1
|
Yu Q, Li H, Li S, Tang P. Prosodic and Visual Cues Facilitate Irony Comprehension by Mandarin-Speaking Children With Cochlear Implants. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2024; 67:2172-2190. [PMID: 38820233 DOI: 10.1044/2024_jslhr-23-00701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2024]
Abstract
PURPOSE This study investigated irony comprehension by Mandarin-speaking children with cochlear implants, focusing on how prosodic and visual cues contribute to their comprehension, and whether second-order Theory of Mind is required for using these cues. METHOD We tested 52 Mandarin-speaking children with cochlear implants (aged 3-7 years) and 52 age- and gender-matched children with normal hearing. All children completed a Theory of Mind test and a story comprehension test. Ironic stories were presented in three conditions, each providing different cues: (a) context-only, (b) context and prosody, and (c) context, prosody, and visual cues. Comparisons were conducted on the accuracy of story understanding across the three conditions to examine the role of prosodic and visual cues. RESULTS The results showed that, compared to the context-only condition, the additional prosodic and visual cues both improved the accuracy of irony comprehension for children with cochlear implants, similar to their normal-hearing peers. Furthermore, such improvements were observed for all children, regardless of whether they passed the second-order Theory of Mind test or not. CONCLUSIONS This study is the first to demonstrate the benefits of prosodic and visual cues in irony comprehension, without reliance on second-order Theory of Mind, for Mandarin-speaking children with cochlear implants. It implies potential insights for utilizing prosodic and visual cues in intervention strategies to promote irony comprehension.
Collapse
Affiliation(s)
- Qianxi Yu
- School of Foreign Studies, Nanjing University of Science and Technology, China
| | - Honglan Li
- School of Foreign Studies, Nanjing University of Science and Technology, China
| | - Shanpeng Li
- School of Foreign Studies, Nanjing University of Science and Technology, China
| | - Ping Tang
- School of Foreign Studies, Nanjing University of Science and Technology, China
| |
Collapse
|
2
|
Glaubitz C, Beck R, Liebscher T, Aschendorff A, Kreibohm-Strauß K, Kronesser D, Seebens Y, Streicher B, Kröger S. [Early language performance in the ELFRA questionnaire : Analysis of multicentre data from children with bilateral cochlear implants]. HNO 2024:10.1007/s00106-024-01489-w. [PMID: 38861032 DOI: 10.1007/s00106-024-01489-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/18/2024] [Indexed: 06/12/2024]
Abstract
BACKGROUND Very early bilateral cochlear implant (CI) provision is today's established standard for children. Therefore, the assessment of preverbal and verbal performance in very early stages of development is becoming increasingly important. Performance data from cohorts of children were evaluated and presented based on diagnostic assessment using chronological age (CA) and hearing age (HA). METHODS The present study, as part of a retrospective multicentre study, included 4 cohorts (N = 72-233) of children with bilateral CI without additional disabilities. Their results in the German parent questionnaires Elternfragebögen zur Früherkennung von Risikokindern(ELFRA‑1 and ELFRA-2) subdivided for CA and HA were statistically analysed. The data were also analysed in terms of mono-/bilingualism and age at CI provision. RESULTS Overall, verbal performance in relation to CA was lower than in relation to HA. Preverbal skills were largely CA appropriate. Children with bi-/multilingual language acquisition performed significantly lower. Verbal performance in ELFRA‑2 referenced to CA was negatively correlated with age at CI provision. CONCLUSION In the case of early CI provision, CA should be the preferred reference mark in preverbal and verbal assessment in order to obtain exact individual performance levels and avoid bias in results. The percentiles determined are of limited use as generally valid reference values to which the individual performance of bilaterally implanted children could be compared. Further multicentre studies should be initiated.
