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Increasing Praise and Student
        Response Opportunities with
                 Fluency Training for
                   Paraprofessionals

    National Resource Center for Paraeducators
               National Conference, April 2013


             Breda O’Keeffe, Ph.D., University of Utah



1
Background
 The     Issue:
     Districtimplementing Response to
      Intervention
     Paraprofessionals conducting Tier II
      reading interventions, pullout
     How do we provide adequate
      training to Paras to achieve
      adequate fidelity?
2
Background
 What       is at stake?
     Time
     Resources
     Response    to Intervention




3
Training in Teaching Reading
 Research     on training teachers in
    reading interventions:
       “An eclectic mix of methods was found
        that ranged from macro to micro in their
        focus” (p. 5-13, NICHD, 2000).
 Research    on training
    paraprofessionals:
       Similarly focused on student
        interventions
4
Training Staff
 Performance                 feedback
     Typical way coaching is done
     Time/resource intensive
 Intensive training prior to
    implementation
       Intense, usually many skills, 40 hours, 1
        week
           e.g., Lerman, Tetreault, Hovanetz, Strobel, & Garro, 2008;
            Lerman, Vorndran, Addison, & Kuhn, 2004; Moore &
            Fisher, 2007; Slider, Noell, & Williams, 2006
5
Fluency Training
 Providing     paced practice
    (i.e., increasing rate with high
    accuracy) beyond mastery
   Generalization across settings
       Bucklin, Dickinson, & Brethower, 2000; Evans &
        Evans, 1985; Johnson & Layng, 1992
   Maintenance over time
       Binder, 1996; Driskell, Willis, & Cooper, 1992;
        Ivarie, 1986; Peladeau, Forget, & Gagne, 2003


6
Content of Training
 Opportunities   to Respond (OTR)
 Praise
 Positive/Negative  Ratio
 Error Corrections (academic)
 Direct Instruction Reading (Corrective
  Reading: Decoding)


7
Importance of OTR
 Carnine   (1976)
 1st graders struggling in reading
 “Slow”: 5 s pause between end of
  student response and presentation of
  next item
 “Fast”: teacher moved quickly
  between items

8
≈11.5
            /min




    ≈3.75
    /min

9
10
Importance of Praise
 Thomas,  Becker & Armstrong (1968)
 “Middle elementary” general
  education classroom
 No behavior difficulties
 Percent of intervals with disruptive
  behavior



11
-   -
     -       -
 +       +
                         +


12
Direct Instruction
 Development:
  Prerequisite skills
  Generalized responding
  Field tested/revised
  Scripted




13
Direct Instruction
 Content:
  Highly structured, explicit
  Familiar routines
  Examples carefully chosen
  Strategies




14
Direct Instruction
 Teaching:
  High rate of responding
  Flexible ability grouping
  Explicit error corrections
  Frequent review
  Mastery focus




15
Direct Instruction:
Corrective Reading Decoding
 For 3rd graders – Adult readers
 Previous reading instruction
 Catch up!
 Specifically designed for struggling
  readers:
   “can / cane”
   “beat / boat”
   Irregular words
   Fluency
16
Summary
 Keep   students engaged.
 Catch „em being good.
 Correct errors immediately and
  explicitly.
 Stick to the script.




17
Method



18
Context and Setting
 District using RTI (response to
  intervention)
 3 tiers
 Tier II: Supplemental instruction in
  reading by paraprofessionals;
  standard protocol; pullout
 Reading coordinators


19
Participants

      Paraprofessionals    (n = 5)
         6 months to 5 years teaching
          Corrective
      Students   (n = 5)
       1 student from each group
       DIBELS ORF: “some risk” or “at risk”
       Each has an “individualized literacy
        plan”
20
Dependent Variables: Paraprofessionals
      Classroom
       Presentation Rate
       Praise Rate
       Error Corrections
       Positive to Negative Ratio
      Training   Probes
       Presentation Rate
       Praise Rate
       Error Corrections
21
Table 3. Teaching Behavior Criteria.

