Expressive vocabulary of children with hearing loss in the first 2 years of life: impact of early intervention

Vohr, Betty R.; Jodoin-Krauzyk, Julie; Tucker, Richard; Topol, Deborah; Johnson, Mary Jane; Ahlgren, Marianne; Pierre, LSt

doi:10.1038/jp.2010.110

Cited by 64 publications

(60 citation statements)

References 29 publications

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“…The variables in this study associated with higher VQs are consistent with previous reports that found better vocabulary and other language outcomes to be related to the absence of additional disabilities, 25 lesser degrees of hearing loss, 3, 10, 26 the presence of a parent who is deaf or hard of hearing, 26, 27 and higher maternal education. 28 The association of lower VQs with increasing chronological age complements previous findings that, even when early-identified, children with hearing loss fail to match the vocabulary acquisition trajectory of children who are hearing.…”

Section: Discussionsupporting

confidence: 91%

“…The percentage of children in the “meets EHDI” group who fell below the 10th percentile is similar to that reported by Vohr et al, 10 who also used the MacArthur-Bates Communicative Development Inventory (43% of their early-identified 18- to 24-montholds fell below the 10th percentile). Several studies have used the Child Development Inventory to measure the language skills of children with hearing loss.…”

Section: Discussionsupporting

confidence: 83%

“…In the United States, researchers have reported more favorable language outcomes for children whose hearing loss was identified earlier, 9 who received hearing aids earlier, 3 or who began intervention services at an earlier age. 10, 11 Collectively, the majority of previous research has supported the beneficial effects of early identification and intervention. However, many of these studies were conducted within a restricted geographic area and/or included an age of confirmation of hearing loss within the “early” group that was relatively late by today’s standards, and in all studies, grouping was based on only a single component of the EHDI program (screening, identification, or intervention).…”

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confidence: 99%

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Early Hearing Detection and Vocabulary of Children With Hearing Loss

et al. 2017

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BACKGROUND AND OBJECTIVES To date, no studies have examined vocabulary outcomes of children meeting all 3 components of the Early Hearing Detection and Intervention (EHDI) guidelines (hearing screening by 1 month, diagnosis of hearing loss by 3 months, and intervention by 6 months of age). The primary purpose of the current study was to examine the impact of the current EHDI 1-3-6 policy on vocabulary outcomes across a wide geographic area. A secondary goal was to confirm the impact of other demographic variables previously reported to be related to language outcomes. METHODS This was a cross-sectional study of 448 children with bilateral hearing loss between 8 and 39 months of age (mean = 25.3 months, SD = 7.5 months). The children lived in 12 different states and were participating in the National Early Childhood Assessment Project. RESULTS The combination of 6 factors in a regression analysis accounted for 41% of the variance in vocabulary outcomes. Vocabulary quotients were significantly higher for children who met the EHDI guidelines, were younger, had no additional disabilities, had mild to moderate hearing loss, had parents who were deaf or hard of hearing, and had mothers with higher levels of education. CONCLUSIONS Vocabulary learning may be enhanced with system improvements that increase the number of children meeting the current early identification and intervention guidelines. In addition, intervention efforts need to focus on preventing widening delays with chronological age, assisting mothers with lower levels of education, and incorporating adults who are deaf/hard-of-hearing in the intervention process.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 83%

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confidence: 99%

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Early Hearing Detection and Vocabulary of Children With Hearing Loss

et al. 2017

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“…For example, one study reported a potential disconnect between concurrent development in the gestural and spoken modalities for toddlers with HL, with children's auditory deficits negatively affecting spoken language development while leaving gestural development intact (Zaidman-Zait & Dromi, 2007). In contrast, work by Vohr and colleagues (Vohr et al, 2008;Vohr et al, 2011) indicates a close coupling of gesture and spoken language for children with HL. The authors reported that toddlers with moderate-to-profound HL demonstrated delays in gesture and spoken language development, and that delays in gestural development at 12 to 16 months were predictive of spoken language delays at 18 to 24 months.…”

Section: Gesture and Children With Hlmentioning

confidence: 77%

Gesture Use in 14-Month-Old Toddlers With Hearing Loss and Their Mothers' Responses

Ambrose

2016

Am J Speech Lang Pathol

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Purpose: This study examined the gesture use of 14-monthold toddlers with hearing loss (HL) and mothers' responses to children's early gesture use. Comparisons were made to symbolic language and to dyads in which the toddler had normal hearing (NH). Method: Participants were 25 mother-toddler dyads in which the child had HL and a socioeconomic-status matched group of 23 mother-toddler dyads in which the child had NH. Thirty-minute mother-child interactions were videorecorded, transcribed for spoken language, sign, and gesture use, and coded for maternal responses to children's gestures. Mothers also reported on children's gestural and spoken language abilities.Results: Toddlers with HL used gesture similarly to their peers with NH, but demonstrated delays in spoken language. Spoken language and gesture were not significantly related for either group. Hearing levels were related to spoken language, but not gesture for the HL group. Maternal and child gesture were only related for signing mothers. Mothers of children with HL were more likely than their counterparts to provide no response to children's gestures. Conclusion: Although toddlers' gesture abilities remain intact in the presence of HL, mothers were not maximally responsive to those gestures and thus should be coached to increase their provision of contingent feedback.

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“…However, even mild degrees of loss have been associated with educational challenges including greater likelihood of grade repetition and attention difficulties in school (Bess 1998), while slight bilateral hearing loss, frequently unrecognized by parents, has been associated with lower reading scores (Byrd 2002). Recent studies suggest that many factors impact the expressive vocabularies of children with congenital hearing loss in the first 2 years of life, but that diagnosis and commencement of early intervention prior to the age of 3 months has a sustained beneficial effect (Vohr et al 2011). Children diagnosed early, without significant comorbidities and who receive a cochlear implant up to 45%, are reported to have normal to slightly delayed language development (Verhaert et al 2008).…”

Section: Implications Of Early Hearing Loss For Health Development Ovmentioning

confidence: 99%

A Life Course Approach to Hearing Health

Russ¹,

Tremblay

Halfon

et al. 2017

Handbook of Life Course Health Development

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Challenges to hearing health are a significant public health problem. At least ten million Americans have a hearing loss that interferes with the understanding of normal speech. If lesser degrees of loss are included, the number rises to 28 million. Although there have been considerable advances in understanding the etiology of hearing loss, with genetic causes now thought to account for up to 50% of congenital losses, in many individual cases, the cause of hearing loss remains unknown. This lack of knowledge of the basic pathophysiology of hearing difficulties hampers prevention and treatment efforts. Growing interest in life course theory has led to suggestions that it could prove useful to apply a life course lens to the study of hearing loss, and of hearing health, throughout the life span. In this paper we consider the implications of the Life Course Health Development model for understanding the mechanisms, pathways, and determinants of hearing ability. We consider the implications of early hearing loss for health development over the life course and the factors through the life course that contribute to hearing ability in adult life. We consider the concept not just of hearing loss but of “hearing health” and how to achieve it, the research priorities that are suggested by this review, and the implications for policy and practice.

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Expressive vocabulary of children with hearing loss in the first 2 years of life: impact of early intervention

Cited by 64 publications

References 29 publications

Early Hearing Detection and Vocabulary of Children With Hearing Loss

Early Hearing Detection and Vocabulary of Children With Hearing Loss

Gesture Use in 14-Month-Old Toddlers With Hearing Loss and Their Mothers' Responses

A Life Course Approach to Hearing Health

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