An Auditory Spoken Language Matrix for Differential Diagnosis of Spanish-Speaking Children Who Are Deaf or Hard of Hearing

2011 ◽  
Vol 18 (3) ◽  
pp. 71-78
Author(s):  
Kristin Uhler ◽  
Shannon M. Burns ◽  
Molly Dalpes ◽  
Christine Yoshinaga-Itano
Keyword(s):  
Hard Of Hearing ◽  
Auditory Evoked Potentials ◽  
Expressive Language ◽  
Demographic Data ◽  
Spoken Language ◽  
Receptive Language ◽  
Language Outcomes ◽  
Spanish Speaking ◽  
Language Input ◽  
Early Intervention System

A sample of children from Spanish-speaking homes who are hard-of-hearing demonstrated less than optimal outcomes following cochlear implantation. The authors developed a unique diagnostic protocol to identify potential causes. Inclusion criteria included hearing loss identified by 3 months of age, amplification, a Spanish-speaking home, and enrollment in the statewide early intervention system by 6-months of age. The authors collected extensive demographic data from participants, and the participants completed the same language assessments in 6-month time intervals, examining receptive and expressive language as well as parent-child interaction. Additional assessments included cortical auditory-evoked potentials (i.e., P1), infant speech perception, auditory skill questionnaires, and audio recordings taken over a 12–16 hour period in the child's natural language environment. This auditory spoken language matrix allowed identification of good auditory performers who performed poorly on expressive language measures and poor auditory performers with poor expressive and receptive language outcomes. The comprehensive nature of the assessment allowed examination of spoken language input and helped determine if poor language outcomes were associated with a lack of spoken language input (Hart & Risely, 1995). This matrix allowed the authors to rule out audibility, discrimination, auditory development, and quality of exposure to auditory spoken language as causes of delayed development. The article discusses additional benefits of using this protocol.

scholarly journals The Impact of Language Input on Deaf and Hard of Hearing Preschool Children Who Use Listening and Spoken Language

2018 ◽  
Vol 163 (1) ◽  
pp. 35-60 ◽  
Author(s):  
Ronda Rufsvold ◽  
Ye Wang ◽  
Maria C. Hartman ◽  
Sonia B. Arora ◽  
Elaine R. Smolen
Keyword(s):  
Preschool Children ◽  
Hard Of Hearing ◽  
Spoken Language ◽  
Language Input ◽  
The Impact

scholarly journals Assistive Hearing Technology for Deaf and Hard-of-Hearing Spoken Language Learners

2019 ◽  
Vol 9 (2) ◽  
pp. 153 ◽  
Author(s):  
Frush Holt
Keyword(s):  
Cochlear Implants ◽  
Hearing Aids ◽  
Hard Of Hearing ◽  
Spoken Language ◽  
School Age Children ◽  
Future Research ◽  
Language And Literacy ◽  
Language Outcomes ◽  
Related Factors ◽  
Literacy Outcomes

Radical advancements in hearing technology in the last 30 years have offered some deaf and hard-of-hearing (DHH) children the adequate auditory access necessary to acquire spoken language with high-quality early intervention. However, meaningful achievement gaps in reading and spoken language persist despite the engineering marvel of modern hearing aids and cochlear implants. Moreover, there is enormous unexplained variability in spoken language and literacy outcomes. Aspects of signal processing in both hearing aids and cochlear implants are discussed as they relate to spoken language outcomes in preschool and school-age children. In suggesting areas for future research, a case is made for not only expanding the search for mechanisms of influence on outcomes outside of traditional device- and child-related factors, but also for framing the search within Biopsychosocial systems theories. This theoretical approach incorporates systems of risk factors across many levels, as well as the bidirectional and complex ways in which factors influence each other. The combination of sophisticated hearing technology and a fuller understanding of the complex environmental and biological factors that shape development will help maximize spoken language outcomes in DHH children and contribute to laying the groundwork for successful literacy and academic development.

