Problem A key ingredient to academic success is being able to read. Deaf individuals have historically failed to develop literacy skills comparable to those of their normal-hearing peers, but early identification and cochlear implants have improved prospects that these children can learn to read at the levels of their peers. The goal of this study was to examine early, or emergent, literacy in these children. Method 27 deaf children with cochlear implants (CIs) who had just completed kindergarten were tested on emergent literacy, as well as on cognitive and linguistic skills that support emergent literacy, specifically ones involving phonological awareness, executive functioning, and oral language. 17 kindergartners with normal hearing (NH) and 8 with hearing loss, but who used hearing aids (HAs) served as controls. Outcomes were compared for these three groups of children, regression analyses were performed to see if predictor variables for emergent literacy differed for children with NH and those with CIs, and factors related to the early treatment of hearing loss and prosthesis configuration were examined for children with CIs. Results Performance of children with CIs was roughly one or more standard deviations below the mean performance of children with NH on all tasks, except for syllable counting, reading fluency, and rapid serial naming. Oral language skills explained more variance in emergent literacy for children with CIs than for children with NH. Age of first implant explained moderate amounts of variance for several measures. Having one or two CIs had no effect, but children who had some amount of bimodal experience outperformed children who had none on several measures. Conclusions Even deaf children who have benefitted from early identification, intervention, and implantation are still at risk for problems with emergent literacy that could affect their academic success. This finding means that intensive language support needs to continue through at least the early elementary grades. Also a period of bimodal stimulation during the preschool years can help boost emergent literacy skills to some extent.

Background There is growing consensus that hearing loss and consequent amplification likely interact with cognitive systems. A phenomenon often examined in regards to these potential interactions is working memory, modeled as consisting of one component responsible for storage of information and another component responsible for processing of that information. Signal degradation associated with cochlear implants should selectively inhibit storage without affecting processing. This study examined two hypotheses: (1) A single task can be used to measure storage and processing in working memory, with recall accuracy indexing storage and rate of recall indexing processing; (2) Storage is negatively impacted for children with CIs, but not processing. Method Two experiments were conducted. Experiment 1 included adults and children, 8 and 6 years of age, with NH. Procedures tested the prediction that accuracy of recall could index storage and rate of recall could index processing. Both measures were obtained during a serial-recall task using word lists designed to manipulate storage and processing demands independently: non-rhyming nouns were the standard condition; rhyming nouns were predicted to diminish storage capacity; and non-rhyming adjectives were predicted to increase processing load. Experiment 2 included 98 8-year-olds, 48 with NH and 50 with CIs, in the same serial-recall task using the non-rhyming and rhyming nouns. Results Experiment 1 showed that recall accuracy was poorest for the rhyming nouns and rate of recall was slowest for the non-rhyming adjectives, demonstrating that storage and processing can be indexed separately within a single task. In Experiment 2, children with CIs showed less accurate recall of serial order than children with NH, but rate of recall did not differ. Recall accuracy and rate of recall were not correlated in either experiment, reflecting independence of these mechanisms. Conclusions It is possible to measure the operations of storage and processing mechanisms in working memory in a single task, and only storage is impaired for children with CIs. These findings suggest that research and clinical efforts should focus on enhancing the saliency of representation for children with CIs. Direct instruction of syntax and semantics could facilitate storage in real-world working memory tasks.

Purpose Cochlear implants (CIs) can facilitate the acquisition of spoken language for deaf children, but challenges remain. Language skills dependent upon phonological sensitivity are most at risk for these children, so having an effective way to diagnose problems at this level would be of value for school speech-language pathologists. The goal of this study was to assess whether a nonword repetition (NWR) task could serve that purpose. Method 104 second graders participated: 49 with NH and 55 with CIs. In addition to NWR, children were tested on ten measures involving phonological awareness/processing, serial recall of words, vocabulary, reading, and grammar. Results Children with CIs performed more poorly than children with NH on NWR, and sensitivity to phonological structure alone explained that performance for children in both groups. For children with CIs, two audiological factors positively influenced outcomes on NWR: being identified with hearing loss at younger ages and having experience wearing a hearing aid on the unimplanted ear at the time of receiving a first CI. NWR scores were better able to rule out language deficits than rule in such deficits. Conclusions Well-designed NWR tasks could have clinical utility in assessments of language acquisition for school-age children with CIs.

Much of speech perception research has focused on brief spectro-temporal properties in the signal, but some studies have shown that adults can recover linguistic form when those properties are absent. In this experiment, seven-year-old English-speaking children demonstrated adult-like abilities to understand speech when only sine waves replicating the three lowest resonances of the vocal tract were presented, but failed to demonstrate comparable abilities when noise bands amplitude-modulated with envelopes derived from the same signals were presented. In contrast, adults who were not native English speakers, but were competent second language learners, were worse at understanding both kinds of stimuli than native English-speaking adults. Results showed that children learn to extract linguistic form from signals that preserve some spectral structure, even if degraded, before they learn to do so for signals that preserve only amplitude structure. We hypothesize that children's early sensitivity to global spectral structure reflects the role that it may play in language learning.

Learning to speak involves both mastering the requisite articulatory gestures of one’s native language and learning to coordinate those gestures according to the rules of the language. Voice onset time (VOT) acquisition illustrates this point: The child must learn to produce the necessary upper vocal tract and laryngeal gestures and to coordinate them with very precise timing. This longitudinal study examined the acquisition of English VOT by audiotaping seven children at 2 month intervals from first words (around 15 months) to the appearance of three-word sentences (around 30 months) in spontaneous speech. Words with initial stops were excerpted, and (1) the numbers of words produced with intended voiced and voiceless initial stops were counted; (2) VOT was measured; and (3) within-child standard deviations of VOT were measured. Results showed that children (1) initially avoided saying words with voiceless initial stops, (2) initially did not delay the onset of the laryngeal adduction relative to the release of closure as long as adults do for voiceless stops, and (3) were more variable in VOT for voiceless than for voiced stops. Overall these results support a model of acquisition that focuses on the mastery of gestural coordination as opposed to the acquisition of segmental contrasts.