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Single Case Research Design: Teacher Outcomes

Strategic and Interactive Signing Instruction

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06729177
Enrollment
4
Registered
2024-12-11
Start date
2024-08-23
Completion date
2025-09-30
Last updated
2025-12-19

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

Conditions

Teacher Practice

Keywords

Sign Language, Deaf, Teacher Training

Brief summary

This study examines whether a professional development program helps teachers implement Strategic and Interactive Signing Instruction (SISI) with higher fidelity. The training includes review of an intervention manual, live modeling of SISI components, and discussion of implementation expectations. Teacher fidelity is evaluated with the Strategic and Interactive Signing Instruction Fidelity Tool, which rates the extent to which core components are used during a intervention session. The study also documents how often teachers receive additional support (e.g., coaching) to understand which procedures help strengthen implementation.

Detailed description

This project uses a nonconcurrent multiple-baseline design across four teachers who serve deaf children in a deaf education program. The goal is to examine changes in teachers' SISI implementation fidelity following training and coaching. At baseline, the PI observes each teacher's typical language arts instruction using the SISI Fidelity Tool. Three stable data points are collected for each teacher before intervention. Every SISI component is scored as 1 (fully implemented), 0.5 (partially implemented), or 0 (not implemented), and then summarized as a percentage of components implemented. After baseline, the PI provides a two-day training in SISI procedures. Teachers then begin implementing SISI in a staggered fashion: Teacher 1 starts immediately after training for three weeks; Teacher 2 begins in Week 4; Teachers 3 and 4 begin in Weeks 7 and 10. All instructional sessions are video-recorded and uploaded to a cloud platform, where the PI and a second rater review them for daily fidelity monitoring. Throughout the study, the PI offers coaching as needed to support implementation. The PI also tracks children's progress on their individually targeted sign language skills to confirm that intervention adjustments are appropriate and timely. If implementation challenges arise or if data collection procedures are insufficiently clear or consistent, refinements may be made. Any refinements are put in place immediately and monitored for their influence on teacher fidelity and the feasibility of study procedures.

Interventions

Evidence-based instructional methods, grounded in cognitive, sociocultural, and linguistic theories, are applied to interventions that support sign language development in deaf children.

Sponsors

National Institute on Deafness and Other Communication Disorders (NIDCD)
CollaboratorNIH
The University of Tennessee, Knoxville
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

This research uses the noncurrent multiple baseline design across teacher participants.

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes

Inclusion criteria

* Teachers of the deaf working in a school for the deaf across kindergarten to 3rd grade levels

Exclusion criteria

* Not teachers of the deaf working in a school for the deaf across kindergarten to 3rd grade levels

Design outcomes

Primary

MeasureTime frameDescription
SISI FidelityBaseline began at the start of the school year for all participants. Because intervention start times were staggered in the multiple-baseline design, intervention duration ranged from approximately 12 to 40 weeks across participants.The Strategic and Interactive Signing Instruction (SISI) Fidelity Tool is a 45-item observational checklist assessing adherence to the model-guided-independent cycle, scaffolding quality, and use of targeted ASL skills. Each item is rated from 0 to 1 (0 = not implemented, 0.5 = partially implemented, 1 = fully implemented). Scores are summed and converted to a percentage (0-100%). Higher scores indicate stronger fidelity of implementation.

Countries

United States

Participant flow

Recruitment details

Four teachers from a school for the deaf were recruited.

Pre-assignment details

All four teachers provided business-as-usual language instruction to generate baseline data before receiving training in Strategic and Interactive Signing Instruction (SISI) to implement during the intervention phase.

Participants by arm

ArmCount
Single Case Research Design
A noncurrent multiple baseline design across teacher participants will be utilized to assess the extent of support required by teachers to become proficient in SISI implementation. In this study, the independent variable is the SISI training, and the dependent variable is teacher fidelity to the SISI program as measured by the SISI fidelity checklist.
4
Total4

Baseline characteristics

CharacteristicSingle Case Research Design
Age, Continuous38 Years
STANDARD_DEVIATION 7.4
Deaf Status4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
1 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
3 Participants
Region of Enrollment
United States
4 Participants
Sex: Female, Male
Female
3 Participants
Sex: Female, Male
Male
1 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 4
other
Total, other adverse events
0 / 4
serious
Total, serious adverse events
0 / 4

Outcome results

Primary

SISI Fidelity

The Strategic and Interactive Signing Instruction (SISI) Fidelity Tool is a 45-item observational checklist assessing adherence to the model-guided-independent cycle, scaffolding quality, and use of targeted ASL skills. Each item is rated from 0 to 1 (0 = not implemented, 0.5 = partially implemented, 1 = fully implemented). Scores are summed and converted to a percentage (0-100%). Higher scores indicate stronger fidelity of implementation.

Time frame: Baseline began at the start of the school year for all participants. Because intervention start times were staggered in the multiple-baseline design, intervention duration ranged from approximately 12 to 40 weeks across participants.

ArmMeasureValue (MEAN)
Single Case Research DesignSISI Fidelity80 Percentage of SISI practices implemented

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