scholarly journals Late-talking toddlers: MLU and IPSyn outcomes at 3;0 and 4;0

2000 ◽  
Vol 27 (3) ◽  
pp. 643-664 ◽  
Author(s):  
LESLIE RESCORLA ◽  
KATHERINE DAHLSGAARD ◽  
JULIE ROBERTS
Keyword(s):  
Expressive Language ◽  
Receptive Language ◽  
Group Differences ◽  
Typically Developing ◽  
Regression Analyses ◽  
Language Outcomes ◽  
Late Talkers ◽  
Nonverbal Ability ◽  
Standard Deviations ◽  
Predictive Relationship

Expressive language outcomes measured by MLU and the Index of Productive Syntax (IPSyn) at ages 3;0 and 4;0 were investigated in 34 late talkers with normal receptive language identified between 2;0 to 2;7 and 16 typically developing comparison children matched on age, SES, and nonverbal ability. Late talkers made greater gains than comparison children between 3;0 and 4;0 in both MLU and IPSyn raw score. However, when age-standardized z-scores were analysed, the late talkers were about 2·5 standard deviations below comparison children on both measures at both ages. At 3;0, 41% of the late talkers had MLUs above the 10th percentile based on Scarborough's (1990) benchmark sample; by 4;0, 71% did so. Using the IPSyn, a more stringent measure, 34% scored above the 10th percentile at 3;0 and only 29% did so at 4;0. MLU was significantly correlated with the IPSyn at both ages for the late talkers, but only at 3;0 for the comparison children. A converging set of regression analyses indicated no group differences in the predictive relationship between MLU and IPSyn, suggesting that the late talkers were delayed on both measures but not deviant in their development.

Outcomes for Children With HL: Effects of Age of ID, Sign Support, and Auditory Prosthesis

2008 ◽  
Vol 18 (2) ◽  
pp. 74-82 ◽  
Author(s):  
Susan Nittrouer
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Spoken Language ◽  
List Type ◽  
Auditory Prosthesis ◽  
Language Outcomes ◽  
Independent Variables ◽  
Language Style ◽  
Language Input ◽  
Outcomes For Children

Abstract The purpose of the project reported here was to examine the effects of three independent variables on developmental outcomes for children with hearing loss (HL): age of identification of hearing loss, whether or not spoken language input was supported with signs and whether children used hearing aids (HAs) or cochlear implants (CI). Children with and without hearing loss were tested multiple times between 12 and 48 months of age, at their 6-month birthdays. Dependent variables were selected to examine all aspects of child development: receptive and expressive language, psychosocial components of personality, deleterious behaviors, adaptive behaviors, parental language style, and levels of parenting stress. Results support several main findings: None of the independent variables had any significant effect on any dependent variable unrelated to language. Mean levels of all language skills were delayed for all groups of children with HL, even those children identified at birth with only moderate losses that could be appropriately aided with HAs. For children with losses identified at birth, the use or nonuse of signs to support spoken language input did not affect language outcomes in the long run. Within the restricted range examined here, age of identification did not affect language outcomes, if children were not getting sign support; children with late-identified hearing loss receiving sign support were more delayed on all language measures than other children with HL. Regarding prosthesis, some experience using HAs was associated with better outcomes, even if children eventually received CIs. A parental language style that involved being very verbally responsive to the child's communicative attempts was strongly associated with positive language outcomes.

scholarly journals Language Outcomes in Deaf or Hard of Hearing Teenagers Who Are Spoken Language Users

2017 ◽  
Vol 38 (5) ◽  
pp. 598-610 ◽  
Author(s):  
Hannah Pimperton ◽  
Jana Kreppner ◽  
Merle Mahon ◽  
Jim Stevenson ◽  
Emmanouela Terlektsi ◽  
...  
Keyword(s):  
Hard Of Hearing ◽  
Spoken Language ◽  
Language Outcomes

A Systematic Review and Meta-Analysis of Predictors of Expressive-Language Outcomes Among Late Talkers

2017 ◽  
Vol 60 (10) ◽  
pp. 2935-2948 ◽  
Author(s):  
Evelyn L. Fisher
Keyword(s):  
Systematic Review ◽  
Expressive Language ◽  
Meta Analysis ◽  
Receptive Language ◽  
Preschool Age ◽  
Sensitivity Analyses ◽  
Expressive Vocabulary ◽  
Language Outcomes ◽  
Late Talkers ◽  
Predictors Of Outcomes

