Reading and Writing: An Interdisciplinary Journal 15: 549–574, 2002.
© 2002 Kluwer Academic Publishers. Printed in the Netherlands.
549
The efficacy of ‘whole word’ versus ‘analytic’ reading instruction
for children with Down syndrome
LINDA CUPPLES
1
& TERESA IACONO
2
1
Macquarie University, Sydney, Australia;
2
Centre for Developmental Disability Health
Victoria, Melbourne, Australia
Abstract. An intervention study was conducted to investigate whether children with Down
syndrome (DS) would benefit from an ‘analytic’ approach to reading instruction, which
encompassed explicit training in phonological awareness. Participants were seven English-
speaking children with DS aged 8;6 (years;months) to 11;1, who demonstrated little or no
nonword-reading ability prior to intervention. The children received weekly instruction (for six
weeks) in reading aloud 30 regularly spelt monosyllables (e.g., ten, bake) using an ‘analytic’
approach, in which words were learned by combining onsets with rimes (four children), or
a ‘whole-word’ approach (three children). Participants’ oral reading was assessed pre- and
post-intervention using a reading test comprising the 30 trained words and 30 untrained
(generalisation) words. Most children (six out of seven) read more training words correctly
after intervention than before, with significant improvement shown by four children (two
trained analytically, and two trained with whole words). More importantly, reading of general-
isation words improved significantly in only three children, all of whom had received analytic
training. It was concluded that children with DS benefit from an analytic approach to reading
instruction, even though their auditory-verbal memory (assessed using digit span) is poor.
Key words: Down syndrome, Intellectual disability, Intervention, Phonological awareness,
Reading instruction
Introduction
Down syndrome (DS) is a genetic abnormality, which usually results from the
presence of an extra chromosome 21 (trisomy 21) (Rogers, Roizen & Capone
1996). It is associated with intellectual disability of varying severity, although
Rogers et al. reported typical intelligence quotients as ranging from 40 to 55.
As a result of their intellectual disability and concomitant language prob-
lems (Miller 1987), children with DS are at risk of problems in learning to
read. Like other children with intellectual disability, they have generally been
taught to read using a ‘sight word’ approach, in which they learn to associate
whole printed words with their spoken forms (Farrell & Elkins 1995). In the
mid-1980s, Buckley recommended the use of such an approach for children
with DS on two grounds. First, a sight word approach had already proven
successful for teaching reading skills to individuals with DS; and second,