“…For this reason, an additional factor in assessing the communication needs of the child in relation to use of tactile devices may be the role for the tactile device in speech self-monitoring and resultant speech production. Galvin et al (1995) noted improvements in articulation when tactile feedback through the Tickle Talker was provided. In this study, the children's conversation was recorded in two condi-tions, one with the child using lipreading and hearing aids (if fitted), and the other with the Tickle Talker used in addition ("device-on").…”