Teaching Behavior      Classroom Target Rate   Fluency Goal

Presentation rate      15 or more per minute   20 or more per minute


Praise rate            4 or more per minute    6 or more per minute


Error corrections      95% accurate steps      95% accurate steps with

                                               target presentation rate

Positive to Negative   4:1; 80% positive       n/a

  22
                       comments
Social Validity Measures

      Paraprofessionals‟ Teaching       Skills
         DI experts rated videos
      Feasibility   of Training
         Survey for district reading
          coordinators
      Acceptability   of Training
         Survey for paraprofessionals

23
Dependent Variables: Students

      On-task:
         Percent 10s intervals
      Word    reading accuracy:
         Percent first-time correct responses




24
Independent Variable
 Paraprofessionals
        Fluency Training (5 days, 1hr/day)
          Accuracy    practice, simpler scripts, one
           skill;
          Add fluency practice;
          Add another skill:
          Day 1: Presentation rate
          Day 2: Praise rate
          Day 3: Error Corrections;

          Training   probe
25
Independent Variable
 Procedure        for each skill:
  Rationale
  Steps
  Model
  Accuracy       Practice
      Peer,   trainer feedback
  Fluency      Practice
      Timed,   graphed
26
Example Activities

Praise SAVES:
  Specific
  Appropriate
  Varied
  Enthusiastic
  Sincere


27
Example Activities
2 Parts of a praise statement
        A praise word
        A description of what was praiseworthy
Vary the praise words
        Think of a praise word for each letter of the
         alphabet.
Vary the description
        Praise different academic & non-academic
         behaviors.
        Praise different aspects of behavior.
        Target things that are challenging for the
         student(s).
28
Alphabet of praise words…

a.           j.             s.
b.           k.             t.
c.           l.             u.
d.           m.             v.
e.
             n.             w.
f.
             o.             x.
g.
             p.             y.
h.
i.
             q.             z.
             r.
29
Error Corrections
 Word     reading errors:
  Model
  Read
  Spell
  Read




30
Study Design

      Multiple baseline across participants
      Baseline
            Observation of paraprofessionals and
             students in classroom setting
      Fluency training
      Maintenance observations
      (Performance Feedback)


31
Results



32
Baseline
 What   did it look like?
  Answering with students EVERY TIME
  Speeding through instruction or going
   slowly
  Few error corrections
  Individual turns for words EVERY
   WORD
  Confusing explanations
  Little praise
33
Results


      Paraprofessionals‟ Presentation
      Rate (Opportunities to Respond)




34
Ms.
     Allen



     Ms.
     Dean



     Ms.
     Jones



     Ms.
     Lewis



       Ms. Tate
35
Results


      Paraprofessionals‟ Praise   Rate




36
Ms.
     Allen



     Ms.
     Dean



     Ms.
     Jones



     Ms.
     Lewis



     Ms. Tate
37
Results


      Paraprofessionals‟ Positive   to
      Negative Comments Ratio




38
v




         v




             v




                 v


39
Results


      Students‟   On-Task Behavior




40
41
Results


      Students‟
               Word Reading Accuracy:
      Percent First-Time Corrects




42
43
Discussion



44
Limitations and Future Research
 Maintenance   limited for some skills
  Required PFB for 7 of 20 individuals‟
   skills
  One participant with higher baseline skills
   did not require PFB
  RTI for professional development?
 Focus  on fluency
 Effects on student behavior limited
 Generalization and maintenance
45
Limitations and Future Research
 Rule-governed     behavior
    Anecdotally, paraprofessionals reported
     different rules that competed with
     intervention fidelity.




