Pragmatic abilities of children with severe to profound hearing loss
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20211424Keywords:
Pragmatic ability, Hearing impairment, Hearing ageAbstract
Background: Western studies indicate that children with hearing impairment (CHI) are at risk of pragmatic delay due to their delayed language development. Pragmatics is influenced by culture. Hence the objective of the study was to compare the pragmatic skills of Marathi speaking CHI using hearing devices and typically developing children (TDC) matched according to their expressive language age, chronological age, and hearing age.
Methods: Group I included 40 CHI using a hearing device having a chronological age range of 24 to 68 months, with an expressive language age of 6 to 48 months on receptive-expressive emergent language scale (REELS) and with a hearing age in the range of 12 to 36 months. Group II consisted of 40 TDC in the age range of 6 to 48 months. Checklist for assessment of pragmatics of pre-schoolerswas administered for assessment of pragmatics to children in both the groups.
Results: Statistical analysis using unpaired t test indicated that there was a significant difference in pragmatic skills of the two groups when they were matched on the basis of their chronological and expressive language age (p<0.01), but there was no significant difference between the two groups when they were matched on the basis of their hearing age (p>0.01).
Conclusions: Pragmatic ability is delayed in CHI and is more a function of hearing age than chronological age or expressive language age. Thus, pragmatic abilities should be assessed and intervention provided if required for CHI even if they have good expressive ability.
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References
Gejji-Deostale A, Waknis A. Development of Checklist for Assessment of Pragmatics in Preschoolars. Languages in India. 2020;20:7.
Hymes DH. On Communicative Competence. In: J.B. Pride and J. Holmes (eds) Sociolinguistics. Selected Readings. Harmonds worth: Penguin. 1972;269-93.
Lichtig I, Couto MIV, Mecca FFDN, Hartley S, Wirz S, Woll B. Assessing deaf and hearing children’s communication in Brazil. J Communic Disord. 2010;44(2):223-35.
Most T, Shina-August E, Meilijson S. Pragmatic abilities of children with hearing loss using cochlear implants or hearing AIDS compared to hearing children. J Deaf Stud Deaf Educ. 2010;15(4):422-37.
Goberis D, Beams D, Dalpes M, Abrisch A, Baca R, Yoshinaga-Itano C. The missing link in language development of deaf and hard of hearing children: pragmatic language development. Semin Speech Lang. 2012;33(4):297-309.
Hillary Guest. Pragmatics and Social Communication: Children with Hearing Loss in Early Childhood Settings. 2013.
Paatsch LE, Toe DM. A comparison of pragmatic abilities of children who are deaf or hard of hearing and their hearing peers. J Deaf Stud Deaf Educ. 2014;19(1):1-19.
Shoeib RM, Kaddah FZA, Kheir`El-Din ST, Said NM. Study of Pragmatic Language ability in Children with Hearing loss. Egypt J Otolaryngol. 2015;32:210-8.
Hayes D, Northern JL. Infants and Hearing San Diego, CA: Singular Thomson Learning Publishing Group. 1997.
Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early and later identified children with hearing loss. Pediatrics. 1998;102(5):1161-71.
Markides A. Short paper: Age at fitting of hearing aids and speech intelligibility. Br J Audiol. 1986;20(2):165-7.
White SJ, White REC. The effects of hearing status of the family and age of intervention on receptive and expressive oral language skills in hearing-impaired infants. Monogr Am Speech Language Hearing Assoc. 1987;26:9-24.
Robinshaw HM. Early intervention for hearing impairment: Differences in the timing of communicative and linguistic development. Br J Audiol. 1997;29:315-44.
Kasai N, Fukushima K, Omori K, Sugaya A, Ojima T. Effects of early identification and intervention on language development in Japanese children with prelingual severe to profound hearing impairment. Ann Otol Rhinol Laryngol. 2012;121(4):16-20.
