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Stacie P. Brady
Abstract
This article synthesized eight morphological awareness intervention studies conducted in English
with students in kindergarten through 12th grade between 2006 to 2018. The studies identified
at-risk for reading difficulties. There were eight studies analyzed and synthesized with a total of
419 participants ranging from kindergarten to eight grades. All eight of the studies used a
pre/post-test design to determine growth within morphological awareness as well as the assessed
areas of literacy, reading, spelling, and vocabulary. Results indicate that morphological
instruction, including short term interventions, is beneficial to students at-risk for future reading
difficulties.
Morphological Awareness 3
Learning to read is a complex task requiring the use of a variety of skills including
strategies, and monitoring understanding (Edmonds et al., 2009). The reader must have specific
comprehend written text. Research suggests that a range of tools such as vocabulary, syntactic,
and morphological knowledge is required for reading comprehension (Hagen, Melby-Lervag, &
Lervag, 2017). Efficient readers competently use these complex comprehension skills to read for
a variety of purposes and extract information with little effort. Using these literacy skills, such
as reading, spelling, and vocabulary effectively is critical for academic success (Snow, 2002).
However, students at-risk for future reading difficulties may struggle to become efficient readers.
Minority students, students eligible for free or reduced-price lunch, and English language
learners are often considered at-risk students (Logan & Petscher, 2010). Another category of
students that may struggle to read are students with a disability. Reading difficulties are a
Horowitz, 2014).
Morphological Awareness
At-risk students or students with disabilities that are progressing slowly in reading may
comprehension (Katz & Carlisle, 2009). Morphological awareness (MA) is the skill of
identifying and purposefully manipulating morphemes, which are the smallest semantic and
grammatical units in language (Apel & Henbest, 2016). Morphemes include simple whole word
units such as “cat” and base words with affixes, such as “boat” in “boats”, “zip in unzip”, and
Morphological Awareness 4
“swim in swimming”. Affixes, which include prefixes and suffixes, can be inflectional or
Inflectional morphemes do not change the grammatical category of the word, for example
“jump” and “jumping” both continue as verbs. Derivational morphemes alter base words by
modifying their meaning and changing their grammatical category such as adding -er to sing to
form the new word singer (Apel, Brimo, Diehm, & Apel, 2013).
Morphological instruction may benefit students with limited MA by increasing word knowledge
represented by words with units of sound, phonemes, and meaning morphemes (Reed, 2008)
Although researchers have established that morphological awareness affects students’ academic
skills, few studies have investigated the effects of a morphological awareness intervention with
students that struggle with word knowledge and reading comprehension (Brimo, 2016).
reading beyond concepts of phonological awareness. MA skills are linked to students’ literacy
abilities such as word reading, spelling, and vocabulary *LM-(article says comprehension)
abilities (Apel, et al., 2013). Morphology assists readers with segmenting unfamiliar, complex
words into parts, such as identifying the base word and affixes to determine the meaning (Apel &
Morphological Awareness 5
Henbest, 2016). Students who struggle with literacy may benefit from explicit instruction of
MA.
In one case study, for example, Katz and Carlisle (2009) focused on the improvement of
reading morphologically complex words and inferring their meaning when reading passages.
Three students in fourth grade who struggled with language and reading were chosen to
improvement with word reading and comprehension. Katz and Carlisle’s (2009) research
suggests that reading programs that provide instruction on how to analyze more complex words
in texts and teach inferring meaning leads to improved comprehension skills. However, typical
classroom instruction does not always include explicit instruction on the manipulation of
morphological properties of words (Brimo, 2016). Brown et al. (2016) further stated that
research regarding evidence for using a morphological instruction approach in the classroom is
limited.
intervention research studies. Results indicated that all studies analyzed had a range of effect
sizes from negative to positive (-.93 to 9.13) on literacy skills. Reed’s research suggests that
morphological knowledge may be generalized to increase a student’s word reading level and
therefore exposure to more complex vocabulary. Reed further indicated that more research with
Goodwin and Ahn (2010) conducted a meta-analysis focusing on the effects on literacy
skills, such as word reading accuracy and vocabulary development, of specific morphological
interventions. The meta-analysis examined studies that addressed ways to improve literacy
achievement for struggling readers, poor spellers, and students with learning/reading disabilities.
