Maternal interactions with a hearing and hearing-impaired twin: similarities and differences in speech input, interaction quality, and word production

Child-Directed Speech in Noise: Testing Signal- and Code-Based Phonetic Enhancement

PURPOSE

Talkers adapt their speech according to the demands of their listeners and the communicative context, enhancing the properties of the signal (pitch, intensity) and/or properties of the code (enhancement of phonemic contrasts). This study asked how mothers adapt their child-directed speech (CDS) in ways that might serve the immediate goals of increasing intelligibility, as well as long-term goals of supporting speech and language development in their children.

METHOD

Mothers (N = 28) participated in a real-time interactive speech production/perception paradigm, in which mothers instructed their young (3- to 5-year-old) children, or an adult listener, to select the picture corresponding to a target word. The task was performed at low and high levels (56 vs. 75 dB SPL) of background noise to examine the Lombard effects of decreased audibility on speech production.

RESULTS

Acoustic-phonetic analyses of CDS and adult-directed speech (ADS) productions of target words and carrier phrase (e.g., "Find pig") revealed that mothers significantly enhanced the mean pitch, pitch variability, and intensity of target words in CDS, particularly at higher background noise levels and for younger children. Mothers produce CDS with a higher signal-to-noise ratio than ADS. However, limited evidence was found for phonetic enhancement of the segmental properties of speech. Although increased category separation was found in the voice onset time of stop consonants, decreased vowel category separation (an anti-enhancement effect) was observed in CDS.

CONCLUSIONS

Mothers readily enhance the suprasegmental signal properties of their speech in CDS, but not the acoustic-phonetic properties of phonemes. This study fails to provide evidence of phonetic enhancement in preschool children in a dyadic communication task under noisy listening conditions.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.24645423.

Positive Valence Contributes to Hyperarticulation in Maternal Speech to Infants and Puppies

Infant-directed speech often has hyperarticulated features, such as point vowels whose formants are further apart than in adult-directed speech. This increased "vowel space" may reflect the caretaker's effort to speak more clearly to infants, thus benefiting language processing. However, hyperarticulation may also result from more positive valence (e.g., speaking with positive vocal emotion) often found in mothers' speech to infants. This study was designed to replicate others who have found hyperarticulation in maternal speech to their 6-month-olds, but also to examine their speech to a non-human infant (i.e., a puppy). We rated both kinds of maternal speech for their emotional valence and recorded mothers' speech to a human adult. We found that mothers produced more positively valenced utterances and some hyperarticulation in both their infant- and puppy-directed speech, compared to their adult-directed speech. This finding promotes looking at maternal speech from a multi-faceted perspective that includes emotional state.

Two-part vowel modifications in Child Directed Speech in Warlpiri may enhance child attention to speech and scaffold noun acquisition

Study 1 compared vowels in Child Directed Speech (CDS; child ages 25-46 months) to vowels in Adult Directed Speech (ADS) in natural conversation in the Australian Indigenous language Warlpiri, which has three vowels (/i/, /a/, /u). Study 2 compared the vowels of the child interlocutors from Study 1 to caregiver ADS and CDS. Study 1 indicates that Warlpiri CDS vowels are characterised by fronting, /a/-lowering, f _o -raising, and increased duration, but not vowel space expansion. Vowels in CDS nouns, however, show increased between-contrast differentiation and reduced within-contrast variation, similar to what has been reported for other languages. We argue that this two-part CDS modification process serves a dual purpose: Vowel space shifting induces IDS/CDS that sounds more child-like, which may enhance child attention to speech, while increased between-contrast differentiation and reduced within-contrast variation in nouns may serve didactic purposes by providing high-quality information about lexical specifications. Study 2 indicates that Warlpiri CDS vowels are more like child vowels, providing indirect evidence that aspects of CDS may serve non-linguistic purposes simultaneously with other aspects serving linguistic-didactic purposes. The studies have novel implications for the way CDS vowel modifications are considered and highlight the necessity of naturalistic data collection, novel analyses, and typological diversity.

A systematic review and Bayesian meta-analysis of the acoustic features of infant-directed speech

When speaking to infants, adults often produce speech that differs systematically from that directed to other adults. To quantify the acoustic properties of this speech style across a wide variety of languages and cultures, we extracted results from empirical studies on the acoustic features of infant-directed speech. We analysed data from 88 unique studies (734 effect sizes) on the following five acoustic parameters that have been systematically examined in the literature: fundamental frequency (f₀), f₀ variability, vowel space area, articulation rate and vowel duration. Moderator analyses were conducted in hierarchical Bayesian robust regression models to examine how these features change with infant age and differ across languages, experimental tasks and recording environments. The moderator analyses indicated that f₀, articulation rate and vowel duration became more similar to adult-directed speech over time, whereas f₀ variability and vowel space area exhibited stability throughout development. These results point the way for future research to disentangle different accounts of the functions and learnability of infant-directed speech by conducting theory-driven comparisons among different languages and using computational models to formulate testable predictions.

