The Children’s Psychological Processes Scale (CPPS) Dr. Milton J. Dehn Schoolhouse Educational Services cpps@psychprocesses.com 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, email milt@psychprocesses.com. Webinar Information Sources • • • • • • • DSM-5 Essentials of Processing Assessment, 2nd Ed. Children’s Psychological Processes Scale (CPPS) Psychological Processing Analyzer 2.0 (PPA www.psychprocesses.com Presenter Contact: milt@psychprocesses.com Other references from research articles available Webinar Topics 1. 2. 3. 4. Defining SLD (DSM-5) Neuropsychological weaknesses and SLD Overview of the CPPS General principles for psychological processing interventions 5. NEXT TIME: Specific interventions & details DSM-5 Definition of SLD 1. Considers SLD to be a type of neurodevelopmental disorder that impedes learning and acquisition of academic skills 2. In contrast some aspects of neurodevelopment are fine 3. DSM-5 diagnosis should meet educational criteria better than in the past; more consistent with RTI DSM-5 SLD Changes 1. One overarching category with 3 specific manifestations: reading, math, writing. “Specifiers” used to specify the nature of the LD. 2. Elimination of IQ-Achievement 3. Cognitive processing weaknesses no longer required 4. More than standardized test scores needed 5. Addition of 4 criteria New DSM-5 Criteria 1. One of these 6 symptoms has persisted for at least 6 months despite interventions 1. 2. 3. 4. 5. 6. Inaccurate or slow word reading Difficulty understanding what is read Difficulty with spelling Difficulty with written expression Difficulty mastering math Difficulty with math reasoning New DSM-5 Criteria 2. Skills are significantly below those expected for age and are causing impairment as measured by standardized achievement tests 3. The learning difficulties began during school years 4. Other disorders must be ruled out Neuropsychological Perspective on SLD 1. DSM-5 acknowledges that SLD is caused by neurodevelopmental disorders but than drops requirement to identify those deficient neuropsychological processes 2. This decision is also puzzling in view of recent neuroscience documentation of brain-based causes of SLD 3. The need for a “comprehensive clinical assessment” could be partially met with a rating scale 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.” Neuropsychological Perspective on SLD 1. Neurologically-based weaknesses underlie SLD 1. There is a brain basis to SLD 2. Neuropsychological processing weaknesses “cause” SLD 2. There’s no SLD if there’s no processing weakness 3. Some processes are more highly related than others with specific academic skills 4. Intra-individual weaknesses should be statistically significant 5. PSW doesn’t mean there is a learning disability Children’s Psychological Processes Scale (CPPS) 1. 2. 3. 4. 5. 6. 7. 8. Standardized teacher rating scale Ages 5-0-0 to 12-11-30 121 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 CPPS Standardization 1. 2. 3. 4. 5. 6. 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 Characteristics of CPPS Processes 1. 2. 3. 4. 5. 6. 7. 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 Psychological Processes Measured by the CPPS 1. Attention 2. Auditory Processing 3. Executive Functions 4. Fine Motor 5. Fluid Reasoning 6. Long-Term Recall 7. Oral Language 8. Phonological Processing 9. Processing Speed 10. Visual-Spatial Processing 11. Working Memory 12. General Processing Ability (Composite) Main Purpose of the CPPS 1. To identify psychological (cognitive) processing weaknesses in children referred for a learning disability evaluation 1. An additional source of data for diagnostic purposes 2. Can be used as a Pattern of Strengths and Weaknesses (PSW) analysis 3. Covers processes not directly tested Additional Uses of the CPPS 1. Screening 1. Identifies need for intervention 2. Predicts academic skills development 3. Planning cognitive/neuropsychological testing 2. Measuring progress during interventions 1. Through the use of change-sensitive W-scores 2. Not subject to practice effects The CPPS Identifies Children with SLD 1. LD subjects had significantly higher means on all subscales; about 1.5 SD difference Link 2. The CPPS has high classification accuracy in regards to LD 1. 