Skip to main content
Log in

Effects of a Mindful Breathing Exercise During Reading Fluency Intervention for Students with Attentional Difficulties

  • Published:
Contemporary School Psychology Aims and scope Submit manuscript

Abstract

Students with attentional difficulties are at greater risk for reading difficulties. To address this concern, we examined the extent to which adding a mindful breathing exercise to individual reading fluency interventions would improve gains in reading fluency, student-reported attention, and student-reported stress. In a restricted alternating design, four students in grades 3–5 with teacher-reported difficulties in attention and reading participated in 12 intervention sessions that included reading fluency instructional strategies only or a mindful breathing exercise plus reading fluency instructional strategies. Based on visual and Bayesian analyses, there were no differences in within-session gains in reading fluency between conditions; however, one student had greater self-reported attention and less reported stress in intervention sessions that included the mindful breathing component. Implications of the study for future research integrating mindfulness practices in academic interventions are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Alberts, H. J. E. M., & Thewissen, R. (2011). The effect of a brief mindfulness intervention on memory for positively and negatively valenced stimuli. Mindfulness, 2, 73–77. doi:10.1007/s12671-011-0044-7.

    Article  PubMed  PubMed Central  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, (text rev4th ed.). Washington: Author.

  • Barkley, R. A., & Murphy, K. R. (2011). The nature of executive function (EF) deficits in daily life activities in adults with ADHD and their relationship to performance on EF tests. Journal of Psychopathology and Behavioral Assessment, 33, 137–158. doi:10.1007/s10862-011-9217-x.

    Article  Google Scholar 

  • Barlow, D. H., & Hayes, S. C. (1979). Alternating treatments design: one strategy for comparing the effects of two treatments in a single subject. Journal of Applied Behavior Analysis, 12, 199–210. doi:10.1901/jaba.1979.12-199.

    Article  PubMed  PubMed Central  Google Scholar 

  • Begeny, J. C. (2009). Helping Early Literacy with Practice Strategies (HELPS): a one-on-one program designed to improve students’ reading fluency. Retrieved from http://www.helpsprogram.org

  • Begeny, J. C., Daly, E. J., & Valleley, R. J. (2006). Improving oral reading fluency through response opportunities: a comparison of phrase drill error correction with repeated readings. Journal of Behavioral Education, 15, 229–235. doi:10.1007/s10864-006-9028-4.

    Article  Google Scholar 

  • Benson, H., Wilcher, M., Greenberg, B., Huggins, E., Ennis, M., Zuttermeister, P. C., et al. (2000). Academic performance among middle-school students after exposure to a relaxation response curriculum. Journal of Research & Development in Education, 33, 156–165.

    Google Scholar 

  • Berninger, V. W., Abbott, R. D., Swanson, H. L., Lovitt, D., Trivedi, P., Lin, S.-J., et al. (2010). Relationship of word- and sentence-level working memory to reading and writing in second, fourth, and sixth grade. Language, Speech, and Hearing Services in Schools, 41, 179–193. doi:10.1044/0161-1461(2009/08-0002).

    Article  PubMed  Google Scholar 

  • Blair, C., & Razza, R. P. (2007). Relating effortful control, executive function, and false belief understanding to emerging math and literacy ability in kindergarten. Child Development, 78, 647–663. doi:10.1111/j.1467-8624.2007.01019.x.

    Article  PubMed  Google Scholar 

  • Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: a preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19, 133–144. doi:10.1007/s10826-009-9282-x.

    Article  Google Scholar 

  • Christ, T. J., & Ardoin, S. P. (2009). Curriculum-based measurement of oral reading: passage equivalence and probe-set development. Journal of School Psychology, 47, 55–75. doi:10.1016/j.jsp.2008.09.004.

    Article  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press.

    Google Scholar 

  • Daly III, E. J., & Martens, B. K. (1994). A comparison of three interventions for increasing oral reading performance: application of the instructional hierarchy. Journal of Applied Behavior Analysis, 27, 459–469. doi:10.1901/jaba.1994.27-459.