Behavioral Parent Training for Families With Young Deaf or Hard of Hearing Children Followed in Hearing Health Care

PURPOSE

It is well established that individuals with a communication disability, including being deaf or hard of hearing (DHH), experience inequities in health services and outcomes. These inequities extend to DHH children's access to psychosocial evidence-based interventions (EBIs). Behavioral parent training is an EBI that can be used to improve caregiver and child outcomes. Despite being supported by decades of effectiveness research, this EBI is rarely accessed by, or studied with, caregivers of DHH children. The purpose of this article is to describe a program of stakeholder-engaged research adapting and assessing behavioral parent training with caregivers of young DHH children followed in hearing health care, aimed at reducing inequities in access to this EBI.

METHOD

The first section briefly summarizes the literature on disruptive behavior problems in young children, with a focus on preschool-age DHH children. The evidence base for behavioral parent training is described. Next, the gaps in knowledge and practice regarding disruptive behaviors among DHH children are highlighted, and the potential integration of behavioral parent training into the standard of care for this population is proposed.

CONCLUSIONS

Young DHH children who use hearing aids and/or cochlear implants experience disruptive behavior problems at rates at least as high as typically hearing children, but their access to EBIs is limited, and behavioral parent training programs tailored to this population have not been rigorously tested. Caregivers and hearing health care service providers affirm the potential benefits of behavioral parent training and were partners in adapting this EBI. This research highlights several principles and approaches essential for reducing inequities and improving the quality of life not only for DHH children and their families but also for individuals with communication disabilities more broadly: engagement of key stakeholders in research, collaboration across disciplines, and using implementation science methods and models to design for implementation, dissemination, and sustainment. Presentation Video: https://doi.org/10.23641/asha.21215900.

A short-form version of the Australian English Communicative Development Inventory

Purpose: The Australian English Communicative Development Inventory (OZI) is a 558-item parent report tool for assessing language development at 12-30 months. Here, we introduce the short form (OZI-SF), a 100-item, picture-supported, online instrument with substantially lower time and literacy demands.Method: In tool development (Study 1), 95 items were drawn from the OZI to match its item distribution by age of acquisition and semantic categories. Five items were added from four other semantic categories, plus 12 gestures and six games/routines. Simulations computed OZI-SF scores from existing long-form OZI norm data, and OZI and projected OZI-SF scores were correlated. In an independent norming sample (Study 2), parents (n = 230) completed the OZI-SF for their children aged 12-30 months. Child scores were analysed by age and sex.Result: OZI-SF and OZI scores correlate highly across age and language development levels. Vocabulary scores (receptive, expressive) correlate with age and the median for girls is higher until 24 months. By 24 months, 50% of the sample combine words "often". The median time to OZI-SF completion was 12 minutes.Conclusion: Fitted percentiles permit working guidelines for typical (median) performance and lower cut-offs for children who may be behind on age-based expectations and/or at risk for a communication difficulty. The OZI-SF is a short-form of the OZI that has promise for research and clinical/educational use with Australian families.

Language development in infants with hearing loss: Benefits of infant-directed speech

The majority of infants with permanent congenital hearing loss fall significantly behind their normal hearing peers in the development of receptive and expressive oral communication skills. Independent of any prosthetic intervention ("hardware") for infants with hearing loss, the social and linguistic environment ("software") can still be optimal or sub-optimal and so can exert significant positive or negative effects on speech and language acquisition, with far-reaching beneficial or adverse effects, respectively. This review focusses on the nature of the social and linguistic environment of infants with hearing loss, in particular others' speech to infants. The nature of this "infant-directed speech" and its effects on language development has been studied extensively in hearing infants but far less comprehensively in infants with hearing loss. Here, literature on the nature of infant-directed speech and its impact on the speech perception and language acquisition in infants with hearing loss is reviewed. The review brings together evidence on the little-studied effects of infant-directed speech on speech and language development in infants with hearing loss, and provides suggestions, over and above early screening and external treatment, for a natural intervention at the level of the carer-infant microcosm that may well optimize the early linguistic experiences and mitigate later adverse effects for infants born with hearing loss.

Mothers adapt their voice during children's adolescent development

Mothers alter their speech in a stereotypical manner when addressing infants using high pitch, a wide pitch range, and distinct timbral features. Mothers reduce their vocal pitch after early childhood; however, it is not known whether mother’s voice changes through adolescence as children become increasingly independent from their parents. Here we investigate the vocal acoustics of 50 mothers of older children (ages 7–16) to determine: (1) whether pitch changes associated with child-directed speech decrease with age; (2) whether other acoustical features associated with child-directed speech change with age; and, (3) the relative contribution of acoustical features in predicting child’s age. Results reveal that mothers of older children used lower pitched voices than mothers of younger children, and mother’s voice pitch height predicted their child’s age. Crucially, these effects were present after controlling for mother’s age, accounting for aging-related pitch reductions. Brightness, a timbral feature correlated with pitch height, also showed an inverse relation with child’s age but did not improve prediction of child’s age beyond that accounted for by pitch height. Other acoustic features did not predict child age. Findings suggest that mother’s voice adapts to match their child’s developmental progression into adolescence and this adaptation is independent of mother’s age.

