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A Rehabilitation Program in Children With Sickle Cell Disease and Cognitive Deficits: a Pilot Study

A Rehabilitation Program in Children With Sickle Cell Disease and Cognitive Deficits: a Pilot Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00895154
Enrollment
21
Registered
2009-05-08
Start date
2003-09-30
Completion date
2014-12-31
Last updated
2019-05-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sickle Cell Disease

Keywords

Sickle Cell Disease, Sickle Cell, Memory, Learning, Achievement

Brief summary

The overall goal of this project is to determine the feasibility of conducting a cognitive intervention for children with sickle cell disease.

Detailed description

The primary aims of this clinical trial are: 1. Determine the effectiveness of targeted learning and memory strategy remediation in students with sickle cell disease and cognitive deficits. 2. Determine if there is improvement in academic achievement after targeted memory strategy remediation.

Interventions

BEHAVIORALGeneral Tutoring

Participants will be tutored for approximately 8-10 hours per month during the school year.

BEHAVIORALMemory Training

Participants will receive memory training for approximately 8-10 hours per month during the school year.

Sponsors

National Heart, Lung, and Blood Institute (NHLBI)
CollaboratorNIH
American Society of Hematology
CollaboratorOTHER
Medical College of Wisconsin
CollaboratorOTHER
Washington University School of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
8 Years to 18 Years
Healthy volunteers
No

Inclusion criteria

* Sickle cell disease that is confirmed by hemoglobin analysis * Has a brain magnetic resonance imaging (MRI) document reading by a neuroradiologist * Cognitive deficits, which are defined by one standard deviation lower than the normal ranges of an age-based standard score in cognitive tests that are evaluated by a psychologist * Must be a student who will remain in school for at least 2 years * Must provide informed consent with assent in accordance with the institutional policies (institutional review board approval)

Exclusion criteria

* Known developmental delays (these participants are ineligible because their learning potential may be biased from a prior insult) * Intelligent quotient is less than 50 (may have impaired learning potential) * Aphasic (i.e., unable to produce intelligible speech)

Design outcomes

Primary

MeasureTime frameDescription
Full Scale IQ (FSIQ) (WASI)After >/= 50 hours of tutoringThe WASI is a brief, reliable measure of intelligence. Participants engage in 4 subtests: Block Design, Vocabulary, Similarities, and Matrix Reasoning. Participants receive a raw score on each of these 4 subtests. This raw score is converted to a T score using a score chart in the WASI manual. The T scores from all 4 subtests are summed together to obtain a Full Scale Sum of T Scores. This Full Scale Sum of T Scores is converted to a Full Scale IQ-4 Composite Score using a score chart published in the WASI manual. Higher scores indicate better intelligence. FSIQ-4 Range: 40-160. Average FSIQ-4 =100, standard deviation is +/- 15.
Verbal IQ (PIQ) (WASI)After >/= 50 hours of tutoringThe VIQ score is comprised from the Vocabulary and Similarities subtests of the WASI-4. The raw scores from these subtests are converted to T scores using score charts in the manual. The T scores are summed together for a Verbal Sum of T Scores. This score is converted to a Composite VIQ score using a score chart in the manual. Higher scores = better Verbal IQ. Range = 45-160. Average = 100; standard deviation +/- 15.
Performance IQ (PIQ) (WASI)After >/= 50 hours of tutoringThe PIQ score is comprised from the Matrix Reasoning and Block Design subtests of the WASI-4. The raw scores from these subtests are converted to T scores using score charts in the manual. The T scores are summed together for a Performance Sum of T Scores. This score is converted to a Composite PIQ score using a score chart in the manual. Higher scores = better Performance IQ. Range = 45-160. Average = 100; standard deviation +/- 15.
Letter Word Identification T Score (WJ-III)After >/= 50 hours of tutoringThis sub-test measures a student's word identification skills. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
Reading Fluency T Score (WJ-III)After >/= 50 hours of tutoringThis sub-test measures a student's ability to read simple sentences quickly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
Calculations T Score (WJ-III)After >/= 50 hours of tutoringThis sub-test measures a student's ability to perform paper and pencil math computations.A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
Math Fluency T Score (WJ-III)After >/= 50 hours of tutoringThis sub-test measures a student's ability to solve simple addition, subtraction and multiplication facts quickly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
Spelling T Score (WJ-III)After >/= 50 hours of tutoringThis sub-test measures a student's ability to write orally presented words correctly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.
California Verbal Learning Test-Children's Version (CVLT-C) List A Trials 1-5 Immediate Recall T ScoreAfter >/= 50 hours of tutoringThe CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
CVLT-C Trials 1-5 Semantic Clustering T ScoreAfter >/= 50 hours of tutoringThe CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The CVLT-C consists of five learning trials of 15 words which can be organized into three semantic categories. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
CVLT-C Trials 1-5 Short Delay Recall T ScoreAfter >/= 50 hours of tutoringThe CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
CVLT-C Trials 1-5 Long Delay Recall T ScoreT scores were obtained at baseline and again at follow-up (after partcipant completed 50 hours of tutoring)The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
CVLT-C Trials 1-5 Recognition Discriminability T ScoreAfter >/= 50 hours of tutoringTThe CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.
Delis Kaplan Executive Function System (D-KEFS) Number/Letter Switching T ScoreAfter >/= 50 hours of tutoringThe D-KEFS allows for the assessment of executive functions. There are 9 stand alone tests that can be individually or group administered. The Number-Letter Switching condition of the Trails Making sub-test specifically assesses flexibility of thinking on a visual-motor sequencing task. A participant's raw score (# of items answered correctly) is converted to a T score using tables provided in the manual. Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.