Collapse
Affiliation(s)
- Cynthia Glaubitz
- Hals-Nasen-Ohrenklinik, Kopf- und Halschirurgie, Cochlear-Implant-Centrum CICERO, Uniklinikum Erlangen, FAU Erlangen-Nürnberg, Erlangen, Deutschland.
| | - Rainer Beck
- Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Sektion Implant Centrum (ICF), Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland
| | - Tim Liebscher
- Hals-Nasen-Ohrenklinik, Kopf- und Halschirurgie, Cochlear-Implant-Centrum CICERO, Uniklinikum Erlangen, FAU Erlangen-Nürnberg, Erlangen, Deutschland
| | - Antje Aschendorff
- Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Sektion Implant Centrum (ICF), Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland
| | | | - Dominique Kronesser
- Klinik und Poliklinik für Hals-Nasen- und Ohrenheilkunde, Sächsisches Cochlear Implant Centrum (SCIC), Universitätsklinikum Carl Gustav Carus, Dresden, Deutschland
| | - Yvonne Seebens
- Cochlear Implant Center (CIC) Rhein-Main des HSF gGmbH, Friedberg, Deutschland
| | - Barbara Streicher
- HNO-Klinik, Cochlear Implant Centrum Köln (CIK), Uniklinik Köln, Köln, Deutschland
| | - Stefanie Kröger
- Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Sektion Implant Centrum (ICF), Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland
| |
Collapse
|
3
|
Rebesco R, Colombani A, Handjaras G, Bottari D, Orzan E. Early assessment of communicative competence in children with hearing loss using the Child-Caregiver Communication Assessment through Rebesco's Evaluation (CC-CARE) method. Int J Pediatr Otorhinolaryngol 2024; 181:111927. [PMID: 38723425 DOI: 10.1016/j.ijporl.2024.111927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Revised: 03/18/2024] [Accepted: 03/21/2024] [Indexed: 06/15/2024]
Abstract
PURPOSE This work presents a new frame-by-frame video analysis method called Child-Caregiver Communication Assessment through Rebesco's Evaluation (CC-CARE), developed in the context of pediatric hearing loss as a rehabilitation tool for assessing children's early communication skills. CC-CARE stems from the commonly used Tait video analysis and extends it by including a new set of parameters aimed at disentangling between hearing-dependent and hearing-independent aspects of communication. METHOD In this paper, we collected video samples of child-caregiver interactions in a group of 65 normal-hearing children and a group of 165 hearing-impaired children. For each group, we present the CC-CARE method and describe the parameters, their score distributions, correlations and we estimate the adherence of the CC-CARE scores with children's developmental trajectory. Moreover, we compare the results of CC-CARE scores between the two groups having had different development of the auditory system. Finally, a fully-data driven approach was employed to assess the consistency of the communicative efficacy index (CEI), a score aiming to capture a global result of the CC-CARE procedure. RESULTS Correlations among parameter scores were found in each within-group analysis, revealing CC-CARE's internal consistency in measuring associated but nonoverlapping communication dimensions. For both groups, CC-CARE scores were associated with participants' age. Differences between scores emerged for a between-group analysis, indicating CC-CARE sensitivity to extract communication differences as a function of the hearing status. For both groups, the data analysis revealed that the CEI captures large variance portions across all parameter scores of the CC-CARE method. CONCLUSIONS Results provide the first evidence that the CC-CARE video analysis method could be a reliable tool capable of highlighting the cascading effects of hearing impairment on children's preverbal communicative efficacy. The CC-CARE method aims to support early rehabilitation of hearing loss by describing a child's communicative efficacy.
Collapse
Affiliation(s)
- Roberta Rebesco
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.
| | - Arianna Colombani
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy; International Doctorate for Experimental Approaches to Language and Brain (IDEALAB), University of Potsdam, Germany.
| | | | | | - Eva Orzan
- Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.