Relationship Between Parent Vowel Hyperarticulation in Infant-Directed Speech and Infant Phonetic Complexity on the Level of Conversational Turns

When speaking to infants, parents typically use infant-directed speech, a speech register that in several aspects differs from that directed to adults. Vowel hyperarticulation, that is, extreme articulation of vowels, is one characteristic sometimes found in infant-directed speech, and it has been suggested that there exists a relationship between how much vowel hyperarticulation parents use when speaking to their infant and infant language development. In this study, the relationship between parent vowel hyperarticulation and phonetic complexity of infant vocalizations is investigated. Previous research has shown that on the level of subject means, a positive correlational relationship exists. However, the previous findings do not provide information about the directionality of that relationship. In this study the relationship is investigated on a conversational turn level, which makes it possible to draw conclusions on whether the behavior of the infant is impacting the parent, the behavior of the parent is impacting the infant, or both. Parent vowel hyperarticulation was quantified using the vhh-index, a measure that allows vowel hyperarticulation to be estimated for individual vowel tokens. Phonetic complexity of infant vocalizations was calculated using the Word Complexity Measure for Swedish. Findings were unexpected in that a negative relationship was found between parent vowel hyperarticulation and phonetic complexity of the immediately following infant vocalization. Directionality was suggested by the fact that no such relationship was found between infant phonetic complexity and vowel hyperarticulation of the immediately following parent utterance. A potential explanation for these results is that high degrees of vowel hyperarticulation either provide, or co-occur with, large amounts of phonetic and/or linguistic information, which may occupy processing resources to an extent that affects production of the next vocalization.

Acoustic features of infant-directed speech to infants with hearing loss

This study investigated the effects of hearing loss and hearing experience on the acoustic features of infant-directed speech (IDS) to infants with hearing loss (HL) compared to controls with normal hearing (NH) matched by either chronological or hearing age (experiment 1) and across development in infants with hearing loss as well as the relation between IDS features and infants' developing lexical abilities (experiment 2). Both experiments included detailed acoustic analyses of mothers' productions of the three corner vowels /a, i, u/ and utterance-level pitch in IDS and in adult-directed speech. Experiment 1 demonstrated that IDS to infants with HL was acoustically more variable than IDS to hearing-age matched infants with NH. Experiment 2 yielded no changes in IDS features over development; however, the results did show a positive relationship between formant distances in mothers' speech and infants' concurrent receptive vocabulary size, as well as between vowel hyperarticulation and infants' expressive vocabulary. These findings suggest that despite infants' HL and thus diminished access to speech input, infants with HL are exposed to IDS with generally similar acoustic qualities as are infants with NH. However, some differences persist, indicating that infants with HL might receive less intelligible speech.

Change in maternal speech rate to preverbal infants over the first two years of life

Aims: Although IDS is typically described as slower than adult-directed speech (ADS), potential impacts of slower speech on language development have not been examined. We explored whether IDS speech rates in 42 mother-infant dyads at four time periods predicted children's language outcomes at two years. Method: We correlated IDS speech rate with child language outcomes at two years, and contrasted outcomes in dyads displaying high/low rate profiles. Outcomes: Slower IDS rate at 7 months significantly correlated with vocabulary knowledge at two years. Slowed IDS may benefit child language learning even before children first speak.

Communication Skills and Communicative Autonomy of Prelinguistic Deaf and Hard-of-Hearing Children: Application of a Video Feedback Intervention

Background and Aim

Evidence on the efficacy of parenting interventions to support communication development in deaf and hard-of-hearing children is emerging. In previous research, we showed that parental participation in a video feedback-based intervention enhanced parental self-esteem and emotional availability to their deaf and hard-of-hearing children. This paper investigates the impact of the intervention on the development of the children's prelingual communication skills and autonomy. Evidence on the efficacy of parenting interventions to support communication development is warranted.

Methods

Sixteen hearing parents with a prelingual deaf and hard-of-hearing child (Mage = 2.05 years, SD = 1.77) were recruited by self-selection from pediatric audiological services and randomly stratified into intervention-first and waiting-list groups. Families completed three sessions of Video Interaction Guidance in their homes. Designed for maximal inclusion, the sample comprised children with complex developmental and social needs. The primary inclusion criterion was the child's prelingual status (<50 signed/spoken words), which was established using speech and language therapy reports. Child communicative autonomy was assessed from a 20 min free-play video recording using a gold standard measure for deaf and hard-of-hearing children (Tait) before and after the intervention.

Results

A Mann-Whitney U test indicated no significant difference between the two groups. The groups were collated, and a Wilcoxon signed-rank test with time (pre-/post-intervention) as a repeating variable was run. A significant increase in children's communicative autonomy (Z = -3.517, p < 0.0001, d = 0.62) and decrease in children's no-responses (Z = -3.111, p < 0.005, d = 0.55) were seen. There was no significant difference in the overall number of turn-taking between the parent and child, indicating differences in the quality of the parent-child interactions, not the quantity.

Conclusion

This study adds to the emerging evidence for parenting interventions with deaf and hard-of-hearing children. We hypothesize that the video feedback intervention with its focus on emotional availability created space for the children to show increased communicative autonomy during parent-child interactions. Communicative autonomy is a long-term predictor of communication and linguistic development in deaf and hard-of-hearing children, and its conceptual underpinning makes it a good early measure of relational agency. Results can inform wider interventions that focus on the quantity of the parent-child communication.