Countries

United States

Participant flow

Recruitment details

All participants are patients of the Pediatric Division of Hematology at Washington University School of Medicine and St. Louis University School of Medicine. Participants will be recruited during regularly scheduled clinic visits.

Pre-assignment details

21 patients completed informed consent to participate in the study. 3 withdrew before the start of the study so they were never assigned to study arms.

Participants by arm

ArmCount
General Tutoring Group
Participants will receive general tutoring in the subject of his/her choice. General Tutoring: Participants will be tutored for approximately 8-10 hours per month during the school year.
8
Tutoring + Memory Training Group
Participants will receive tutoring and memory training. General Tutoring: Participants will be tutored for approximately 8-10 hours per month during the school year. Memory Training: Participants will receive memory training for approximately 8-10 hours per month during the school year. Specific memory training strategies used will include silent rehearsal training and semantic clustering training.
10
Total18

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up11
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicGeneral Tutoring GroupTutoring + Memory Training GroupTotal
Age, Categorical
<=18 years
8 Participants10 Participants18 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants
Calculations subtest T score of WJ-III42.43 scores on a scale
STANDARD_DEVIATION 9.95
44.38 scores on a scale
STANDARD_DEVIATION 14.62
43.47 scores on a scale
STANDARD_DEVIATION 12.26
California Verbal Learning Test-Children's Version (CVLT-C) Trials 1-5 Immediate Recall T score42.75 scores on a scale
STANDARD_DEVIATION 7.5
44.60 scores on a scale
STANDARD_DEVIATION 11.7
43.78 scores on a scale
STANDARD_DEVIATION 9.83
CVLT-C Trials 1-5 Long Delay Recall T-Score45.00 scores on a scale
STANDARD_DEVIATION 11.9
44.00 scores on a scale
STANDARD_DEVIATION 9.67
44.41 scores on a scale
STANDARD_DEVIATION 10.3
CVLT-C Trials 1-5 Recognition Discriminability T score42.86 scores on a scale
STANDARD_DEVIATION 17.29
45 scores on a scale
STANDARD_DEVIATION 11.73
44.06 scores on a scale
STANDARD_DEVIATION 13.93
CVLT-C Trials 1-5 Semantic Clustering T score54.38 scores on a scale
STANDARD_DEVIATION 9.43
49.00 scores on a scale
STANDARD_DEVIATION 11.01
51.39 scores on a scale
STANDARD_DEVIATION 10.4
CVLT-C Trials 1-5 Short Delay Recall T score44.88 scores on a scale
STANDARD_DEVIATION 12.43
44.40 scores on a scale
STANDARD_DEVIATION 7.83
44.61 scores on a scale
STANDARD_DEVIATION 9.81
Delis Kaplan Executive Function System (D-KEFS) Number/Letter Switching T score24.25 scores on a scale
STANDARD_DEVIATION 3.4
41.40 scores on a scale
STANDARD_DEVIATION 17.02
33.78 scores on a scale
STANDARD_DEVIATION 15.2
Full Scale IQ (FSIQ); Wechsler Abbreviated Scale of Intelligence (WASI)85.13 Scores on a scale
STANDARD_DEVIATION 11.74
84.2 Scores on a scale
STANDARD_DEVIATION 11.35
84.61 Scores on a scale
STANDARD_DEVIATION 11.12
Letter Word Identification subtest T score of Woodcock Johnson Psycho-Educational Battery (WS-III)45 scores on a scale
STANDARD_DEVIATION 10.57
45.78 scores on a scale
STANDARD_DEVIATION 7.93
45.41 scores on a scale
STANDARD_DEVIATION 8.97
Math Fluency subtest T score of WJ-III35 scores on a scale
STANDARD_DEVIATION 5.62
38.88 scores on a scale
STANDARD_DEVIATION 9.51
37.21 scores on a scale
STANDARD_DEVIATION 8.05
Performance IQ (PIQ); Weschler Abbreviated Scale of Intelligence (WASI)87.13 scores on a scale
STANDARD_DEVIATION 10.23
81.50 scores on a scale
STANDARD_DEVIATION 13.97
84.00 scores on a scale
STANDARD_DEVIATION 12.44
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
8 Participants10 Participants18 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Reading Fluency subtest T score of WJ-III38.60 scores on a scale
STANDARD_DEVIATION 10.015
49.00 scores on a scale
STANDARD_DEVIATION 7.165
44.67 scores on a scale
STANDARD_DEVIATION 9.652
Region of Enrollment
United States
8 Participants10 Participants18 Participants
Sex: Female, Male
Female
1 Participants1 Participants2 Participants
Sex: Female, Male
Male
7 Participants9 Participants16 Participants
Spelling subtest T score of WJ-III46.50 scores on a scale
STANDARD_DEVIATION 8.54
45.67 scores on a scale
STANDARD_DEVIATION 12.58
46.06 scores on a scale
STANDARD_DEVIATION 10.54
Verbal IQ (VIQ); Weschler Abbreviated Scale of Intelligence (WASI)86.13 scores on a scale
STANDARD_DEVIATION 13.74
89 scores on a scale
STANDARD_DEVIATION 12.4
87.72 scores on a scale
STANDARD_DEVIATION 12.7