Morphological Awareness 6
They analyzed seventeen studies and identified interventions that utilized sixteen different
morphologic instructional strategies such as affix and root word construction, building words
with morphemes, and compound word instruction. To analyze seventeen studies, Goodwin and
Ahn (2010) coded the studies and examined several characteristics including the type of reading
instruction and the measure of literacy achievement. They noted a correlation between
struggle to read efficiently. After careful analysis of their data they discovered that many
curricula are lacking in direct, explicit morphological instruction that can improve both
phonological and morphological awareness, as well as, spelling and vocabulary. The variability
in morphological interventions reviewed in this research hinders the determination of the effect
size because of the differences across studies. Goodwin and Ahn (2010) recommended that
morphological instruction be included in both remediation and instruction for struggling readers.
Bowers, Kirby, and Deacon (2010) completed a meta-analysis of twenty-two studies that
indicated that morphological instruction had a positive influence on students’ literacy skills such
as reading, spelling and vocabulary skills, especially those of struggling readers. The analysis
also revealed a need for more experimental research regarding morphological instruction.
Additionally, Bowers and colleagues (2010) stated that interpreting results across languages
should be done with caution because oral and written language features differ and may affect the
more effective when infused into the curriculum instead of implemented as short-term
intervention.
areas (Goodwin & Ahn, 2010). Morphology intervention affects reading in two ways: (a) as part
of the lexicon, morphology impacts word reading skills in the relationship between
morphological awareness and reading comprehension; and (b) as part of the linguistic system,
morphology affects reading comprehension directly (Deacon, Keiffer, & Laroche, 2014).
interventions that were identified during this study were affix lessons, word sorts, and applied
pattern activities.
activities, word sorting, and writing activities. During the introduction activity, the educator
introduces an affix such as plural “s”. Students then listen to words containing plural “s” and
others with the plural “s” and identify the words with the plural “s”. A word sorting activity may
contain pictures or words and the students can sort them into categories with an affix and those
without an affix. During applied pattern activities, such as writing activities, students can circle
the words that contain an affix or complete a spelling activity (Wolter & Green, 2013).
Research studies indicate that morphology intervention positively affects many aspects of
literacy, LM->such as reading, spelling, and vocabulary (Reed, 2008). Due to the research
findings and the lack of morphological intervention research, more intervention research is
warranted (Apel, et al. 2013). Additional research could also examine which type of
students such as students at-risk or students with a disability. This literature review will analyze
the types of morphological interventions that have been used to attempt to increase literacy
outcomes in students that struggle with reading, including students with a disability. The
Morphological Awareness 8
may improve reading, spelling, and vocabulary outcomes for struggling readers. The following
research questions will be addressed: Does morphological awareness intervention affect reading,
spelling, and vocabulary outcomes of struggling readers? If so, which aspects of morphological
awareness intervention produce positive effects on reading, spelling, and vocabulary outcomes of
Method
Data Collection
influenced literacy outcomes. A search was conducted on the following four databases:
Academic Search Complete, Education Research Complete, PsycInfo, and ERIC between the
years 2006 to present. To perform this search, the following key terms were used in various
awareness skills, and instruction. In addition, ancestry, descendent, and hand searches were also
completed to find additional relevant research. Ancestry searches were conducted using Apel
and Henbest, (2016), Deacon, et al., (2014), and Wolter, Wood, and D’zatko, (2009). To
complete a descendant search, the database Education Research Complete was used for the
article Deacon et al., (2014), as well as, Nagy, Carlisle, and Goodwin, (2013). To conclude the
intervention research study search, a hand search was used for the Journal of Language
Disabilities from the year 2013 to 2017. During the process of identifying research focused on
including literature syntheses by Reed (2008), Bowers et al. (2010), as well as, a meta-analysis
The literature search for morphological awareness and literacy skills research studies was
conducted using four criteria for inclusion. First, all studies utilized experimental research to
only articles published after 2006 were selected to expand upon research by Reed (2008).
Reed’s study focused on research regarding morphological interventions and effects on reading
outcomes from 1986 to 2006. Third, the current synthesis expanded upon Reed’s research by
including struggling readers that have been identified as reading below grade level. Lastly,
studies were included that focused only on participants in grades kindergarten through 12th
Data Analysis
Nine experimental studies were coded using an adapted code sheet from a previous
synthesis (Reed, 2008). Data were collected on participants (grade, exceptionality), design, and
characteristics (e.g. intervention and outcomes). Table 1 displays features from the intervention
Three of the studies were randomly selected for evaluation by a second reader to establish
coding reliability. Discrepancies were discussed and were resolved before analyzing data.
Information from all code sheets was then organized in Tables 1 and 2 to summarize the studies.