| |
Collapse
|
4
|
Pontecorvo E, Higgins M, Mora J, Lieberman AM, Pyers J, Caselli NK. Learning a Sign Language Does Not Hinder Acquisition of a Spoken Language. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:1291-1308. [PMID: 36972338 PMCID: PMC10187967 DOI: 10.1044/2022_jslhr-22-00505] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 12/02/2022] [Accepted: 12/12/2022] [Indexed: 05/18/2023]
Abstract
PURPOSE The purpose of this study is to determine whether and how learning American Sign Language (ASL) is associated with spoken English skills in a sample of ASL-English bilingual deaf and hard of hearing (DHH) children. METHOD This cross-sectional study of vocabulary size included 56 DHH children between 8 and 60 months of age who were learning both ASL and spoken English and had hearing parents. English and ASL vocabulary were independently assessed via parent report checklists. RESULTS ASL vocabulary size positively correlated with spoken English vocabulary size. Spoken English vocabulary sizes in the ASL-English bilingual DHH children in the present sample were comparable to those in previous reports of monolingual DHH children who were learning only English. ASL-English bilingual DHH children had total vocabularies (combining ASL and English) that were equivalent to same-age hearing monolingual children. Children with large ASL vocabularies were more likely to have spoken English vocabularies in the average range based on norms for hearing monolingual children. CONCLUSIONS Contrary to predictions often cited in the literature, acquisition of sign language does not harm spoken vocabulary acquisition. This retrospective, correlational study cannot determine whether there is a causal relationship between sign language and spoken language vocabulary acquisition, but if a causal relationship exists, the evidence here suggests that the effect would be positive. Bilingual DHH children have age-expected vocabularies when considering the entirety of their language skills. We found no evidence to support recommendations that families with DHH children avoid learning sign language. Rather, our findings show that children with early ASL exposure can develop age-appropriate vocabulary skills in both ASL and spoken English.
Collapse
|
5
|
Boonen N, Kloots H, Nurzia P, Gillis S. Spontaneous speech intelligibility: early cochlear implanted children versus their normally hearing peers at seven years of age. JOURNAL OF CHILD LANGUAGE 2023; 50:78-103. [PMID: 36503545 DOI: 10.1017/s0305000921000714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Speaking intelligibly is an important achievement in children's language development. How far do congenitally severe-to-profound hearing-impaired children who received a cochlear implant (CI) in the first two years of their life advance on the path to intelligibility in comparison to children with typical hearing (NH)? Spontaneous speech samples of children with CI and children with NH were orthographically transcribed by naïve transcribers. The entropy of the transcriptions was computed to analyze their degree of uniformity. The same samples were also rated on a continuous rating scale by another group of adult listeners. The transcriptions of the NH children's speech were more uniform, i.e., had significantly lower entropy, than those of the CI children, suggesting that the latter group displayed lower intelligibility. This was confirmed by the ratings on the continuous scale. Despite the relatively restricted age ranges, older children reached better intelligibility scores in both groups.
Collapse
Affiliation(s)
- Nathalie Boonen
- Computational Linguistics, & Psycholinguistics Research Centre, University of Antwerp, Antwerp, Belgium E-mail:
| | - Hanne Kloots
- Computational Linguistics, & Psycholinguistics Research Centre, University of Antwerp, Antwerp, Belgium E-mail:
| | - Pietro Nurzia
- Computational Linguistics, & Psycholinguistics Research Centre, University of Antwerp, Antwerp, Belgium E-mail:
| | - Steven Gillis
- Computational Linguistics, & Psycholinguistics Research Centre, University of Antwerp, Antwerp, Belgium E-mail:
| |
Collapse
|
6
|
Luo J, Xu L, Wang M, Xie D, Li J, Liu X, He S, Spencer L, Rost G, Guo LY. Characteristics of Early Expressive Vocabulary in Mandarin-Speaking Children With Cochlear Implants. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2022; 65:4369-4384. [PMID: 36282684 DOI: 10.1044/2022_jslhr-22-00183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
PURPOSE The aim of this study is to evaluate whether Mandarin-speaking children with cochlear implants (CIs) demonstrated early lexical composition similar to their hearing peers who were at the same vocabulary level and the extent to which children with CIs were sensitive to linguistic and conceptual properties when developing early lexicon. METHOD Participants were 77 Mandarin-speaking children with CIs who received CIs before 30 months of age. Their expressive vocabulary was documented using the Infant Checklist of the Early Vocabulary Inventory for Mandarin Chinese 9 or 12 months after CI activation. Percent social words, common nouns, predicates (verbs, adjectives), and closed-class words in total vocabulary were computed for children at different vocabulary levels. Common nouns and verbs were further coded for their word class (noun, verb), word frequency, word length, and imageability to predict how likely a given noun or verb would be produced by children with CIs. RESULTS Like children with typical hearing, social words were the most dominant category when vocabulary size in children with CIs was smaller than 20 words; common nouns became the most dominant category when the vocabulary size reached 21 words. The difference in percent common nouns and percent predicates (i.e., noun bias) was similar in children with CIs and their hearing peers. In addition, verbs, common words, monosyllabic words, and more imageable words were more likely to be produced by children with CIs than their counterparts. CONCLUSIONS Mandarin children with CIs showed language-specific patterns in early lexical composition like their hearing peers. They were able to use multiple linguistic and conceptual cues when approaching early expressive vocabulary despite perceptual and processing constraints. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.21357723.
