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Communication Disorders Quarterly

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Effects of Collaboration on Language Performance


Lauren E. Bland and Patricia A. Prelock
Communication Disorders Quarterly 1995 17: 31
DOI: 10.1177/152574019501700204

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journal of Children's Communication Development
1996Vol.17, No.2,31-37
°1996 The Division for Children's Communication Development

Effects of Collaboration on Language Performance


Lauren E. Bland
University of Cincinnati

Patricia A. Prelock
University of Vermont

f Language samples from fourteen students with communication disorders were obtained over a three year period to determine
the effectiveness of a language-in-the-classroom (LIC) intervention model While there were few differences noted in syntax,
semantics or morphology for students served in a collaborative model as compared to students served in a pull-out model, sig-
nificant differences in the completeness and intelligibility of student utterances were noted. Results indicated that students
who received intervention using an LIC model had more complete/intelligible utterances and fewer incomplete/unintelligible
utterances than students who received intervention using a more traditional pull-out model. Implications for speech-language
pathologists (SLPs) are provided.

A
lthough there has been some research examining the consultative than collaborative. What appears to differentiate
effectiveness of collaborative models of service consultative from more collaborative models is the level of
delivery with at-risk and typically developing popu- shared involvement in the delivery of services.
lations, there has been limited research regarding the effec- Professionals involved in the collaborative model share
tiveness of the collaborative model in the treatment of stu- responsibility for decision making including assessment,
dents w i t h language disorders. Further, efficacy studies treatment planning and intervention (Hoskins, 1990). SLPs,
examining the collaborative model have focused on con- administrators, teachers, parents, and when possible, the
cept development, vocabulary, and the ability to explain student, share responsibility for identifying and remediating
math problems (Kaufman, Prelock, Weiler, Creaghead & the communication problem.
Donnelly, 1994; Seifert & Schwartz, 1991; Wilcox, Kouri & Effectiveness of collaboration
Caswell, 1991). No studies reported to date have examined
The effects of collaborative models on vocabulary and
the effects of collaborative intervention on the connected
concept development have been examined in preschool
discourse of students with language disorders which has
and kindergarten settings (Seifert & Schwartz, 1 9 9 1 ;
implications for academic success. This study was designed Wilcox, Kouri & Caswell, 1991). Wilcox et al., (1991) com-
to document the differences in the language production pared differences in vocabulary training for preschool chil-
skills of children with communication disorders following dren. One group of children received therapy in the class-
service delivery using a Language-in-the-Classroom (LIC) room while the other group received individual interven-
model versus a traditional pull-out model. tion in a traditional pull-out setting. The initial focus of the
Public school speech services have traditionally been study was to look at the effectiveness of early intervention.
provided via the pull-out model. In this model, the speech- The authors noted that the children w h o received class-
language pathologist (SLP) alone is responsible for the room intervention used the targeted vocabulary at a more
assessment and treatment of children with communication productive level than did the others.
disorders. It has been a popular model of service delivery Seifert and Schwartz (1991) examined the effectiveness
for communication disorders frequently seen in the schools of training basic concepts in a large group. They selected 14
such as articulation, phonological and language disorders. concepts and taught these in a Head Start classroom instead
As a supplement to the pull-out model, alternative mod- of pulling out the children for therapy. When compared to a
els have been proposed. Miller (1989) described several inter- control group (no therapy at all), it was determined that the
vention models all of which incorporate some degree of inter- students taught in the classroom made significant progress.
action with classroom teachers. For example, the SLP could The authors felt that this was a viable service delivery model
consult with a teacher regarding a particular child, provide especially if a variety of teaching methods, like direct
program development for school personnel, teach in a self- instruction and incidental teaching, were used.
contained classroom, team teach, or provide individual inter- Studies designed to document the effects of collabora-
vention which supports the classroom curriculum. Some of tive intervention on academic success have also been com-
the approaches described by Miller may be considered more pleted. Kaufman et al., (1994) determined that students