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 10
other
Total, other adverse events
0 / 80 / 10
serious
Total, serious adverse events
0 / 80 / 10

Outcome results

Primary

Calculations T Score (WJ-III)

This sub-test measures a student's ability to perform paper and pencil math computations.A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupCalculations T Score (WJ-III)36.86 scores on a scaleStandard Deviation 9.55
Tutoring + Memory Training GroupCalculations T Score (WJ-III)44.56 scores on a scaleStandard Deviation 10.19
Primary

California Verbal Learning Test-Children's Version (CVLT-C) List A Trials 1-5 Immediate Recall T Score

The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupCalifornia Verbal Learning Test-Children's Version (CVLT-C) List A Trials 1-5 Immediate Recall T Score42.14 scores on a scaleStandard Deviation 12.77
Tutoring + Memory Training GroupCalifornia Verbal Learning Test-Children's Version (CVLT-C) List A Trials 1-5 Immediate Recall T Score36.90 scores on a scaleStandard Deviation 10.51
Primary

CVLT-C Trials 1-5 Long Delay Recall T Score

The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.

Time frame: T scores were obtained at baseline and again at follow-up (after partcipant completed 50 hours of tutoring)

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupCVLT-C Trials 1-5 Long Delay Recall T Score40.00 scores on a scaleStandard Deviation 15.81
Tutoring + Memory Training GroupCVLT-C Trials 1-5 Long Delay Recall T Score36.40 scores on a scaleStandard Deviation 14.48
Primary

CVLT-C Trials 1-5 Recognition Discriminability T Score

TThe CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupCVLT-C Trials 1-5 Recognition Discriminability T Score42.86 scores on a scaleStandard Deviation 16.07
Tutoring + Memory Training GroupCVLT-C Trials 1-5 Recognition Discriminability T Score37.50 scores on a scaleStandard Deviation 16.71
Primary

CVLT-C Trials 1-5 Semantic Clustering T Score

The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The CVLT-C consists of five learning trials of 15 words which can be organized into three semantic categories. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupCVLT-C Trials 1-5 Semantic Clustering T Score50.71 scores on a scaleStandard Deviation 7.87
Tutoring + Memory Training GroupCVLT-C Trials 1-5 Semantic Clustering T Score43.70 scores on a scaleStandard Deviation 13.05
Primary

CVLT-C Trials 1-5 Short Delay Recall T Score

The CVLT®-C measures multi-trial learning and long-term recall abilities for verbal information. The Raw scores from all trials (1-5) are summed to calculate a Total Raw Score for Trials 1-5. This Raw score is converted to a T score using the CVLT-II Comprehensive Scoring System (computer system). A higher T score indicates better performance. Range = 0-100. Average =50 with a standard deviation of =/- 10 points.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupCVLT-C Trials 1-5 Short Delay Recall T Score39.29 scores on a scaleStandard Deviation 13.67
Tutoring + Memory Training GroupCVLT-C Trials 1-5 Short Delay Recall T Score34.50 scores on a scaleStandard Deviation 13.42
Primary

