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This study provides insights into the benefits of phoneme awareness intervention for children with complex communication needs (CCN). The specific aims of the study were: (1) to determine whether phoneme awareness skills can be successfully trained in children with CCN; and (2) to observe any transfer effects to phoneme awareness tasks not directly targeted during intervention, and to the encoding and decoding of printed words. Two children participated in the study: Scott, aged 7 and Anna, aged 10. Prior to intervention, both children exhibited poor phoneme awareness knowledge and severely delayed written language skills. Scott received 7 hours of intervention that focused on improving his phoneme identity skills and his letter‐sound knowledge. Anna received 11 hours of intervention that focused on improving her phoneme segmentation and manipulation skills. Results indicated that both children …