37 LD subjects compared with matched controls 2. Using CPPS GPA cutoff of 60 had 92% classification accuracy across 74 subjects CPPS Factors 1. General Processing Ability: All 11 subscales; efficiency of processing; produces GPA score 2. Self-Regulatory Processes: Attention, EF, and WM subscales 3. Visual-Motor Processes: Fine Motor and Visual-Spatial subscales 4. Clusters: Memory and Language CPPS Reliability 1. Internal consistency subscale reliability ranges from .88 to .98 2. .99 on Total Score 3. Inter-rater reliability 1. Range of .21 to .90 2. Median coefficient of 76.5 Correlations with Achievement 1. High correlations with WJ III Achievement Test scores 1. The broader the achievement score, the higher the correlations 2. The pattern of correlations is mostly as predicted; for example; Phonological Processes has a high correlation with Basic Reading Skills Correlations with WJ III COG 1. All CPPS processes have significant correlations with Cognitive Fluency (ability to quickly and fluently perform cognitive tasks) 2. Most CPPS scales expected to link with WJ III COG tests have significant correlations, except attention and processing speed 3. Also, discriminant evidence: Those that should not be related, do not have significant correlations Correlations with the BRIEF 1. CPPS Attention, Executive Functions, and Working Memory (SRP Factor) have the highest correlations with all BRIEF scales 2. CPPS Attention and EF mostly are >.70 indicating they measure same domains as BRIEF 3. Other CPPS scales correlate with BRIEF metacognitive scales but not behavioral How the Online CPPS Works 1. 2. 3. 4. 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 Completing Teacher Rating Form 1. Takes approximately 15 minutes 2. Responses: Never, Sometimes, Often, Almost Always 3. Must respond to all items 4. Incomplete ratings will save and can be completed later 5. Free paper copies can be printed. Psychologist then fills in ratings online. Item Printout 1. Teacher ratings can be viewed and printed, even before report generated 2. Numerical values will be shown 3. Grouped by subscale 4. Arranged in developmental/difficulty sequence from low to high 5. Example CPPS Report 1. 2. 3. 4. Brief narrative, graph, and a table of scores Change-sensitive W-scores T-scores; percentiles; confidence intervals Intra-individual strengths and weakness discrepancy table 5. T-score to standard score converter 6. Example CPPS Discrepancy Analysis 1. Use discrepancy table to determine pattern of strengths and weaknesses 2. Predicted score based on mean of other 10 3. Regression toward the mean included 4. +/- 1.00 to 2.00 SD of SEE discrepancy options 5. Strengths and Weakness labeling is opposite of discrepancy, e.g. “-” value = a strength 6. Link Diagnosing LD with the CPPS 1. Look for pattern of strengths and weaknesses (discrepancy table) 2. Ideally, weaknesses should also be normative weaknesses (T-scores above 60) 3. Weaknesses should link to evidence-based achievement relations Frequently Asked Questions 1. 2. 3. 4. 5. Is there a paper form? Can I print individual item ratings? Security? Students 13 and older? Parent form? Psychological Processing Analyzer 2.0 1. Available at www.psychprocesses.com 2. Identifies statistically significant strengths, weaknesses, deficits, and assets 3. Can enter composite and/or subtest scores 4. 11 psychological processes 5. Takes scores (almost 400 to choose from) from more than 40 different scales: cognitive, achievement, rating, and processing Using Assessment Results to Plan an Intervention 1. Select intra-individual processing weaknesses for intervention 2. Normative weaknesses also appropriate 3. If both kinds of weaknesses, it’s a priority 4. Adapt and individualize To Select Methods, Consider: 1. 2. 3. 4. 5. 6. 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 Neuropsychological Approach to Processing Interventions 1. Try to directly strengthen the weakness 2. Use methods that involve other processes, more of the brain 3. Principle: make the brain work; it gets better 4. Use strong areas to compensate 5. Also need accommodations that reduce the need to use the weak processes, especially when deficits are severe Approaches to Improving WM 1. Reduce the learner’s “cognitive load” 2. Make more effective use of existing WM capabilities by learning to use strategies 3. Directly increase WM capacity through the brain-based training exercises 4. Strengthen long-term memory 5. Strengthen related processes, such as executive WM: Selecting Exercises and Strategies There are general principles/methods that apply to almost every case 1. WM should be included even if normal to support LTM 2. Some LTM strategies should be included even if normal to reduce load on WM 3. Executive functions should be strengthened 4. Existing strategies might need re-training Six Big LTM Intervention Principles 1. 2. 3. 4. 5. 6. 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 Metacognitive Component 1. 2. 3. 4. 5. 6. 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 Questions, Comments, Summary