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The Children’s Psychological Processes Scale (CPPS)

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1 The Children’s Psychological Processes Scale (CPPS)
Dr. Milton J. Dehn Schoolhouse Educational Services

2 Notice of Copyright 2014 This PowerPoint presentation and accompanying materials are copyrighted by Milton J. Dehn and Schoolhouse Educational Services, LLC. They are not to be reprinted, copied, or electronically disseminated without written permission. To obtain permission,

3 Webinar Information Sources
DSM-5 Essentials of Processing Assessment, 2nd Ed. Children’s Psychological Processes Scale (CPPS) Psychological Processing Analyzer 2.0 (PPA Presenter Contact: Other references from research articles available

4 Webinar Topics Defining SLD (DSM-5)
Neuropsychological weaknesses and SLD Overview of the CPPS General principles for psychological processing interventions NEXT TIME: Specific interventions & details

5 DSM-5 Definition of SLD Considers SLD to be a type of neurodevelopmental disorder that impedes learning and acquisition of academic skills In contrast some aspects of neurodevelopment are fine DSM-5 diagnosis should meet educational criteria better than in the past; more consistent with RTI

6 DSM-5 SLD Changes One overarching category with 3 specific manifestations: reading, math, writing. “Specifiers” used to specify the nature of the LD. Elimination of IQ-Achievement Cognitive processing weaknesses no longer required More than standardized test scores needed Addition of 4 criteria

7 New DSM-5 Criteria One of these 6 symptoms has persisted for at least 6 months despite interventions Inaccurate or slow word reading Difficulty understanding what is read Difficulty with spelling Difficulty with written expression Difficulty mastering math Difficulty with math reasoning

8 New DSM-5 Criteria Skills are significantly below those expected for age and are causing impairment as measured by standardized achievement tests The learning difficulties began during school years Other disorders must be ruled out

9 Neuropsychological Perspective on SLD
DSM-5 acknowledges that SLD is caused by neurodevelopmental disorders but than drops requirement to identify those deficient neuropsychological processes This decision is also puzzling in view of recent neuroscience documentation of brain-based causes of SLD The need for a “comprehensive clinical assessment” could be partially met with a rating scale

10 Some Evidence for the SLD-Processing Weaknesses Connection
Meta-Analysis of 32 studies by Johnson et al. (2010) found “moderately large to large effect sizes (many close to one standard deviation of difference) in cognitive processing differences between groups of students with SLD and typically achieving students.” The processes included were: Working memory, short-term memory, phonological processing, processing speed, executive function, and language.”

11 Neuropsychological Perspective on SLD
Neurologically-based weaknesses underlie SLD There is a brain basis to SLD Neuropsychological processing weaknesses “cause” SLD There’s no SLD if there’s no processing weakness Some processes are more highly related than others with specific academic skills Intra-individual weaknesses should be statistically significant PSW doesn’t mean there is a learning disability

12 Children’s Psychological Processes Scale (CPPS)
Standardized teacher rating scale Ages to 121 items across 11 subscales Entirely online, internet-web based Online administration time of 15 minutes Online scoring and report Author: Milton Dehn Measurement Consultant: Kevin McGrew

13 CPPS Standardization 1,121 students rated by 278 teachers
128 communities in 30 U.S. states All data collected online Demographics match U.S. Census well Norms: 4 age groups (5-6; 7-8; 9-10; 11-12) Included children with disabilities

14 Characteristics of CPPS Processes
Brain-based Interrelated Necessary for academic learning Predict academic learning They are broad processes Observable in classroom Processes can be validly assessed through ratings; similar to BRIEF

15 Psychological Processes Measured by the CPPS
Attention Auditory Processing Executive Functions Fine Motor Fluid Reasoning Long-Term Recall Oral Language Phonological Processing Processing Speed Visual-Spatial Processing Working Memory General Processing Ability (Composite)

16 Main Purpose of the CPPS
To identify psychological (cognitive) processing weaknesses in children referred for a learning disability evaluation An additional source of data for diagnostic purposes Can be used as a Pattern of Strengths and Weaknesses (PSW) analysis Covers processes not directly tested

17 Additional Uses of the CPPS
Screening Identifies need for intervention Predicts academic skills development Planning cognitive/neuropsychological testing Measuring progress during interventions Through the use of change-sensitive W-scores Not subject to practice effects

18 The CPPS Identifies Children with SLD
LD subjects had significantly higher means on all subscales; about 1.5 SD difference Link The CPPS has high classification accuracy in regards to LD 37 LD subjects compared with matched controls Using CPPS GPA cutoff of 60 had 92% classification accuracy across 74 subjects