Murria A, Guerzonia L, Fabrizib E, Marian V. Preschool children have better spoken language when early implanted. International Journal of Pediatric Oto Rhino Laryngol. 2014;78(8):1327-31.
Shojaei E, Jafari Z, Gholami M. Effect of Early Intervention on Language Development in Hearing-Impaired Children. Iran J Otorhinolaryngol. 2016;28(84):13-21.
Bzoch KR, League R. The Reel Scale: The Bzoch-League Receptive-Expressive Emergent Language Scale for the Measurement of Language Skills in Infancy. Anhinga Press, Gainesville, Fla. 1970.
Dewart H, Summers S. The Pragmatics Profile Of early Communication Skills. NFER-Nelson. 1995.
Thakur SZ, Waknis A. Pragmatic development of typically developing children from birth to four years, Unpublished Masters Dissertation. Bharati Vidyapeeth University, School of Audiology and Speech Language Pathology. 2014.
Geers AE, Nicholas JG, Sedey AL. Language skills of children with early cochlear implantation. Ear Hear. 2003;24:46-58.
Cross TG, Johnson-Morris JE, Nienhuys TG. Linguistic feedback and maternal speech: comparisons of mothers addressing hearing and hearing-impaired children. First Language. 1985;1:163-89.
Nienhuys TG, Cross TG, Horsborough KM. Child variables influencing maternal speech style: Deaf and hearing children. J Communic Disord. 1984;17(3):189-207.
Most T. The use of repair strategies by children with and without hearing impairment. Language, Speech, and Hearing Services in Schools. 2002.
Nicholas JG, Geers AE, Kozak V. Development of communicative function in young hearing-impaired and normally hearing children. Volta Rev. 1994;96(2):113-35.
Goberis D, Beams D, Dalpes M, Abrisch A, Baca R, Yoshinaga-Itano C. The missing link in language development of deaf and hard of hearing children: pragmatic language development. In Seminars in speech and language. Thieme Medical Publishers. 2012;33(4):297-309.
Gejji A, Waknis A. Pragmatic abilities of children with autism spectrum disorders. Unpublished Masters Dissertation, Bharati Vidyapeeth (Deemed to be University). 2015.
Clarck M. Language through living for hearing impaired children. London; Hodder and Stoughton. 1989.
Lederberg AR, Everhart VS. Conversations between deaf children and their hearing mothers: Pragmatic and dialogic characteristics. J Deaf Stud Deaf Educ. 2000;5(4):303-22.
Alduais AM, Shoeib RA, Al-Hammadi FS, Al-Malki KH, Alenezi FH. Measuring pragmatic language in children with developmental dysphasia: comparing results of Arabic versions of TOPL-2 and CELF-4 (PP and ORS subtests). Int J Linguistics. 2012;4(2):475-94.
Fryauf-Bertschy H, Tyler RS, Kelsay DM, Gantz BJ. Performance over time of congenitally deaf and postlingually deafened children using a multichannel cochlear implant. J Speech Hear Res. 1992;35(4):913-20.
Geers AE, Toby E. Effects of cochlear implants and tactile aids on the development of speech production skills in children with profound hearing impairment. Volta Rev. 1992;94:135-63.
Osberger MJ, Robbins AM, Berry SW, Todd SL, Hesketh LJ, Sedey A. Analysis of the spontaneous speech samples of children with cochlear implants or tactile aids. Am J Otol. 1991;12:151-64.
Tye-Murray N, Kirk KI. Vowel and diphthong production by young users of cochlear implants and the relationship between the phonetic level evaluation and spontaneous speech. J Speech Hear Res. 1993;36(3):488-502.
Tobey E, Geers A, Brenner C. Speech production results: Speech feature acquisition. Volta Rev. 1994;96:109-29.
Tomblin JB, Spencer L, Flock S, Tyler R, Gantz B. A comparison of language achievement in children with cochlear implants and children using hearing aids. J Speech Lang Hear Res. 1999;42(2):497-509.