Effects of Gender, Parental Role, and Time on Infant- and Adult-Directed Read and Spontaneous Speech

Purpose The study sets out to investigate inter- and intraspeaker variation in German infant-directed speech (IDS) and considers the potential impact that the factors gender, parental involvement, and speech material (read vs. spontaneous speech) may have. In addition, we analyze data from 3 time points prior to and after the birth of the child to examine potential changes in the features of IDS and, particularly also, of adult-directed speech (ADS). Here, the gender identity of a speaker is considered as an additional factor. Method IDS and ADS data from 34 participants (15 mothers, 19 fathers) is gathered by means of a reading and a picture description task. For IDS, 2 recordings were made when the baby was approximately 6 and 9 months old, respectively. For ADS, an additional recording was made before the baby was born. Phonetic analyses comprise mean fundamental frequency (f0), variation in f0, the 1st 2 formants measured in /i: ɛ a u:/, and the vowel space size. Moreover, social and behavioral data were gathered regarding parental involvement and gender identity. Results German IDS is characterized by an increase in mean f0, a larger variation in f0, vowel- and formant-specific differences, and a larger acoustic vowel space. No effect of gender or parental involvement was found. Also, the phonetic features of IDS were found in both spontaneous and read speech. Regarding ADS, changes in vowel space size in some of the fathers and in mean f0 in mothers were found. Conclusion Phonetic features of German IDS are robust with respect to the factors gender, parental involvement, speech material (read vs. spontaneous speech), and time. Some phonetic features of ADS changed within the child's first year depending on gender and parental involvement/gender identity. Thus, further research on IDS needs to address also potential changes in ADS.

Vocal and Tactile Input to Children Who Are Deaf or Hard of Hearing

Purpose Caregivers may show greater use of nonauditory signals in interactions with children who are deaf or hard of hearing (DHH). This study explored the frequency of maternal touch and the temporal alignment of touch with speech in the input to children who are DHH and age-matched peers with normal hearing. Method We gathered audio and video recordings of mother-child free-play interactions. Maternal speech units were annotated from audio recordings, and touch events were annotated from video recordings. Analyses explored the frequency and duration of touch events and the temporal alignment of touch with speech. Results Greater variance was observed in the frequency of touch and its total duration in the input to children who are DHH. Furthermore, touches produced by mothers of children who are DHH were significantly more likely to be aligned with speech than touches produced by mothers of children with normal hearing. Conclusion Caregivers' modifications in the input to children who are DHH are observed in the combination of speech with touch. The implications for such patterns and how they may impact children's attention and access to the speech signal are discussed.

Parents' contingent responses in communication with 10-month-old children in a clinical group with typical or late babbling

Parental responsive behaviour in communication has a positive effect on child speech and language development. Absence of canonical babbling (CB) in 10-month-old infants is considered a risk factor for developmental difficulties, yet little is known about parental responsiveness in this group of children. The purpose of the current study was to examine proportion and type of parental responsive utterances after CB and vocalization utterances respectively in a clinical group of children with otitis media with effusion, with or without cleft palate. Audio-video recordings of interactions in free play situations with 22 parents and their 10-month-old infants were used, where 15 infants had reached the CB stage and 7 infants had not. Fifty consecutive child utterances were annotated and categorized as vocalization utterance or CB utterance. The parent's following contingent response was annotated and labelled as acknowledgements, follow-in comments, imitations/expansions or directives. The Average intra-judge agreement was 90%, and the average inter-judger agreement was 84%. There was no significant difference in proportion contingent responses after vocalizations and CB, neither when considering all child utterances nor the child's babbling stage. However, imitations/expansions tended to be more common after CB in the typical babbling group, whereas acknowledgements were more common after CB in the late babbling group. Our findings imply that responsiveness is a supportive strategy that is not fully used by parents of children with late babbling. Implications for further research as well as parent-directed intervention for children in clinical groups with late babbling are suggested.

Infant-directed speech from seven to nineteen months has similar acoustic properties but different functions

This longitudinal study assessed three acoustic components of maternal infant-directed speech (IDS) - pitch, affect, and vowel hyperarticulation - in relation to infants' age and their expressive vocabulary size. These three individual components were measured in IDS addressed to infants at 7, 9, 11, 15, and 19 months (N = 18). All three components were exaggerated at all ages in mothers' IDS compared to their adult-directed speech. Importantly, the only significant predictor of infants' expressive vocabulary size at 15 and 19 months was vowel hyperarticulation, but only at 9 months and beyond, not at 7 months, and not pitch or affect at any age. These results set apart vowel hyperarticulation in IDS to infants as the critical IDS component for vocabulary development. Thus IDS, specifically the degree of vowel hyperarticulation therein, is a vehicle by which parents can provide the most optimal speech quality for their infants' linguistic and communicative development.

Infant-directed speech (IDS) vowel clarity and child language outcomes

There have been many studies examining the differences between infant-directed speech (IDS) and adult-directed speech (ADS). However, investigations asking whether mothers clarify vowel articulation in IDS have reached equivocal findings. Moreover, it is unclear whether maternal speech clarification has any effect on a child's developing language skills. This study examined vowel clarification in mothers' IDS at 0;10-11, 1;6, and 2;0, as compared to their vowel production in ADS. Relationships between vowel space, vowel duration, and vowel variability and child language outcomes at two years were also explored. Results show that vowel space and vowel duration tended to be greater in IDS than in ADS, and that one measure of vowel clarity, a mother's vowel space at 1;6, was significantly related to receptive as well as expressive child language outcomes at two years of age.