19 CPPS Factors General Processing Ability: All 11 subscales; efficiency of processing; produces GPA score Self-Regulatory Processes: Attention, EF, and WM subscales Visual-Motor Processes: Fine Motor and Visual-Spatial subscales Clusters: Memory and Language

20 CPPS Reliability Internal consistency subscale reliability ranges from .88 to .98 .99 on Total Score Inter-rater reliability Range of .21 to .90 Median coefficient of 76.5

21 Correlations with Achievement
High correlations with WJ III Achievement Test scores The broader the achievement score, the higher the correlations The pattern of correlations is mostly as predicted; for example; Phonological Processes has a high correlation with Basic Reading Skills

22 Correlations with WJ III COG
All CPPS processes have significant correlations with Cognitive Fluency (ability to quickly and fluently perform cognitive tasks) Most CPPS scales expected to link with WJ III COG tests have significant correlations, except attention and processing speed Also, discriminant evidence: Those that should not be related, do not have significant correlations

23 Correlations with the BRIEF
CPPS Attention, Executive Functions, and Working Memory (SRP Factor) have the highest correlations with all BRIEF scales CPPS Attention and EF mostly are >.70 indicating they measure same domains as BRIEF Other CPPS scales correlate with BRIEF metacognitive scales but not behavioral

24 How the Online CPPS Works
A psychologist side and a teacher side Psychologist manages & has student records Teachers can only access blank rating forms Once teacher has completed ratings, completed form goes to psychologist’s side and teacher can no longer access

25 Completing Teacher Rating Form
Takes approximately 15 minutes Responses: Never, Sometimes, Often, Almost Always Must respond to all items Incomplete ratings will save and can be completed later Free paper copies can be printed. Psychologist then fills in ratings online.

26 Item Printout Teacher ratings can be viewed and printed, even before report generated Numerical values will be shown Grouped by subscale Arranged in developmental/difficulty sequence from low to high Example

27 CPPS Report Brief narrative, graph, and a table of scores
Change-sensitive W-scores T-scores; percentiles; confidence intervals Intra-individual strengths and weakness discrepancy table T-score to standard score converter Example

28 CPPS Discrepancy Analysis
Use discrepancy table to determine pattern of strengths and weaknesses Predicted score based on mean of other 10 Regression toward the mean included +/ to 2.00 SD of SEE discrepancy options Strengths and Weakness labeling is opposite of discrepancy, e.g. “-” value = a strength Link

29 Diagnosing LD with the CPPS
Look for pattern of strengths and weaknesses (discrepancy table) Ideally, weaknesses should also be normative weaknesses (T-scores above 60) Weaknesses should link to evidence-based achievement relations

30 Frequently Asked Questions
Is there a paper form? Can I print individual item ratings? Security? Students 13 and older? Parent form?

31 Psychological Processing Analyzer 2.0
Available at Identifies statistically significant strengths, weaknesses, deficits, and assets Can enter composite and/or subtest scores 11 psychological processes Takes scores (almost 400 to choose from) from more than 40 different scales: cognitive, achievement, rating, and processing

32 Using Assessment Results to Plan an Intervention
Select intra-individual processing weaknesses for intervention Normative weaknesses also appropriate If both kinds of weaknesses, it’s a priority Adapt and individualize

33 To Select Methods, Consider:
Learner’s needs, goals, and priorities Related cognitive processing weaknesses How well the strategy generalizes The extent of practice required Learner’s age and overall cognitive ability Learner’s level of metamemory, executive functioning, and strategy use

34 Neuropsychological Approach to Processing Interventions
Try to directly strengthen the weakness Use methods that involve other processes, more of the brain Principle: make the brain work; it gets better Use strong areas to compensate Also need accommodations that reduce the need to use the weak processes, especially when deficits are severe

35 Approaches to Improving WM
Reduce the learner’s “cognitive load” Make more effective use of existing WM capabilities by learning to use strategies Directly increase WM capacity through the brain-based training exercises Strengthen long-term memory Strengthen related processes, such as executive

36 WM: Selecting Exercises and Strategies
There are general principles/methods that apply to almost every case WM should be included even if normal to support LTM Some LTM strategies should be included even if normal to reduce load on WM Executive functions should be strengthened Existing strategies might need re-training

37 Six Big LTM Intervention Principles
Deeper processing; e.g. elaboration Visualization; e.g. dual encoding Organization; e.g., semantic clustering Associations, linking; e.g., mnemonics Review and retrieve; e.g., testing effect Metamemory

38 Metacognitive Component
Applies to all processing interventions Teach child how process works Inform child of strengths and weaknesses Teach how to control the process Emphasize personal efficacy of intervention Teach conditional strategy knowledge: how, when, where, why

39 Questions, Comments, Summary


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