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Alison Roberts
Longwood University
LITERATURE REVIEW AND RESEARCH PROPOSAL 2
How to teach students who are deaf and hard of hearing to read has been in the
background of literacy research for far too long. Students who are deaf and hard of hearing
(DHH) typically lag behind their grade-level peers in reading. Achievement testing shows that,
by the time DHH students are exiting high school, they only demonstrate reading comprehension
of an average fourth grade student (Qi & Mitchell, 2012, p. 6). This trend is not just in the past.
A comparison of DHH students’ scores from 1974 to 2003 show continual averages between
third and fourth grade equivalent scores for eighteen year olds (Qi & Mitchell, 2012, p. 6).
Section I
In 1997, Congress asked for a panel to be formed to examine the research in literacy
methodology. The National Reading Panel was formed and found what are considered to be the
comprehension, and vocabulary (2000, p. 1-2). Today, these factors are still considered to be the
During their research, the National Reading Panel established “phonemic awareness and
letter knowledge as the two best school-entry predictors of how well children will learn to read
during the first 2 years of instruction” (2000, p. 2-9). While it may seem counterintuitive for
phonemic awareness, the ability to hear and manipulate the smallest unit of sounds, to be
important in the reading skills of students who are often unable to clearly hear sounds, research
Studies have shown that the same correlation between phonemic awareness and reading
success is true are for DHH students (Woolsey, Satterfield, & Roberson, 2006, p. 455). A study
of reading ability in deaf students by Dyer, MacSweeney, Szczerbinski, Green, and Campbell
LITERATURE REVIEW AND RESEARCH PROPOSAL 3
found that “the best correlates of reading in these students were tasks related to phonemic
awareness and decoding (PAD), and reading delay was negatively related to these skills” (2003,
p. 225). Another study has proven that DHH students who do better with rhyming tasks in
kindergarten will do better on word recognition in first grade (Colin, Magnan, Ecalie, &
Leybaert, 2007).
In 2008, Wang, Trezek, Luckner, and Paul set out to find the role that phonological
processes, such as phonemic awareness, play in reading for DHH students and how reading was
different for hearing and DHH students. They found that the same five elements the National
Reading Panel identified as being instrumental for hearing students are still fundamental for
DHH students. Their important distinction is that “how these fundamentals are delivered via
instruction should vary because of the individual differences in children” (Wang et al., 2008, p.
398). Just as a teacher might differentiate lessons based on levels of knowledge or learning
styles, these fundamental skills can have their delivery modified to be made accessible for all
students.
Learning to read has aspects that are the same and that are different for DHH and hearing
students. A pivotal similarity is that children learning to read, whether they are hearing or DHH,
will “follow the same sequence of skill development” when learning to read (Wang et al., 2008,
p. 398). However, it used to be thought that DHH children were incapable of learning
phonological skills. Because of this belief, a whole language approach was often used with DHH
students, and “phonemic awareness and phonics were not required to be taught” before No Child
Left Behind was enacted (Narr & Cawthon, 2010, p. 72). “Lack of attention to teaching critical
beginning reading skills such as phonemic awareness and phonics may contribute to the reading
difficulties experienced by students who are deaf or hard of hearing” (Wang et al., 2008, p. 398).
LITERATURE REVIEW AND RESEARCH PROPOSAL 4
After No Child Left Behind was implemented, all students needed to receive phonics and
phonemic awareness instruction, including DHH students (Narr & Cawthon, 2010, p. 72).
Research has revealed that DHH student can learn phonemic awareness and phonics when
The issue then became that teachers needed a way for DHH students to wield phonological
knowledge when they cannot hear any phonemes or have limited hearing. See the Sound: Visual
Phonics (Visual Phonics) is a system that can make phonemes accessible for DHH students.
Visual Phonics is a system of hand cues and written symbols that each correspond to a phoneme.
Visual Phonics is not an explicit phonics program; it provides hand cues and written symbols to
be used in conjunction with a class’s reading and phonics programs as an aid (International
Communication Learning Institute, 2011). Since the early 1980’s, teachers have been attending
While this system was developed with DHH students in mind, it has also been used to help
students with other disabilities and struggling readers. In 2009, 200 teachers trained in Visual
Phonics took a survey about how they use the hand cues and written symbols in their classrooms
and what results they saw (Narr & Cawthon, 2010, p. 72). Teachers cited an improvement in
decoding abilities for DHH students (Narr & Cawthon, 2010, p. 72).
Visual Phonics has been combined with various reading and phonics programs over the
years. Through the use of this combination, researchers have found an improvement in
phonological awareness, phonics, and overall reading ability. In 2011, six students were tutored
to supplement classroom instruction using Visual Phonics and Teach Your Child to Read in 100
Easy Lessons, a literacy program. All six of the students made gains in pseudoword decoding
after ten weeks of tutoring (Guardino, Syverud, Joyner, Nicols, & King, 2011). This suggests
LITERATURE REVIEW AND RESEARCH PROPOSAL 5
that the students could take what they had learned in tutoring when looking at real words and
apply the phonics knowledge to pseudowords. While the sample size and limiting factors of this
study warrant further research, this does suggest that using Visual Phonics combined with a
Trezek and Wang studied the implications of using Visual Phonics in combination with
Reading Mastery I over an eight month period (2006). Thirteen students ranging from
kindergarten to first grade were studied. All students made significant gains over the course of
the study. Pseudowords decoding, and reading comprehension tests were administered for the
nine first grade students. All of the students made gains in pseudoword decoding, and all but one
student made gains in reading comprehension. In terms of how much progress the students made,
students averaged a gain of four months in word reading and a gain of nine months in
pseudoword decoding (Trezek & Wang, 2006). Given the very gradual reading gains typically
A similar study was conducted using Visual Phonics and LACES, a school district’s
literacy curriculum, with kindergarten and first grade students over the course of a school year
(Trezek, Wang, Woods, Gampp, & Paul, 2007). Kindergarten students were assessed on how
well they represented sounds in words, how accurate their spelling was, and how well they could
segment phonemes. First grade students were assessed on all the same measures as the
kindergarten students in addition to tests for phoneme deletion, onsets, and rimes. While there
are limits to this research, the conclusions “indicate that given 1 year of instruction from a
students who are deaf or hard of hearing can demonstrate improvements in beginning readings
skills” (Trezek et al., 2007, p. 383). The results of these studies indicate that using Visual
LITERATURE REVIEW AND RESEARCH PROPOSAL 6
Phonics and a strong reading curriculum can result in gains in literacy activities for DHH
students.
