“…Although this may be a direct result of factors previously discussed, such as the specific speech cues encoded by the particular tactile device or the motivation of the patient to learn to use these cues, an alternative explanation could be the more limited training that has generally been employed in tactile device studies as compared with the long-term habilitation required of experienced Tadoma users. Galvin et al (1993) have described the development of the habilitation program used with the Tickle Talker, which has concentrated on developing integration of tactile input with information from aided residual hearing and/or lipreading to improve perception of words, sentences, and running speech. A number of important factors to be considered in development of training programs were identified, including: type of training tasks, amount of training, motivation and device use by the subject, user characteristics, response formats used in training, information presented through the device, and the evaluation procedures implemented.…”