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04/12/2021. Research Study
The purpose of this study was to investigate the effects of 1st-grade number knowledge tutoring with contrasting forms of practice. Tutoring occurred 3 times per week for 16 weeks. In each 30-min session, the major emphasis (25 min) was number knowledge; the other 5 min provided practice in 1 of 2 forms. Nonspeeded practice reinforced relations and principles addressed in number knowledge tutoring. Speeded practice promoted quick responding and use of efficient counting procedures to generate many correct responses. At-risk students were randomly assigned to number knowledge tutoring with speeded practice (n = 195), number knowledge tutoring with nonspeeded practice (n = 190), and control (no tutoring, n = 206). Each tutoring condition produced stronger learning than control on all 4 mathematics outcomes. Speeded practice produced stronger learning than nonspeeded practice on arithmetic and 2-digit calculations, but effects were comparable on number knowledge and word problems. Effects of both practice conditions on arithmetic were partially mediated by increased reliance on retrieval, but only speeded practice helped at-risk children compensate for weak reasoning ability. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

04/12/2021. Research Study
Replication studies are extremely rare in education. This randomized controlled trial (RCT) is a scale-up replication of Fuchs et al., which in a sample of 139 found a statistically significant positive impact for Number Rockets, a small-group intervention for at-risk first graders that focused on building understanding of number operations. The study was relatively small scale (one site) and highly controlled. This replication was implemented at a much larger scale—in 76 schools in four urban districts; 994 at-risk students participated. Intervention students participated in approximately 30 hours of small-group work in addition to classroom instruction; control students received typical instruction and whatever assistance the teacher would normally provide. Intervention students showed significantly superior performance on a broad measure of mathematics proficiency.

04/12/2021. Research Study
We examined the efficacy of 20 weeks of individual supplemental phonics-based instruction for language minority (LM) and non-LM first graders. Students were designated LM if the primary home language was not English (otherwise non-LM). Those performing in the bottom half of their classroom LM/non-LM group in letter knowledge and phonological awareness were randomly assigned to treatment and control conditions. Treatment included alphabetics, decoding, and oral reading practice. Results showed that treatment students (n = 93) outperformed controls (n = 94) on 5 of the 6 posttests; however, LM students exhibited lower treatment response on passage reading fluency. Pretest word reading did not moderate treatment response, and LM students with greater baseline vocabulary showed greater treatment response on posttest word reading and spelling

04/12/2021. Research Study
This study examined the efficacy of preventive 1st-grade tutoring in mathematics, estimated the prevalence and severity of mathematics disability, and explored pretreatment cognitive characteristics associated with mathematics development. Participants were 564 first graders, 127 of whom were designated at risk (AR) for mathematics difficulty and randomly assigned to tutoring or control conditions. Before treatment, all participants were assessed on cognitive and academic measures. Tutoring occurred 3 times weekly for 16 weeks; treatment fidelity was documented; and math outcomes were assessed. Tutoring efficacy was supported on computation and concepts/applications, but not on fact fluency. Tutoring decreased the prevalence of math disability, with prevalence and severity varying as a function of identification method and math domain. Attention accounted for unique variance in predicting each aspect of end-of-year math performance. Other predictors, depending on the aspect of math performance, were nonverbal problem solving, working memory, and phonological processing. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

04/12/2021. Research Study
This study examined the efficacy of a paraprofessionalled supplemental early intervention for first-grade students with poor early literacy skills and behavioral concerns. The goal was to determine if (a) the relatively brief intervention was effective in improving phonological skills, and (b) improvements in academic skills would be accompanied by behavioral and social improvements. The results indicated that the students in the treatment condition experienced significant, lasting increases in phonological awareness and moderate improvement in word attack skills. However, significant collateral effects on social and behavioral performance were not observed. Limitations and directions for future investigation are offered.