Bland & Prelock: Effects of Collaboration 31


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trained in explanation adequacy using a collaborative centage of the students in the district also qualified for
model were better able to recognize and justify appropriate Chapter I services in reading.
explanations in math than students not receiving the train-
ing. Gottschalk, Prelock, Weiler and Sandman (1995) Intervention Program
demonstrated that those explanation skills could be main- The three components of the intervention program
tained for up to six months following training. Sheeran, were inservice training, planning meetings and LIC ses-
Prelock and Weiler (1993) found that a greater percentage sions. Before beginning the LIC intervention, each team
of the students trained in the collaborative model per- which was composed of the SLPs, teachers and university
formed at a higher level on the mathematics portions of student SLPs, participated in seven, two-hour training ses-
standardized achievement tests. sions. Topics covered included:
The effectiveness of collaboration on written language 1. Transdisciplinary teaming and role sharing
has also been investigated. Bowman (1992) suggested that 2. Normal and disordered communication
both the form and content of written language improved 3. Classroom scripts
when at risk and typically developing students were taught 4. Collaborative, curriculum-based assessment
using an LIC model. 5. The language of math
6. Connections between language & literacy
The results of collaboratively serving young children with
7. Issues in implementing collaborative models of ser-
communication disorders and at risk school age children in
vice delivery (e.g., planning, curriculum-based interven-
the regular classroom are promising. Further research, how-
tion, etc.).
ever, is needed to evaluate the effectiveness of this model for
school age children with language disorders. The purpose of Planning meetings were scheduled w e e k l y or b i -
this study was to examine the connected discourse of school monthly, depending on the schedule of the teacher and
age students with communication disorders over time as they SLP. The length of these meetings varied from 30 to 45 min-
participated in a traditional pull out and/or collaborative LIC utes. During planning, the teacher-SLP-student SLP team
model of service delivery. followed a format for LIC lessons which included the fol-
lowing:
1. Establishing collaborative concerns for students with
METHOD
communication disorders as well as all students within
Subjects the class;
The subjects were 14 students with communication dis- 2. Identifying and targeting curriculum and communica-
orders in grades one through four. Seven pairs of students tion goals for identified and non-identified students;
were matched using their composite standard scores on the 3. Brainstorming ideas for activities which meet both
CLINICAL EVALUATION OF LANGUAGE FUNDAMEN- curriculum and communication goals;
TALS - REVISED (CELF-R) (Semel, Wiig & Secord, 1987). 4. Specifying those facilitating techniques to be used
Standard scores for each pair were within one standard with the students with communication disorders to facili-
deviation of each other. Each pair ranged in age from 6-2 to tate their language performance in the classroom;
9-9 upon initiation of the study, with the CA of the matched 5. Outlining the procedures of the selected activities;
pairs being within seven months of each other. The type of 6. Determining the materials needed and sharing respon-
language problem (e.g., word finding, phonological, prag- sibility for gathering the materials;
matic, semantic, etc.) was also considered when matching 7. Selecting a method of data collection to evaluate the
the subjects. Certified SLPs evaluated or supervised the success of the lesson in meeting the stated objectives;
evaluations of all subjects. All subjects were previously and,
diagnosed with a language disorder by their school SLP and 8. Sharing ideas for follow-up to be used in the class-
were enrolled in therapy. In addition to the CELF-R, the SLP room or home.
used other standardized tests, informal assessments and At these meetings, team members determined which per-
teacher observations to determine the need for placement. son would function as the leader, helper/modeler, or data
No gross neurological or physical problems were reported collector during the implementation of the classroom inter-
for any of the subjects. Upon enrollment in the project, vention sessions. See Appendix A for a sample lesson plan.
none of the subjects were identified as having any cogni- The third component of the project was the LIC ses-
tive impairments. Children with chronic ear infections or sions. The duration of the in-classroom sessions varied from
hearing loss were not included in the study. Table 1 pre- 30 to 45 minutes and occurred once a week. During these
sents a description of the subjects' characteristics. sessions, each member of the triad (classroom teacher, site
All of the students participating in the study were from SLP, student SLP) assumed responsibility for the academic
a small city school district in Southwestern Ohio. Many of and communication objectives for identified students. All
the students in this district were considered disadvantaged academic curriculum areas were used as the foundation for
because of the large percentage of families qualifying for the development of the communication goals.
services based on low income status, such as the number Several procedures to insure consistency and reliability of
of children on free or reduced lunches. A significant per- the implementation of the LIC model were in place. Each team

32 Bland & Prelock: Effects of Collaboration


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Table 1. A description of subject's characteristics

