Enhanced Speechreading Performance in Young Hearing Aid Users in China

The development of speechreading skills in Chinese students with hearing impairment

The developmental trajectory of speechreading skills is poorly understood, and existing research has revealed rather inconsistent results. In this study, 209 Chinese students with hearing impairment between 7 and 20 years old were asked to complete the Chinese Speechreading Test targeting three linguistics levels (i.e., words, phrases, and sentences). Both response time and accuracy data were collected and analyzed. Results revealed (i) no developmental change in speechreading accuracy between ages 7 and 14 after which the accuracy rate either stagnates or drops; (ii) no significant developmental pattern in speed of speechreading across all ages. Results also showed that across all age groups, speechreading accuracy was higher for phrases than words and sentences, and overall levels of speechreading speed fell for phrases, words, and sentences. These findings suggest that the development of speechreading in Chinese is not a continuous, linear process.

Phonological store and speechreading performance of Chinese students with hearing impairment

This study presents three experiments to examine the role of the phonological store component of working memory in the speechreading performance of students with hearing impairment (HI) in China. In Experiment 1, 86 high school students with HI completed an immediate serial recall task with four lists of monosyllabic words that differed in phonological and visual similarities. In Experiment 2 and Experiment 3, 40 participants divided into high or low phonological store capacity (PS) and 40 participants divided into high or low visual phonological story capacity (VPS) completed a speechreading test at the word, phrase and sentence levels. Results revealed that (1) immediate serial recall showed effects of phonological and visual similarity and their interaction; (2) there was no significant effect of phonological store capacities on speechreading; and (3) there was a significant effect of visual phonological store capacities on accuracy but not speed of speechreading. These findings point to a general phonological store system for visual orthographic coding and phonological coding that students with HI engage in speechreading in Chinese. It provides evidence for the contention that the visual-based coding has a more direct impact on speechreading performance of Chinese students with HI than the speech-based coding.

The effect of speech training experiences on speechreading skills of Chinese children with hearing impairment

Speechreading contributes significantly to effective communication, and persons with hearing impairment (HI) may need to rely more on speechreading. However, whether they may benefit from training/practice to improve their speechreading performance remains unclear. In this study, we examine the effect of speech training on speechreading performance of children with HI in China, and how such effect, if any, may be influenced by age. Fifty-nine HI children with speech training experiences, and fifty-eight HI children without speech training experiences completed tasks measuring their ability to speechread Chinese at the linguistic levels of words, phrases, and sentences. The children ranged from 7 to 14 years old, and were divided into four age groups by two-year age intervals. Both accuracy rate and response time data were collected. Results revealed three findings: (1) HI children with speech training experiences speechread more accurately but more slowly than those without speech training experiences; (2) while speechreading performance generally improved with age, age didn't alter the relative performance between the two groups; and (3) speechreading performance was best for phrases, and worst for sentences. These findings suggest that HI children benefit from speech training to improve their speechreading performance, and their speechreading performance is influenced by age, linguistic level, and the specific measure used.