46
Contact Information
Breda O‟Keeffe, PhD
 Assistant Professor
  Special Education
  University of Utah
  1705 E. Campus Ctr. Dr., Rm. 112
  Salt Lake City, UT 84112
  801-581-8121 (Special Education Office)
 breda.okeeffe@utah.edu



47

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Session 6

  • 1. Increasing Praise and Student Response Opportunities with Fluency Training for Paraprofessionals National Resource Center for Paraeducators National Conference, April 2013 Breda O’Keeffe, Ph.D., University of Utah 1
  • 2. Background  The Issue:  Districtimplementing Response to Intervention  Paraprofessionals conducting Tier II reading interventions, pullout  How do we provide adequate training to Paras to achieve adequate fidelity? 2
  • 3. Background  What is at stake?  Time  Resources  Response to Intervention 3
  • 4. Training in Teaching Reading  Research on training teachers in reading interventions:  “An eclectic mix of methods was found that ranged from macro to micro in their focus” (p. 5-13, NICHD, 2000).  Research on training paraprofessionals:  Similarly focused on student interventions 4
  • 5. Training Staff  Performance feedback  Typical way coaching is done  Time/resource intensive  Intensive training prior to implementation  Intense, usually many skills, 40 hours, 1 week  e.g., Lerman, Tetreault, Hovanetz, Strobel, & Garro, 2008; Lerman, Vorndran, Addison, & Kuhn, 2004; Moore & Fisher, 2007; Slider, Noell, & Williams, 2006 5
  • 6. Fluency Training  Providing paced practice (i.e., increasing rate with high accuracy) beyond mastery  Generalization across settings  Bucklin, Dickinson, & Brethower, 2000; Evans & Evans, 1985; Johnson & Layng, 1992  Maintenance over time  Binder, 1996; Driskell, Willis, & Cooper, 1992; Ivarie, 1986; Peladeau, Forget, & Gagne, 2003 6
  • 7. Content of Training  Opportunities to Respond (OTR)  Praise  Positive/Negative Ratio  Error Corrections (academic)  Direct Instruction Reading (Corrective Reading: Decoding) 7
  • 8. Importance of OTR  Carnine (1976)  1st graders struggling in reading  “Slow”: 5 s pause between end of student response and presentation of next item  “Fast”: teacher moved quickly between items 8
  • 9. ≈11.5 /min ≈3.75 /min 9
  • 10. 10
  • 11. Importance of Praise  Thomas, Becker & Armstrong (1968)  “Middle elementary” general education classroom  No behavior difficulties  Percent of intervals with disruptive behavior 11
  • 12. - - - - + + + 12
  • 13. Direct Instruction  Development:  Prerequisite skills  Generalized responding  Field tested/revised  Scripted 13
  • 14. Direct Instruction  Content:  Highly structured, explicit  Familiar routines  Examples carefully chosen  Strategies 14
  • 15. Direct Instruction  Teaching:  High rate of responding  Flexible ability grouping  Explicit error corrections  Frequent review  Mastery focus 15
  • 16. Direct Instruction: Corrective Reading Decoding  For 3rd graders – Adult readers  Previous reading instruction  Catch up!  Specifically designed for struggling readers:  “can / cane”  “beat / boat”  Irregular words  Fluency 16
  • 17. Summary  Keep students engaged.  Catch „em being good.  Correct errors immediately and explicitly.  Stick to the script. 17
  • 19. Context and Setting  District using RTI (response to intervention)  3 tiers  Tier II: Supplemental instruction in reading by paraprofessionals; standard protocol; pullout  Reading coordinators 19
  • 20. Participants  Paraprofessionals (n = 5)  6 months to 5 years teaching Corrective  Students (n = 5)  1 student from each group  DIBELS ORF: “some risk” or “at risk”  Each has an “individualized literacy plan” 20