    Article  PubMed  PubMed Central  Google Scholar 

  • Daly III, E. J., Persampieri, M., McCurdy, M., & Gortmaker, V. (2005). Generating reading interventions through experimental analysis of academic skills: demonstration and empirical evaluation. School Psychology Review, 34, 395–414.

    Google Scholar 

  • Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564–570. doi:10.1097/01.PSY.0000077505.67574.E3.

    Article  PubMed  Google Scholar 

  • Fleisher, L. S., Jenkins, J. R., & Pany, D. (1979). Effects on poor readers’ comprehension of training in rapid decoding. Reading Research Quarterly, 15, 30–48. doi:10.2307/747430.

    Article  Google Scholar 

  • Flook, L., Smalley, S. L., Kitil, M. J., Galla, B. M., Kaiser-Greenland, S., Locke, J., et al. (2010). Effects of mindful awareness practices on executive functions in elementary school children. Journal of Applied School Psychology, 26, 70–95.

    Article  Google Scholar 

  • Garrison Institute. (2005). Contemplation and education. In A survey of programs using contemplative techniques in K-12 educational settings: A mapping report. Garrison: Garrison Institute.

    Google Scholar 

  • Ghelani, K., Sidhu, R., Jain, U., & Tannock, R. (2004). Reading comprehension and reading related abilities in adolescents with reading disabilities and attention-deficit/hyperactivity disorder. Dyslexia, 10, 364–384. doi:10.1002/dys.285.

    Article  PubMed  Google Scholar 

  • Good, R. H., & Kaminski, R. A. (2011). DIBELS Next assessment manual. Eugene: Dynamic Measurement Group.

    Google Scholar 

  • Good, R. H., Kaminski, R. A., Dewey, E. N., Wallin, J., Powell-Smith, K. A., & Latimer, R. J. (2013). DIBELS Next technical manual. Eugene: Dynamic Measurement Group.

    Google Scholar 

  • Greenberg, M. T., & Harris, A. R. (2012). Nurturing mindfulness in children and youth: current state of research. Child Development Perspectives, 6, 161–166. doi:10.1111/j.1750-8606.2011.00215.x.

    Article  Google Scholar 

  • Greenberg, M. T., Weissberg, R. P., O’Brien, M. U., Zins, J. E., Fredericks, L., Resnik, H., & Elias, M. J. (2003). Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. American Psychologist, 58, 466–474. doi:10.1037/0003-066X.58.6-7.466.

    Article  PubMed  Google Scholar 

  • Hasbrouck, J. E., & Tindal, G. A. (2006). Oral reading fluency norms: a valuable assessment tool for reading teachers. The Reading Teacher, 59, 636–644.

    Article  Google Scholar 

  • Hawn Foundation. (2011). The MindUp curriculum. Grades 3–5: brain-focused strategies for learning—and living. New York: Scholastic.

    Google Scholar 

  • Hedges, L. V., Pustejovsky, J. E., & Shadish, W. R. (2012). A standardized mean difference effect size for single case designs. Research Synthesis Methods, 3, 224–239. doi:10.1002/jrsm.1052.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based stress reduction. Constructivism in the Human Sciences, 8, 73–107.

    Google Scholar 

  • Kaiser-Greenland, S. (2010). The mindful child. New York: Free Press.

    Google Scholar 

  • Kaufman, A. S., & Kaufman, N. L. (2004). Kaufman brief intelligence test (2nd ed.). Bloomington: Pearson.

    Google Scholar 

  • Kuhn, M. R., & Stahl, S. A. (2003). Fluency: a review of developmental and remedial practices. Journal of Educational Psychology, 95, 3–21. doi:10.1037/0022-0663.95.1.3.