PurposeThe purpose of this study was to explore the literature on predictors of outcomes among late talkers using systematic review and meta-analysis methods. We sought to answer the question: What factors predict preschool-age expressive-language outcomes among late-talking toddlers?MethodWe entered carefully selected search terms into the following electronic databases: Communication & Mass Media Complete, ERIC, Medline, PsycEXTRA, Psychological and Behavioral Sciences, and PsycINFO. We conducted a separate, random-effects model meta-analysis for each individual predictor that was used in a minimum of 5 studies. We also tested potential moderators of the relationship between predictors and outcomes using metaregression and subgroup analysis. Last, we conducted publication-bias and sensitivity analyses.ResultsWe identified 20 samples, comprising 2,134 children, in a systematic review. According to the results of the meta-analyses, significant predictors of expressive-language outcomes included toddlerhood expressive-vocabulary size, receptive language, and socioeconomic status. Nonsignificant predictors included phrase speech, gender, and family history.ConclusionsTo our knowledge this is the first synthesis of the literature on predictors of outcomes among late talkers using meta-analysis. Our findings clarify the contributions of several constructs to outcomes and highlight the importance of early receptive language to expressive-language development.Supplemental Materialshttps://doi.org/10.23641/asha.5313454

scholarly journals What Our Hands Tell Us: A Two-Year Follow-Up Investigating Outcomes in Subgroups of Children With Language Delay

2019 ◽  
Vol 62 (2) ◽  
pp. 356-366 ◽  
Author(s):  
Hilary O'Neill ◽  
Carol-Anne Murphy ◽  
Shula Chiat
Keyword(s):  
Expressive Language ◽  
Strong Predictor ◽  
Receptive Language ◽  
Language Delay ◽  
Language Outcomes ◽  
Theoretical Understanding ◽  
Expressive Phonology ◽  
Language Measures ◽  
Expressive Language Delay

Purpose This study followed up children identified with expressive language delay (ELD) or receptive/expressive language delay (R/ELD) at 2 years of age, Time 1 (T1), in order to identify their language profiles at 4–5 years, Time 2 (T2), and explore relationships to T1 language, gesture use, and symbolic comprehension. Method Nineteen of 22 children were seen at follow-up (9 of 10 from R/ELD group, 10 of 12 from ELD group). T1 measures assessed receptive and expressive language, gesture use, and symbolic comprehension. At T2, we assessed receptive and expressive language, sentence repetition, and expressive phonology. Results Outcomes for the R/ELD group were significantly poorer, with all children continuing to have delay in receptive and/or expressive language compared to just 20% of the ELD group. Expressive phonology delay was common in both groups. T1 receptive language showed the most pervasive correlations with T2 language measures, but categorical performance on all three T1 measures correctly predicted language outcomes in 16–17 of the 19 children. Conclusion Findings add to evidence that receptive language is a strong predictor of outcomes. Gesture use and symbolic comprehension are also strong predictors and clinically valuable as part of play-based assessments with implications for theoretical understanding and intervention planning.

Family Environmental Dynamics Differentially Influence Spoken Language Development in Children With and Without Hearing Loss

2021 ◽  
pp. 1-17
Author(s):  
Rachael Frush Holt ◽  
William G. Kronenberger ◽  
David B. Pisoni
Keyword(s):  
Hearing Loss ◽  
Language Development ◽  
Family Environment ◽  
Family Dynamics ◽  
Spoken Language ◽  
Receptive Language ◽  
Receptive Vocabulary ◽  
Language Outcomes ◽  
Fourth Edition ◽  
The Family