04/12/2021. Research Study
Children living in foster care are a particularly vulnerable group of children that are at high-risk for experiencing a multitude of difficulties, including poor academic performance and achievement. Although the academic underachievement of foster children has been well-documented for decades, very few attempts have been made to address the problem. This thesis is the second study to come out of the RESPs for Kids in Care research project, which represents one of three known randomized controlled trials aimed at providing an academic intervention to foster children with a view of improving their basic skills, increasing their chances of graduating from high school and enrolling in post-secondary education. Sixty-four foster children (aged 6 to 13 years), recruited from nine Children’s Aid Societies in Ontario, Canada, participated in the project and received an individualized direct-instruction tutoring intervention that was delivered by their foster parent(s). The unique contribution of the current study was its investigation of differential gender effects of the tutoring amongst the foster boys and girls, and whether there were any mental health and social-relational spillover effects. A mixed-method approach was used to explore these differential effects and the main hypothesis of the project, that the foster children in the experimental group would demonstrate greater gains in reading and math than the children in the control group, between pre-test and post-test, regardless of gender. The results were promising: the foster children in the experimental group demonstrated significant gains in their basic reading and math skills after receiving the foster-parent delivered one-on-one tutoring; there were differential gender effects across the academic and mental health results; and there was partial support for the notion that an academic tutoring intervention does elicit spill-over effects into the mental health and social-developmental domains of foster children’s lives. Results and implications were discussed.

04/12/2021. Research Study
We evaluated the effects of TutorBright tutoring on the reading and mathematics skills of children in family foster care, examined several potential moderators of the impact of tutoring, and explored possible ‘spill-over’ effects on the children’s executive functioning and behavioural difficulties and on their caregivers’ level of involvement in schoolwork in the home. The sample consisted of 70 children in care in Ontario, Canada. At the pre-test, the children were aged 5–16 years (M = 10.41, SD = 2.94) and enrolled in school grades 1–11 (M = 5.53, SD = 2.90). Thirty-four children were randomly assigned to tutoring and 36 to a waiting list control condition. Seven subtests from the Woodcock-Johnson III (WJ-III) achievement test served as outcome measures. The tutored children made statistically greater gains than those in the control group on the WJ-III subtests of Reading Fluency, Reading Comprehension, and Mathematics Calculation, but not on Word Reading, Spelling, Math Fluency, or Applied Math Problems. Age, executive functioning, caregiver controlling involvement in schoolwork, and self-reported post-traumatic stress disorder symptoms were found to moderate the effectiveness of tutoring. There were no spill-over effects of tutoring. The implications of the results for improving foster children’s reading and mathematics skills were discussed.

04/12/2021. Research Study
One-to-one instruction, while highly desirable for children with the lowest reading skills, is not often available. It could be provided by nonprofessional tutors in the community, however. One aim of this study was to determine whether a one-to-one phonologically based tutoring program that incorporates many features of successful early reading programs and that is delivered by nonprofessional tutors is effective with first-grade students at risk for reading failure. Forty at-risk first graders who did not differ on reading skill prior to the intervention were randomly assigned to one of two groups. The treatment group received 30 minutes of individual instruction from community tutors four days a week for up to 23 weeks. The control group received only the regular reading instruction in their classrooms. The treatment group outperformed the control group on all reading, decoding, spelling and segmenting, and writing measures, with effect sizes averaging .21, .35, .37, and .19, respectively. Differences were significant on only one nonword reading and one spelling measure; however, a second aim was to determine the effects of the tutors' ability to implement the lessons scripted for them. Tutors who implemented the program with a high degree of fidelity achieved significant effect sizes in each early reading skill area assessed. Results support the potential of nonprofessional tutors to supplement early reading instruction, and prevent learning disabilities in at-risk children.

04/12/2021. Research Study
The purposes of this study were to replicate previous research on phonics-based tutoring in kindergarten and to compare treatment effects for students who received individual instruction compared to instruction in dyads. Thirty classroom teachers from 13 urban elementary schools referred at-risk students for participation. Students who met screening criteria were quasi-randomly assigned, within classroom, to one of three conditions: individual tutoring (n = 22), tutoring in dyads (n = 32), or no tutoring (n = 22, classroom instruction only). Twenty-one paraeducators provided 18 weeks of explicit instruction in phonemic skills and the alphabetic code to students during the latter half of kindergarten. Multilevel model results showed that tutored students outperformed non-tutored controls on posttest measures of phonological awareness, word reading accuracy, oral reading fluency, spelling, and comprehension. However, no significant differences were found between the two tutored groups on any measure, suggesting that code-oriented tutoring for pairs of students is a viable alternative to the gold standard of individual instruction.