    Article  Google Scholar 

  • LaBerge, D., & Samuels, S. J. (1974). Toward a theory of automatic information processing in reading. Cognitive Psychology, 6, 293–323. doi:10.1016/0010-0285(74)90015-2.

    Article  Google Scholar 

  • LeVasseur, V. M., Macaruso, P., & Shankweiler, D. (2008). Promoting gains in reading fluency: a comparison of three approaches. Reading and Writing, 21, 205–230. doi:10.1007/s11145-007-9070-1.

    Article  Google Scholar 

  • Lin, L. I. (1989). A concordance correlation coefficient to evaluate reproducibility. Biometrics, 45, 255–268. doi:10.2307/2532051.

    Article  PubMed  Google Scholar 

  • Linden, W. (1973). Practicing of meditation by school children and their levels of field dependence-independence, test anxiety, and reading achievement. Journal of Consulting and Clinical Psychology, 41, 139–143. doi:10.1037/h0035638.

    Article  PubMed  Google Scholar 

  • Martens, B. K., Eckert, T. L., Begeny, J. C., Lewandowski, L. J., DiGennaro, F. D., Montarello, S. A., et al. (2007). Effects of a fluency-building program on the reading performance of low-achieving second and third grade students. Journal of Behavioral Education, 16, 39–54. doi:10.1007/s10864-006-9022-x.

    Google Scholar 

  • Mrazek, M. D., Smallwood, J., & Schooler, J. W. (2012). Mindfulness and mind-wandering: finding convergence through opposing constructs. Emotion, 12, 442–448. doi:10.1037/a0026678.

    Article  PubMed  Google Scholar 

  • Napoli, M., Krech, P. R., & Holley, L. C. (2005). Mindfulness training for elementary school students: the attention academy. Journal of Applied School Psychology, 21, 99–125. doi:10.1300/J370v21n01_05.

    Article  Google Scholar 

  • National Center for Education Statistics. (2014). A first look: 2013 mathematics and reading. Washington: Institute of Education Sciences, U.S. Department of Education.

    Google Scholar 

  • National Reading Panel. (2000). Teaching children to read: an evidence-based assessment of the scientific research literature on reading and its implications for reading instruction. Bethesda: National Institute of Child Health and Human Development.

    Google Scholar 

  • Nolan, E. E., Gadow, K. D., & Sprafkin, J. (2001). Teacher reports of DSM-IV ADHD, ODD, and CD symptoms in schoolchildren. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 241–249. doi:10.1097/00004583-200102000-00020.

    Article  Google Scholar 

  • Onghena, P., & Edgington, E. S. (1994). Randomization tests for restricted alternating treatments designs. Behaviour Research and Therapy, 32, 783–786. doi:10.1016/0005-7967(94)90036-1.

    Article  PubMed  Google Scholar 

  • Pelham, W. E. J., Gnagy, E. M., Greenslade, K. E., & Milich, R. (1992). Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 31, 210–218. doi:10.1097/00004583-199203000-00006.

    Article  Google Scholar 

  • Perfetti, C. (2007). Reading ability: lexical quality to comprehension. Scientific Studies of Reading, 11, 357–383. doi:10.1080/10888430701530730.

    Article  Google Scholar 

  • Quinn, C., Haber, M. J., & Pan, Y. (2009). Use of the concordance correlation coefficient when examining agreement in dyadic research. Nursing Research, 58, 368–373. doi:10.1097/NNR.0b013e3181b4b93d.

    Article  PubMed  Google Scholar 

  • Reschly, A. L., Busch, T. W., Betts, J., Deno, S. L., & Long, J. D. (2009). Curriculum-based measurement oral reading as an indicator of reading achievement: a meta-analysis of the correlational evidence. Journal of School Psychology, 47, 427–469. doi:10.1016/j.jsp.2009.07.001.

