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Research Article
October 2013

Grammatical Outcomes of 3- and 6-Year-Old Children Who Are Hard of Hearing

Publication: Journal of Speech, Language, and Hearing Research
Volume 56, Number 5
Pages 1701-1714

Abstract

Purpose

Spoken language skills of 3- and 6-year-old children who are hard of hearing (HH) were compared with those of children with normal hearing (NH).

Method

Language skills were measured via mean length of utterance in words (MLUw) and percent correct use of finite verb morphology in obligatory contexts based on spontaneous conversational samples gathered from 185 children (145 HH, 40 NH). Aided speech intelligibility index (SII), better-ear pure-tone average (BE-PTA), maternal education, and age of amplification were used to predict outcomes within the HH group.

Results

On average, the HH group had MLUws that were 0.25–0.5 words shorter than the NH group at both ages, and they produced fewer obligatory verb morphemes. After age, aided SII and age of amplification predicted MLUw. Aided SII and BE-PTA were not interchangeable in this analysis. Age followed by either BE-PTA or aided SII best predicted verb morphology use.

Conclusions

Children who are HH lag behind their peers with NH in grammatical aspects of language. Although some children appear to catch up, more than half of the children who are HH fell below the 25th percentile. Continued monitoring of language outcomes is warranted considering that children who are HH are at increased risk for language learning difficulties.

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Information & Authors

Information

Published In

Journal of Speech, Language, and Hearing Research
Volume 56Number 5October 2013
Pages: 1701-1714
PubMed: 23882004

History

  • Received: Jun 19, 2012
  • Revised: Nov 16, 2012
  • Accepted: Feb 22, 2013
  • Published in issue: Oct 1, 2013

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Key Words

  1. hearing loss
  2. language
  3. morphology
  4. outcomes
  5. children

Authors

Affiliations

Keegan M. Koehlinger
Amanda J. Owen Van Horne [email protected]
University of Iowa, Iowa City
Delta Center, University of Iowa, Iowa City
Mary Pat Moeller
Center for Childhood Deafness, Boys Town National Research Hospital, Omaha, NE

Notes

Correspondence to Amanda Owen Van Horne: [email protected]
Keegan M. Koehlinger is now affiliated with Center for Childhood Deafness, Boys Town National Research Hospital, Omaha, NE
Editor and Associate Editor: Janna Oetting

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