04/12/2021. Research Study
The consistently poor educational achievement of children in foster care has been associated with many negative outcomes including long term poor adult adjustment (e.g., higher rates of suicide, criminality, and substance abuse). The current study was undertaken to improve foster children's academic skills through academic remediation. Across this two year randomized study, 91 children in out of home foster or kinship care, between grades 1 and 8 inclusive, completed the study. One-half were randomly assigned to the 30-week direct-instruction small group tutoring condition, while the other half served as wait-list controls. A statistically significant increase in standard scores was found on reading decoding, spelling and mathematic skills for the children who received tutoring, but no differences were obtained on sentence comprehension. Significant effect sizes, in the small to moderate range, were also found in support of the tutoring condition across these three domains. The implications of these positive findings as they relate to improving educational achievement among children in foster care are discussed.

04/12/2021. Research Study
We examine the efficacy of an intervention to improve word reading and reading comprehension in fourth- and fifth-grade students with significant reading problems. Using a randomized control trial design, we compare the fourth- and fifth-grade reading outcomes of students with severe reading difficulties who were provided a researcher-developed treatment with reading outcomes of students in a business-as-usual (BAU) comparison condition. A total of 280 fourth- and fifth-grade students were randomly assigned within school in a 1:1 ratio to either the BAU comparison condition ( n = 139) or the treatment condition ( n = 141). Treatment students were provided small-group tutoring for 30 to 45 minutes for an average of 68 lessons (mean hours of instruction = 44.4, SD = 11.2). Treatment students performed statistically significantly higher than BAU students on a word reading measure (effect size [ES] = 0. 58) and a measure of reading fluency (ES = 0.46). Though not statistically significant, effect sizes for students in the treatment condition were consistently higher than BAU students for decoding measures (ES = 0.06, 0.08), and mixed for comprehension (ES = -0.02, 0.14).

04/12/2021. Research Study
Abstract: There is growing concern that improving the academic skills of disadvantaged youth is too difficult and costly, so policymakers should instead focus either on vocationally oriented instruction for teens or else on early childhood education. Yet this conclusion may be premature given that so few previous interventions have targeted a potential fundamental barrier to school success: "mismatch" between what schools deliver and the needs of disadvantaged youth who have fallen behind in their academic or non-academic development. This paper reports on a randomized controlled trial of a two-pronged intervention that provides disadvantaged youth with non-academic supports that try to teach youth social-cognitive skills based on the principles of cognitive behavioral therapy (CBT), and intensive individualized academic remediation. The study sample consists of 106 male 9th and 10th graders in a public high school on the south side of Chicago, of whom 95% are black and 99% are free or reduced price lunch eligible. Participation increased math test scores by 0.65 of a control group standard deviation (SD) and 0.48 SD in the national distribution, increased math grades by 0.67 SD, and seems to have increased expected graduation rates by 14 percentage points (46%). While some questions remain about the intervention, given these effects and a cost per participant of around $4,400 (with a range of $3,000 to $6,000), this intervention seems to yield larger gains in adolescent outcomes per dollar spent than many other intervention strategies.

04/12/2021. Research Study
This seven-week study examined the effects of the Neurological Impress Method and Read Two Impress on reading comprehension, fluency, and students’ attitude toward reading. The 57 first-, second-, and third-grade students were randomly assigned to three conditions and were pre- and posttested on eight reading measures. Several 3 × 2 factorial analyses of variance revealed significant interaction effects on retell, comprehension questions, and the multidimensional fluency scale as well as time effects on words read correctly per minute and word recognition accuracy. Moreover, a comparison of mean difference effect sizes favored the treatment groups on all reading fluency and comprehension measures. The interventions, however, had little effect on students’ attitude toward reading. Practical implications and future research directions are also discussed.

04/12/2021. Research Study
Evidence-based interventions exist for improving multiple fundamental math competencies, but delivering interventions with fidelity and within a data-driven, tiered framework is a practical challenge faced by most schools. The current study evaluated a math intervention program delivered with community-based resources via AmeriCorps. At the beginning of the school year, students in Grades 4–8 (n = 550) were randomly assigned to receive math support via the program or to a waitlist control group. Outcomes were measured with a broad-based assessment of math achievement in the winter. Results from intent-to-treat analyses showed a significant and positive effect (d =.17) for the program that increased slightly under optimal dosage conditions (d =.24). The observed results extend existing literature on math interventions in schools by illustrating the potential for partnerships between community-based organizations and schools to improve outcomes for at-risk students.