    Article  PubMed  Google Scholar 

  • Salmon, P. G., Santorelli, S. F., Sephton, S. E., & Kabat-Zinn, J. (2009). Intervention elements promoting adherence to mindfulness-based stress reduction (MDSR) programs in a clinical behavioral medicine setting. In S. A. Shumaker, J. K. Ockene, & K. A. Riekert (Eds.), The handbook of health behavior change (3rd ed., pp. 271–286). New York: Springer.

    Google Scholar 

  • Salomon, G., & Globerson, T. (1987). Skill may not be enough: the role of mindfulness in learning and transfer. International Journal of Educational Research, 11, 623–637. doi:10.1016/0883-0355(87)90006-1.

    Article  Google Scholar 

  • Samuels, S. J. (1979). The method of repeated readings. The Reading Teacher, 32, 403–408. doi:10.2307/20194790.

    Google Scholar 

  • Schiefele, U., Schaffner, E., Möller, J., & Wigfield, A. (2012). Dimensions of reading motivation and their relation to reading behavior and competence. Reading Research Quarterly, 47, 427–463.

    Google Scholar 

  • Schonert-Reichl, K. A., Oberle, E., Lawlor, M. S., Abbott, D., Thomson, K., Oberlander, T. F., & Diamond, A. (2015). Enhancing cognitive and social–emotional development through a simple-to-administer mindfulness-based school program for elementary school children: a randomized controlled trial. Developmental Psychology, 51, 52–66. doi:10.1037/a0038454.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shapiro, E. S. (2011). Academic skills problems: direct assessment and intervention (4th ed.). New York: Guilford Press.

    Google Scholar 

  • Spiegelhalter, D., Thomas, A., Best, N., & Lunn, D. (2014). OpenBUGS User Manual: Version 3.2.3. Retrieved from http://www.mrc-bsu.cam.ac.uk/bugs

  • Swaminathan, H., Rogers, H. J., & Horner, R. H. (2014). An effect size measure and Bayesian analysis of single-case designs. Journal of School Psychology, 52, 213–230. doi:10.1016/j.jsp.2013.12.002.

    Article  PubMed  Google Scholar 

  • Swanson, H. L., & O’Connor, R. (2009). The role of working memory and fluency practice on the reading comprehension of students who are dysfluent readers. Journal of Learning Disabilities, 42, 548–575. doi:10.1177/0022219409338742.

    Article  PubMed  Google Scholar 

  • Therrien, W. J. (2004). Fluency and comprehension gains as a result of repeated reading: a meta-analysis. Remedial and Special Education, 25, 252–261. doi:10.1177/07419325040250040801.

    Article  Google Scholar 

  • Topping, K. J., Samuels, J., & Paul, T. (2007). Does practice make perfect? Independent reading quantity, quality and student achievement. Learning and Instruction, 17, 253–264. doi:10.1016/j.learninstruc.2007.02.002.

    Article  Google Scholar 

  • Vogel, S. A., & Holt, J. K. (2003). A comparative study of adults with and without self-reported learning disabilities in six English-speaking populations: what have we learned? Dyslexia: An International Journal of Research and Practice, 9, 193–228. doi:10.1002/dys.244.

    Article  Google Scholar 

  • Willcutt, E. G., Pennington, B. F., Boada, R., Ogline, J. S., Tunick, R. A., Chhabildas, N. A., & Olson, R. K. (2001). A comparison of the cognitive deficits in reading disability and attention-deficit/hyperactivity disorder. Journal of Abnormal Psychology, 110, 157–172. doi:10.1037/0021-843X.110.1.157.

    Article  PubMed  Google Scholar 

  • Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive function teory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biological Psychiatry, 57, 1336–1346. doi:10.1016/j.biopsych.2005.02.006.

    Article  PubMed  Google Scholar 

  • Willcutt, E. G., Betjemann, R. S., Wadsworth, S. J., Samuelsson, S., Corley, R., Defries, J. C., et al. (2007). Preschool twin study of the relation between attention-deficit/hyperactivity disorder and prereading skills. Reading and Writing, 20, 103–125. doi:10.1007/s11145-006-9020-3.

