School & Classroom

Comparison of Two Interventions in Improving Comprehension of Students With Intellectual Disability.

Cure et al. (2023) · American journal on intellectual and developmental disabilities 2023
★ The Verdict

Teaching story structure beats word drills for narrative understanding in students with mild intellectual disability.

✓ Read this if BCBAs running reading sessions for elementary or middle-school students with mild ID.
✗ Skip if Clinicians targeting phonics in profoundly disabled or non-verbal learners.

01Research in Context

01

What this study did

Cure et al. (2023) compared two reading lessons for students with mild intellectual disability. One lesson taught story parts: characters, setting, problem, and resolution. The other lesson drilled single-word reading.

The team used an alternating-treatments design. Each student got both lessons on different days. The study measured how well the kids understood new stories after each lesson.

02

What they found

Story-component teaching won. Students answered more questions about the stories and needed fewer trials to reach mastery.

The gains stuck. When the kids read brand-new stories, they still used the story parts to make sense of them.

03

How this fits with other research

Whalon et al. (2019) found the same boost with children with autism. They used pictures to teach story grammar and saw better listening comprehension. The pattern holds across diagnoses.

Nicolosi et al. (2024) looks like a clash but is not. Their teen with profound ID learned to match words to pictures after heavy phonics work. The difference is severity: mild ID needs big-picture story tools; profound ID needs basic sound-to-letter links.

Laugeson et al. (2014) showed graphic organizers help mild-ID teens solve word problems. Goksel’s story map is another organizer, just for reading. Same population, same power tool, new subject.

04

Why it matters

Stop drilling flashcards all session. Instead, draw a simple story map—four boxes labeled who, where, problem, fix. Read the story once, then go back and fill the boxes with the student. After two or three stories, fade the boxes and let the student name the parts aloud. You should see faster comprehension gains and fewer bored faces.

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Swap the last 10 minutes of word flashcards for a 4-part story map activity.

02At a glance

Intervention
direct instruction
Design
alternating treatments
Sample size
4
Population
intellectual disability
Finding
positive

03Original abstract

The purpose of this study was to compare the relative effects of word reading and story component interventions in developing reading comprehension of narrative texts with four students with mild levels of intellectual disability. A multielement design was used in this study. The findings revealed that the story component intervention was more effective and efficient than the word reading intervention in developing students' reading comprehension of narrative texts, and also indicated that both interventions were significantly effective in enabling subjects to answer literal questions. Only the story component intervention was significantly effective related to inferential questions. Finally, the findings revealed that students could generalize their reading comprehension skills to stories of different lengths.

American journal on intellectual and developmental disabilities, 2023 · doi:10.1352/1944-7558-128.2.145