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      Remote treatment of developmental dyslexia: how ADHD comorbidity, clinical history and treatment repetition may affect its efficacy

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          Abstract

          Introduction

          Tachidino is a web-based platform for remote treatment of reading and spelling disorders. The purpose of the present study was to investigate the possible impact of different clinical conditions on the efficacy of treatment. The focus was on possible ADHD comorbidity-related effects on the outcomes of the Tachidino treatment, and the impact of previous treatments, such as speech and language therapy or the repetition of the same Tachidino program.

          Methods

          136 children with developmental dyslexia received four-weeks treatment via the Tachidino platform. Improvements in reading and writing scores were compared between different subgroups.

          Results

          No gross differences emerged in treatment effectiveness between groups of children. Children receiving treatment improved significantly more than untreated children.

          Discussion

          Treatment with Tachidino brought significant benefits for all children, irrespective of comorbidity, clinical history or treatment repetition. Comparison with an untreated control group (waiting list) made it possible to exclude that improvement was due to test–retest learning effects.

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          Most cited references49

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          Equivalence Tests

          Scientists should be able to provide support for the absence of a meaningful effect. Currently, researchers often incorrectly conclude an effect is absent based a nonsignificant result. A widely recommended approach within a frequentist framework is to test for equivalence. In equivalence tests, such as the two one-sided tests (TOST) procedure discussed in this article, an upper and lower equivalence bound is specified based on the smallest effect size of interest. The TOST procedure can be used to statistically reject the presence of effects large enough to be considered worthwhile. This practical primer with accompanying spreadsheet and R package enables psychologists to easily perform equivalence tests (and power analyses) by setting equivalence bounds based on standardized effect sizes and provides recommendations to prespecify equivalence bounds. Extending your statistical tool kit with equivalence tests is an easy way to improve your statistical and theoretical inferences.
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            Equivalence Testing for Psychological Research: A Tutorial

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              A definition of dyslexia

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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                10 January 2024
                2023
                : 11
                : 1135465
                Affiliations
                [1] 1Scientific Institute, IRCCS E. Medea , Bosisio Parini, Italy
                [2] 2Department of Psychology, Catholic University of the Sacred Heart , Milan, Italy
                [3] 3DISTUM, Department of Humanities, University of Urbino Carlo Bo , Urbino, Italy
                [4] 4Center of Clinical Developmental Neuropsychology, ASUR , Pesaro, Italy
                Author notes

                Edited by: Sebastian Rutkowski, Opole University of Technology, Poland

                Reviewed by: Sarah Anna Sperber, ASST Lodi, Italy; Marco Sacco, National Research Council, Italy

                *Correspondence: Maria Luisa Lorusso, marialuisa.lorusso@ 123456lanostrafamiglia.it

                These authors have contributed equally to this work and share first authorship

                Article
                10.3389/fpubh.2023.1135465
                10805994
                38269376
                9cb0f31d-21f0-4c59-9de3-2fd3980136e4
                Copyright © 2024 Lorusso, Borasio, Mistò, Salandi, Travellini, Lotito and Molteni.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 December 2022
                : 04 December 2023
                Page count
                Figures: 5, Tables: 2, Equations: 0, References: 49, Pages: 13, Words: 10059
                Funding
                The study was funded by the Italian Ministry of Health, grant numbers RC2022, RC2023.
                Categories
                Public Health
                Original Research
                Custom metadata
                Digital Public Health

                dyslexia,remote treatment,adhd,repeated treatment,multi-component treatment

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