  • 21. Dependent Variables: Paraprofessionals  Classroom  Presentation Rate  Praise Rate  Error Corrections  Positive to Negative Ratio  Training Probes  Presentation Rate  Praise Rate  Error Corrections 21
  • 22. Table 3. Teaching Behavior Criteria. Teaching Behavior Classroom Target Rate Fluency Goal Presentation rate 15 or more per minute 20 or more per minute Praise rate 4 or more per minute 6 or more per minute Error corrections 95% accurate steps 95% accurate steps with target presentation rate Positive to Negative 4:1; 80% positive n/a 22 comments
  • 23. Social Validity Measures  Paraprofessionals‟ Teaching Skills  DI experts rated videos  Feasibility of Training  Survey for district reading coordinators  Acceptability of Training  Survey for paraprofessionals 23
  • 24. Dependent Variables: Students  On-task:  Percent 10s intervals  Word reading accuracy:  Percent first-time correct responses 24
  • 25. Independent Variable  Paraprofessionals  Fluency Training (5 days, 1hr/day)  Accuracy practice, simpler scripts, one skill;  Add fluency practice;  Add another skill: Day 1: Presentation rate Day 2: Praise rate Day 3: Error Corrections;  Training probe 25
  • 26. Independent Variable  Procedure for each skill:  Rationale  Steps  Model  Accuracy Practice  Peer, trainer feedback  Fluency Practice  Timed, graphed 26
  • 27. Example Activities Praise SAVES:  Specific  Appropriate  Varied  Enthusiastic  Sincere 27
  • 28. Example Activities 2 Parts of a praise statement  A praise word  A description of what was praiseworthy Vary the praise words  Think of a praise word for each letter of the alphabet. Vary the description  Praise different academic & non-academic behaviors.  Praise different aspects of behavior.  Target things that are challenging for the student(s). 28
  • 29. Alphabet of praise words… a. j. s. b. k. t. c. l. u. d. m. v. e. n. w. f. o. x. g. p. y. h. i. q. z. r. 29
  • 30. Error Corrections  Word reading errors:  Model  Read  Spell  Read 30
  • 31. Study Design  Multiple baseline across participants  Baseline  Observation of paraprofessionals and students in classroom setting  Fluency training  Maintenance observations  (Performance Feedback) 31
  • 33. Baseline  What did it look like?  Answering with students EVERY TIME  Speeding through instruction or going slowly  Few error corrections  Individual turns for words EVERY WORD  Confusing explanations  Little praise 33
  • 34. Results  Paraprofessionals‟ Presentation Rate (Opportunities to Respond) 34
  • 35. Ms. Allen Ms. Dean Ms. Jones Ms. Lewis Ms. Tate 35
  • 36. Results  Paraprofessionals‟ Praise Rate 36
  • 37. Ms. Allen Ms. Dean Ms. Jones Ms. Lewis Ms. Tate 37
  • 38. Results  Paraprofessionals‟ Positive to Negative Comments Ratio 38
  • 39. v v v v 39
  • 40. Results  Students‟ On-Task Behavior 40
  • 41. 41
  • 42. Results  Students‟ Word Reading Accuracy: Percent First-Time Corrects 42
  • 43. 43
  • 45. Limitations and Future Research  Maintenance limited for some skills  Required PFB for 7 of 20 individuals‟ skills  One participant with higher baseline skills did not require PFB  RTI for professional development?  Focus on fluency  Effects on student behavior limited  Generalization and maintenance 45
  • 46. Limitations and Future Research  Rule-governed behavior  Anecdotally, paraprofessionals reported different rules that competed with intervention fidelity. 46
  • 47. Contact Information Breda O‟Keeffe, PhD  Assistant Professor Special Education University of Utah 1705 E. Campus Ctr. Dr., Rm. 112 Salt Lake City, UT 84112 801-581-8121 (Special Education Office)  breda.okeeffe@utah.edu 47