Collapse
Affiliation(s)
- Jianfen Luo
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, China
- Auditory Implant Center, Shandong Provincial ENT Hospital, Jinan, China
| | - Lei Xu
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, China
- Auditory Implant Center, Shandong Provincial ENT Hospital, Jinan, China
| | - Min Wang
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, China
- Auditory Implant Center, Shandong Provincial ENT Hospital, Jinan, China
| | - Dianzhao Xie
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, China
- Auditory Implant Center, Shandong Provincial ENT Hospital, Jinan, China
| | - Jinming Li
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, China
- Auditory Implant Center, Shandong Provincial ENT Hospital, Jinan, China
| | - Xianqi Liu
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, Jinan, China
- Auditory Implant Center, Shandong Provincial ENT Hospital, Jinan, China
| | - Shuman He
- Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus
- Department of Audiology, Nationwide Children's Hospital, Columbus, OH
| | - Linda Spencer
- MSSLP Program, Rocky Mountain University of Health Professions, Provo, UT
| | - Gwyneth Rost
- Department of Communication Disorders, University of Massachusetts at Amherst
| | - Ling-Yu Guo
- Department of Communicative Disorders and Sciences, University at Buffalo, NY
- Department of Audiology and Speech-Language Pathology, Asia University, Taichung, Taiwan
| |
Collapse
|
7
|
Sociodemographic disparities in pediatric cochlear implantation outcomes: A systematic review. Am J Otolaryngol 2022; 43:103608. [PMID: 35988363 DOI: 10.1016/j.amjoto.2022.103608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 08/10/2022] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To determine the impact of sociodemographic factors on post-operative performance outcomes among PCI recipients across the world. METHODS A qualitative systematic review of PubMed, Scopus, Web of Science, and Embase was undertaken for studies analyzing the association of sociodemographic factors with measures of PCI outcomes published before July 18, 2021. Study quality assessment tools from the National Institutes of Health (NIH) were used to assess for risk of bias. RESULTS Out of 887 unique abstracts initially retrieved, 45 papers were included in the final qualitative systematic review. Sociodemographic disparities in PCI outcomes from 4702 PCI recipients were studied in 19 countries, with 14 studies conducted in the United States of America, published within the years of 1999 to 2021. Parental education and socioeconomic status (e.g. income) were the most investigated disparities in PCI outcomes with 24 and 17 identified studies, respectively. CONCLUSION Socioeconomic status was a consistently reported determinant of PCI outcomes in the USA and elsewhere, and parental education, the most reported disparity, consistently impacted outcomes in countries outside the USA. This study is limited by our inability to perform a meta-analysis given the lack of standardization across measures of sociodemographic variables and assessment measures for PCI outcomes. Future studies should address the literature gap on racial and ethnic disparities among PCI outcomes and use standardized measures for sociodemographic variables and PCI outcomes to facilitate meta-analyses on the topic. Targeting the mechanisms of these disparities may mitigate the impact of the sociodemographic factors on PCI outcomes.
