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Language and speech outcomes of children with hearing loss and additional disabilities: identifying the variables that influence performance at five years of age.
Int J Audiol. 2018 05; 57(sup2):S93-S104.IJ

Abstract

OBJECTIVE

This study examined language and speech outcomes in young children with hearing loss and additional disabilities.

DESIGN

Receptive and expressive language skills and speech output accuracy were evaluated using direct assessment and caregiver report. Results were analysed first for the entire participant cohort, and then to compare results for children with hearing aids (HAs) versus cochlear implants (CIs).

STUDY SAMPLE

A population-based cohort of 146 five-year-old children with hearing loss and additional disabilities took part.

RESULTS

Across all participants, multiple regressions showed that better language outcomes were associated with milder hearing loss, use of oral communication, higher levels of cognitive ability and maternal education, and earlier device fitting. Speech output accuracy was associated with use of oral communication only. Average outcomes were similar for children with HAs versus CIs, but their associations with demographic variables differed. For HA users, results resembled those for the whole cohort. For CI users, only use of oral communication and higher cognitive ability levels were significantly associated with better language outcomes.

CONCLUSIONS

The results underscore the importance of early device fitting for children with additional disabilities. Strong conclusions cannot be drawn for CI users given the small number of participants with complete data.

Authors+Show Affiliations

a Department of Linguistics, Centre for Cognition and its Disorders , Macquarie University , Sydney , Australia.b The Hearing CRC , Melbourne , Australia. c National Acoustic Laboratories , Sydney , Australia , and.b The Hearing CRC , Melbourne , Australia. c National Acoustic Laboratories , Sydney , Australia , and.b The Hearing CRC , Melbourne , Australia. d RIDBC Renwick Centre (Royal Institute for Deaf and Blind Children/The University of Newcastle) , Sydney , Australia.b The Hearing CRC , Melbourne , Australia. c National Acoustic Laboratories , Sydney , Australia , and.b The Hearing CRC , Melbourne , Australia. c National Acoustic Laboratories , Sydney , Australia , and.b The Hearing CRC , Melbourne , Australia. c National Acoustic Laboratories , Sydney , Australia , and.b The Hearing CRC , Melbourne , Australia. c National Acoustic Laboratories , Sydney , Australia , and.

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27630013

Citation

Cupples, Linda, et al. "Language and Speech Outcomes of Children With Hearing Loss and Additional Disabilities: Identifying the Variables That Influence Performance at Five Years of Age." International Journal of Audiology, vol. 57, no. sup2, 2018, pp. S93-S104.
Cupples L, Ching TYC, Button L, et al. Language and speech outcomes of children with hearing loss and additional disabilities: identifying the variables that influence performance at five years of age. Int J Audiol. 2018;57(sup2):S93-S104.
Cupples, L., Ching, T. Y. C., Button, L., Leigh, G., Marnane, V., Whitfield, J., Gunnourie, M., & Martin, L. (2018). Language and speech outcomes of children with hearing loss and additional disabilities: identifying the variables that influence performance at five years of age. International Journal of Audiology, 57(sup2), S93-S104. https://doi.org/10.1080/14992027.2016.1228127
Cupples L, et al. Language and Speech Outcomes of Children With Hearing Loss and Additional Disabilities: Identifying the Variables That Influence Performance at Five Years of Age. Int J Audiol. 2018;57(sup2):S93-S104. PubMed PMID: 27630013.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Language and speech outcomes of children with hearing loss and additional disabilities: identifying the variables that influence performance at five years of age. AU - Cupples,Linda, AU - Ching,Teresa Y C, AU - Button,Laura, AU - Leigh,Greg, AU - Marnane,Vivienne, AU - Whitfield,Jessica, AU - Gunnourie,Miriam, AU - Martin,Louise, Y1 - 2016/09/14/ PY - 2016/9/16/pubmed PY - 2019/9/19/medline PY - 2016/9/16/entrez KW - Hearing aid KW - additional disabilities KW - children KW - cochlear implant KW - hearing loss KW - language outcomes SP - S93 EP - S104 JF - International journal of audiology JO - Int J Audiol VL - 57 IS - sup2 N2 - OBJECTIVE: This study examined language and speech outcomes in young children with hearing loss and additional disabilities. DESIGN: Receptive and expressive language skills and speech output accuracy were evaluated using direct assessment and caregiver report. Results were analysed first for the entire participant cohort, and then to compare results for children with hearing aids (HAs) versus cochlear implants (CIs). STUDY SAMPLE: A population-based cohort of 146 five-year-old children with hearing loss and additional disabilities took part. RESULTS: Across all participants, multiple regressions showed that better language outcomes were associated with milder hearing loss, use of oral communication, higher levels of cognitive ability and maternal education, and earlier device fitting. Speech output accuracy was associated with use of oral communication only. Average outcomes were similar for children with HAs versus CIs, but their associations with demographic variables differed. For HA users, results resembled those for the whole cohort. For CI users, only use of oral communication and higher cognitive ability levels were significantly associated with better language outcomes. CONCLUSIONS: The results underscore the importance of early device fitting for children with additional disabilities. Strong conclusions cannot be drawn for CI users given the small number of participants with complete data. SN - 1708-8186 UR - https://www.unboundmedicine.com/medline/citation/27630013/Language_and_speech_outcomes_of_children_with_hearing_loss_and_additional_disabilities:_identifying_the_variables_that_influence_performance_at_five_years_of_age_ L2 - http://www.tandfonline.com/doi/full/10.1080/14992027.2016.1228127 DB - PRIME DP - Unbound Medicine ER -