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Prevention by Specific Perceptual Remediation for Vulnerable First-GradersControlled Study and Follow-up of Lasting Effects
L. Eugene Arnold, MEd, MD;
Norma Barnebey, PhD;
John McManus, PhD;
Donald J. Smeltzer, MA;
Ann Conrad, MA;
Gayle Winer;
Louise Desgranges, MD
Arch Gen Psychiatry. 1977;34(11):1279-1294.
Abstract
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In a pretest-posttest design with two matched control groups, 86 first-graders screened as vulnerable to academic failure and behavioral decompensation were each assigned to one of three groups: (1) channel-specific perceptual stimulation, (2) regular academic tutoring (contact controls), or (3) no contact. On most measures, including perceptual and achievement tests and behavior ratings by teachers, group 1 showed more improvement than either of the control groups. Several of these differences were significant (P <.05, two-tailed). In general, the two control groups came closer to each other than to group 1.
With no further intervention, follow-up one year later showed more dramatic significance. On every measure, group 1's improvement surpassed that of the control groups, and diverged from them even more than at posttest; this divergence was significant on most measures. Group 1 improved significantly (P <.05 to P <.01) in reading, lQ, and three behavior scales, while both control groups showed only deterioration on these measures. Group 1 gained five IQ points on the Wechsler Intelligence Scale for Children, while the controls lost five. On the Davids Scale, group 1 improved significantly (P <.01) to "probably not hyperkinetic," while both control groups deteriorated to "probably hyperkinetic." The hypothesized mechanism of group 1's behavioral superiority at follow-up was its significant (P <.01) reading improvement, with secondary emotional benefits.
Author Affiliations
From the Division of Child Psychiatry, Department of Psychiatry, Ohio State University, Columbus.
Footnotes
Accepted for publication Feb 17, 1977.
Reprint requests to Department of Psychiatry, Ohio State University, 473 W 12th Ave, Columbus, OH 43210 (Dr Arnold).
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