Collapse
|
8
|
Xu L, Luo J, Wang M, Xie D, Chao X, Li J, Liu X, He S, Spencer L, Guo LY. Vocabulary Growth in Mandarin-Speaking Children With Bilateral Cochlear Implants, Bimodal Stimulation, or Unilateral Cochlear Implants During the First Year After Activation. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2022; 65:1630-1645. [PMID: 35302899 DOI: 10.1044/2021_jslhr-21-00454] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
PURPOSE The purpose of this study was to evaluate vocabulary development in Mandarin-speaking children with bilateral cochlear implants (CIs), bimodal stimulation (CI plus hearing aids [HAs]), or unilateral CIs during the first year after CI activation. METHOD Participants included 23 children with simultaneous bilateral CIs, 23 children with bimodal stimulation, and 15 children with unilateral CIs. They all received CIs before 30 months of age. Parents were asked to endorse words that their child could understand only or understand and say using the Early Vocabulary Inventory for Mandarin Chinese at the day of CI activation and 1, 3, 6, 9, and 12 months after CI activation. Receptive and expressive vocabulary sizes were computed. RESULTS Growth curve analysis revealed that children with simultaneous bilateral CIs demonstrated faster growth of receptive vocabulary than those with bimodal stimulation, followed by those with unilateral CIs. Moreover, children with simultaneous bilateral CIs reached the 100-word mark for receptive vocabulary earlier than children with bimodal stimulation, followed by those with unilateral CIs. There were no significant differences among the three groups in expressive vocabulary. CONCLUSIONS Bilateral CIs have an advantage over bimodal stimulation in early receptive vocabulary development in Mandarin, a tone language. HA usage is still recommended for those who receive one CI.
Collapse
Affiliation(s)
- Lei Xu
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, China
| | - Jianfen Luo
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, China
| | - Min Wang
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, China
| | - Dianzhao Xie
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, China
| | - Xiuhua Chao
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, China
| | - Jinming Li
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, China
| | - Xianqi Liu
- Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Department of Auditory Implantation, Shandong Provincial ENT Hospital, Jinan, China
| | - Shuman He
- Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus
- Department of Audiology, Nationwide Children's Hospital, Columbus, OH
| | - Linda Spencer
- MSSLP Program, Rocky Mountain University of Health Professions, Provo, UT
| | - Ling-Yu Guo
- Department of Communicative Disorders and Sciences, University at Buffalo, NY
- Department of Audiology and Speech-Language Pathology, Asia University, Taichung, Taiwan
| |
Collapse
|
9
|
Bavin EL, Sarant J, Prendergast L, Busby P, Leigh G, Peterson C. Positive Parenting Behaviors: Impact on the Early Vocabulary of Infants/Toddlers With Cochlear Implants. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:1210-1221. [PMID: 33705677 DOI: 10.1044/2020_jslhr-20-00401] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Purpose To extend our knowledge about factors influencing early vocabulary development for infants with cochlear implants (CIs), we investigated the impact of positive parenting behaviors (PPBs) from the Indicator of Parent Child Interaction, used in parent-child interactions during everyday activities. Method Implantation age for the sample recruited from CI clinics in Australia ranged from 6 to 10 months for 22 children and from 11 to 21 months for 11 children. Three observation sessions at three monthly intervals were coded for use of PPBs. Children's productive vocabulary, based on the MacArthur-Bates Communicative Development Inventories parent checklist, was collected approximately 6 and 9 months later. A repeated-measures negative binomial generalized linear mixed-effects model was used to investigate associations between the total PPBs per session, covariates (maternal education, gender, and time since implant), and the number of words produced. In follow-up analyses with the PPBs entered separately, variable selection was used to retain only those deemed informative, based on the Akaike information criterion. Results As early as Session 1, associations between the PPBs and vocabulary were identified. Time since implant had a positive effect. For different sessions, specific PPBs (descriptive language, follows child's lead, and acceptance and warmth) were identified as important contributors. Conclusions Complementing previous findings, valuable information was identified about parenting behaviors that are likely to impact positively the early vocabulary of infants with CIs. Of importance is providing parents with information and training in skills that have the potential to help create optimal contexts for promoting their child's early vocabulary development.