    Article  Google Scholar 

  • Wimmer, H., & Schurz, M. (2010). Dyslexia in regular orthographies: manifestation and causation. Dyslexia: An International Journal of Research and Practice, 16, 283–299. doi:10.1002/dys.411.

    Article  Google Scholar 

  • Zeidan, F., Johnson, S. K., Diamond, B. J., David, Z., & Goolkasian, P. (2010). Mindfulness meditation improves cognition: evidence of brief mental training. Consciousness and Cognition: An International Journal, 19, 597–605. doi:10.1016/j.concog.2010.03.014.

    Article  Google Scholar 

  • Zelazo, P. D., & Lyons, K. E. (2012). The potential benefits of mindfulness training in early childhood: a developmental social cognitive neuroscience perspective. Child Development Perspectives, 6, 154–160. doi:10.1111/j.1750-8606.2012.00241.x.

    Article  Google Scholar 

  • Zylowska, L. L., Smalley, S. L., & Schwartz, J. M. (2009). Mindful awareness and ADHD. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 319–338). New York: Springer.

    Chapter  Google Scholar 

Download references

Acknowledgements

This research was supported, in part, by scholarships from the Social Sciences and Humanities Research Council of Canada to the first and fourth authors and a research grant by the Social Sciences and Humanities Research Council of Canada to the second author.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sterett H. Mercer.

Ethics declarations

Conflict of Interest

Authors Idler, Mercer, Starosta, and Bartfai declare that they have no conflict of interest.

Funding

This research was supported, in part, by scholarships from the Social Sciences and Humanities Research Council of Canada to the first and fourth authors and an Insight Development research grant by the Social Sciences and Humanities Research Council of Canada to the second author.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Appendix

Appendix

The following is the script for the mindful breathing exercise used in this study. The script was adapted based on the Core Practice of the MindUP Curriculum (Hawn Foundation 2011).

  1. 1.

    Invite the student to sit comfortably with their back against the chair, feet flat on the ground, and hands held loosely in their lap.

  2. 2.

    Invite the student to take several breaths, breathing in through their nose and out through their mouth:

  • “Let’s take some deep breaths. Breathe in through your nose and out through your mouth. In 1, 2, 3, out 1, 2, 3. In 1, 2, 3, out 1, 2, 3. When you breathe in, take the breath all the way down to your tummy. In 1, 2, 3, out 1, 2, 3.”

  1. 3.

    Ask the student to close their eyes and listen to the sound of the ringing instrument for as long as they can while paying attention to their breath:

    • “You will listen to the sound of this chime for as long as you can, while paying attention and focusing on the rise and fall of your breath.”

  2. 4.

    Ring chime for the first time.

  3. 5.

    Remind the student that if their mind wanders, it is alright. They just need to bring their attention back to their breath:

    • “It’s alright if your mind begins to wander. Just bring your focus back to your breathing. Feel the rise and fall of your breath in your tummy.”

  4. 6.

    Tell student before ringing the chime a second time that they are to listen to the sound as long as they can, focusing on their breath and to raise their hand when they cannot hear it anymore:

    • “I am going to ring the chime again. Listen to the sound for as long as you can. When you can’t hear the sound any more, you can raise your hand.”

  5. 7.

    Ring chime for the second time.

  6. 8.

    Once student has raised their hand, invite the student to focus again on their breathing:

  • “Now slowly move your hand to your chest or tummy and feel your breathing. Just breathing in…just breathing out…”

  1. 9.

    Wait another 30–45 s.

  2. 10.

    Proceed with the reading fluency intervention procedures.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Idler, A.M., Mercer, S.H., Starosta, L. et al. Effects of a Mindful Breathing Exercise During Reading Fluency Intervention for Students with Attentional Difficulties. Contemp School Psychol 21, 323–334 (2017). https://doi.org/10.1007/s40688-017-0132-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40688-017-0132-3

Keywords

Navigation