Eight articles met the criteria to be included in this literature review. The articles were
published between 2009 and 2018 in the following journals: Language, Speech, and Hearing
Education and Treatment of Children, and Australian Journal of Language and Literacy. Across
the studies, there were 409 students ranging from kindergarten to eighth grade that had been
identified by their schools as having a learning disability or literacy learning difficulties, at-risk,
poor spellers, struggling readers, reading below grade level, or had an IEP addressing reading.
In each of the studies, the participants received a morphological intervention to assist with
reading outcomes, such as reading, spelling and vocabulary. However, the studies used a variety
of explicit instructional techniques as the independent variable including affix and root word
lessons with a variety of activities including word sorts, word building, applied pattern activities,
and reading comprehension strategies. Eight of the studies used a group design with a pretesting
assessment prior to intervention and then post testing following intervention. Two of the studies
used multiple groups. Results are discussed by literacy skill outcome; reading (six studies),
Reading Outcomes
Of the eight studies examined for this synthesis six addressed the effects of
level reading, comprehension, accuracy, rate, and pseudo-word reading. Apel et al. (2013)
studied the effects of a nine-week morphological intervention program focused on affixes and
base words using a pre-post-test design with students in kindergarten through second grade. The
affix lessons consisted of four activities: listening, word-sorting, verbal production of the target
affixes. The researchers noted growth in reading skills within the nine-week intervention period.
Morphological Awareness 11
First and second graders demonstrated medium effect size (ds = .53 and .70) in reading
sizes (d = .58).
morphological awareness and reading skills with 181 kindergarten, first, and second grade
students at risk for reading failure. The MA intervention activities consisted of an introduction
to the identified affixes followed by a listening activity, word sorting, and verbal production.
The first and second graders also completed a writing activity that involved circling words with
targeted affixes. The morphological awareness abilities of the students receiving intervention
increased when compared to the control group. The first and second grade students
demonstrated small gains with reading comprehension (ds = .26 and .28). Kindergarten students
demonstrated no practical gains (d= 0.00). The researchers found that students who began the
intervention with the lowest reading scores demonstrated the greatest improvement.
Denston, Everatt, Parkhill, and Marriot (2018) completed two studies with 36 fourth
through sixth grade students with literacy learning difficulties. The studies used a pre and
posttest intervention design focused on explicit decoding and morphological awareness. After
students were placed in small learning groups, they completed morphological decoding activities
during the intervention sessions. Both studies revealed gains in reading accuracy,
comprehension, and rate. They used the Supplementary Test of Achievement in Reading (STAR)
for pre and post-testing. (LM->Not sure what effect size to use) Results indicated that students
were able to generalize the gains in reading accuracy and reading comprehension.
Good, Lance, and Rainey (2015) conducted a study with sixteen students diagnosed with
a language impairment in third grade. The focus of the study was to examine the effects of
Morphological Awareness 12
During the reading portion of the small group instruction, students sorted words based upon
target affixes. Good et al. (2015) reported no significant difference (partial Eta2 =.003) between
reading-taught and not-taught words. Post-test results indicated an increase in reading accuracy
intervention on student’s reading abilities using a reading probe. Participants were between eight
and eleven years old. The morphological intervention was combined with other forms of
participants with spelling difficulties were randomly assigned to an intervention or control group.
The participants received approximately 20 intervention sessions. Kirk and Gillon (2009)
reported large effect size for reading and spelling (f = 2.55). The reading probe identified that,
generalization occurred with taught words but not to the same degree of not-taught words.
Wolter and Dilworth (2013) study included groups focused on: phonology and
orthography, as well as, morphology awareness. Participants included 43 first grade students.
Compared with the other group, the morphology focused group performed better on standardized
measures of reading. A large effect size was also noted for the morphological awareness
treatment group (d= .76) for sight word reading. The students in the morphology intervention
group demonstrated significantly improved reading comprehension with a large effect size (d=
1.49). Overall, the studies indicate improvement in many areas of reading (e.g. comprehension
Spelling Outcomes
Morphological Awareness 13
Eight articles were reviewed for this synthesis. Of the eight studies, four examined the
conducted a study with MA intervention and the effects on spelling. Participants included
thirteen students in 3rd grade. The study took place over ten weeks with students diagnosed with
a reading disorder. Brimo’s (2016) post-test results, following the ten-week intervention,
revealed that explicit morphological instruction without including specific spelling strategies did
not improve spelling ability of affixes and multimorphemic words (d = 0.28). Brimo (2016)
noted that the study had a small sample size and low power.