Collapse
Affiliation(s)
- Edith L Bavin
- Intergenerational Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
- School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
| | - Julia Sarant
- Department of Audiology and Speech Pathology, The University of Melbourne, Victoria, Australia
| | - Luke Prendergast
- Department of Mathematics and Statistics, La Trobe University, Melbourne, Victoria, Australia
| | - Peter Busby
- Department of Audiology and Speech Pathology, The University of Melbourne, Victoria, Australia
| | - Greg Leigh
- Renwick Centre, Royal Institute for Deaf and Blind Children, Sydney, New South Wales, Australia
- Faculty of Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Candida Peterson
- School of Psychology, University of Queensland, Brisbane, Australia
| |
Collapse
|
10
|
Yang FJ, Yeh LL, Wu CM. Prognostic Factors for Communication Improvement in Young Children After Cochlear Implant Surgery. Otol Neurotol 2021; 42:390-395. [PMID: 33278247 DOI: 10.1097/mao.0000000000002922] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Our objective was to examine the prognostic factors for post-cochlear implant (CI) communication improvement and determine whether the otologist's and speech-language pathologist's (SLP's) recommendations exhibited the same predictive performance regarding children's post-CI verbal expression acquisition. STUDY DESIGN Retrospective, diagnostic study. SETTING Hospital. PATIENTS The study reviewed 339 medical charts of preschool children who underwent CI surgery before the age of 6 years during 1999 to 2016. After these medical charts were assessed, the cohort comprised of 79 preschool children with pre- and post-CI surgery speech-language assessment reports and medical records. INTERVENTION A senior SLP and an otologist conducted blind testing of CI candidacy according to the 79 children's pre-CI reports. MAIN OUTCOME MEASURES Spoken mean length of utterance (MLU). RESULTS Children with superior skills in comprehending facial and gesture expressions or using gestures or sounds for expression were significantly more likely to receive the SLP's recommendation for CI surgery. The SLP's CI candidacy recommendation, based on background information, communication skill assessments, and magnetic resonance imaging (provided by an otologist), had significant predictive effects. Children recommended by the SLP exhibited a 20 times higher probability of benefiting from CI surgery; such a benefit would be a longer MLU after 2 years. CONCLUSION CI candidacy testing for young children with prelingual hearing impairment based on a SLP's recommendations provided significant predictive effects. LEVEL OF EVIDENCE 4 (Evidence from well-designed case-control or cohort studies).
Collapse
Affiliation(s)
- Fang-Jane Yang
- Department of Otolaryngology, Chang-Gung Memorial Hospital, Linkou, Taiwan
| | - Li-Li Yeh
- Department of Audiology and Speech-Language Pathology, Mackay Medical College, New Taipei City, Taiwan
| | - Che-Ming Wu
- Department of Otolaryngology, Chang-Gung Memorial Hospital, Linkou, Taiwan
- Department of Otolaryngology, Chang-Gung Memorial Hospital, Chang-Gung University, Linkou, Taiwan
| |
Collapse
|
11
|
Bavin EL, Sarant J, Hackworth NJ, Bennetts SK, Buzhardt J, Jia F, Button E, Busby P, Leigh G, Peterson C. Modelling the early expressive communicative trajectories of infants/toddlers with early cochlear implants. JOURNAL OF CHILD LANGUAGE 2020; 47:796-816. [PMID: 32178756 DOI: 10.1017/s0305000919000941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
For children with normal hearing (NH), early communication skills predict vocabulary, a precursor to grammar. Growth in early communication skills of infants with cochlear implants (CIs) was investigated using the Early Communication Indicator (ECI), a play-based observation measure. Multilevel linear growth modelling on data from six ECI sessions held at three-monthly intervals revealed significant growth overall, with a non-significant slower growth rate than that of children with NH (comparison age centred at 18 months). Analyses of gesture use and of nonword vocalisations revealed the CI group used significantly more of each, with more rapid growth. In contrast, the CI group used significantly fewer single words and multiword utterances, and with slower growth. Maternal education and time to achieve consistent CI use impacted significantly on growth for the CI sample. The results indicate that progression to vocabulary by young CI users can be supported by encouraging their use of prelinguistic communication.