PAIR SEX CA UPON CELF-R STANDARD PRIMARY


SUBJECTS ENTERING SCORES COMMUNICATION
PROJECT PROBLEM

R E T

PAIR 1
1 M 9-2 67 59 61 Verbal fluency
2 M 9-2 63 78 69 semantics

PAIR 2
3 M 7-0 101 76 88 expressive organization
4 M 7-5 103 64 83 syntax; semantics

PAIR 3
5 M 8-0 80 73 75 semantics; pragmatics
6 M 7-11 85 67 74 semantics; pragmatics

PAIR 4
7 M 8-1 85 82 82 expressive organization
8 F 8-0 89 73 80 expressive organization

PAIR 5
9 F 8-0 72 76 72 expressive organization
10
I M 8-0 50 73 63 word finding, semantics

PAIR 6
11 F 8-9 93 70 80 oral & written expression
12 M 8-5 99 76 86 expressive organization

PAIR 7
13 F 6-2 78 85 80 verbal fluency
14 F 6-6 78 89 82 verbal fluency

* CELF-R - Clinical Evaluation of Language Fundamentals-Revised


R-Receptive E-Expressive T-Total

Bland & Prelock: Effects of Collaboration 33


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was observed at least eight times during the school year by the pragmatics, syntax) and fluency and rate. These analyses
project director. To monitor implementation, they were were the Word and Morpheme Summary, Distributional
observed four times during planning meetings and four times Summary, and Frequency and Percent of Utterance Types.
during LIC sessions. Each SLP met with the project director at The Word and Morpheme Summary determined the num-
least once a month during the course of the project. Student ber of different root words in the sample, computed a mean
SLPs met with the Project Director on a weekly basis. In addi- length of utterance by morpheme count, and calculated a
tion, teacher, SLP, and administrative representatives met quar- type token ratio (TTR). The Distributional Summary exam-
terly at an advisory committee meeting. Finally, the teams ined and compared speaker turns as w e l l as utterance
maintained notebooks to document progress and organize length and completeness. The Frequency and Percent of
information. Utterance Types analyzed the number of total utterances,
Students not being served in the classroom were seen and those which were complete and incomplete, and yield-
one to two times each week, for 30 to 45 minutes in a tra- ed a percent of intelligibility.
ditional model. In this model, the SLP integrated the acade- Articulation errors were noted on the written transcript
mic curriculum into pull-out therapy. For example, spelling and the adult form of the word was entered for coding
or vocabulary words were used to develop written lan- when it could be determined by the context as suggested
guage or semantic skills. by the SALT conventions. An utterance was considered
unintelligible if it was inaudible or there was some interfer-
Data Collection
ence during production (e.g., subject's hand in mouth,
Language samples were obtained during six time peri-
severe articulation error prevented the SLP from determin-
ods, in the fall and spring of each school year for the three
ing the target word). An utterance was considered complete
years of the project. For one pair (Pair 3), language samples
if it contained a subject and a verb and if it expressed a
were obtained for all three years. For five pairs (Pairs 1, 2,
complete thought. Table 2 presents a portion of the tran-
4, 5, 6), language samples were only available for two of
scripts containing complete/intelligible and
the three years because one member of the pair either
incomplete/unintelligible utterances for one matched pair.
moved into the district following initiation of the project, or
moved out of the district prior to completion of the project.
For these same reasons, language samples were only avail- RESULTS
able for one year for Pair 7.
Examination of the SALT analysis revealed little differ-
Because we were unable to control for the classrooms ence in the subjects' language production. The Word and
in which students were placed and there were constraints Morpheme Summary revealed similar TTRs and MLUs at or
on the number of teachers at each grade level who were beyond Brown's Stage V for all subjects. The Distributional
trained in the LIC m o d e l , some members of the pairs Summary indicated comparable speaker turns for all sub-
received pull-out one year and LIC another year. For these jects. Fluency and rate were adequate for both groups.
reasons, effects were examined on a yearly basis (from Fall
The Frequency and Percent of Utterance Types revealed
to Spring) and each member of the pair receiving interven-
differences for complete/intelligible and incomplete/unin-
tion in an LIC model was compared to the member of the
telligible utterances across the language samples analyzed.
pair receiving intervention through a pull-out model.
It was determined that comparisons between subjects
Language samples were audio recorded and contained served in an LIC versus pull-out model across the six time
100-200 utterances. The utterances of both the SLP and the periods should be explored further for complete/intelligible
students with language impairment were orthographically and incomplete/unintelligible utterances.
transcribed from the audiotaped samples. Conversational top-
Non-parametric analyses were used to determine if
ics between the SLP and the students focused on class pro-
there were differences over time in the completeness and
jects, field trips, family vacations or students' favorite activities
intelligibility of the utterances of the children with commu-
(e.g., Nintendo, sports). Samples taken during the same
nication disorders and if those differences were influenced
school year were carried out by the same SLP and focused on
by the type of service delivery the students received.
similar conversational topics. Nonverbal communication,
such as head nodding, was indicated on the written transcript Group Comparisons
and subsequently coded. The audio recordings and/or written The M a n n - W h i t n e y U for i n d e p e n d e n t measures
transcripts were coded by an ASHA certified SLP. (Bruning & Kintz, 1987) was applied to the subjects' utter-
Coding of the orthographic transcriptions was complet- ances. A significant difference was found for the number of
ed using the guidelines and software from the Systematic intelligible and complete utterances produced by subjects
Analysis of Language Transcripts (SALT) computer program served in the language in the classroom model as com-
(Miller & Chapman, 1986). Each sample was coded for pared to subjects served in the pull-out model (U=.0250)
morphological and syntactic structures using utterances during time period six. LIC students produced more intelli-
from both the SLP and the subject. Upon completion of the gible and complete utterances than non-LIC students. No
coding process, three SALT analyses were run to gain infor- other significant differences were found for LIC versus non-
mation across language domains (semantics, morphology, LIC subjects for the first five time periods.