04/12/2021. Research Study
The purpose of this study was to assess the efficacy of fact retrieval tutoring as a function of math difficulty (MD) subtype, that is, whether students have MD alone (MD-only) or have concurrent difficulty with math and reading (MDRD). Third graders (n = 139) at two sites were randomly assigned, blocking by site and MD subtype, to four tutoring conditions: fact retrieval practice, conceptual fact retrieval instruction with practice, procedural computation/estimation instruction, and control (no tutoring). Tutoring occurred for 45 sessions over 15weeks for 15–25 minutes per session. Results provided evidence of an interaction between tutoring condition and MD subtype status for assessment of fact retrieval. For MD-only students, students in both fact retrieval conditions achieved comparably and outperformed MD-only students in the control group as well as those in the procedural computation/estimation instruction group. By contrast, for MDRD students, there were no significant differences among intervention conditions.

04/12/2021. Research Study
This article reports on the short-term impact of a school-based program using older adult volunteers and aimed at improved academic achievement and reduced disruptive classroom behavior in urban elementary school students. The Experience Corps® Baltimore (Maryland) program places a critical mass of older adult volunteers, serving 15 hours or more per week, in public schools to perform meaningful and important roles to improve the educational outcomes of children and the health and well-being of the volunteers. This article reports on the preliminary impact of the program on children in grades K-3. A total of 1,194 children in grades K-3 from six urban elementary schools participated in this pilot trial. At follow-up, third grade children whose schools were randomly selected for the program had significantly higher scores on a standardized reading test than children in the control schools, and there was a nonsignificant trend for improvement in alphabet recognition and vocabulary ability among kindergarten children in the program. Office referrals for classroom misbehavior decreased by about half in the Experience Corps schools, but remained the same in the control schools. Teachers had somewhat more favorable attitudes toward senior volunteers as a result of having older volunteers in the classroom, although the difference between the intervention and control schools was not statistically significant. In this pilot trial, the Experience Corps program led to selective improvements in student reading/academic achievement and classroom behavior while not burdening the school staff.

04/12/2021. Research Study
Researchers and practitioners indicate students require explicit instruction on mathematics vocabulary terms, yet no study has examined the effects of an embedded vocabulary component within mathematics tutoring for early elementary students. First-grade students with mathematics difficulty (MD; n = 98) were randomly assigned to addition tutoring with an embedded vocabulary component, addition tutoring without the embedded vocabulary component, or business-as-usual control. At posttest, students who received addition tutoring without vocabulary demonstrated greater gains than control students on addition fluency. On a measure of mathematics vocabulary, students in the active tutoring conditions demonstrated improved performance on mathematics vocabulary over control students. Results indicate that exposure to addition tutoring with or without an embedded vocabulary component positively improves mathematics vocabulary performance.

04/12/2021. Research Study
In Making Pre-K Count, pre-K programs were randomly assigned to receive an evidence-based early math curriculum (Building Blocks) and associated professional development or to a pre-K-as-usual control condition. Pre-K in New York City changed rapidly during the study, with teachers overall conducting substantially more math than had previously been documented — a factor that may have played a role in the lack of impacts from Making Pre-K Count on children’s math learning at the end of the pre-K year. In the High 5s study, students who had been in Making Pre-K Count program classrooms in pre-K were individually randomly assigned within schools in the kindergarten year to supplemental small-group math clubs, which took place outside of regular instructional time, or to a business-as-usual kindergarten experience. A companion report describes the High 5s program in more detail. This report focuses on the effects in kindergarten of the two math programs.

04/12/2021. Research Study
The purpose of this study was to investigate the effectiveness of explicit, direct, and generative strategy training and working memory capacity (WMC) on mathematical word problem-solving accuracy in elementary schoolchildren. In this study, children in third grade (N = 82) identified as at risk for math difficulties (MD) were randomly assigned (within classrooms) to one of three treatment conditions that explicitly directed students’ attention to different propositions within word problems—paraphrase question propositions (Restate), paraphrase relevant propositions (Relevant), and paraphrase all propositions (Complete)—or an untreated control condition. A significant treatment by covariate design indicated that generative strategy outcomes were conditional on the level of pretest WMC. A clear advantage in posttest problem-solving accuracy and solution planning was found for the complete generative condition relative to the control condition, but this advantage was conditional on setting WMC to a high level. Although no significant treatment advantages were found for solution accuracy when WMC was set to a low level, treatment advantages relative to the control condition were found for measures of schema activation. The results indicated that the effectiveness of generative strategies among children at risk for MD was directly dependent on the level of WMC.