Collapse
Affiliation(s)
- Edith L Bavin
- School of Psychology and Public Health, La Trobe University, Melbourne, Australia
- Murdoch Children's Research Institute, Melbourne, Australia
| | - Julia Sarant
- Department of Audiology & Speech Pathology, The University of Melbourne, Australia
| | - Naomi J Hackworth
- Murdoch Children's Research Institute, Melbourne, Australia
- Parenting Research Centre, Melbourne, Australia
- Judith Lumley Centre, La Trobe University, Melbourne, Australia
| | - Shannon K Bennetts
- Murdoch Children's Research Institute, Melbourne, Australia
- Judith Lumley Centre, La Trobe University, Melbourne, Australia
| | - Jay Buzhardt
- Juniper Gardens Children's Project, University of Kansas, USA
| | - Fan Jia
- Department of Psychology, University of California, Merced, CA, USA
| | - Elizabeth Button
- School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Peter Busby
- Department of Audiology & Speech Pathology, The University of Melbourne, Australia
| | - Greg Leigh
- RIDBC Renwick Centre, Royal Institute for Deaf and Blind Children, Sydney, Australia
- Faculty of Human Sciences, Macquarie University, Sydney, Australia
| | - Candy Peterson
- School of Psychology, University of Queensland, Brisbane, Australia
| |
Collapse
|
12
|
Jung J, Reed J, Wagner L, Stephens J, Warner-Czyz AD, Uhler K, Houston D. Early Vocabulary Profiles of Young Deaf Children Who Use Cochlear Implants. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2020; 63:1254-1269. [PMID: 32302250 PMCID: PMC7242983 DOI: 10.1044/2020_jslhr-19-00315] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 10/31/2019] [Accepted: 01/21/2020] [Indexed: 05/29/2023]
Abstract
Purpose This study examined vocabulary profiles in young cochlear implant (CI) recipients and in children with normal hearing (NH) matched on receptive vocabulary size to improve our understanding of young CI recipients' acquisition of word categories (e.g., common nouns or closed-class words). Method We compared receptive and expressive vocabulary profiles between young CI recipients (n = 48; mean age at activation = 15.61 months, SD = 4.20) and children with NH (n = 48). The two groups were matched on receptive vocabulary size as measured by the MacArthur-Bates Communicative Development Inventories (Fenson et al., 2006): Words and Gestures form. The CI group had, on average, 8.98 months of hearing experience. The mean chronological age at completing the MacArthur-Bates Communicative Development Inventories was 23.99 months (SD = 5.14) for the CI group and 13.72 months (SD = 1.50) for the NH group. Results The CI group had a larger expressive vocabulary size than the receptive vocabulary size-matched NH group. The larger expressive vocabulary size was associated with the group difference in social words but not with common nouns. The analyses for predicate words and closed-class words included only children who produced the target categories. The CI group had a larger proportion of predicate words than the NH group, but no difference was found in closed-class words in expressive vocabulary. Conclusions Differences found in expressive vocabulary profiles may be affected by spoken vocabulary size and their age. A further examination is warranted using language samples to understand the effect of language input on children's vocabulary profiles.
Collapse
Affiliation(s)
- Jongmin Jung
- Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus
| | - Jessa Reed
- Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus
| | - Laura Wagner
- Department of Psychology, The Ohio State University, Columbus
| | - Julie Stephens
- Center for Biostatistics, The Ohio State University, Columbus
| | - Andrea D. Warner-Czyz
- School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson
| | - Kristin Uhler
- Departments of Physical Medicine and Rehabilitation, Otolaryngology, and Psychiatry, University of Colorado School of Medicine
- Children's Hospital Colorado, Aurora
| | - Derek Houston
- Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus
- Nationwide Children's Hospital, Columbus, OH
| |
Collapse
|
13
|
Jung J, Houston D. The Relationship Between the Onset of Canonical Syllables and Speech Perception Skills in Children With Cochlear Implants. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2020; 63:393-404. [PMID: 32073331 PMCID: PMC7210441 DOI: 10.1044/2019_jslhr-19-00158] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Revised: 10/15/2019] [Accepted: 10/20/2019] [Indexed: 06/10/2023]
Abstract
Purpose The study sought to determine whether the onset of canonical vocalizations in children with cochlear implants (CIs) is related to speech perception skills and spoken vocabulary size at 24 months postactivation. Method The vocal development in 13 young CI recipients (implanted by their third birthdays; mean age at activation = 20.62 months, SD = 8.92 months) was examined at every 3-month interval during the first 2 years of CI use. All children were enrolled in auditory-oral intervention programs. Families of these children used spoken English only. To determine the onset of canonical syllables, the first 50 utterances from 20-min adult-child interactions were analyzed during each session. The onset timing was determined when at least 20% of utterances included canonical syllables. As children's outcomes, we examined their Lexical Neighborhood Test scores and vocabulary size at 24 months postactivation. Results Pearson correlation analysis showed that the onset timing of canonical syllables is significantly correlated with phonemic recognition skills and spoken vocabulary size at 24 months postactivation. Regression analyses also indicated that the onset timing of canonical syllables predicted phonemic recognition skills and spoken vocabulary size at 24 months postactivation. Conclusion Monitoring vocal advancement during the earliest periods following cochlear implantation could be valuable as an early indicator of auditory-driven language development in young children with CIs. It remains to be studied which factors improve vocal development for young CI recipients.
