘I tell
my friends if they are doing something I don’t want to do’). The scale was
developed for and has been used extensively by students who have learning
disabilities (Wehmeyer, 1996). The Cronbach’s alpha of the scale in this study
was 0.69 at baseline, 0.80 at post-test and 0.78 at follow-up.
The coping measure. Coping in this study refers to the behavioural and cognitive
efforts used by individuals to manage the demands of a person–environment
relationship (Frydenberg, 2008)
Coping responses were measured using the 50 productive and nonproductive
coping items (general version) from the Adolescent Coping Scale (Frydenberg &
Lewis, 1993) that were modified for use with younger children and have been
successfully used in this form with young adolescents in Australian schools (Jones
& Frydenberg, 2004). The general version relates to how a participant deals with
concerns in general, and the specific version requires participants to focus on a
particular concern. There is usually similarity in outcome regardless of the use
of general and specific versions of the scale (Frydenberg & Lewis, 1999).
Productive coping strategies included in the scale are working hard, working at
solving the problem, relaxing, keeping fit and healthy, and thinking positively.
Nonproductive coping strategies are ignoring the problem, self-blame, not having
a way of coping and tension-reduction activities such as crying, worrying,
keeping problems to oneself and wishful thinking. Each item consisted of a
statement (e.g. ‘Try to work out what the problem is’). Responses involve choosing
between three options of never, sometimes and often. In this study, the Cronbach’s
alpha was 0.80 at baseline, 0.85 at post-test and 0.79 at follow-up.
Data analysis
For any scale for which a participant had missed an item, the value of their
response to that item was imputed using their mean score on other items in the
scale. If more than 10% of items were missing from a scale response, it was not
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122 N. Firth et al.
RESULTS
Primary School Intervention Group: Comparison Between Students with and without
Dyslexia at Baseline (t0) and Post-Intervention (t1) and at 1-Year Follow-up (t2)
Contrary to our expectations, there were no significant differences between
students with and without dyslexia on any measures at baseline. Table 1 shows
the mean scores for each period for the perceived control, coping, well-being
and school engagement for students with and without dyslexia who received the
intervention. There was a significant and sustained improvement in locus of
control for all students. Students who had and those who did not have dyslexia
improved on average by about three points. There were significant reductions in
nonproductive coping for both groups following the intervention at post-test
(t1) and follow-up (t2) data collections (i.e. both groups improved over time).
There was however no significant difference between the two groups and no
statistically significant interaction effects (data not shown). That is, the rate of
improvement or decline in any of the measures did not differ between the groups
over the periods.
School connectedness decreased over time for both students with and without
dyslexia. This is not unexpected: school connectedness usually decreases over
time at this age level (Bond et al., 2007). There were no interaction effects (data
not shown) indicating that for both intervention groups (students who had and
did not have dyslexia), decrease in connectedness was similar.