04/12/2021. Research Study
The purposes of this study were to assess the efficacy of remedial tutoring for 3rd graders with mathematics difficulty, to investigate whether tutoring is differentially efficacious depending on students' math difficulty status (mathematics difficulty alone vs. mathematics plus reading difficulty), to explore transfer from number combination (NC) remediation, and to examine the transportability of the tutoring protocols. At 2 sites, 133 students were stratified on mathematics difficulty status and site and then randomly assigned to 3 conditions: control (no tutoring), tutoring on automatic retrieval of NCs (i.e., Math Flash), or tutoring on word problems with attention to the foundational skills of NCs, procedural calculations, and algebra (i.e., Pirate Math). Tutoring occurred for 16 weeks, 3 sessions per week and 20-30 min per session. Math Flash enhanced fluency with NCs with transfer to procedural computation but without transfer to algebra or word problems. Pirate Math enhanced word problem skill as well as fluency with NCs, procedural computation, and algebra. Tutoring was not differentially efficacious as a function of students' mathematics difficulty status. The tutoring protocols proved transportable across sites.

04/12/2021. Research Study
This study replicates research on the efficacy of a repeated reading intervention with word-level instruction for students in Grades 2 and 3 with low to moderate fluency skills, examines differences between treatment implementers, and tests unique contributions of treatment-related variables on outcomes. Students from 13 schools were randomly assigned to dyads; dyads were randomly assigned to treatment or control conditions. Schools were matched into treatment implementer groups (teachers or paraeducators) at study onset. Tutoring occurred during school hours for 15 weeks (M = 25.5 hr). Multilevel model results showed treatment students (n = 98) gained more than controls (n = 104) on measures of letter-sound knowledge (d = .41), fluency (d = .37–.38), and comprehension (d = .30–.31); students tutored by teachers gained more than their paraeducator-tutored peers on word reading and fluency. Finally, dyads tutored with greater fidelity gained more in word reading and fluency; dyads that read more complex words in their texts gained less on letter-sounds, fluency, and comprehension.

04/12/2021. Research Study
This study examined the efficacy of a Tier 2 kindergarten mathematics intervention program, ROOTS, focused on developing whole number understanding for students at risk in mathematics. A total of 29 classrooms were randomly assigned to treatment (ROOTS) or control (standard district practices) conditions. Measures of mathematics achievement were collected at pretest and posttest. Treatment and control students did not differ on mathematics assessments at pretest. Gain scores of at-risk intervention students were significantly greater than those of control peers, and the gains of at-risk treatment students were greater than the gains of peers not at risk, effectively reducing the achievement gap. Implications for Tier 2 mathematics instruction in a response to intervention (RtI) model are discussed.

04/12/2021. Research Study
This dissertation examined the efficacy of using minimally trained college undergraduates to tutor third- through fifth-grade students with reading difficulties. Tutors receiving four hours of training in scripted reading program based on the principles of Direct Instruction and emphasizing explicit instruction in phonological awareness and decoding. Thirty-six students from two elementary schools in a large southeastern city in the United States were selected and randomly assigned to treatment (tutoring) or contrast (non-tutoring) conditions. Treatment students received an average of fourteen and a half hours of tutoring over a twelve-week period. Data indicated that university students with minimal training successfully implemented the scripted tutoring package with experimenter feedback. Although, significant differences were only found for word identification, the treatment students out gained the contrast students on all measures. Effect sizes were moderate to strong. In addition, separate data for regular and special education students indicated statistically significant differences on two measures on two measures of fluency (correct words per minute read) for regular education treatment students over regular education control students. The efficacy of using minimally trained adult tutors to supplement classroom reading instruction for students with reading difficulties is also discussed.