Editor's Notes

  1. More recent literature (1999-2007) reflects similar lack of systematic research.
  2. Training outside intervention setting that has sufficient intensity and attends to generalization may be effective without requiring a great amount of follow-up:Increased practice with feedback in training setting;Programming common stimuli;Providing adequate exemplars.Lerman, Tetreault, Hovanetz, Strobel, & Garro, 2008; Lerman, Vorndran, Addison, & Kuhn, 2004; Moore & Fisher, 2007; Slider, Noell, & Williams, 2006PFB:Has been shown to be effective at maintaining adequate treatment fidelity;Graphic and spoken feedback to instructional staff appears to be more effective than some other approaches.Disadvantages: Tends to require intense amount of resources to be effective;Amounts to a corrective procedure done after instruction has started;May be less efficient than providing group training.
  3. 3 tiers: Tier I: gen. ed.;tier II: Supplemental with a scripted protocol (mostly DI programs); tier III: SPEDSPED placement based on RTI plus IQ discrepancy
  4. Paras. will have received district didactic training and some coaching (typically no more than one time per month).Presentation rate – 6 or fewer items per minute presented accurately; Praise rate – 3 or fewer praise statements per minute; Error corrections – 60% or less correct steps of correction procedure; and/or Positive to negative comments ratio – less than 60% positive feedback to students.Students: 3rd or 4th gradersExplain what “some risk” and “at risk” mean (with low risk).Selection criteria:Were chosen based on literacy coordinator recommendation, and confirmed as having lower than the group’s median on-task performance and/or correct academic responses.
  5. Classroom: During 5 minute observation of word attack.Training probe: During 2 minutes every day after training. Describe procedures for training probePresentation rate: The number of correct presentations of opportunities for students to respond per minutecorrect if the paraprofessional uses a clear and consistent cue, pause, and signal (clearly audible or visible), appropriate wording of the instruction or direction (i.e., does not vary from the script in a way that changes what the students should do, omit an instruction for the students that may cause an error, or include spurious prompts such as additional scaffolding not included in script).Praise rate:The number of positive statements directed to one or more students contingent upon a social, behavioral or academic response per minute;General or specific praise were accepted.Error Corrections:Student error on academic responses: One, some or all students answer with a response that is different than that called for in the teacher presentation book or do not respond to the question within 2 seconds of the teacher signal.Sometimes students provide the correct answer, but answer before or after the signal, or drag out their responses. These errors are considered “signal errors”, and while important to address, will not be counted as errors in this study.StopModelTestSpellTest 2Distracters and RetestPositive to Negative Ratio:Positive feedback = praise as defined above;Negative feedback = telling students what is wrong with a behavior.(in contrast with an error correction that models the correct answer and/or indicates what the student should do in the future). Examples of negative feedback include, “I didn’t hear everyone answer,” “No, that’s incorrect,” or “Stop that!”If the paraprofessional says, “I need everyone to answer,” this will not be counted as negative feedback.
  6. Also during same 5 minute segment of word attackOn task defined. An estimate of the amount of time student is attending to task given.whole interval recording,10 second intervalsFirst-time CorrectsCorrect, incorrect or no response were recorded for each academic item that the target student has not previously seen during that day’s session (i.e., first-time responses)Correct responses will be counted as answers that are the same as those in the teacher’s presentation book or pronunciations that closely match those in the teacher’s guide (i.e., for letter sounds). An error will be recorded if the response is different than in the teacher’s presentation book or pronounced differently than in the teacher’s guide. No response will be counted if the student does not respond within one second of the teacher’s signal. Percent of first-time corrects will be calculated as the number of correct responses divided by the total number of first-time responses (correct, incorrect and no response).
  7. Bring training outlineGenerally follows :Rationale for a skillDemonstration of the skill by trainerAccuracy practice with spoken feedback from trainerFluency practice of skill (e.g., 3 one-minute timings to a criterion)Training probe: Practice of skill with Decoding script using “teaching pace”, Giving adequate think-time, etc.Graphic and spoken feedback based on training probe.Graphic and spoken feedback based on data from training probe.
  8. Note that 2 paras in each school will start at the same time, so there will be 2 sets of multiple baseline data with 3 participants and 3 students each.Include details from contingency plan list.
  9. Participants may have focused too much on speed.
  10. Give examples:One felt that more specific and enthusiastic praise disrupted students’ responding;Two were going to discontinue instruction with a few days to a week left because they did not want to start a new story in the curriculum.