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Coping Successfully with Dyslexia 123
Table 1. Comparison of intervention students with and without dyslexia at pretest (t0), post-test (t1)
and follow-up (t2)
Non-dyslexia Dyslexia
n = 79* n = 23* Dyslexia/
Time non-dyslexia
Mean (SD) mean (SD) p p
Locus of control
t0 18.30 (4.88) 17.71 (4.23)
t1 16.49 (4.78) 17.00 (5.08)
t2 15.25 (5.36) 14.32 (4.11) <0.001 0.735
Arc perceived control
t0 11.20 (2.41) 10.78 (3.00)
t1 11.29 (2.82) 11.65 (2.66)
t2 11.55 (3.20) 12.16 (2.22) 0.157 0.872
Productive coping
t0 2.42 (0.30) 2.46 (0.30)
t1 2.46 (0.23) 2.45 (0.29)
t2 2.44 (0.21) 2.44 (0.19) 0.754 0.984
Nonproductive coping
t0 1.89 (0.22) 1.95 (0.30)
t1 1.82 (0.26) 1.88 (0.32)
t2 1.80 (0.26) 1.83 (0.23) 0.015 0.150
Well-being
t0 18.30 (4.39) 18.00 (4.35)
t1 17.92 (4.03) 18.33 (4.29)
t2 17.90 (4.53) 17.53 (3.36) 0.498 0.889
School connectedness
t0 25.61 (4.38) 24.26 (4.36)
t1 24.96 (3.99) 24.72 (4.29)
t2 22.80 (4.56) 23.47 (4.14) <0.001 0.480
DISCUSSION
Baseline comparisons between students who had dyslexia and those who did not
indicated no significant difference on perceived control, coping, well-being and
school connection. This result is of interest as studies have shown differences
between these populations at secondary school level with students with dyslexia
having more external locus of control and less adaptive coping (Firth,
Frydenberg, & Greaves, 2008; Lackaye et al., 2006; Wehmeyer & Kelchener,
1996). There have been few, if any, studies involving these variables for younger
students who have dyslexia. It is possible therefore that students who have
dyslexia do not develop less adaptive coping strategies and a more external sense
of control until they reach the more challenging environment of secondary
school. Interventions at this earlier age may therefore be particularly timely in
assisting these students to avoid developing such responses. Indeed it appears
that this may have occurred in the study. At follow-up in year 7, the students
who had dyslexia and had received the intervention had similar profiles with
regard to school connectedness and happiness to those who did not have
dyslexia, and they had higher well-being than the students in the contrast group
who had dyslexia but who had not received the intervention.
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124
Table 2. Comparison of intervention and contrast group students in secondary school (t2)
Limitations
Although it is encouraging to see that the students who had dyslexia in the interven-
tion group made and maintained similar gains to the students who did not have
dyslexia, and appeared to be doing better than the students in the contrast group
who had dyslexia, this was a small trial and was not sufficiently powered to assess
differences in outcomes. Attrition for the students who received the intervention
was very low at the post-test, and reasonably low for follow-up on transition to
secondary school (10 children without dyslexia and 4 children with dyslexia), but this
loss further reduced the power to detect statistically significant differences. A larger
sample and a control group identified at baseline rather than a contrast group in the
follow-up year would have allowed ongoing comparison throughout the study rather
than only at the follow-up stage. It would also have allowed the awareness of when
and if students in the control group who had dyslexia began to develop difficulty with
their coping and would have thus strengthened the outcome of the study. Other
covariates such as family support may also need to be included. Family support is
likely to also influence outcomes for perceived control and coping responses used
by students, including those who have dyslexia.
These results rely only on student report. The qualitative data however
included teacher reports and interviews, school documents and surveys. This
qualitative data provides support for the quantitative results in that it presents
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126 N. Firth et al.
mostly positive feedback about the effect of the intervention, particularly for the
students who had dyslexia (Firth et al., 2012).
The intervention was also a complex one, and it is neither possible with our
study design to ascertain whether particular aspects were powerful nor whether
the combination of all its elements was necessary. However, we would argue that
the intensive, longer version of the programme for the SLD students was a crucial
aspect of the programme.
The influence of the dyslexia-friendly whole-school change environment may
also have been a crucial element. The qualitative data reported on aspects of the
intervention model that appeared to improve implementation with particular
investigation of the nested, inclusive model used and the sustainability of the
intervention. Both schools successfully implemented the programme and continue
to use components of the programme. One school has continued to develop its
dyslexia-friendly practice (Firth et al., 2012) and is becoming a satellite school
for others in Australia.
ACKNOWLEDGEMENTS
We wish to acknowledge the support for this study by the following institutions: the
Australian Research Council, the Invergowrie Foundation, the Cass Foundation and the
Victorian Government’s Operational Infrastructure Support Program.
Nola Firth and Erica Frydenberg have published the manual through the Australian
Council of Educational Research and jointly receive 10% of each copy sold.
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Coping Successfully with Dyslexia 127
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