Language Abilities, Phonological Awareness, Reading Skills, and Subjective Fatigue in School-Age Children With Mild to Moderate Hearing Loss

Camarata, Stephen; Werfel, Krystal L.; Davis, T. Brandon; Hornsby, Benjamin W. Y.; Bess, Fred H.

doi:10.1177/0014402918773316

Cited by 22 publications

(12 citation statements)

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“…An important area of future study is to develop a better understanding of subjective fatigue as a function of age, degree and type of HL, presence of disabilities, parentchild and teacher-child differences on our self-report scales, and the responsiveness of our scales to fatigue reduction. A need also exists for exploring the relationships between cognitive fatigue, language, and literacy skills in CHL (see Camarata, Werfel, Davis, Hornsby, & Bess, 2018). Finally, it is essential for us to explore evidence-based intervention strategies for reducing the debilitating effects of recurrent fatigue in all CHL.…”

Section: Discussionmentioning

confidence: 99%

Listening-Related Fatigue in Children With Unilateral Hearing Loss

Bess

Davis

Camarata

et al. 2020

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Purpose Listening-related fatigue is an understudied construct that may contribute to the auditory, educational, and psychosocial problems experienced by children with unilateral hearing loss (UHL). Herein, we present an overview of listening-related fatigue in school-age children with hearing loss (CHL), with a focus on children with UHL. Method Following a review of research examining listening-related fatigue in adults and CHL, we present preliminary findings exploring the effects of unilateral and bilateral hearing loss on listening-related fatigue in children. For these exploratory analyses, we used data collected from our ongoing work developing and validating a tool, the Vanderbilt Fatigue Scale, for measuring listening-related fatigue in children. Presently, we are assessing 3 versions of the fatigue scale—child self-report, parent proxy, and teacher proxy. Using these scales, data have been collected from more than 900 participants. Data from children with unilateral and bilateral hearing loss and for children with no hearing loss are compared with adult Vanderbilt Fatigue Scale data. Results Results of our literature review and exploratory analyses suggest that adults and CHL are at increased risk for listening-related fatigue. Importantly, this increased risk was similar in magnitude regardless of whether the loss was unilateral or bilateral. Subjective ratings, based on child self-report and parent proxy report, were consistent, suggesting that children with unilateral and bilateral hearing loss experienced greater listening-related fatigue than children with no hearing loss. In contrast, results based on teacher proxy report were not sensitive to the effects of hearing loss. Conclusions Children with UHL are at increased risk for listening-related fatigue, and the magnitude of fatigue is similar to that experienced by children with bilateral hearing loss. Problems of listening-related fatigue in school-age CHL may be better identified by CHL themselves and their parents than by teachers and specialists working with the children.

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Section: Discussionmentioning

confidence: 99%

Listening-Related Fatigue in Children With Unilateral Hearing Loss

Bess

Davis

Camarata

et al. 2020

LSHSS

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“…Visual processing deficits have been reported in children with hearing loss ( Bharadwaj & Mehta, 2016 ; Castellanos et al, 2015 ; Cleary et al, 2001 ; Marschark et al, 2015 ), but unlike the present cohorts, these challenges typically occurred with clear concurrent impairments in verbal memory. The resulting impression was that diminished scores on these visual tasks in children with hearing loss related to general cognitive impairments ( Bharadwaj & Mehta, 2016 ; Castellanos et al, 2015 ; Cleary et al, 2001 ; Marschark et al, 2015 ), perhaps stemming from listening fatigue ( Bess et al, 2014 , 2020 ; Camarata et al, 2018 ; Hornsby et al, 2016 ) and poor phonological processing ( Geers & Hayes, 2011 ; Lyxell et al, 2008 ; Wass, Ching, et al, 2019 ; Wass, Löfkvist, et al., 2019 ). Relatively good verbal memory skills in the present cohort likely reflects their better hearing than prior study groups.…”

Section: Discussionmentioning

confidence: 99%

Functional Consequences of Poor Binaural Hearing in Development: Evidence From Children With Unilateral Hearing Loss and Children Receiving Bilateral Cochlear Implants

et al. 2021

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Poor binaural hearing in children was hypothesized to contribute to related cognitive and academic deficits. Children with unilateral hearing have normal hearing in one ear but no access to binaural cues. Their cognitive and academic deficits could be unique from children receiving bilateral cochlear implants (CIs) at young ages who have poor access to spectral cues and impaired binaural sensitivity. Both groups are at risk for vestibular/balance deficits which could further contribute to memory and learning challenges. Eighty-eight children (43 male:45 female, aged 9.89 ± 3.40 years), grouped by unilateral hearing loss ( n = 20), bilateral CI ( n = 32), and typically developing ( n = 36), completed a battery of sensory, cognitive, and academic tests. Analyses revealed that children in both hearing loss groups had significantly poorer skills (accounting for age) on most tests than their normal hearing peers. Children with unilateral hearing loss had more asymmetric speech perception than children with bilateral CIs ( p < .0001) but balance and language deficits ( p = .0004, p < .0001, respectively) were similar in the two hearing loss groups ( p > .05). Visuospatial memory deficits occurred in both hearing loss groups ( p = .02) but more consistently across tests in children with unilateral hearing loss. Verbal memory was not significantly different than normal ( p > .05). Principal component analyses revealed deficits in a main cluster of visuospatial memory, oral language, mathematics, and reading measures (explaining 46.8% data variability). The remaining components revealed clusters of self-reported hearing, balance and vestibular function, and speech perception deficits. The findings indicate significant developmental impacts of poor binaural hearing in children.

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“…It is well established that using hearing aids is associated with fatigue, sometimes even chronic fatigue (Werfel & Hendricks, 2016;Camarata et al, 2018;Gustafson et al, 2018;Wang et al, 2018). My qualitative data contributes the deeper understanding that this fatigue is not only because of the use of hearing aids.…”

Section: Bridging the Gap Between What Is Needed And What Is Offeredmentioning

confidence: 81%

Accessibility Denied. Understanding Inaccessibility and Everyday Resistance to Inclusion for Persons with Disabilities

Egard¹,

Hansson²,

Wästerfors³

2021

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This book explores the societal resistance to accessibility for persons with disabilities, and tries to set an example of how to study exclusion in a time when numerous policies promise inclusion.With 12 chapters organised in three parts, the book takes a comprehensive approach to accessibility, covering transport and communication, knowledge and education, law and organisation. Topics within a wide cross-disciplinary field are covered, including disability studies, social work, sociology, ethnology, social anthropology, and history. The main example is Sweden, with its implementation of the United Nations Convention on the Rights of Persons with Disabilities within the context of the Nordic welfare state. By identifying and discussing persistent social and cultural conditions as well as recurring situations and interactions that nurture resistance to advancing accessibility, despite various strong laws promoting it, the book's conclusions are widely transferable. It argues for the value of alternating between methods, theoretical perspectives, and datasets to explore how new arenas, resources and technologies cause new accessibility concernsand possibilitiesfor persons living with impairments. We need to be able to follow actors closely to uncover how they feel, act, and argue, but also to connect to wider discursive and institutional patterns and systems. This book will be of interest to scholars and students of disability studies, social work, sociology, ethnology, social anthropology, political science, and organisation studies.

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Language Abilities, Phonological Awareness, Reading Skills, and Subjective Fatigue in School-Age Children With Mild to Moderate Hearing Loss

Cited by 22 publications

References 70 publications

Listening-Related Fatigue in Children With Unilateral Hearing Loss

Listening-Related Fatigue in Children With Unilateral Hearing Loss

Functional Consequences of Poor Binaural Hearing in Development: Evidence From Children With Unilateral Hearing Loss and Children Receiving Bilateral Cochlear Implants

Accessibility Denied. Understanding Inaccessibility and Everyday Resistance to Inclusion for Persons with Disabilities

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