Good’s et al. (2015) morphological intervention addressed spelling through the use of
segmenting with letter blocks. Participants included sixteen 3rd grade students diagnosed with a
language impairment. Intervention included the use of word sorts, spelling instruction, and a
review. The researchers identified no significant main effect (partial Eta2 =.002). A significant
main effect for time was reported (partial Eta 2 = .706). No interaction effect was noted between
items, time, and group (partial Eta2 = .000). The lack of interaction effects indicated there was
no difference in spelling-taught or spelling-not- taught words, but generalization was noted and
Kirk and Gillon (2009) studied the effects of an integrated morphological intervention on
students spelling abilities using a spelling probe. The participants included 16 students ranging
from eight to eleven years of age who demonstrated spelling difficulties. Participants were
activities using multiple linguistic factors simultaneously. Intervention tasks included picture
and word sorting activities, prompted spelling ranging from simple to more complex words. A
significant effect size (f = 2.82) was noted between pre and postintervention. Generalization
Morphological Awareness 14
with spelling was noted by the postintervention difference between taught words and not-taught
words.
Wolter and Dilworth (2013) focused their intervention on twenty students in the second
grade with spelling deficits. The students completed nine intervention sessions. They designed
their study using two intervention groups: phonological and orthographical, as well as, a
morphological group. Using the post-test standardized measure, TWS-4; students in the
morphological awareness group appeared to significantly improve in spelling (partial Eta2 = .51)
with a medium effect (d = .66). Using non-standardized spelling measures, the morphological
awareness group appeared to significantly improve in spelling and a large effect size was found
(d= .85). During the third spelling post-test, morphological pattern spelling task revealed
significant improvement in spelling (partial Eta2 = .92) and a large effect size was found (d =
.06).
Three of the four studies that examined the effects of morphology awareness on spelling
Vocabulary Outcomes
vocabulary deficits by improving their word knowledge and reading comprehension (Brown et
al. 2016). Two of the ten articles examined analyzed effects of morphological awareness and
vocabulary outcomes. The study designed by Good et al. (2015) focused on identifying effects
language impairments. Good et al. (2015) found that the experimental group of students were
able to generalize the strategies learned. With the vocabulary measures, an improvement was
noted on taught words and untaught words for the experimental group. This increase is reflective
of the high post-treatment differences. Good et al. (2015) noted that explicit morphological
intervention is a “promising” (p. 150) type of instruction for improving the literacy and language
Ramirez, Walton, and Roberts (2013) explored the differences in the effects of
morphological intervention with kindergarteners with varying abilities. Ramirez’s et al. (2013)
study consisted of three groups of students. Students were grouped according to their ability
level. The researchers identified that the students with the greatest needs were most able to
benefit from this instruction. Strong gains in vocabulary were noted (partial Eta2 =.53).
Ramirez et al. (2013) reported that morphological awareness and vocabulary instruction can be
combined since they are related, as evidenced by the gains noted for morphological awareness
being moderately associated with the gains in vocabulary. The two studies identified for this
synthesis reported that morphological instruction is beneficial to increasing language and literacy
Discussion
The research questions that guided this literature review regarding MA intervention and
literacy outcomes are addressed in all the articles. With regard to the first research question,
does morphological awareness intervention affect reading, spelling and vocabulary outcomes of
struggling readers? All eight of the articles identified an area of literacy that was positively
affected by the MA intervention including explicit intervention, as well as, MA instruction that
has been integrated with other forms of linguistic awareness. The interventions primarily
Morphological Awareness 16
utilized small group instruction that took place over a relatively short period of time,
approximately nine to thirty-nine sessions. All eight of the studies included populations of
readers at-risk for future reading difficulties or identified with a disability such as a language or
reading impairment.
The second research question that guided this literature synthesis refers to the different
aspects of morphological awareness intervention that affected literacy outcomes. Three areas of
literacy were addressed in this synthesis: reading, spelling, and vocabulary. Apel et al. (2013)
identified that their results were similar to the previous research completed by Vadasy, Sanders,
and Peyton (2006). Both studies indicated that integrated MA intervention produced positive
gains in word-level reading and reading comprehension. Brimo’s (2016) research supports
Amback and Elbro’s study in 2000. Both studies addressed the explicit intervention of MA with
the activities of segmenting, listening, and producing morphemes which led to an increase in
morphological awareness with student’s with reading disabilities. Wolter and Dilworth (2013)
support the findings of Berninger, Nagy, Carlisle, Thomson, Hoffer, and Abbott, et al. (2003)
and Kirk and Gilllon (2009). Three of these studies support MA intervention using a
interventions that have been researched previously, including integrated, explicit, and a
Additionally, three of the eight articles addressed generalization of the skills learned
through the MA intervention. Good et al. (2015) and Kirk and Gillion (2009) noted that students
were able to generalize strategies to read untaught words. Denston et al. (2018) used the
standardized Test of Achievement in Reading (STAR) as a post-test and revealed gains in literacy
research provided in a synthesis completed by Reed in 2008. This research synthesis focused on
the effects of MA on the literacy outcomes of students at risk for reading failure. MA
interventions focused on a variety of literacy areas including reading, spelling, and vocabulary.
