Purpose: Patient-reported outcome measures (PROMs) for persons with aphasia (PWA) are commonly used to measure various outcomes. Persons with aphasia commonly present with language deficits that can likely increase respondent burden. Elements that contribute to respondent burden include readability, design, and formatting methods. The aims of this…

Purpose: Script training for aphasia involves repeated practice of relevant phrases and sentences that, when mastered, can potentially be used in other communicative situations. Although an increasingly popular approach, script development can be time-consuming. We provide a detailed summary of the evidence supporting this approach. We then…

The matching of students with language learning disabilities and dyslexia to appropriate reading materials is discussed, and formal and informal methods are presented for determining reading levels for accuracy, fluency, and comprehension instruction and practice. The Spache Readability Formula, the New Dale-Challe Readability Formula, and…

This article emphasizes the importance of providing students with materials on the appropriate level of challenge. Major readability formulas and leveling systems that might be used to assess the difficulty level of materials are reviewed. It recommends using both objective and subjective factors when estimating readability levels. (Contains…

Many students from elementary school through college encounter difficulty understanding their science textbooks, regardless of whether they have language disorders. This article discusses some of the particular difficulties associated with science text comprehension and possible remedies for facilitating and enhancing comprehension of challenging…

This article discusses how text variables interact with reader, strategy, and task variables to affect readability, including text coherence, text organization, signaling, and text structure. It considers how classic readability formulas, in concert with consideration of text, text reader, and strategy variables, can be used to match texts to…

This article discusses the reading fluency and comprehension problems of struggling secondary students who can read, with assistance, on a fourth-grade reading level or above. Difficulties with vocabulary and sentence construction are described, along with problems with pronoun reference and noun substitutions, metaphor, and conventions of print.…

This article explores the relationships between vocabulary knowledge and text readability. It discusses how procedures used by readability formulas to assess the vocabulary factor can over- or underestimate text difficulty by counting syllables rather than assessing what the reader knows about the words in a text. (Contains references.) (Author/CR)

These exercises and examples pertain to readability information presented in preceding articles. They are designed to help speech language pathologists test their intuitions about word and text difficulty and to see readability data from a number of quantitative formulas applied to passages across a wide range of levels. (Contains 8 references.)…

Examples are provided that show readability in action in diverse settings. The first shows how readability analysis resulted in a new fluency monitoring protocol in three school districts in Northern California. The others present hypothetical school, clinic, and research situations that a speech language pathologist might encounter. (Author/CR)

Linguistic cohesion involves the semantic and syntactic relationships that link sentences together. Research on linguistic cohesion is related to readability and to developmental and ability-level issues in reading/writing. Instructional strategies for low-ability readers/writers include predicting comprehension problems through cohesion analysis…