Empowering Exceptional Children

Empowering Exceptional Children

Developing and Validation of a Metronome-Based Cognitive Rehabilitation Package and its Effectiveness on the Executive Functions of Students with Dyslexia

Document Type : Original Article

Authors
1 PhD Student in Psychology and Education of Exceptional Children, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran.
2 Associate Professor, Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran.
3 Associate Professor, Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran
4 Assistant Professor, Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran.
Abstract
This study aimed to develop and validate a metronome-based cognitive rehabilitation package to assess its effectiveness on the executive functions of children with dyslexia. The research utilized an exploratory mixed-methods approach. In the qualitative phase, the cognitive rehabilitation intervention package was created through a meta-synthesis method, drawing on articles published between 2000 and 2024. This package was subsequently approved by experts in the field. In the quantitative phase, a quasi-experimental design featuring a pretest-posttest with a control group was employed. A total of 30 boys aged 9 to 11 with dyslexia were selected in 1403 using a convenience sampling method and randomly assigned to either the experimental or control group. The intervention program was implemented over 15 one-hour sessions. Data collection was conducted using the Executive Functions-Brief Scale (BRIEF). The validity of the developed package was assessed through content analysis, while its effectiveness was evaluated using repeated measures analysis of variance and multivariate analysis of covariance, performed with SPSS version 24 software. The findings indicated that the average relative content validity coefficient and content validity index of the developed package were 0.95 and 0.98, respectively, with a Holst coefficient of 0.78, demonstrating that the intervention possesses appropriate validity. Statistical analyses revealed significant improvements in executive functions and their components at the post-test and one-month follow-up stages for the experimental group compared to the control group. In conclusion, the metronome-based cognitive rehabilitation package is effective in enhancing the executive functions of children with dyslexia and can be utilized to support these children's cognitive development.
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Alloway, T. P. (2019). Working memory and dyslexia. In G. Reid & J. Elliott (Eds.), The Routledge international handbook of dyslexia and learning difficulties (pp. 144–154). Routledge.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Akyurek, G., Koca, R. B., & Gunal Gunser, R. (2024). Systematic review of current approaches to cognitive skills in children with dyslexia. Current Psychology, 43(18), 16247-16263.
Capodieci, A., Ruffini, C., Frascari, A., Rivella, C., Bombonato, C., Giaccherini, S., ... & Pecini, C. (2023). Executive functions in children with specific learning disorders: Shedding light on a complex profile through teleassessment. Research in Developmental Disabilities, 142, 104621.
Corriveau, K., Pasquini, E. S., & Goswami, U. (2007). Rhythmic motor entrainment in dyslexia: Evidence for deficits in oscillatory speech processing. Neuroscience & Biobehavioral Reviews, 31(3), 302–317.
El Wafa, H. E. A., Ghobashy, S. A. E. L., & Hamza, A. M. (2020). A comparative study of executive functions among children with attention deficit and hyperactivity disorder and those with learning disabilities. Middle East Current Psychiatry, 27, 1–9.
Fletcher, J. M., Lyon, G. R., Fuchs, L. S., & Barnes, M. A. (2019). Learning disabilities: From identification to intervention. Guilford Press.
Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function: BRIEF. Psychological Assessment Resources.
Javed, S., Muniandy, M., Lee, C. K., & Husni, H. (2024). Enhancing teaching and learning for pupils with dyslexia: A comprehensive review of technological and non-technological interventions. Education and Information Technologies29(8), 9607-9643.
Krause, J. T., & Brown, S. M. (2023). Mindfulness intervention improves coping and perceptions of children’s behavior among families with elevated risk. International Journal of Environmental Research and Public Health, 20(23), 7092.
Lanfranchi, S., Carretti, B., & Mammarella, I. C. (2020). Executive functions in developmental dyslexia. Frontiers in Psychology, 11, Article 1.
Leloup, G., Anders, R., Charlet, V., Eula-Fantozzi, B., Fossoud, C., & Cavalli, E. (2021). Improving reading skills in children with dyslexia: Efficacy studies on a newly proposed remedial intervention—repeated reading with vocal music masking (RVM). Annals of Dyslexia, 71, 60–83.
McGrew, J. H. (2012). Three-level hypothesized explanation of the IM effect. In R. A. Rutherford (Ed.), Current perspectives on cognition, learning and instruction: Recent research and practice (pp. 45–62). Academic Press.
Memisevic H, Sinanovic O. (2013). Executive functions as predictors of visual-motor integration in children with intellectual disability. Perceptual & Motor Skills; 117(3): 913–922.
Peterson, R. L., & Pennington, B. F. (2012). Developmental dyslexia. The lancet, 379(9830), 1997-2007.
Shaywitz, S. E., & Shaywitz, B. A. (2005). Dyslexia (specific reading disability). Biological psychiatry57(11), 1301-1309.
Smith-Spark, J. H., Henry, L. A., Messer, D. J., ZiÄ™cik, A. P., & Futter, C. (2019). Neurotiming and dyslexia: A meta-analysis. Journal of Learning Disabilities, 52(5), 423–437.
Son, Y. S., & Choi, Y. I. (2023). A systematic review on intervention of interactive metronome: Focus on single-subject research design in Korean academic journals. Therapeutic Science for Rehabilitation, 12(1), 7–22.
Stein, J. (2023). Theories about developmental dyslexia. Brain sciences13(2), 208.
Swanson, H. L., & Howard, C. B. (2018). Working memory deficits in reading disability: A meta-analysis. International Journal of Disability, Development and Education, 65(2), 103–119.
Tierney, A., & Kraus, N. (2013). The ability to move to a beat is linked to the consistency of neural responses to sound. Journal of Neuroscience, 33(38), 14981–14988.
Yaacob, H., Zakariya, N. Z., & Rashid, S. M. (2024). Technology-based Interventions for Dyslexic Children: A Systematic Literature Review (SLR). International Journal of Academic Research in Business and Social Sciences14(2), 574-595.

  • Receive Date 23 December 2024
  • Revise Date 15 March 2025
  • Accept Date 22 April 2025