When No Child Left Behind was implemented, the call for research based programs left
many schools looking towards the National Reading Panel for guidance (Trezek et al., 2007, p.
373). For teachers of the deaf and hard of hearing, this meant finding a way for all students to
access phonics and phonemic awareness. The push for research based programs meant research
to support programs like Visual Phonics was needed quickly. Several studies have looked at
using Visual Phonics as part of a literacy curriculum to teach DHH students and have found
promising results (Guardino et al., 2011; Narr, 2008; Narr & Cawthon, 2010; Trezek & Wang,
2006; Trezek et al., 2007). All of these studies show that Visual Phonics can impact literacy
skills. What these studies fail to look at is the long term impact. With the need for research so
immediate, the longest period of observation for any of these studies was a school year. There
has been a ceiling of a fourth grade reading level for eighteen year old DHH students for over
forty years. These studies do not shown how changing the teaching methods will impact reading
Section II
Students need to be studied over longer period of time than previous researchers have
done to find out if Visual Phonics may be the key to teaching reading for DHH students. A
longitudinal study needs to be conducted. A group of deaf and hard of hearing students, who all
attend schools in the same county and enter kindergarten at the same time, will be followed from
kindergarten until they graduate high school. Teachers will use Visual Phonics to supplement the
county’s selected literacy program. Visual Phonics will be used with phonics instruction and
during any activity that involves phonological awareness. Just as hearing students need explicit
LITERATURE REVIEW AND RESEARCH PROPOSAL 7
phonics instruction less and less as they age, the same is predicted to be true of DHH students,
supported by the lesser usage of Visual Phonics for upper elementary students in Gaurdino et
al.’s study (2011, p. 566). Once students have reached this point of mastery, Visual Phonics will
only be used to clarify phonemes as needed. The amount of Visual Phonics used over time will
Students in early elementary school will be tested more frequently, as this is the time
where students typically make the most drastic growth. Students in kindergarten through third
grade will be assessed at the beginning, middle, and end of each school year. Students in fourth
grade through twelfth grade will be assessed at the beginning and end of each school year.
Students will be assessed on phonological awareness and phonemic awareness until mastery has
Along with the DHH students, the same number of hearing students will be selected to
participate in the study. These students will attend public schools in the same county and enter
kindergarten in the same year as the DHH students. The hearing students selected will be
students whose native language is English, have no documented learning disability, have no
hearing impairments, and are performing at an average level when entering kindergarten. They
will take the same assessments as the DHH students over the course of their school career.
The data from the DHH and hearing students will be collected. The quantitative data will
show how the DHH students performed in comparison to the hearing students, as well as how
high their reading levels get. Educators have failed to effectively teach reading to DHH students
for decades; the average reading level of a DHH high school graduate is fourth grade (Qi &
Mitchell, 2012, p. 6). If deaf and hard of hearing students are taught using Visual Phonics and an
LITERATURE REVIEW AND RESEARCH PROPOSAL 8
explicit, research based reading curriculum throughout their education, what is the impact on
References
Colin, S., Magnan, A., Ecalie, J., & Leybaert, J. (2007). Relation between deaf children’s
Dyer, A., MacSweeney, M., Szczerbinski, M., Green, L., & Campbell, R. (2003). Predictors of
naming speed and phonological awareness and decoding. Journal of Deaf Studies and
Guardino, C., Syverud, S. M., Joyner, A., Nicols, H., & King, S. (2011). Further evidence of the
use visual phonics. Journal of Deaf Studies and Deaf Education, 13(3), 405-416.
doi:10.1093/deafed/enm064
Narr, R. F., & Cawthon, S. W. (2010). The “Wh” questions of visual phonics: What, who, where,
when, and why. Journal of Deaf Studies and Deaf Education, 16(1), 66-78.
doi:10.1093/deafed/enq038
National Reading Panel. (2000). Report of the national reading panel: Teaching children to
its implications for reading instruction (NIH Pub. No. 00-4769). Retrieved from
https://www.nichd.nih.gov/publications/pubs/nrp/Documents/report.pdf
LITERATURE REVIEW AND RESEARCH PROPOSAL 10
Qi, S., & Mitchell, R. R. (2012). Large-scale academic achievement testing of deaf and hard-of-
hearing students: Past, present, and future. Journal of Deaf Studies and Deaf
Trezek, B., & Wang, Y. (2006). Implications of utilizing a phonics-based reading curriculum
with children who are deaf or hard of hearing. Journal of Deaf Studies and Deaf
Trezek, B. J., Wang, Y., Woods, D. G., Gampp, T. L., & Paul, P. V. (2007). Using visual
phonics to supplement beginning reading instruction for students who are deaf or hard of
doi:10.1093/deafed/enm014
Wang, Y., Trezek, B., Luckner, J., & Paul, P. (2008). The role of phonology and phonologically
related skills in reading instruction for students who are deaf or hard of
Woolsey, M. L., Satterfield, S. T., & Roberson, L. (2006). Visual phonics: An English code