Delis Kaplan Executive Function System (D-KEFS) Number/Letter Switching T Score

The D-KEFS allows for the assessment of executive functions. There are 9 stand alone tests that can be individually or group administered. The Number-Letter Switching condition of the Trails Making sub-test specifically assesses flexibility of thinking on a visual-motor sequencing task. A participant's raw score (# of items answered correctly) is converted to a T score using tables provided in the manual. Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupDelis Kaplan Executive Function System (D-KEFS) Number/Letter Switching T Score33.67 scores on a scaleStandard Deviation 13.37
Tutoring + Memory Training GroupDelis Kaplan Executive Function System (D-KEFS) Number/Letter Switching T Score37.00 scores on a scaleStandard Deviation 15.42
Primary

Full Scale IQ (FSIQ) (WASI)

The WASI is a brief, reliable measure of intelligence. Participants engage in 4 subtests: Block Design, Vocabulary, Similarities, and Matrix Reasoning. Participants receive a raw score on each of these 4 subtests. This raw score is converted to a T score using a score chart in the WASI manual. The T scores from all 4 subtests are summed together to obtain a Full Scale Sum of T Scores. This Full Scale Sum of T Scores is converted to a Full Scale IQ-4 Composite Score using a score chart published in the WASI manual. Higher scores indicate better intelligence. FSIQ-4 Range: 40-160. Average FSIQ-4 =100, standard deviation is +/- 15.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupFull Scale IQ (FSIQ) (WASI)86.43 scores on a scaleStandard Deviation 11.94
Tutoring + Memory Training GroupFull Scale IQ (FSIQ) (WASI)88.0 scores on a scaleStandard Deviation 10.94
Primary

Letter Word Identification T Score (WJ-III)

This sub-test measures a student's word identification skills. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupLetter Word Identification T Score (WJ-III)42.14 scores on a scaleStandard Deviation 7.01
Tutoring + Memory Training GroupLetter Word Identification T Score (WJ-III)44.00 scores on a scaleStandard Deviation 6.63
Primary

Math Fluency T Score (WJ-III)

This sub-test measures a student's ability to solve simple addition, subtraction and multiplication facts quickly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupMath Fluency T Score (WJ-III)34.29 scores on a scaleStandard Deviation 4.86
Tutoring + Memory Training GroupMath Fluency T Score (WJ-III)38.56 scores on a scaleStandard Deviation 12.26
Primary

Performance IQ (PIQ) (WASI)

The PIQ score is comprised from the Matrix Reasoning and Block Design subtests of the WASI-4. The raw scores from these subtests are converted to T scores using score charts in the manual. The T scores are summed together for a Performance Sum of T Scores. This score is converted to a Composite PIQ score using a score chart in the manual. Higher scores = better Performance IQ. Range = 45-160. Average = 100; standard deviation +/- 15.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupPerformance IQ (PIQ) (WASI)87.29 scores on a scaleStandard Deviation 11.25
Tutoring + Memory Training GroupPerformance IQ (PIQ) (WASI)90.44 scores on a scaleStandard Deviation 9.98
Primary

Reading Fluency T Score (WJ-III)

This sub-test measures a student's ability to read simple sentences quickly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupReading Fluency T Score (WJ-III)40.14 scores on a scaleStandard Deviation 5.49
Tutoring + Memory Training GroupReading Fluency T Score (WJ-III)40.44 scores on a scaleStandard Deviation 7.65
Primary

Spelling T Score (WJ-III)

This sub-test measures a student's ability to write orally presented words correctly. A participant's raw score (# of items answered correctly) is converted to a T score using a program (Compuscore for the WJ III, Version 2.1). Higher T scores = better performance. Range: 0-100. Average T score = 50; standard deviation =/- 10.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupSpelling T Score (WJ-III)43.29 scores on a scaleStandard Deviation 6.95
Tutoring + Memory Training GroupSpelling T Score (WJ-III)44.22 scores on a scaleStandard Deviation 9.43
Primary

Verbal IQ (PIQ) (WASI)

The VIQ score is comprised from the Vocabulary and Similarities subtests of the WASI-4. The raw scores from these subtests are converted to T scores using score charts in the manual. The T scores are summed together for a Verbal Sum of T Scores. This score is converted to a Composite VIQ score using a score chart in the manual. Higher scores = better Verbal IQ. Range = 45-160. Average = 100; standard deviation +/- 15.

Time frame: After >/= 50 hours of tutoring

ArmMeasureValue (MEAN)Dispersion
General Tutoring GroupVerbal IQ (PIQ) (WASI)87.86 scores on a scaleStandard Deviation 13.79
Tutoring + Memory Training GroupVerbal IQ (PIQ) (WASI)87.78 scores on a scaleStandard Deviation 12.41

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026