Comprehension of Written Words


This is a test of the ability to comprehend the meanings of written words. There are 3 practice items and 24 test items. A picture-matching format is used, with three alternative picture choices presented to accompany each target word. The picture choices for each target word include: the correct picture, a semantically unrelated picture whose name is visually similar to the target word (containing at least 50% of the same letters), and a semantically related picture whose name is visually different from the target word. Words have been included to represent both high and low frequencies of usage, regular and irregular spelling patterns, and various syllable lengths (from 1 to 3).


Target words for each item are printed in black bold 28 point, on 10 cm x 8 cm white background cards. For each item there are three picture cards: the match for the target item and two distractor pictures.


Place the three picture cards horizontally on a table or across the top of a clear perspex sheet in the order indicated on the score sheet, so that L = the examiner's left, M = middle position and R = the examiner's right. Mark these positions on the back of the cards to avoid examiner error. Do not name the picture cards at any time. After placing the pictures, place the printed target word below the picture cards.


Tell the client that you are going to show a written word and three pictures. The client's task is to indicate the picture that matches the written word.

Examiner: I'm going to show you a word. Then I'm going to show you three pictures. One of these is the picture of the word. I want you to show me which picture goes with the word. We'll do some practice ones first.

Administer the practice items, giving corrective feedback. When P items have been given, say Great, now we'll start the test. I won't tell you if you are right or wrong with these.


Repeat the practice items up to 3 times if errors are made, and provide corrective feedback. Repeat test items if the client requests it or after a lengthy period of time has elapsed without a response.

Provide no more than 2 repeats for each test item.


Circle the client's choice at the time of administration. After administration, score "1" for each correct option (circled and underlined). The number of visual and semantic errors can also be tallied.

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