Collapse
Affiliation(s)
- Jongmin Jung
- Department of Otolaryngology—Head & Neck Surgery, The Ohio State University, Columbus
| | - Derek Houston
- Department of Otolaryngology—Head & Neck Surgery, The Ohio State University, Columbus
- Nationwide Children's Hospital, Columbus, OH
| |
Collapse
|
14
|
Karltorp E, Eklöf M, Östlund E, Asp F, Tideholm B, Löfkvist U. Cochlear implants before 9 months of age led to more natural spoken language development without increased surgical risks. Acta Paediatr 2020; 109:332-341. [PMID: 31350923 DOI: 10.1111/apa.14954] [Citation(s) in RCA: 61] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Revised: 07/19/2019] [Accepted: 07/25/2019] [Indexed: 01/28/2023]
Abstract
AIM Evidence suggests that cochlear implants are beneficial for language development, but there is no consensus about the ideal age for surgery. We investigated how language development and surgical safety were affected by patients' ages. METHODS This study comprised 103 children (52 boys) aged 4.3-16 years who received cochlear implants at 5-29 months at the Karolinska University Hospital, Stockholm, Sweden, between 2002 and 2013. All showed typical development and were from monolingual homes. Bilateral implants were common (95%). The children were regularly assessed on language understanding, vocabulary and speech recognition by a multi-disciplinary team for 10.0 ± 3.7 (4.7-16.0) years. RESULTS There were no associations between complications after surgery and the age when children had their first implant. Children implanted at 5-11 months reached an age-equivalent level of language understanding and better vocabulary outcome sooner than subgroups implanted later. Children who had surgery at 12-29 months demonstrated more atypical and delayed language abilities over time. Early implantation, preferably before 9 months, may lead to a more typical trajectory of spoken language development. CONCLUSION Our findings showed that cochlear implantation before 9 months was safe. Early implantation may reduce the negative effects of auditory deprivation and promotes more natural and synchronised language development.
Collapse
Affiliation(s)
- Eva Karltorp
- Department of Otorhinolaryngology Karolinska University Hospital Stockholm Sweden
- Department of CLINTEC Karolinska Institutet Stockholm Sweden
| | - Martin Eklöf
- Department of Otorhinolaryngology Karolinska University Hospital Stockholm Sweden
- Department of CLINTEC Karolinska Institutet Stockholm Sweden
| | - Elisabet Östlund
- Department of Speech and Language Karolinska University Hospital Stockholm Sweden
| | - Filip Asp
- Department of Otorhinolaryngology Karolinska University Hospital Stockholm Sweden
- Department of CLINTEC Karolinska Institutet Stockholm Sweden
| | - Bo Tideholm
- Department of Otorhinolaryngology Karolinska University Hospital Stockholm Sweden
- Department of CLINTEC Karolinska Institutet Stockholm Sweden
| | - Ulrika Löfkvist
- Department of CLINTEC Karolinska Institutet Stockholm Sweden
- Department of Special Needs Education University of Oslo Oslo Norway
| |
Collapse
|