The origins of babytalk: smiling, teaching or social convergence?

When addressing their young infants, parents systematically modify their speech. Such infant-directed speech (IDS) contains exaggerated vowel formants, which have been proposed to foster language development via articulation of more distinct speech sounds. Here, this assumption is rigorously tested using both acoustic and, for the first time, fine-grained articulatory measures. Mothers were recorded speaking to their infant and to another adult, and measures were taken of their acoustic vowel space, their tongue and lip movements and the length of their vocal tract. Results showed that infant- but not adult-directed speech contains acoustically exaggerated vowels, and these are not the product of adjustments to tongue or to lip movements. Rather, they are the product of a shortened vocal tract due to a raised larynx, which can be ascribed to speakers' unconscious effort to appear smaller and more non-threatening to the young infant. This adjustment in IDS may be a vestige of early mother-infant interactions, which had as its primary purpose the transmission of non-aggressiveness and/or a primitive manifestation of pre-linguistic vocal social convergence of the mother to her infant. With the advent of human language, this vestige then acquired a secondary purpose-facilitating language acquisition via the serendipitously exaggerated vowels.

Emotion Understanding in Preschool Children with Mild-to-Severe Hearing Loss

Deaf and hard of hearing school-aged children are at risk for delayed development of emotion understanding; however, little is known about this during the preschool years. We compared the level of emotion understanding in a group of 35 4-5-year-old children who use hearing aids to that of 130 children with typical hearing. Moreover, we investigated the parents' perception of their child's level of emotion understanding. Children were assessed with the Test of Emotion Comprehension. Parents were presented with the same test and asked to guess what their child answered on each item. The results showed that children with hearing loss performed at the same level as typically hearing children, despite having lower vocabulary scores. Parents of children with hearing loss were more accurate in their estimations of their child's competence, and higher accuracy was associated with better emotion understanding. These findings may have implications for early intervention planning.

Mothers speak differently to infants at-risk for dyslexia

Dyslexia is a neurodevelopmental disorder manifested in deficits in reading and spelling skills that is consistently associated with difficulties in phonological processing. Dyslexia is genetically transmitted, but its manifestation in a particular individual is thought to depend on the interaction of epigenetic and environmental factors. We adopt a novel interactional perspective on early linguistic environment and dyslexia by simultaneously studying two pre-existing factors, one maternal and one infant, that may contribute to these interactions; and two behaviours, one maternal and one infant, to index the effect of these factors. The maternal factor is whether mothers are themselves dyslexic or not (with/without dyslexia) and the infant factor is whether infants are at-/not-at family risk for dyslexia (due to their mother or father being dyslexic). The maternal behaviour is mothers' infant-directed speech (IDS), which typically involves vowel hyperarticulation, thought to benefit speech perception and language acquisition. The infant behaviour is auditory perception measured by infant sensitivity to amplitude envelope rise time, which has been found to be reduced in dyslexic children. Here, at-risk infants showed significantly poorer acoustic sensitivity than not-at-risk infants and mothers only hyperarticulated vowels to infants who were not at-risk for dyslexia. Mothers' own dyslexia status had no effect on IDS quality. Parental speech input is thus affected by infant risk status, with likely consequences for later linguistic development.

Mature neural responses to Infant-Directed Speech but not Adult-Directed Speech in Pre-Verbal Infants

Infant directed speech (IDS), the speech register adults use when talking to infants, has been shown to have positive effects on attracting infants' attention, language learning, and emotional communication. Here event related potentials (ERPs) are used to investigate the neural coding of IDS and ADS (adult directed speech) as well as their discrimination by both infants and adults. Two instances of the vowel /i/, one extracted from ADS and one from IDS, were presented to 9-month-old infants and adults in two oddball conditions: ADS standard/IDS deviant and IDS standard/ADS deviant. In Experiment 1 with adults, the obligatory ERPs that code acoustic information were different for ADS and IDS; and discrimination, indexed by mismatch negativity (MMN) responses, showed that IDS and ADS deviants were discriminated equally well; although, the P3a response was larger for IDS suggesting it captured adults' attention more than did ADS. In infants the obligatory responses did not differ for IDS and ADS, but for discrimination, while IDS deviants generated both a slow-positive mismatch response (MMR) as well as an adult-like MMN, the ADS deviants generated only an MMR. The presence of a mature adult-like MMN suggests that the IDS stimulus is easier to discriminate for infants.

