Using the CPPS to Evaluate Children with Learning Problems Dr. Milton J. Dehn Schoolhouse Educational Services www.psychprocesses.com Children’s Psychological Processes Scale (CPPS) Facts 1. 2. 3. 4. 5. 6. 7. Standardized teacher rating scale Ages 5 – 12 121 items across 11 subscales Entirely online, internet-web based Online administration time of 15 minutes Online scoring and report Author: Milton Dehn; published by Schoolhouse Educational Services, 2012 Uses of the CPPS 1. Screening 1. Identifies need for intervention 2. Predicts academic skills development 3. Useful in planning comprehensive assessment 2. LD Evaluations 1. Identify psych processing deficits 2. Pattern of strengths and weaknesses 3. Measure progress during interventions 1. Through the use of change-sensitive W-scores What is psychological processing? 1. Brain processes, operations, functions 2. Any time mental contents are operated on 3. When information is perceived, transformed, manipulated, stored, retrieved, expressed 4. Whenever we think, reason, problem-solve 5. Can’t learn and perform without processing 6. Learning depends on these processes 7. Doesn’t include knowledge or academic skills MN Processing Criteria “The child has a disorder in one or more of the basic psychological processes which includes an information processing condition that is manifested in a variety of settings by behaviors such as inadequate …. (next slide) MN Processing Criteria ….acquisition of information; organization; planning and sequencing; working memory, including verbal, visual, or spatial; visual and auditory processing; speed of processing; verbal and nonverbal expression; transfer of information; and motor control for written tasks.” (Can include other processes not listed.) What is a Processing Disorder? 1. Disorder: A group of symptoms involving abnormal behaviors 2. A disorder involves deficits 3. Deficit: A lack or shortage of something 4. Weakness: Lacking normal ability 5. A processing disorder impairs academic learning 6. Not many official processing disorders 1. E.g. CAPD, aphasia, amnesia, dyspraxia Evidence for a Processing Disorder and SLD Diagnosis 1. It’s not specific to one environment 2. A normative weakness (below average score) 3. Intra-individual: score is significantly weaker than predicted from discrepancy analysis 4. Best if it’s an intra-individual weakness and a normative weakness (this is a deficit; these are rare) 5. It’s impacting academic learning 6. The low psychological processes and low academics have research-based links 7. The linked process and academic skills both have low scores (consistency approach) Processes and Academic Learning 1. Psychological processes are like “aptitudes” 2. Relations established through research 1. Flanagan et al. 2. McGrew’s review of research 3. The influence of processes varies by age 4. Look for academic area and related psychological processes to both be low 5. See Table 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) CPPS Processes Significantly Related With Types of Academic Learning Basic Reading Reading Skills Fluency Auditory Processing Long-Term Recall Oral Lang. Phonological Processing Processing Speed Working Memory Long-Term Recall Phonological Processing Processing Speed Reading Mathematics Comprehension Calculation Attention Auditory Processing Mathematics Reasoning Written Language Auditory Processing Executive Executive Functions Functions Fine Motor Fluid Reasoning Fluid Reasoning Fluid Reasoning Fluid Reasoning Long-Term Long-Term Long-Term Long-Term Recall Recall Recall Recall Oral Language Oral Language Oral Language Phonological Processing Processing Processing Processing Speed Speed Speed Visual-Spatial Processing Working Working Working Working Memory Memory Memory Memory Characteristics of CPPS Processes 1. 2. 3. 4. 5. 6. Brain-based Interrelated Necessary for academic learning They underlie academic performance They are broad processes Observable in classroom Attention 1. 2. 3. 