and reading. Although this synthesis determined that MA instruction can benefit students at-risk
for future reading difficulties there are several limitations noted, including a limited number of
studies reviewed, sample size and configuration of groups within the studies, and the
Following the inclusion and exclusion criteria, eight studies using a group experimental
design were identified. Although the studies examined a variety of literacy outcomes and
examined. The small number of studies available to be reviewed demonstrates the need for more
experimental research in the area of morphology intervention or instruction and the effects on
literacy outcomes.
Additionally, it is noted that seven of the eight studies reviewed used researchers or
research assistants to implement the study and often with a script. While this provides fidelity
within the treatment, the use of a script is not typical of the classroom setting and limits the
Within the studies reviewed, the researchers identified several limitations. For example,
within the eight articles examined, three reported using a small sample size including Brimo
(2016), Good et al. (2015), and Kirk and Gillion (2013). Using a small sample size limits
generalization to a larger more diverse population. Another area of concern that was noted by
Morphological Awareness 18
the researchers was the need for research within a wider age group population. In four of the
eight studies participants included one grade level. Researchers suggested that a longitudinal
Table 1
or Age Implementing
1. Apel, Brimo, Diehm, treatment/ pre- 61-at risk K,1,2 9 weeks Undergrad, reading comprehension
control group
2. Apel & Diehm treatment/ pre- 151-st K,1,2 8 weeks graduate students reading comprehension
intervention and
control group.
Morphological Awareness 20
multiple
groups
control group
Experimental min.)
Morphological Awareness 21
multiple
groups
8. Wolter & Dilworth treatment/ pre- 20- SD 2 9 days researchers/ reading comprehension
spelling
multiple
groups
Note. LD-learning dis abilities, LLD-literacy learning difficulties, RD- reading disability, SD- spelling deficit, LI-language
impairment
Morphological Awareness 22
Table 2
Apel, Brimo, Diehm, and Apel 4 MA researcher designed tasks: Rehit, All 3 grade levels demonstrated statistically and
Affix lessons: multimorphemic words (SMW) awarenss skills led to significant gains on literacy
identification, sorting, CTOPP, TOWRE, TOSREC, CELF-4 measures. Rehit k ES=2.19. 1st ES= 1.72, 2 ES=
written activity, affix 1.03; Relatives k ES=21.11. 1st ES= 0.97, 2 ES=
book, review 0.66; Affix 1st ES= 2.30, 2 ES= 2.15; Spelling 1st
Apel and Diehm (2013) 4 MA researcher designed tasks: Rehit, Rehit K ES=1.26, 1st ES= 0.67, 2nd ES= 0.86
Affix lesson: Relatives, Affix identification, spelling Relatives K ES=0.82, 1st ES= 0.41, 2nd ES= 1.07
identification, sorting, multimorphemic words (SMW), Spelling Multimorphemic Words 1st ES= 0.82, 2nd
activity, story, review Affix Identification 1st ES= 2.54, 2nd ES= 1.52
Affix lesson: listen, sort, Relatives, Affix identification, spelling Relatives ES= 1.71
produce (say it another multimorphemic words (SMW) Affix identification ES= 0.48
way), identify, write, WJTA-3, CTOPP, WISC-4, Spelling multimorphic words ES= 0.28
review
Morphological Awareness 24
Denston, Everatt, Parkhill, and 3 MA researcher designed tasks: Reading gains in all areas (accuracy,
Moat’s strategy (2010) Burt Reading Test-New Zealand Edition, NARA-Comp - v2 = .70
Good, Lance, and Rainey Researcher designed vocabulary, Reading ES= .58
instruction
Kirk and Gillon (2009) Test of Spelling-4th. Ed., TONI-3, Larsen Reading ES= 2.55
Cluster of WRMT-R
Ramirez, Walton, Roberts Making Words, EVT-2 morphological awareness strong significant gains
Wolter and Dilworth (2013) WRMT-R word attack, WRMT-R Word Reading comprehension (d=.02)
Word sorts, word ID, WRMT-R passage comprehension, Sight word reading significant gains
activities, reading standardized orthographic spelling and Spelling small effect size (d=.85)
strategies
Running head: Morphological Awareness 26
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