Neuroscientist Nadine Gaab argues for early intervention in dyslexia and other learning differences, emphasizing the need to move away from a reactive deficit-driven model. Brain alterations are already present in infancy, making early identification crucial. Universal dyslexia screening is just the tip of the iceberg; the entire community should be involved. Reading development starts before birth, and early intervention is vital. Parents and caregivers play a crucial role in advocating for children with reading disabilities.
Earlier intervention is crucial for identifying children with dyslexia and other learning differences.
A prevention model is needed in education, focusing on early identification, intervention, and comprehensive support.
Deep dives
The Complications of Defining Dyslexia
Dyslexia is a complex learning disability with a neurobiological origin, characterized by difficulties with accurate and fluent word reading. The core symptom of dyslexia is poor decoding abilities and struggling with reading single words. This can lead to problems with reading fluently and comprehending text. However, the challenge lies not in defining dyslexia but in the systems-level obstacles in identifying children who struggle with reading, regardless of the underlying cause, and providing early intervention.
The Need for a Prevention Model
The current approach to dyslexia and other learning differences is often reactive and deficit-driven, rather than preventative. This needs to shift towards a prevention model similar to healthcare, focusing on early identification and intervention. Research has shown that brain alterations associated with dyslexia are present in infancy and preschool years, indicating the importance of identifying and helping at-risk children as early as possible. Implementing a prevention model requires teacher training, policy changes, and a shift in mindset within the education system.
Challenges and Solutions in Early Screening
While there has been progress in mandating universal dyslexia screening in early grades, there are still challenges to overcome. Educators often lack knowledge on appropriate screeners and how to interpret the results. Teacher training is crucial to identify and address early signs that screeners detect. Additionally, assessments need to be culturally responsive and inclusive, accommodating multilingual learners and dialect speakers. To move towards a preventative model, a comprehensive approach is necessary, addressing oral language development, listening comprehension, vocabulary, as well as the mechanics of reading.
Harvard Associate Professor Nadine Gaab wants to see the whole system surrounding children and reading development change – starting in utero. Earlier intervention can be the ultimate game-changer when it comes to identifying children with dyslexia, but also other learning differences.
“When it comes to learning differences such as dyslexia, we are largely focused on a reactive deficit-driven wait to fail model instead of the development of preventative approaches,” she says. Gaab is a neuroscientist who researches the development of typical and atypical language and literacy skills in the pediatric brain, and pre-markers of learning disabilities.
"What we could show is that some of these brain alterations are already there in infancy, and toddlerhood, and preschool. So what we can conclude from this is that some children step into their first day of kindergarten with a less optimal brain for learning to read. So you want to find them right then, right? And that has tremendous implications for policy," she says. "You don't want to wait and let them fail if you already can determine who will struggle most likely and who will not."
While there have been some efforts to mandate universal dyslexia screening, it is only one small part of what needs to be done to take steps toward addressing the needs of children. The latter is something that Gaab envisions an entire community -- beyond just the school walls -- being a part of from pediatricians to bus drivers and even librarians.
In this episode of the EdCast, Gaab discusses the what we know and don’t know about dyslexia and literacy development, and why the need for intervention – as early as preschool -- could be the most impactful thing that happens.
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