4. In classroom: Necessary for learning Attention deficits part of LD; not necessarily ADHD Types: Selective, focused, divided, sustained The problem is attentional control & lack of inhibition 5. On CPPS, links to Executive Functions and Working Memory 6. Lowest Item: “Is noisy and disruptive in class” 7. Highest Item: “Has difficulty dividing attention between two tasks” Auditory Processing 1. Ability to perceive, analyze, synthesize, and discriminate auditory stimuli, mainly speech 2. In classroom: Perceiving and comprehending instruction; being able to understand words with background noise 3. Lowest item: “Has difficulty associating a voice with the correct person” 4. Highest item: “Has difficulty understanding instruction when there is background noise” Executive Functions 1. Management of cognitive functions and psychological processes 2. Effectiveness depends on self-monitoring, selfregulation, and metacognition 3. Has a longer course of development 4. More to do with classroom performance than learning of academic skills 5. Lowest item “Has difficulty adapting to changes, such as a change in routine” 6. Highest item: “Does not notice errors in schoolwork” Fine Motor 1. Hits developmental plateau by age 7 2. On CPPS, has weaker relations with cognitive processes in general but has strong relations with academics 3. On CPPS, pairs up with visual-spatial process. 4. Lowest item: “Has difficulty picking up small objects with thumb and forefinger” 5. Highest item: “Has difficulty staying between the lines when printing or writing” Fluid Reasoning 1. Deductive, inductive reasoning, especially with novel materials 2. Has a longer course of development 3. More important for applied academics 4. Lowest item: “When given clues, does poorly at guessing the answer” 5. Highest item: “Has difficulty solving unfamiliar problems” Long-Term Recall 1. Close connection with other processes and with academic learning in general 2. Includes encoding, consolidation, storage, and retrieval 3. RAN is part of 4. Lowest item: “Has difficulty remembering nursery rhymes or stories” 5. Highest item: “Has difficulty recalling information during tests” Oral Language 1. Not the content (vocabulary) or receptive language but the oral expression processes 2. Lowest item “Substitutes or omits vowel and consonant sounds when speaking” 3. Highest item: “Has difficulty paraphrasing when speaking” Phonological Processing 1. Processing of phonemes, e.g. blending 2. Phonemic awareness is part of 3. Lowest item: “Has difficulty identifying the first sound in a word” 4. Highest item: “Has difficulty sounding out unknown words when reading” Processing Speed 1. How quickly information flows through the processing system; a matter of efficiency 2. Too slow: info. lost, process not completed 3. Lowest item “Is slow to perform, relatively easy, well-learned tasks” 4. Highest item: “Takes a long time to complete a worksheet” Visual-Spatial Processing 1. The ability to perceive, analyze, synthesize, manipulate and think with visual patterns 2. A strength in most LD cases 3. Weak relations with all academics; more of a “threshold” process 4. Lowest item: “Has difficulty matching things that look alike” 5. Highest item: “Becomes confused when figures are rotated or reversed” Working Memory 1. 2. 3. 4. 5. Processing while retaining information On CPPS includes short-term memory Both verbal and visual Lowest item: “Loses place when counting” Highest item: “Has difficulty organizing information when writing” General Processing Ability (GPA) 1. Based on average of all process scores 2. Emerges from factor analysis; similar to concept of general intelligence 3. Processes function in an inter-related fashion 4. Most processes contribute to any given behavior, task 5. On CPPS defined as “the underlying efficiency of automaticity of processing” CPPS Standardization 1. 2. 3. 4. 5. 6. 7. 1,121 students rated by 278 teachers 128 communities in 30 states Entirely online Demographics match U.S. Census well Scores were weighted Included children with disabilities Demographics details Link Item Selection 1. 2. 3. 4. 5. Two rounds of piloting W-scores indicate wide ability range Skewed distributions common Rasch item analysis Exploratory factor analysis to check subscale alignment Reverse Scoring 1. Relative to achievement & cognitive tests 2. High scores mean high difficulty and low ability 3. All items stated negatively 4. Inconsistent ratings when positively stated items were tried Norms and Scores 1. 4 age groups (5-6; 7-8; 9-10; 11-12) 2. Boys have more processing problems 3. No sign. sex differences in fluid reasoning, phonological, and visual-spatial 4. Norms not divided by sex Link 5. Combined sex norms better for identification 6. T-scores derived from linear transformation of actual standardization distribution W-Scores 1. Used in item analysis, development of scoring system, and in reports 2. Mean of 500 at age 10; SD of roughly 20 3. Converts ordinal rankings into equal intervals 4. More precise measurement 1. Gradient with smaller steps 2. More sensitive to changes, progress 5. Use when re-evaluating student with CPPS Reliability 1. Internal consistency subscale reliability ranges from .88 to .98 Link 2. .99 on Total Score 3. Inter-rater reliability 1. Range of .21 to .90 2. Median coefficient of 76.5 Validity: Developmental Evidence 1. Skewed distributions because 1. 2. 3. 4. Very few children have processing problems Fewer processing problems in older children Most processes fully develop early Teachers rate relative to that grade level 2. Dev. changes observed in younger children 3. Changes observed in upper half of problem distribution Link See Range 4. W values used to arrange items in order Correlations with Achievement 1. High correlations with WJ III Achievement Test scores Link 1. The broader the achievement score, the higher the correlations 2. Correlation of .66 between teacher’s overall ranking of academic skills and CPPS GPA 3. Parent education level and CPPS GPA is .33 Correlations with WJ III COG 1. Fewer correlations than achievement Link 2. All CPPS processes have sign. correlations with Cognitive Fluency (ability to quickly and fluently perform cog. tasks) 3. Most CPPS scales expected to link with WJ III COG tests do, except attention, processing speed, and working memory 4. Also, discriminant evidence Correlations with BRIEF 1. CPPS Attention, Executive Functions, and Working Memory have the highest correlations with all BRIEF scales and a sign. correlation with every BRIEF score 2. CPPS Attention and EF mostly are >.70 indicating they measure same domains as BRIEF Link 3. Other CPPS scales correlate with BRIEF metacognitive scales but not behavioral Factor and Cluster Analysis 1. A general factor; all subtests load on 1. General processing ability (GPA) may reflect processing efficiency or automaticity Link 2. Second factor is Attention, EF, sometimes WM: Self-Regulatory Processes 3. Third factor is Fine Motor and Visual-Spatial: Visual-Motor processes Link 4. Results fairly consistent across age groups Diagnostic Utility for LD 1. 37 LD subjects with broad demographics 2. Compared to matched controls, LD subjects had significantly higher means on all subscales Link 3. The CPPS has high classification accuracy in regards to LD 1. Using CPPS GPA cutoff of 60 has 92% classification accuracy across 74 subjects CPPS Administration 1. Online rating scale 12-15 minutes for teachers to complete 1. Can print free paper copy and enter later 2. Must answer all items 2. Responses: Never, Sometimes, Often, Almost Always 3. This file is stored until accessed for report 4. More than 1 teacher rater is recommended CPPS Report 1. 2. 3. 4. 5. Brief narrative A graph and a table of scores Change-sensitive W-scores T-scores; percentiles; confidence intervals Intra-individual strengths and weakness discrepancy table 6. T-score to standard score converter 7. Example Multiple Raters 1. Expect differences 2. Compare scores on the graphs 1. Is the profile similar but one teacher’s scores are consistently higher than others 2. Significantly different when confidence bands do not overlap 3. How are the teachers’ experiences with the student different? 4. If 3 raters, give most creditability to middle rater Diagnosing LD with the CPPS 1. Use a T-score of 60 or above on the GPA 2. Use discrepancy table to determine pattern of strengths and weaknesses 1. Predicted score based on mean of other 10 2. Use +/- 1.00 SD of discrepancy as criterion 3. Non LD also have a pattern Link 3. Weaknesses should link to evidence-based achievement relations Link Case I Background 1. 2. 3. 4. 5. 6. 7. 5th grade, 12 year old male History of struggling with Math & Wr Lang Received tutoring and extra help at school Not placed for LD after eval. 2 years prior Average IQ Doesn’t meet ADHD diagnostic criteria Seems immature Case I CPPS Scores 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 70 51 55 63 64 61 61 53 58 48 63 60 Case I WJ Cog Scores Comp-Knowledge LT Retrieval Vis-Spatial Auditory Proc Fluid Reasoning Process Speed ST Memory Phonemic Aware Working Memory Broad Attention Cognitive Fluency 97 *a close match with CPPS 86* 93* 97* 103 82 90 103* 87* 90 85 Case I WJ III ACH Broad Reading 91* Broad Math 89** Broad Wr Lang 86** Math Calc Skills 90** Writ Exp 85** *Has strong CPPS related processes **Has weak CPPS related processes Case I Conclusions 1. From a processing perspective, could qualify for LD 2. Does not because IQ-Ach discrepancy not severe enough 3. Nevertheless, struggles because of processing problems Case II Background 1. 7 year old, first grade male 2. 1st grade teacher reported many concerns: attention, math difficulties, losing things, slow to start, slow to complete work 3. Good at art, visual-spatial, behavior 4. Reported concerns to parent 5. History: needed oxygen at birth 6. No health or developmental problems CPPS Case Study II 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 69 69 65 53 66 73 64 65 70 65 72 68 Case II WJ III COG Scores Comp-Knowledge LT Retrieval Vis-Spatial Auditory Proc Fluid Reasoning Process Speed ST Memory Phonemic Awareness Working Memory Broad Attention Cognitive Fluency 84 101 110 122 98 96 112 108 93 99 83 Case II WJ III ACH Brief Reading Broad Math Brief Writing Math Calc Skills 85 69* 80 (-1.49) 67* *More than 2.00 SD’s of discrepancy below ability Case II BRIEF Scores Inhibit Shift Emot Control BRI Initiate Working Memory Plan/Organize Org of Materials Monitor MI GEC 49 50 43 47 67 72 72 57 49 64 58 Case II WRAML2 Scores Verbal Memory Visual Memory Attention/Concentration General Memory Verbal Recognition Visual Recognition General Recognition Delayed Recall Average 108 85 88 91 105 84 94 10 (mean for subs) Case II Discussion 1. Compare CPPS results with other test results 1. What are the consistencies 2. What are the inconsistencies 2. Does he have a learning disability? 3. Does he have ADHD? 4. (Disregard intervention requirement) Selective, Cross-Battery Testing 1. Assess areas based on concerns, not on what a test has to offer 2. Mix tests/batteries to cover all the areas 1. Limit to 2 or 3 batteries 2. Should be normed about the same time 3. Avoid redundancies 4. Ideally, 2 subtests per process 5. Analyze results together by computing a cross-battery mean or using IQ Dehn’s Approach to Cross Battery 1. Not limited to CHC factors in Flanagan and Ortiz method 2. Includes processing factors that are important for learning of academic skills 3. Analyze scores at the factor (two-subtest) level whenever possible 4. Use a hand computation analysis sheet Selective Testing 1. Not necessary to administer entire battery 2. Focus most on hypothesized deficits 3. Know the factors/subtests that measure processes 4. Apply a cross-battery approach 5. See selective testing table for cog. & ach. Link Using CPPS Results to Guide Standardized Testing 1. 2. 3. 4. The WJ III COG is a good match Other broad scales, such as memory Use selective testing table Sample all processing areas but especially weak and borderline areas 5. CPPS processes with scores above 60 should be sampled with at least 2 subtests Using the CPPS to Measure Progress 1. 2. 3. 4. Use W-Scores Have a mean of 500 at age 10 Standard deviations vary (about 20) 4-5 W-score points for every 1-2 T-score points 5. A change of 20 points can be considered statistically significant Using the CPPS to Plan an Intervention 1. Select processes with scores above 60 (weaknesses) 2. Prioritize if too many 3. Look for strengths (scores below 40) to counterbalance weakness References • Dehn, M. J. (2006). Essentials of Processing Assessment. Wiley Publishing. (a revision of this book will be out spring 2013) • Dehn, M. J. (2012). Children’s Psychological Processes Scale, Professional Manual. Schoolhouse Educational Serivces CPPS Purchasing Information • Found at www.psychprocesses.com