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A Meta-Analysis of Phonemic Awareness Instruction Provided to Children Suspected of Having a Reading Disability

David M. Rehfeld, Marie Kirkpatrick, Nicole O'Guinn, Rachel Renbarger2022Language, Speech, and Hearing Services in Schools, 53(4), 1177–1201

We checked this card's citation and the finding we state against the source's own page or record in October 2026.

What it found

For children suspected of having a reading disability, phonemic awareness instruction had medium effects on overall and segmenting outcomes and smaller effects on blending, first-sound identification and deletion. Effects were strongest in kindergarten and first grade but positive for older children too. More hours didn't predict bigger gains, and the authors say letters should be part of the instruction.

Effect size, as the source reports it: g = 0.511 composite; g = 0.571 segmentation; g = 0.341 blending; g = 0.248 deletion.

What kind of study it is

Design
Meta-analysis
Weight
A synthesis: it pools or weighs many studies, so it carries the most weight on the evidence meter.
Sample
138 studies of children suspected of having a reading disability
Who
School-age children (K–12)

Read it

doi.org/10.1044/2022_LSHSS-21-00160

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Cited in the Library

Cite this study

Rehfeld, D. M., Kirkpatrick, M., O'Guinn, N., & Renbarger, R. (2022). A meta-analysis of phonemic awareness instruction provided to children suspected of having a reading disability. Language, Speech, and Hearing Services in Schools, 53(4), 1177–1201. https://doi.org/10.1044/2022_LSHSS-21-00160

Checked against the source in October 2026. All studies · How we rate the evidence · Something wrong? Tell us.