34 Bland & Prelock: Effects of Collaboration


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Table 2. A sample of the language transcripts for Rair 3 during the third and sixth periods of data collection.

Subject 5 Non-LIC
Time 3, Fall Time 6, Spring

SLP SO YOU PLAYED WITH TERMINATOR SLP THAT'S REALLY NEAT, D O YOU LIVE
ALL DAY? NEAR ANYBODY ELSE THAT YOU ARE
S YEAH. FRIENDS WITH?
SLP WHAT'S THAT? (UH) LET ME THINK.
S (UM) I SAW THE MOVIE. AND (HE'S UH) NOT REALLY BUT JUST DOWN THE
HE'S A ROBOT (THAT UH). STREET (JUST DOWN THE STREET) WELL
HE CAME FROM THIS WAR. YOU HAVE TO GO DOWN MAPLE THEN
AND ALL THESE ROBOTS HE HAS JUST TURN REAL, YOU TURN DOWN
TO FIGHT. OUR BLOCK AND (UH, UH) THERE'S
AND HE KILLED THEM ALL, BUT ANOTHER FIREND OF MINE.
THERE'S ONLY ONE LEFT HIS NAME IS DF.
THAT'S JUST LIKE HIM. SLP HE'S IN YOUR GRADE.
BUT, (AND UH HE HAS A) HE HAS A EYE S YEAH, HE'S IN MY ROOM TOO.
THAT CLOWS. SLP SO YOU GUYS GO BIKE RIDING
XXX. TOGETHER?
YEAH, WE RIDE OUR BIKES A LOT.

Subject 6 LIC
Time 3, Fall Time 6, Spring

SLP WHAT KIND OF NINTENDO GAMES SLP WHY DON'T YOU TELL ME H O W YOU
DID YOU GET? PLAY BASEBALL CAUSE I HAVEN'T
S XXX, XXX, XXX, AND XXX. PLAYED IN A LONG TIME AND I'M NOT
SLP WHAT WAS THE LAST ONE? SURE I UNDERSTAND H O W YOU PLAY
S PRO. IT, HMM?
SLP H O W D O YOU PLAY THAT? S IDONTKNOW.
5 WITH A CAR YOU DRIVE. SLP WELL H O W D O YOU START?
SLP A N D YOU GET XXX AND YOU CAN GET S YOU START BATTING AND YOU XXX.
FIRST, SECOND OR THIRD AND THEN THE NEXT PERSON BATS
A N D WHEN YOU'RE OUT IT SAYS OUT UNTIL YOU GET THREE OUTS.
A N D YOU GOTTA MAKE IT THEN THE NEXT TEAM GETS UP AND
TO THE FINISH LINE TWICE. THEY BAT UNTIL THEY GET OUT.
TRY TO MAKE IT TO FIRST, SECOND OR ALL XXX TRY TO CATCH THE BALL AND
THIRD. HIT IT HIGH.
YOU TRY TO GET A TROPHY. IF THEY HIT IT, I'LL THROW IT TO THE
PERSON ON FIRST BASE IF THEY'RE
RUNNING TO FIRST AND GET THEM
OUT.
SLP YEAH, SO IF YOU GET THREE OUTS
THEN.
$ THE NEXT TEAM GETS UP TO BAT.

