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Service Provision for Children Who Are Hard of Hearing at Preschool and Elementary School Ages.
Lang Speech Hear Serv Sch. 2018 10 24; 49(4):965-981.LS

Abstract

Purpose

To characterize preschool and school services for children who are hard of hearing (CHH), we described service setting, amount, and configuration and analyzed the relationship between service receipt and student hearing levels and language scores. Characteristics of professionals providing services were described and then used to predict level of comfort with skills supporting listening and spoken language. The amount of provider communication with children's audiologists was also investigated.

Method

Participants included parents of CHH (preschool n = 174; school n = 155) and professionals (preschool n = 133; school n = 104) who completed interviews and questionnaires as part of a longitudinal study. Children's hearing, speech, and language data were collected from annual testing and analyzed in relation to service data.

Results

A majority (81%) of preschool-age CHH received services. Children were more likely to be in a preschool for children who are deaf or hard of hearing (CDHH) or exceptional children than a general education preschool. By elementary school, 70% received services, nearly all in general education settings. Sessions averaged twice a week for a total of approximately 90 min. Children who no longer received services performed significantly better on speech/language measures than those who received services, regardless of service setting. Professionals were primarily speech-language pathologists (SLPs) and teachers of CDHH. SLPs reported significantly less comfort with skills involving auditory development and hearing technologies and less frequent communication with the child's audiologists than teachers of CDHH. Overall communication with audiologists was more frequent in the preschool years.

Conclusions

As preschool-age CHH transition into school, the majority continue to qualify for services. Congruent with national trends, school-age CHH in the Outcomes of Children with Hearing Loss study were most often in general education settings. Without specialized preprofessional or postgraduate training, SLPs and teachers of CDHH did not report comfort with all the skills critical to developing listening and spoken language. This finding supports the need for increased implementation of interprofessional practice among SLPs and teachers of CDHH, as well as audiologists, to best meet the needs unique to this population.

Authors+Show Affiliations

Division of Speech and Hearing Sciences, University of North Carolina, Chapel Hill.Division of Speech and Hearing Sciences, University of North Carolina, Chapel Hill.Center for Childhood Deafness, Boys Town National Research Hospital, Omaha, NE.Department of Biostatistics, The University of Iowa, Iowa City.Department of Speech & Hearing Sciences, The University of New Mexico, Albuquerque.Center for Childhood Deafness, Boys Town National Research Hospital, Omaha, NE.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

30286245

Citation

Page, Thomas A., et al. "Service Provision for Children Who Are Hard of Hearing at Preschool and Elementary School Ages." Language, Speech, and Hearing Services in Schools, vol. 49, no. 4, 2018, pp. 965-981.
Page TA, Harrison M, Moeller MP, et al. Service Provision for Children Who Are Hard of Hearing at Preschool and Elementary School Ages. Lang Speech Hear Serv Sch. 2018;49(4):965-981.
Page, T. A., Harrison, M., Moeller, M. P., Oleson, J., Arenas, R. M., & Spratford, M. (2018). Service Provision for Children Who Are Hard of Hearing at Preschool and Elementary School Ages. Language, Speech, and Hearing Services in Schools, 49(4), 965-981. https://doi.org/10.1044/2018_LSHSS-17-0145
Page TA, et al. Service Provision for Children Who Are Hard of Hearing at Preschool and Elementary School Ages. Lang Speech Hear Serv Sch. 2018 10 24;49(4):965-981. PubMed PMID: 30286245.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Service Provision for Children Who Are Hard of Hearing at Preschool and Elementary School Ages. AU - Page,Thomas A, AU - Harrison,Melody, AU - Moeller,Mary Pat, AU - Oleson,Jacob, AU - Arenas,Richard M, AU - Spratford,Meredith, PY - 2017/12/08/received PY - 2018/05/11/accepted PY - 2018/10/5/pubmed PY - 2019/4/16/medline PY - 2018/10/5/entrez SP - 965 EP - 981 JF - Language, speech, and hearing services in schools JO - Lang Speech Hear Serv Sch VL - 49 IS - 4 N2 - Purpose: To characterize preschool and school services for children who are hard of hearing (CHH), we described service setting, amount, and configuration and analyzed the relationship between service receipt and student hearing levels and language scores. Characteristics of professionals providing services were described and then used to predict level of comfort with skills supporting listening and spoken language. The amount of provider communication with children's audiologists was also investigated. Method: Participants included parents of CHH (preschool n = 174; school n = 155) and professionals (preschool n = 133; school n = 104) who completed interviews and questionnaires as part of a longitudinal study. Children's hearing, speech, and language data were collected from annual testing and analyzed in relation to service data. Results: A majority (81%) of preschool-age CHH received services. Children were more likely to be in a preschool for children who are deaf or hard of hearing (CDHH) or exceptional children than a general education preschool. By elementary school, 70% received services, nearly all in general education settings. Sessions averaged twice a week for a total of approximately 90 min. Children who no longer received services performed significantly better on speech/language measures than those who received services, regardless of service setting. Professionals were primarily speech-language pathologists (SLPs) and teachers of CDHH. SLPs reported significantly less comfort with skills involving auditory development and hearing technologies and less frequent communication with the child's audiologists than teachers of CDHH. Overall communication with audiologists was more frequent in the preschool years. Conclusions: As preschool-age CHH transition into school, the majority continue to qualify for services. Congruent with national trends, school-age CHH in the Outcomes of Children with Hearing Loss study were most often in general education settings. Without specialized preprofessional or postgraduate training, SLPs and teachers of CDHH did not report comfort with all the skills critical to developing listening and spoken language. This finding supports the need for increased implementation of interprofessional practice among SLPs and teachers of CDHH, as well as audiologists, to best meet the needs unique to this population. SN - 1558-9129 UR - https://www.unboundmedicine.com/medline/citation/30286245/Service_Provision_for_Children_Who_Are_Hard_of_Hearing_at_Preschool_and_Elementary_School_Ages_ L2 - https://pubs.asha.org/doi/full/10.1044/2018_LSHSS-17-0145?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -