Language Ability in Children With Permanent Hearing Impairment: The Influence of Early Management and Family Participation

Watkin, Peter; McCann, Donna C.; Law, Catherine; Mullee, Mark; Petrou, Stavros; Stevenson, Jim; Worsfold, Sarah; Yuen, Ho Ming; Kennedy, Colin

doi:10.1542/peds.2006-2116

Cited by 91 publications

(76 citation statements)

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“…1,19,[24][25][26] In contrast to other studies, 20,27,28 we did not find any significant association between narrative performance and variables relating to the severity of hearing loss, such as age at diagnosis, 25,29 age at start of hearing aid use, 30 length of speech and language therapy, and children's schooling. On the other hand, some other studies did not find an association between language measurements and severity of hearing loss, 25 age at diagnosis and age at start of hearing aid use.…”

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confidence: 97%

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Narrative competence among hearing-impaired and normal-hearing children: analytical cross-sectional study

2010

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CONTEXT AND OBJECTIVE: Oral narrative is a means of language development assessment. However, standardized data for deaf patients are scarce.The aim here was to compare the use of narrative competence between hearing-impaired and normal-hearing children. DESIGN AND SETTING:Analytical cross-sectional study at the Department of Speech-Language and Hearing Sciences, Universidade Federal de São Paulo.METHODS: Twenty-one moderately to profoundly bilaterally hearing-impaired children (cases) and 21 normal-hearing children without language abnormalities (controls), matched according to sex, age, schooling level and school type, were studied. A board showing pictures in a temporally logical sequence was presented to each child, to elicit a narrative, and the child's performance relating to narrative structure and cohesion was measured. The frequencies of variables, their associations (Mann-Whitney test) and their 95% confidence intervals was analyzed. RESULTS:The deaf subjects showed poorer performance regarding narrative structure, use of connectives, cohesion measurements and general punctuation (P ≤ 0.05). There were no differences in the number of propositions elaborated or in referent specification between the two groups.The deaf children produced a higher proportion of orientation-related propositions (P = 0.001) and lower proportions of propositions relating to complicating actions (P = 0.015) and character reactions (P = 0.005).CONCLUSION: Hearing-impaired children have abnormalities in different aspects of language, involving form, content and use, in relation to their normal-hearing peers. Narrative competence was also associated with the children's ages and the school type.RESUMO CONTEXTO E OBJETIVO: A narrativa oral constitui elemento de avaliação do desenvolvimento lingüístico, entretanto, são escassos os dados padronizados para pacientes surdos. O objetivo foi comparar o uso das competências narrativas entre crianças deficientes auditivas e ouvintes. TIPO DE ESTUDO E LOCAL: Estudo transversal analítico no Departamento de Fonoaudiologia, Universidade Federal de São Paulo.MÉTODO: Foram avaliadas 21 crianças com deficiência auditiva de grau moderado a profundo bilateral (casos) e 21 crianças ouvintes sem alterações de linguagem (controles) pareadas por sexo, idade, grau de escolaridade e tipo de escola frequentada. Foi apresentada uma prancha com figuras em sequência lógico-temporal para cada criança, para elicitar uma narrativa, e foi medido o desempenho na estrutura da narrativa e coesão. Foram analisadas as frequências das variáveis, suas associações (teste de Mann-Whitney) e intervalos de confiança de 95%. RESULTADOS:As crianças surdas apresentaram desempenho pior, na estrutura da narrativa, uso de conjunções, medidas de coesão e pontuação geral da narrativa (P ≤ 0,05). Não houve diferença no número de proposições elaboradas e especificação de referentes nos dois grupos. Os surdos produziram maior proporção de proposições do tipo orientação (P = 0,001) e menor proporção dos tipos ações complicador...

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confidence: 97%

“…Other authors have demonstrated lower use of cohesion elements in oral narratives among hearing-impaired individuals. 18 Studies on other populations 3,4,9,[22][23][24][25][26][27][28] have also indicated that there is lower use of cohesion elements among individuals with language disorders.…”

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Narrative competence among hearing-impaired and normal-hearing children: analytical cross-sectional study

2010

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“…Additional details of management after confirmation of PCHI have been reported elsewhere. 25 All 63 children with typically developed hearing in the comparison group achieved at least level 1 on both narrative structure and content scores, indicating use of some story-telling conventions (Table III). The average score in the typically developed hearing group was significantly better on all measures in children with normal hearing than in children with PCHI (p<0.05), except that the number of sentences used and the use of low-frequency morphological endings were similar (p=0.978 and 0.475 respectively; Table III).…”

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confidence: 99%

Narrative skills following early confirmation of permanent childhood hearing impairment

Worsfold

Mahon

Yuen

et al. 2010

Develop Med Child Neuro

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PCHI Permanent childhood hearing impairment UNHS Universal newborn hearing screening AIM The aim of this study was to compare spoken language production in children with permanent childhood hearing impairment (PCHI) whose PCHI was confirmed either early or late.METHOD Audio-taped spoken narrative was assessed for syntax, phonology, morphology, and narrative in transcripts from a population-based sample of 89 children (49 males, 40 females; age mean age 7y 7mo, SD1y 1mo, range 6y 6mo-10y 9mo) with bilateral PCHI ( ‡40dB hearing loss) and a comparison group of 63 children (37 males, 26 females; mean age 8y 1mo; SD 1y) with normal hearing. Of the 89 children with PCHI, 41 (21 males, 20 females) had their hearing impairment confirmed by the age of 9 months. All children with PCHI were tested with hearing aids in place, including 16 with cochlear implants. The group of children whose PCHI had been confirmed by age 9 months was compared with the group with later confirmation of PCHI using regression models on the outcome measures.RESULTS Compared with those with late-confirmed PCHI, children with early-confirmed PCHI used significantly more sentences (mean difference 2.7; 95% confidence interval [CI] 0.49-5.24; p=0.019) and categories of high-pitched morphological markers (mean difference 6.64; 95% CI 1. 96-11.31; p=0.006). The number of categories of low-pitched morphological markers, phonological simplifications, and sentences with multiple clauses did not differ between groups. The odds ratios (95% CI) of superior narrative structure and narrative content in children whose PCHI was confirmed early were 3.03 (1.09-8.46; p=0.034) and 4.43 (1.52-12.89; p=0.006) respectively.INTERPRETATION Early confirmation compared with late confirmation of PCHI was associated with benefit to narrative skills and to certain expressive aspects of syntax and morphology, but not expressive phonology.Spoken language is a socially agreed code of auditory symbols that is governed by various systems of rules. Simply put, these systems are the phonological system, which describes the rules governing speech sounds (phonemes); the morphological system, in which the combination of meaningful speech sounds (morphemes) into words is described; and the syntactic system, which describes rules for combining words into sentences. As children acquire language, their skill in using these systems develops and becomes more complex. For example, in the expanding syntactic system, single words are used first, and are then combined into clauses and sentences, which can then later be linked to form narratives. 1 Typically developing children acquire these language skills progressively during the preschool period, and by the age of 5 years are using many adult-like forms. More sophisticated constructions, such as use of complex sentences and connectors (e.g. 'however', 'actually'), continue to develop during childhood. 2 Typically developing children acquire language within a social context through exposure to spoken language. 3 To begin this process, they mu...

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“…Early identification of a hearing loss is an essential requirement to ensure optimal development in children (Moeller, 2000;Watkin et al, 2007). Screening for hearing in school-aged children is important to negate the influence of an undetected hearing loss that may affect a child's academic performance and socio-emotional well-being (Arlinger, 2003;Fellinger et.…”

Section: Introductionmentioning

confidence: 99%

Affordable headphones for accessible screening audiometry: An evaluation of the Sennheiser HD202 II supra-aural headphone

Aerschot

Swanepoel

Mahomed-Asmail

et al. 2016

International Journal of Audiology

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Objective: Evaluation of the Sennheiser HD 202 II supra-aural headphones as an alternative headphone to enable more affordable hearing screening.Design: Study 1 measured the equivalent threshold sound pressure levels (ETSPL) of the Sennheiser HD 202 II. Study 2 evaluated the attenuation of the headphones.Study 3 determined headphone characteristics by analyzing the total harmonic distortion (THD), frequency response and force of the headband.Study sample: Twenty-five participants were included in study 1 and fifteen in study 2 with ages ranging between 18 and 25. No participants were involved in study 3. Results:The Sennheiser HD 202 II ETSPLs (250 -16000 Hz) showed no significant effects on ETSPL for ear laterality, gender or age. Attenuation was not significantly different (p>0.01) to TDH 39 except at 8000 Hz (p<0.01). Maximum permissible ambient noise levels (MPANL) were specified accordingly. The force of the headband was 3.1N. THD measurements showed that between 500 and 8000 Hz intensities of 90 dB HL and higher can be reached without THD >3%. Conclusion:Sennheiser HD 202 II supra-aural headphones can be used as an affordable headphone for screening audiometry provided reported MPANLs, maximum intensities and ETSPL values are employed.

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Language Ability in Children With Permanent Hearing Impairment: The Influence of Early Management and Family Participation

Abstract: Early management of permanent childhood hearing impairment results in improved language. Family participation is also an important factor in cases that are confirmed late, especially for children with severe or profound permanent childhood hearing impairment.

Cited by 91 publications

References 17 publications

Narrative competence among hearing-impaired and normal-hearing children: analytical cross-sectional study

Narrative competence among hearing-impaired and normal-hearing children: analytical cross-sectional study

Narrative skills following early confirmation of permanent childhood hearing impairment

Affordable headphones for accessible screening audiometry: An evaluation of the Sennheiser HD202 II supra-aural headphone

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