Bland & Prelock: Effects of Collaboration 35


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Time Comparisons disorders are needed. Teacher behaviors should also be
A Wilcoxon-T test for related measures (Bruning & examined in an assessment of treatment effects for in-class-
Kintz, 1987) was used to compare the completeness and room models. As the instructional leader for the classroom
intelligibility of the subjects' utterances over time. A signifi- and the person with whom the students interact with the
cant difference was noted over time for subjects served in most, it would be important to identify teacher behaviors
the LIC model. There was an increase in the number of which may help facilitate language growth in children.
intelligible and complete utterances produced by the LIC
students from Time 3 (Fall—Year 2) to Time 5 (Fall—Year 3) ACKNOWLEDGMENT
(T=.0069) and from Time 3 to Time 6 (Spring—Year 3)
(T=.0469). There was also a decrease in the number of This research was supported, in part, by a grant from the
unintelligible/incomplete utterances by the LIC students U.S. Department of Education (#H029B00096).
from Time 3 to Time 4 (Spring—Year 2) (T=.0357) and Time
4 to Time 5 (T=.0180). Results for students served in the REFERENCES
pull-out model were not significantly different over time.
Bowman, J. (1992). A collaborative, whole language approach to letter
writing instructional compared to a traditional skill approach.
DISCUSSION Unpublished master's thesis, University of Cincinnati.
Bruning, J.L & Kintz, B.L (1987). Computational Handbook of Statistics
Results indicated that overall the language performance (3rd ed.). Glenview, IL: Harper Collins.
Gottschalk, M.E., Prelock, P.A., Weiler, E., & Sandman, D. (1995).
of all subjects improved regardless of type of service deliv-
Maintenance of metapragmatic awareness of explanation adequacy
ery. Differences were found, however, in the completeness six months following intervention. Manuscript submitted elsewhere,
and intelligibility of the subjects' connected discourse, University of Cincinnati.
favoring students served in the LIC model. Consistent with Hoskins, B. (1990). Collaborative consultation: Designing the role of the
speech-language pathologist in a new educational context. In W.
other research documenting the effectiveness of the collabo-
Secord (Ed.), Best Practices in School Speech-Language Pathology-
rative model (Bowman, 1992; Gottschalk et al., 1995; Collaborative Programs in the Schools: Concepts, Models, and
Kaufman et al., 1994; Seifert & Schwartz, 1991), this study Procedures (pp. 29-36). San Antonio: The Psychological
demonstrated the positive effects of a collaborative interven- Corporation.
tion model on the language production of subjects with Kaufman, S.S., Prelock, P.A., Weiler, E. Creaghead, N.A. & Donnelly, C.A.
(1994). Metapragmatic awareness of explanation adequacy:
communication disorders. Notably, however, changes in the Developing skills for academic success from a collaborative com-
students' connected discourse were not seen immediately. munication skills unit. Language, Speech and Hearing Services in
The focus for intervention in the LIC model described the Schools, 25, 174-180.
Miller, L. (1989). Classroom-based language intervention. Language,
in this study was the overall development of effective com-
Speech and Hearing Services in the Schools, 20, 153-169.
munication, within the context of the curriculum, rather Miller, J. & Chapman, R. (1986). SALT: Systematic analysis language tran-
than the training of isolated language skills. Therefore, it scripts-Apple computer version [Computer program]. Madison, Wl:
was not surprising to find few differences in the subjects' University of Wisconsin-Madison, Waisman Center, Language
vocabulary, syntax and morphology. The significant finding Analysis Laboratory.
Seifert, H., & Schwartz, I. (1991). Treatment effectiveness of large group
for increased utterance intelligibility and completeness by basic concept instruction with Head Start students. Language,
the LIC subjects, however, supported the original intent of Speech and Hearing Services in the Schools, 22, 60-64.
the collaborative intervention. The communication skills Semel, E. Wiig, E., & Secord, W. (1987). Clinical Evaluation of Language
necessary for achieving message success were the focus for Fundamentals -Revised. San Antonio: The Psychological
Corporation.
intervention long term. Further, the use of complete and Sheeran, K., Prelock, P.A., & Weiler, E.M. (1993). The effect of a classroom
intelligible utterances was a curriculum requirement and a based communication skills unit on overall academic achievement.
teacher expectation. Unpublished manuscript, University of Cincinnati.
Wilcox, M.J., Kouri, T.A., & Caswell, S.B. (1991). Early language
intervention: A comparison of classroom and individual
CONCLUSION treatment. American Journal of Speech-Language Pathology:
A Journal of Clinical Practice, 1, 49-62.
With only 14 subjects, it is difficult to generalize the
findings of this study. However, some implications may be
ADDRESS CORRESPONDENCE TO:
drawn. First, school-based SLPs attempting to gain support
for a new approach to intervention may need to assess the Patricia A. Prelock, Ph.D.
effectiveness of the model following implementation over Communication Sciences Department
time. Second, the oral language sample has limitations for E.M. Luse Center for Communication Disorders
the observation of change in the communication skills of Allen House
school-age children. Further, the method of analysis select- University of Vermont
ed to examine the sample should take into consideration Burlington, VT 05405-0010
all aspects of language. (802) 656-2529
Additional studies exploring the effectiveness of the (802) 656-2528 (fax)
collaborative model on various types of communication pprelock@moose.uvm.edu (e-mail)

