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Language outcomes in children who are deaf and hard of hearing (Daub et al., 2017)

posted on 2017-10-31, 01:34 authored by Olivia Daub, Marlene P. Bagatto, Andrew M. Johnson, Janis Oram Cardy
Purpose: Early auditory experiences are fundamental in infant language acquisition. Research consistently demonstrates the benefits of early intervention (i.e., hearing aids) to language outcomes in children who are deaf and hard of hearing. The nature of these benefits and their relation with prefitting development are, however, not well understood.
Method: This study examined Ontario Infant Hearing Program birth cohorts to explore predictors of performance on the Preschool Language Scale–Fourth Edition at the time of (N = 47) and after (N = 19) initial hearing aid intervention.
Results: Regression analyses revealed that, before the hearing aid fitting, severity of hearing loss negatively predicted 19% and 10% of the variance in auditory comprehension and expressive communication, respectively. After hearing aid fitting, children’s standard scores on language measures remained stable, but they made significant improvement in their progress values, which represent individual skills acquired on the test, rather than standing relative to same-age peers. Magnitude of change in progress values was predicted by a negative interaction of prefitting language ability and severity of hearing loss for the Auditory Comprehension scale.
Conclusions: These findings highlight the importance of considering a child’s prefitting language ability in interpreting eventual language outcomes. Possible mechanisms of hearing aid benefit are discussed.

Supplemental Material S1. Hearing Aid Speech Intelligibility Index (SII) values (N = 19) compared to Bagaetto et al., 2011, normative data.

Supplemental Material S2. Graphs of each child's performance over time with 90% confidence intervals (CIs).

Daub, O., Bagatto, M. P., Johnson, A. M., & Cardy, J. O. (2017). Language outcomes in children who are deaf and hard of hearing: The role of language ability before hearing aid intervention. Journal of Speech, Language, and Hearing Research, 60, 3310–3320.


This research was supported by the Ontario Ministry of Children and Youth Services.