Enhancing Parent-Child Communication and Parental Self-Esteem With a Video-Feedback Intervention: Outcomes With Prelingual Deaf and Hard-of-Hearing Children

Evidence on best practice for optimizing communication with prelingual deaf and hard-of-hearing (DHH) children is lacking. This study examined the effect of a family-focused psychosocial video intervention program on parent-child communication in the context of childhood hearing loss. Fourteen hearing parents with a prelingual DHH child (Mage = 2 years 8 months) completed three sessions of video interaction guidance intervention. Families were assessed in spontaneous free play interactions at pre and postintervention using the Emotional Availability (EA) Scales. The Rosenberg Self-esteem Scale was also used to assess parental report of self-esteem. Compared with nontreatment baselines, increases were shown in the EA subscales: parental sensitivity, parental structuring, parental nonhostility, child responsiveness, and child involvement, and in reported self-esteem at postintervention. Video-feedback enhances communication in families with prelingual DHH children and encourages more connected parent-child interaction. The results raise implications regarding the focus of early intervention strategies for prelingual DHH children.

Affective Properties of Mothers' Speech to Infants With Hearing Impairment and Cochlear Implants

PURPOSE

The affective properties of infant-directed speech influence the attention of infants with normal hearing to speech sounds. This study explored the affective quality of maternal speech to infants with hearing impairment (HI) during the 1st year after cochlear implantation as compared to speech to infants with normal hearing.

METHOD

Mothers of infants with HI and mothers of infants with normal hearing matched by age (NH-AM) or hearing experience (NH-EM) were recorded playing with their infants during 3 sessions over a 12-month period. Speech samples of 25 s were low-pass filtered, leaving intonation but not speech information intact. Sixty adults rated the stimuli along 5 scales: positive/negative affect and intention to express affection, to encourage attention, to comfort/soothe, and to direct behavior.

RESULTS

Low-pass filtered speech to HI and NH-EM groups was rated as more positive, affective, and comforting compared with the such speech to the NH-AM group. Speech to infants with HI and with NH-AM was rated as more directive than speech to the NH-EM group. Mothers decreased affective qualities in speech to all infants but increased directive qualities in speech to infants with NH-EM over time.

CONCLUSIONS

Mothers fine-tune communicative intent in speech to their infant's developmental stage. They adjust affective qualities to infants' hearing experience rather than to chronological age but adjust directive qualities of speech to the chronological age of their infants.

Vowel space characteristics of speech directed to children with and without hearing loss

PURPOSE

This study examined vowel characteristics in adult-directed (AD) and infant-directed (ID) speech to children with hearing impairment who received cochlear implants or hearing aids compared with speech to children with normal hearing.

METHOD

Mothers' AD and ID speech to children with cochlear implants (Study 1, n=20) or hearing aids (Study 2, n=11) was compared with mothers' speech to controls matched on age and hearing experience. The first and second formants of vowels /i/, /ɑ/, and /u/ were measured, and vowel space area and dispersion were calculated.

RESULTS

In both studies, vowel space was modified in ID compared with AD speech to children with and without hearing loss. Study 1 showed larger vowel space area and dispersion in ID compared with AD speech regardless of infant hearing status. The pattern of effects of ID and AD speech on vowel space characteristics in Study 2 was similar to that in Study 1, but depended partly on children's hearing status.

CONCLUSION

Given previously demonstrated associations between expanded vowel space in ID compared with AD speech and enhanced speech perception skills, this research supports a focus on vowel pronunciation in developing intervention strategies for improving speech-language skills in children with hearing impairment.

Phonetic modification of vowel space in storybook speech to infants up to 2 years of age

PURPOSE

A large body of literature has indicated vowel space area expansion in infant-directed (ID) speech compared with adult-directed (AD) speech, which may promote language acquisition. The current study tested whether this expansion occurs in storybook speech read to infants at various points during their first 2 years of life.

METHOD

In 2 studies, mothers read a storybook containing target vowels in ID and AD speech conditions. Study 1 was longitudinal, with 11 mothers recorded when their infants were 3, 6, and 9 months old. Study 2 was cross-sectional, with 48 mothers recorded when their infants were 3, 9, 13, or 20 months old (n=12 per group). The 1st and 2nd formants of vowels /i/, /ɑ/, and /u/ were measured, and vowel space area and dispersion were calculated.

RESULTS

Across both studies, 1st and/or 2nd formant frequencies shifted systematically for /i/ and /u/ vowels in ID compared with AD speech. No difference in vowel space area or dispersion was found.

CONCLUSIONS

The results suggest that a variety of communication and situational factors may affect phonetic modifications in ID speech, but that vowel space characteristics in speech to infants stay consistent across the first 2 years of life.

The hyperarticulation hypothesis of infant-directed speech

Typically, the point vowels [i,ɑ,u] are acoustically more peripheral in infant-directed speech (IDS) compared to adult-directed speech (ADS). If caregivers seek to highlight lexically relevant contrasts in IDS, then two sounds that are contrastive should become more distinct, whereas two sounds that are surface realizations of the same underlying sound category should not. To test this prediction, vowels that are phonemically contrastive ([i-ɪ] and [eɪ-ε]), vowels that map onto the same underlying category ([æ- ] and [ε- ]), and the point vowels [i,ɑ,u] were elicited in IDS and ADS by American English mothers of two age groups of infants (four- and eleven-month-olds). As in other work, point vowels were produced in more peripheral positions in IDS compared to ADS. However, there was little evidence of hyperarticulation per se (e.g. [i-ɪ] was hypoarticulated). We suggest that across-the-board lexically based hyperarticulation is not a necessary feature of IDS.

