Developed in concert with the Learning Disabilities Association of America (LDA), this White Paper regarding specific learning disabilities identification and intervention represents the expert consensus of 58 accomplished scholars in education, psychology, medicine, and the law. Survey responses and empirical evidence suggest that five conclusions are warranted: 1) The SLD definition should be maintained and the statutory requirements in SLD identification procedures should be strengthened; 2) neither ability-achievement discrepancy analysis nor failure to respond to intervention alone is sufficient for SLD identification; 3) a “third method” approach that identifies a pattern of psychological processing strengths and weaknesses, and achievement deficits consistent with this pattern of processing weaknesses, makes the most empirical and clinical sense; 4) an empirically-validated RTI model could be used to prevent learning problems, but comprehensive evaluations should occur for SLD identification purposes, and children with SLD need individualized interventions based on specific learning needs, not merely more intense interventions; and 5) assessment of cognitive and neuropsychological processes should be used for both SLD identification and intervention purposes.

OBJECTIVETo evaluate the efficacy of a structured transition program compared with usual care in improving routine follow-up, clinical, and psychosocial outcomes among young adults with type 1 diabetes.RESEARCH DESIGN AND METHODSEighty-one young adults in their last year of pediatric care were recruited from three clinics. Intervention group (IG) participants (n = 51) received a structured transition program incorporating tailored diabetes education, case management, group education classes, and access to a newly developed young adult diabetes clinic and transition website. Control group (CG) participants (n = 30) received usual care. The primary outcome was the number of routine clinic visits. Secondary outcomes included glycemic control, hypoglycemia, health care use, and psychosocial well-being. Assessments were conducted at baseline, and 6 and 12 months.RESULTSLimitations in CG follow-up prevented direct comparisons of adult care visits; however, at the 12-month follow-up among IG participants discharged from pediatric care (n = 32), 78% had one or more adult visits. Among IG participants, the total number of clinic visits did not differ between those who transitioned and those who remained in pediatric care (3.0 ± 1.24 vs. 3.11 ± 0.94, P = 0.74). IG compared with CG participants had improved glycemic control (−0.40 ± 1.16% vs. 0.42 ± 1.51% [4.4 ± 12.7 mmol/mol vs. 4.6 ± 16.5 mmol/mol], P = 0.01), incidence of severe hypoglycemia (0.0% vs. 16%, P = 0.02), and global well-being (P = 0.02) at 12 months.CONCLUSIONSA structured transition program was successful in facilitating transition to adult care without a decrease in clinical follow-up. Compared with usual care, the transition program facilitated improvements in glycemic control, hypoglycemia, and psychosocial well-being.

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The purpose of this study was to investigate the impact of imagery interventions on the vocabulary acquisition abilities of second grade students. A total of 15 students were randomly assigned to three different intervention conditions: Word Only, which involves the simple verbal presentation of a vocabulary word; Dual Coding, in which a picture was paired with the vocabulary word, and Image Creation, in which students were told to create a mental picture of the vocabulary word in their mind and draw it on paper. These students were taught a total of 21 vocabulary words: seven animal and habitat words, seven musical instrument terms, and seven science terms. A Latin square design was used, in which each group of students rotated through each of the interventions, being exposed to a different treatment condition for each category of words. Participants were measured on the number of words they were successfully able to acquire through the use of experimenter designed comprehension measures. While no statistical significance was shown between the interventions across the word categories, a significant difference was found between the Image Creation and Word Only interventions within the science terms category. Students also reported that the imagery interventions facilitated the ease with which they learned the words. The findings have implications for increasing the success of classroom instruction, specifically for presenting novel vocabulary words to early elementary learners using imagery methods.

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