Intervention Protocol for Phonological, Phonoarticulatory, and Reading Skills in Developmental Dyslexia

Neuroscience Applied to Literacy

Authors

DOI:

https://doi.org/10.15448/1984-4301.2025.1.48010

Keywords:

reading, dyslexia, phonoarticulatory awareness, intervention, literacy

Abstract

Developmental dyslexia is a specific learning disorder characterized primarily by deficits in phonological processing. This study investigated the effects of two intervention programs—one combining phonological and phonoarticulatory components, and another focused solely on phonological training—on school-aged children with dyslexia. Twenty-six children (mean age = 11.57 years; SD = 1.17), diagnosed at a pro bono reading clinic at the Instituto do Cérebro/RS, participated in the study. Participants were allocated to three groups using minimization randomization: a Control Group (GIc), an Experimental Group (GIIe; phonological and phonoarticulatory intervention), and an Active Control Group (GIIIe; phonological intervention only). Researchers conducting assessments were blinded to group allocation, and intervention administrators were unaware of the study’s aims. Pre- and post-intervention assessments included standardized and norm-referenced measures of phonological awareness (PA), phonoarticulatory awareness (PEA), and reading skills (accuracy, speed, and comprehension). Post-intervention results indicated that both experimental groups outperformed the control group across all measures, with the GIIe group showing statistically significant improvements in all domains. These findings suggest that the combined phonological and phonoarticulatory intervention was particularly effective, yielding greater gains in reading performance and related predictive skills than either the phonological-only intervention or unstructured environmental stimulation.

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Author Biographies

Patricia Hoffmeister de Almeida, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil.

Speech-Language Pathologist at the Teaprimorando Clinic (POA/RS) and the Municipality of Alvorada (RS); Professor of the Postgraduate Course in the "Little Mouths" Method at Faculdade Pólis Civitas, Multiplier of the "Little Mouths" Method. Master's degree in Neuroscience from the Faculty of Medicine and Health Sciences/PUCRS, with research conducted at INSCER. She worked as a professor in the extension course in Bilingual Education at PUCRS. She was part of the ACERTA project (CNPq) at the Brain Institute (INSCER) from 2016-2021, where she was part of the evaluation team for children at risk for learning disorders, developed a Speech-Language Pathology and Phonology Intervention Program, and researched its effectiveness in children with Developmental Dyslexia. She is a book author, co-author of the book Manual de Novas Sondagens Boquinhas (2020) and the book collection Atividades Boquinhas para Fluência Leitora – 6 volumes (2024/2025). Her areas of interest are in dyslexia intervention programs, neuroscience, education, multisensory literacy, and reading fluency.

Aline Fay de Azevedo, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil.

Professor in the Postgraduate Program in Letters at PUCRS, Coordinator of the undergraduate course in English Letters at PUCRS, Collaborating Researcher at the Brain Institute (INSCER), and Coordinator of the extension course in Bilingual Education. She holds a PhD in Linguistics from PUCRS, with research conducted at INSCER (Bilingualism, Dyslexia, and fMRI). She completed a postdoctoral fellowship at the Federal University of Rio Grande do Sul (UFRGS) in the area of ​​Psycholinguistics, focusing on Biliteracy and Assessment. She was part of the ACERTA and Neuroeducation project (CNPq) at the Brain Institute (INSCER) from 2013-2022, researching bilingual and monolingual dyslexics and the neural bases of dyslexia using fMRI. She is responsible for the project Literacy and EdTech: a study on the impact of GraphoGame on Literacy. She coordinates the NeuroEdTech Lab research group at CNPq and is an associate researcher at the CpE in Science for Education, a UNESCO chair. Her areas of interest are the neural basis of dyslexia in bilinguals and monolinguals and fMRI, neurobiology of reading, neuroscience and education, teaching English as an additional language, and Education 3.0/4.0.

Renata Savastano Ribeiro Jardini, University of Campinas (Unicamp), Campinas, São Paulo, Brazil.

Professor and creator of the Boquinhas Literacy Graduate Program at Polis-Civitas. PhD and Master's in Health Sciences from UNICAMP/Campinas. Postgraduate degree in Psychopedagogy from UNICEP/São Carlos. Speech therapist from UNIFESP/São Paulo. She is the creator and developer of devices for orofacial musculature. She is the developer and intellectual owner of the Boquinhas Method, an evidence-based multisensory phonovisual-articulatory literacy educational technology for asymptomatic and inclusive children, adolescents, and adults. Responsible for the conception of all Boquinhas courses and the training of its multipliers in Brazil, Portugal, and Mozambique. Author of books and games about Boquinhas, adopted as a literacy methodology in many Brazilian municipalities, contributing to obtaining the National Seal of Commitment to Literacy from the MEC (Ministry of Education). Independent researcher with publications in renowned scientific journals on literacy, dyslexia, reading and writing disorders, and orofacial musculature.

Augusto Buchweitz, University of Connecticut (UCONN), Connecticut, United States.

Associate Professor of Psychology, University of Connecticut, USA. Affiliated researcher at Haskins Laboratories/Yale Child Study Center and the Haskins Global Literacy Hub (haskinsglobal.org/). He worked as a researcher at the Brain Institute of Rio Grande do Sul (2012-2022) and as an advisor to the Basic Education Chamber, National Education Council (CNE, 2020-2022). His research interests involve the neuroscientific and cognitive investigation of reading and literacy learning, developmental dyslexia, and the effects of the environment on cognitive development. He has also worked on the development of technologies for education, having been the scientist responsible for the development of the GraphoGame Brasil literacy app and one of the scientists responsible for the current development of an app for reading fluency assessment, in conjunction with the Inter-American Development Bank (IDB). For an updated list of publications, see Google Scholar: https://bit.ly/3G0ICTT.

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Published

2025-12-19

How to Cite

Hoffmeister de Almeida, P., Fay de Azevedo, A., Savastano Ribeiro Jardini, R., & Buchweitz, A. (2025). Intervention Protocol for Phonological, Phonoarticulatory, and Reading Skills in Developmental Dyslexia: Neuroscience Applied to Literacy. Letrônica, 18(1), e48010. https://doi.org/10.15448/1984-4301.2025.1.48010

Issue

Section

THE DEVELOPMENT OF (A)TYPICAL READING AND WRITING IN MONOLINGUISTIC AND BILINGUAL PEOPLE IN THE LIGHT OF PSYCHOLINGUISTICS