Mommy is only happy! Dutch mothers' realisation of speech sounds in infant-directed speech expresses emotion, not didactic intent

Exaggeration of the vowel space in infant-directed speech (IDS) is well documented for English, but not consistently replicated in other languages or for other speech-sound contrasts. A second attested, but less discussed, pattern of change in IDS is an overall rise of the formant frequencies, which may reflect an affective speaking style. The present study investigates longitudinally how Dutch mothers change their corner vowels, voiceless fricatives, and pitch when speaking to their infant at 11 and 15 months of age. In comparison to adult-directed speech (ADS), Dutch IDS has a smaller vowel space, higher second and third formant frequencies in the vowels, and a higher spectral frequency in the fricatives. The formants of the vowels and spectral frequency of the fricatives are raised more strongly for infants at 11 than at 15 months, while the pitch is more extreme in IDS to 15-month olds. These results show that enhanced positive affect is the main factor influencing Dutch mothers' realisation of speech sounds in IDS, especially to younger infants. This study provides evidence that mothers' expression of emotion in IDS can influence the realisation of speech sounds, and that the loss or gain of speech clarity may be secondary effects of affect.

Video feedback intervention: a case series in the context of childhood hearing impairment

BACKGROUND

Recent research shows that parental sensitivity can explain a significant and unique amount of growth in speech and language outcomes in children with cochlear implants. In this intervention study we explored the impact of an intervention designed to support parental sensitivity on children's communication development.

AIMS

This study tests the effect of a complex intervention in the context of childhood hearing impairment using a case study design of three families. Propositions for each case were made using parental report of the child's development in an attempt to identify change in outcome measurements that were not likely to be due to general development in the child or a halo effect from the intervention.

METHODS AND RESULTS

Multiple pre- and post-intervention measures were taken. Outcome measures were mother-child contingencies to vocal utterances, emotional availability and an assessment of early communication in the child. Results for each case showed that improvements in some outcome measurements were found after the intervention and were maintained at follow-up.

CONCLUSIONS & IMPLICATIONS

Taking account of developmental change in intervention studies with children is challenging. Single-subject intervention studies can be designed to allow research interventions to be tailored to meet families' specific needs. Video interaction guidance may support pre-linguistic communicative development in children with hearing impairment.

Infant directed speech and the development of speech perception: enhancing development or an unintended consequence?

Infant directed speech (IDS) is a speech register characterized by simpler sentences, a slower rate, and more variable prosody. Recent work has implicated it in more subtle aspects of language development. Kuhl et al. (1997) demonstrated that segmental cues for vowels are affected by IDS in a way that may enhance development: the average locations of the extreme "point" vowels (/a/, /i/ and /u/) are further apart in acoustic space. If infants learn speech categories, in part, from the statistical distributions of such cues, these changes may specifically enhance speech category learning. We revisited this by asking (1) if these findings extend to a new cue (Voice Onset Time, a cue for voicing); (2) whether they extend to the interior vowels which are much harder to learn and/or discriminate; and (3) whether these changes may be an unintended phonetic consequence of factors like speaking rate or prosodic changes associated with IDS. Eighteen caregivers were recorded reading a picture book including minimal pairs for voicing (e.g., beach/peach) and a variety of vowels to either an adult or their infant. Acoustic measurements suggested that VOT was different in IDS, but not in a way that necessarily supports better development, and that these changes are almost entirely due to slower rate of speech of IDS. Measurements of the vowel suggested that in addition to changes in the mean, there was also an increase in variance, and statistical modeling suggests that this may counteract the benefit of any expansion of the vowel space. As a whole this suggests that changes in segmental cues associated with IDS may be an unintended by-product of the slower rate of speech and different prosodic structure, and do not necessarily derive from a motivation to enhance development.

Variation in the input: a case study of manner class frequencies

ABSTRACT What are the sources of variation in the input, and how much do they matter for language acquisition? This study examines frequency variation in manner-of-articulation classes in child and adult input. The null hypothesis is that segmental frequency distributions of language varieties are unigram (modelable by stationary, ergodic processes), and that languages are unitary (modelable as a single language variety). Experiment I showed that English segments are not unigram; they exhibit a 'bursty' distribution in which the local frequency varies more than expected by chance alone. Experiment II showed the English segments are approximately unitary: the natural background variation in segmental frequencies that arises within a single language variety is much larger than numerical differences across varieties. Variation in segmental frequencies seems to be driven by variation in discourse topic; topic-associated words cause bursts/lulls in local segmental frequencies. The article concludes with some methodological recommendations for comparing language samples.

Age-related changes in prosodic features of maternal speech to prelingually deaf infants with cochlear implants

This study investigated prosodic and structural characteristics of infant-directed speech to hearing-impaired infants as they gain hearing experience with a cochlear implant over a 12-month period of time. Mothers were recorded during a play interaction with their HI infants (N = 27, mean age 18.4 months) at 3, 6, and 12 months post-implantation. Two separate control groups of mothers with age-matched normal-hearing infants (NH-AM) (N = 21, mean age 18.1 months) and hearing experience-matched normal-hearing infants (NH-EM) (N = 24, mean age 3.1 months) were recorded at three testing sessions. Mothers produced less exaggerated pitch characteristics, a larger number of syllables per utterance, and faster speaking rate when interacting with NH-AM as compared to HI infants. Mothers also produced more syllables and demonstrated a trend suggesting faster speaking rate in speech to NH-EM relative to HI infants. Age-related modifications included decreased pitch standard deviation and increased number of syllables in speech to NH-AM infants and increased number of syllables in speech to HI and NH-EM infants across the 12-month period. These results suggest that mothers are sensitive to the hearing status of their infants and modify characteristics of infant-direct speech over time.