Purpose: The aim of this study was to evaluate whether families of children with sensorineural hearing loss (SNHL) are organized similarly to those of typically developing, typically hearing (TH) children and whether the dimensions of family dynamics and environment are related to spoken language development similarly in children with and without SNHL. Method: Primary caregivers of children with SNHL ( n = 63) or TH ( n = 65) completed the Family Environment Scale–Fourth Edition (FES-4) to assess multiple dimensions of family environment. Children's receptive vocabulary was assessed with the Peabody Picture Vocabulary Test–Fourth Edition, and their receptive language was assessed by an age-appropriate version of the Concepts and Following Directions subtest of the Clinical Evaluation of Language Fundamentals and the Sentence Comprehension subscale of the Comprehensive Assessment of Spoken Language–Second Edition. Principal component analysis was used to examine the dimensional structure of the family environment. Results: Three higher order components were derived from FES-4 subscales for both families of children with SNHL and with TH: Supportive, Controlling, and Conflicted. However, the composition of the factors themselves differed between the two groups. For the TH group, most family environment measures on the FES-4 were not associated with language outcomes. In contrast, for children with SNHL, families who were more supportive, less controlling, and less conflicted had children with better language skills. Conclusions: Three well-accepted dimensions of family dynamics and functioning apply to families of children with SNHL, but their composition differs from those of families with TH children. Family environmental dynamics were much more strongly associated with language outcomes in children with SNHL than in their TH peers. The spoken language development of children with SNHL, in particular, is better in families that provide high levels of support for each other and, in particular, low levels of control, disorganization, and conflict, reflecting the fragile nature of their spoken language development.

scholarly journals Visual sequential processing and language ability in children who are deaf or hard of hearing

2019 ◽  
Vol 46 (04) ◽  
pp. 785-799 ◽  
Author(s):  
Michelle A. GREMP ◽  
Joanne A. DEOCAMPO ◽  
Anne M. WALK ◽  
Christopher M. CONWAY
Keyword(s):  
Learning And Memory ◽  
Hard Of Hearing ◽  
Language Skills ◽  
Spoken Language ◽  
Receptive Vocabulary ◽  
Sequential Learning ◽  
Language Outcomes ◽  
Sequential Processing ◽  
Outcomes For Children

AbstractThis study investigated the role of sequential processing in spoken language outcomes for children who are deaf or hard of hearing (DHH), ages 5;3–11;4, by comparing them to children with typical hearing (TH), ages 6;3–9;7, on sequential learning and memory tasks involving easily nameable and difficult-to-name visual stimuli. Children who are DHH performed more poorly on easily nameable sequencing tasks, which positively predicted receptive vocabulary scores. Results suggest sequential learning and memory may underlie delayed language skills of many children who are DHH. Implications for language development in children who are DHH are discussed.

Age at Full-Time Use Predicts Language Outcomes Better Than Age of Surgery in Children Who Use Cochlear Implants

2019 ◽  
Vol 28 (4) ◽  
pp. 986-992 ◽  
Author(s):  
Lisa R. Park ◽  
Erika B. Gagnon ◽  
Erin Thompson ◽  
Kevin D. Brown
Keyword(s):  
Cochlear Implants ◽  
Time Use ◽  
Expressive Language ◽  
Normal Hearing ◽  
Full Time ◽  
Language Outcomes ◽  
Age At Surgery ◽  
Device Placement ◽  
Device Use ◽  
Better Than

Purpose The aims of this study were to (a) determine a metric for describing full-time use (FTU), (b) establish whether age at FTU in children with cochlear implants (CIs) predicts language at 3 years of age better than age at surgery, and (c) describe the extent of FTU and length of time it took to establish FTU in this population. Method This retrospective analysis examined receptive and expressive language outcomes at 3 years of age for 40 children with CIs. Multiple linear regression analyses were run with age at surgery and age at FTU as predictor variables. FTU definitions included 8 hr of device use and 80% of average waking hours for a typically developing child. Descriptive statistics were used to describe the establishment and degree of FTU. Results Although 8 hr of daily wear is typically considered FTU in the literature, the 80% hearing hours percentage metric accounts for more variability in outcomes. For both receptive and expressive language, age at FTU was found to be a better predictor of outcomes than age at surgery. It took an average of 17 months for children in this cohort to establish FTU, and only 52.5% reached this milestone by the time they were 3 years old. Conclusions Children with normal hearing can access spoken language whenever they are awake, and the amount of time young children are awake increases with age. A metric that incorporates the percentage of time that children with CIs have access to sound as compared to their same-aged peers with normal hearing accounts for more variability in outcomes than using an arbitrary number of hours. Although early FTU is not possible without surgery occurring at a young age, device placement does not guarantee use and does not predict language outcomes as well as age at FTU.

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