36 Bland & Prelock: Effects of Collaboration


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APPENDIX A

FACILITATING/TIME MANAGER: Reed RECORDER Hinkebein


COLLABORATIVE CLASSROOM LESSON PLAN

LEADER: Hinkebein DATE: 4-30-91

HELPER: Reed GRADE:

DATA COLLECTOR: Judd ACADEMIC AREA: Lang. Arts&Math

ESTABLISHING CURRENT COLLABORATIVE CONCERNS: (e.g., evaluating


previous lessons, problem solving, integrating observations)
Students, esp. J. doing better with speaking & listening skills.
J. <S class - difficulty in descriptive vocabulary & writing.

TARGETED CURRICULUM GOALS: TARGETED SPEECH-LANGUAGE GOALS:


1) Given a topic, the students 1) J. & class-students will
will be able to write related comprehend & apply
sentences to form a paragraph descriptive vocabulary.
(L.A.)
2) the students will interpret 2) J. & class-students will
a pictograph (math) comprehend & apply vocabulary related to
quantity & comparative relationships.

BRAINSTORMING ACTIVITIES: FACILITATING TECHNIQUES:


-make a pictograph -class model
-brainstorm meaning & interpret -helper sit with J. & prompt/cue for vocabulary
as class
-ice cream for describing -visual graph - hands on

PROCEDURES: (e.g., include instructions, sequence of events)


1) Introduce top 5 flavors of ice cream from UDF (choc.mint, choc,
orange sherbet, strawberry, peanut butter).
2) Have students vote on their favorite flavor and place results on pictograph.
3) Interpret results as a group & discuss. Target least, most & why.
4) Students will brainstorm describing words for favorite & least favorite flavors.
(List on chart) :6
jtr^fL OP9^rCU%
categorized by it^A
taste, texture, appearance ^*

^ift<jredi^k

TARGETED VOCABULARY: MATERIALS:


fewest, least, most, more, single -construction ice cream scoops - Beth
double, triple,favorite,appearance, -pictograph, structure -Beth
texture, taste, ingredients, -two brainstorm cones - Nancy & Anne
pictograph, adjective, describe

DATA COLLECTION:
written stories, narrative comments

FOLLOW-UP: (e.g., consider activities for classroom, home, &/or


individual therapy)
-The students will make ice cream in classroom, brainstorm describing words and write a
descriptive paragraph. Share with class.
-Math game will be set up in classroom center utilizing vocabulary of quantitative &
comparative vocabulary words.

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