Additive effects of lengthening on the utterance-final word in child-directed speech

PURPOSE

The authors investigated lengthening effects in child-directed speech (CDS) across the sentence, testing the additive effects on duration of Word Position, Register, Focus, and Sentence Mode (statement/question).

METHOD

Five theater students produced 6 sentences containing 5 monosyllabic words in a simulated dialogue, varying in Register, Focus, and Sentence Mode. The authors segmented a total of 1,800 sentences using forced-alignment tools, and they analyzed the duration of each word.

RESULTS

The results show significant effects of Register, Word Position, and their interactions. The simple effect of Register was significant in all 5 word positions, indicating a global elongation effect in CDS. Interestingly, there was no proportional increase of the final word in CDS. In addition, the 3-way interactions Register × Word Position × Focus and Register × Word Position × Sentence Mode were significant, which converge to the conclusion that the utterance-final word in CDS is additively elongated when it is focused and in a statement.

CONCLUSION

Elongation in CDS is a global effect, but the additive effects of duration demonstrated in the authors' data suggest that the effect of enhanced utterance-final lengthening in CDS in naturalistic samples may be a by-product of discourse characteristics of CDS.

Modifying speech to children based on their perceived phonetic accuracy

PURPOSE

The authors examined the relationship between adults' perception of the accuracy of children's speech and acoustic detail in their subsequent productions to children.

METHOD

Twenty-two adults participated in a task in which they rated the accuracy of 2- and 3-year-old children's word-initial /s/ and /∫/ using a visual analog scale (VAS), then produced a token of the same word as if they were responding to the child whose speech they had just rated. Result The duration of adults' fricatives varied as a function of their perception of the accuracy of children's speech: Longer fricatives were produced following productions that they rated as inaccurate. This tendency to modify duration in response to perceived inaccurate tokens was mediated by measures of self-reported experience interacting with children. However, speakers did not increase the spectral distinctiveness of their fricatives following the perception of inaccurate tokens.

CONCLUSION

These results suggest that adults modify temporal features of their speech in response to perceiving children's inaccurate productions. These longer fricatives are potentially both enhanced input to children and an error-corrective signal.

Effects of deafness on acoustic characteristics of American English tense/lax vowels in maternal speech to infants

Recent studies have demonstrated that mothers exaggerate phonetic properties of infant-directed (ID) speech. However, these studies focused on a single acoustic dimension (frequency), whereas speech sounds are composed of multiple acoustic cues. Moreover, little is known about how mothers adjust phonetic properties of speech to children with hearing loss. This study examined mothers' production of frequency and duration cues to the American English tense/lax vowel contrast in speech to profoundly deaf (N = 14) and normal-hearing (N = 14) infants, and to an adult experimenter. First and second formant frequencies and vowel duration of tense (/i/, /u/) and lax (/I/, /ʊ/) vowels were measured. Results demonstrated that for both infant groups mothers hyperarticulated the acoustic vowel space and increased vowel duration in ID speech relative to adult-directed speech. Mean F2 values were decreased for the /u/ vowel and increased for the /I/ vowel, and vowel duration was longer for the /i/, /u/, and /I/ vowels in ID speech. However, neither acoustic cue differed in speech to hearing-impaired or normal-hearing infants. These results suggest that both formant frequencies and vowel duration that differentiate American English tense/lx vowel contrasts are modified in ID speech regardless of the hearing status of the addressee.

Mommy, speak clearly: induced hearing loss shapes vowel hyperarticulation

Talkers hyperarticulate vowels when communicating with listeners that require increased speech intelligibility. Vowel hyperarticulation is said to be motivated by knowledge of the listener's linguistic needs because it typically occurs in speech to infants, foreigners and hearing-impaired listeners, but not to non-verbal pets. However, the degree to which vowel hyperarticulation is determined by feedback from the listener is surprisingly less well understood. This study examines whether mothers' speech input is driven by knowledge of the infant's linguistic competence, or by the infant's feedback cues. Specifically, we manipulated (i) mothers' knowledge of whether they believed their infants could hear them or not, and (ii) the audibility of the speech signal available to the infant (full or partial audibility, or inaudible). Remarkably, vowel hyperarticulation was completely unaffected by mothers' knowledge; instead, there was a reduction in the degree of hyperarticulation such that vowels were hyperarticulated to the greatest extent in the full audibility condition, there was reduced hyperarticulation in the partially audible condition, and no hyperarticulation in the inaudible condition. Thus, while it might be considered adaptive to hyperarticulate speech to the hearing-impaired adult or infant, when these two factors (infant and hearing difficulty) are coupled, vowel hyperarticulation is sacrificed. Our results imply that infant feedback drives talker behavior and raise implications for intervention strategies used with carers of hearing-impaired infants.