04/12/2021. Research Study
This research investigated the immediate and long-term effects of a Tier 2 intervention for beginning readers identified as having a high probability of reading failure using a randomized control trial. First-grade participants (n = 123) were randomly assigned either to a 25-session intervention targeting key reading components, including decoding, spelling, word recognition, fluency, and comprehension, or to a no-treatment control condition. Analyses of immediate posttests (end of first grade) indicated significant differences in measures of Decodable Word Fluency (effect size = .40) favoring the intervention group. Within the intervention group, tutor ratings of attention were significantly related to growth in Passage Reading Fluency and Spelling Fluency. Longitudinal assessments (end of second grade) indicated no significant differences by group. Analysis of responder status indicated that students defined as responders maintained gains to the end of second grade.

04/12/2021. Research Study
This study examined effects of a repeated reading intervention, Quick Reads, with incidental word-level scaffolding instruction. Second- and third-grade students with passage-reading fluency performance between the 10th and 60th percentiles were randomly assigned to dyads, which were in turn randomly assigned to treatment (paired tutoring, n = 82) or control (no tutoring, n = 80) conditions. Paraeducators tutored dyads for 30 min per day, 4 days per week, for 15 weeks (November-March). At midintervention, most teachers with students in the study were formally observed during their literacy blocks. Multilevel modeling was used to test for direct treatment effects on pretest-posttest gains as well as to test for unique treatment effects after classroom oral text reading time, 2 pretests, and corresponding interactions were accounted for. Model results revealed both direct and unique treatment effects on gains in word reading and fluency. Moreover, complex interactions between group, oral text reading time, and pretests were also detected, suggesting that pretest skills should be taken into account when considering repeated reading instruction for 2nd and 3rd graders with low to average passage-reading fluency. (PsycInfo Database Record (c) 2020 APA, all rights reserved)

04/12/2021. Research Study
This article presents the findings of a randomized controlled trial evaluation of the effects of a revised version of the volunteer mentoring programme, Time to Read. Participating children received two 30-minute mentoring sessions per week from volunteer mentors who carried out paired reading activities with the children. The current trial involved 512 children aged eight to nine years from 50 primary schools. The programme was found to be effective in improving decoding skills (d=+.15), reading rate (d=+.22) and reading fluency (d=+.14) and there was some evidence of a positive effect in relation to the children’s aspirations for the future (d=+.11). However, no evidence was found of the programme having an effect on reading comprehension or reading confidence and enjoyment of reading. The article concludes by suggesting that mentoring programmes using non-specialist volunteers can be effective in improving foundational reading skills but would appear to be less effective in terms of improving higher-order skills such as comprehension. The article also suggests that such programmes are likely to be most effective if concentrating on core reading activities rather than attempting to address reading outcomes indirectly through improving children’s confidence or wider enjoyment of reading.

04/12/2021. Research Study
An intensive phonics-based intervention program for nine-year-old Swedish pupils with reading difficulties was performed. Pupils (N = 112) were randomly assigned to either an intervention or a control group. The training was tailored to the Swedish transparent orthography and designed for one-to-one-tutoring during twelve weeks. Previously, reading speed has been shown to be hard to remediate, and one important purpose was to improve reading speed by explicit training. The intervention group showed improvements immediately after intervention in spelling, reading comprehension, reading speed, and phoneme awareness. There were also significant indirect effects from intervention to all variables one year later. Reading comprehension at immediate post-test predicted spelling one year later, and phoneme awareness at post-test predicted both spelling and reading comprehension one year later. The results suggest the importance of a multi-component intervention, even in transparent orthographies, which includes phonics combined with comprehension strategies and fluency training.

04/12/2021. Research Study
This study reviews the effectiveness of an extracurricular paired reading program to enhance the reading of struggling readers. For the first time, two program conditions are compared within one study: parent tutors and volunteer tutors. The program was implemented within a randomized controlled field trial; its effects on reading fluency and reading ability were investigated on a sample of 198 Swiss third graders with reading difficulties. The findings revealed that volunteers outperformed parents: Children who trained with volunteers developed significantly better reading fluency after 20 weeks (d = .21). However, the main effects on reading fluency did not last at follow-up and no effects on general reading ability were found. Children with higher reading fluency at the pretest benefitted significantly more than very poor readers (post-test: d = .47; 5 month FU: d = .39). The study highlights the benefit of volunteer tutoring and the necessity of ongoing, adaptive support for very poor readers.

04/12/2021. Research Study
https://www.tandfonline.com/doi/abs/10.1080/19345747.2016.1138560