2017
DOI: 10.1542/peds.2016-3489
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Early Sign Language Exposure and Cochlear Implantation Benefits

Abstract: the CDaCI Investigative Team abstract BACKGROUND: Most children with hearing loss who receive cochlear implants (CI) learn spoken language, and parents must choose early on whether to use sign language to accompany speech at home. We address whether parents' use of sign language before and after CI positively influences auditory-only speech recognition, speech intelligibility, spoken language, and reading outcomes.

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Cited by 179 publications
(107 citation statements)
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“…Because forcing parents to choose one communication mode for research purposes would be unethical, there are several confounds in this line of research that are difficult to avoid. Many of these studies show trends for children in total communication settings to have mothers with lower levels of education, families with lower income levels, later ages of implantation and worse auditory perception skills (e.g., Cullington et al, 2000;Geers et al, 2000;Geers et al, 2017). All of these factors have been linked to poorer speech outcomes in the broader population of children with CIs.…”
mentioning
confidence: 99%
“…Because forcing parents to choose one communication mode for research purposes would be unethical, there are several confounds in this line of research that are difficult to avoid. Many of these studies show trends for children in total communication settings to have mothers with lower levels of education, families with lower income levels, later ages of implantation and worse auditory perception skills (e.g., Cullington et al, 2000;Geers et al, 2000;Geers et al, 2017). All of these factors have been linked to poorer speech outcomes in the broader population of children with CIs.…”
mentioning
confidence: 99%
“…One study that is frequently cited to support arguments against signing with deaf children is that conducted by Geers et al [83], in which the researchers consulted a national database of cochlear implant users and analyzed their academic progress in elementary school in light of their duration of early sign language exposure. They found that the children with the least sign language exposure outperformed the other groups in speech recognition, spoken language, reading, and speech intelligibility.…”
Section: The Bilingual Paradoxmentioning
confidence: 99%
“…Literacy development is often impaired in deaf children and it is a measure of their disability (Dyer, MacSweeney, Szczerbinski & Green, ). Cochlear implants improve literacy skills and their benefits are greater if the child is exposed earlier to oral communication (Connor, Craig, Raudenbush, Heavner & Zwolan, ; Geers, Mitchell, Warner‐Czyz et al ., ). Other strategies, such as cued speech, have been applied to increase learning performance and ultimately improve literacy skills (Colin, Ecalle, Truy, Lina‐Granade & Magnan, ; Leybaert & La Sasso, ).…”
Section: Introductionmentioning
confidence: 97%
“…communication (Connor, Craig, Raudenbush, Heavner & Zwolan, 2006;Geers, Mitchell, Warner-Czyz et al, 2017). Other strategies, such as cued speech, have been applied to increase learning performance and ultimately improve literacy skills (Colin, Ecalle, Truy, Lina-Granade & Magnan, 2017;Leybaert & La Sasso, 2010).…”
Section: Introductionmentioning
confidence: 99%