Early Communication Skills Training for Infants and Toddlers with Cochlear Implant
Abstract
Background and Aim: Early communication skills in children with hearing loss depend on the quantity and quality of information received from parents. The present study aimed to investigate the effectiveness of early communication skills training in developing the communication skills of infants and toddlers with cochlear implants.
Methods: To this end, 54 infants and toddlers at the age range of 8–24 months with sever to profound hearing loss fitted by Cochlear Implant (CI) with their mothers participated in this study. The experimental and wait list control groups had auditory verbal therapy as the main intervention after the CI; however, the experimental group received a systematic early communication skills program. All subjects were assessed using the Communication and Symbolic Behaviour Scales Developmental Profile as the pre-and post-tests.
Results: Multivariate analysis of covariance indicated the effect of systematic training on the early communication development of subjects in intervention group.
Conclusion: Teaching the parents how to interact with infants and toddlers with CI could improve the communication skills of the infants and therefore it’s recommended to be included in the auditory rehabilitation programs.
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19. Daneshi A, Hassanzadeh S. Cochlear implantation in prelingually deaf persons with additional disability. J Laryngol Otol. 2007;121(7):635-8. [DOI:10.1017/S0022215107005051]
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22. Hassanzadeh S, Nikkhoo F. [The Efficacy of Navayesh Parentbased Aural Habilitation on Communication Abilities of Deaf Infants who are in Cochlear Implantation Waiting List: An Experience of Early Intervention on Infants with Deafness]. Journal of Applied Psychological Research. 2016;7(3):1-18. Persian. [DOI:10.22059/JAPR.2016.57786]
23. Nikkhoo F, Hassanzadeh S, Afrooz GA, Farzad V. [Early Hearing, Language, and Attachment based Interventions for Deaf Children under Age of Two]. Journal of Paramedical Sciences and Rehabilitation. 2018;7(1):57-68. Persian. [DOI:10.22038/JPSR.2018.20011.1500]
24. Yoshinaga-Itano C. From Screening to Early Identification and Intervention: Discovering Predictors to Successful Outcomes for Children With Significant Hearing Loss. J Deaf Stud Deaf Educ. 2003;8(1):11-30. [DOI:10.1093/deafed/8.1.11]
25. Calderon R. Parental Involvement in Deaf Children’s Education Programs as a Predictor of Child’s Language, Early Reading, and Social-Emotional Development. J Deaf Stud Deaf Educ. 2000;5(2):140-55. [DOI:10.1093/deafed/5.2.140]
26. Meadow Orlans KP, Spencer PE, Koester LS, Stainberg AG. Implications for intervention with infants and families. In: Meadow Orlans KP, Spencer PE, Koester LS, editors. The World of Deaf Infants: A Longitudinal Study.1st ed. New York: Oxford University Press; 2004. p. 218-28.
27. Terry J. Enablers and barriers for hearing parents with deaf children: Experiences of parents and workers in Wales, UK. Health Expect. 2023;26(6):2666-83. [DOI:10.1111/hex.13864]
28. Goldstein MH, Schwade JA, Bornstein MH. The value of vocalizing: five-month-old infants associate their own noncry vocalizations with responses from caregivers. Child Dev. 2009;80(3):636-44. [DOI:10.1111/j.1467-8624.2009.01287.x]
29. Loots G, Devisé I I. The Use of Visual-Tactile Communication Strategies by Deaf and Hearing Fathers and Mothers of Deaf Infants. J Deaf Stud Deaf Educ. 2003;8(1):31-42. [DOI:10.1093/deafed/8.1.31]
30. Tomasello M. Constructing a Language: A Usage-Based Theory of Language Acquisition. 1st ed. Cambridge: Harvard University Press; 2003.
2. D’Souza D, D’Souza H, Karmiloff-Smith A. Precursors to language development in typically and atypically developing infants and toddlers: the importance of embracing complexity. J Child Lang. 2017;44(3):591-627. [DOI:10.1017/S030500091700006X]
3. Ninio A, Bruner J. The achievement and antecedents of labelling. J Child Lang. 1978;5(1):1-15. [DOI:10.1017/S0305000900001896]
4. Snow DP. Gesture and intonation are “sister systems” of infant communication: Evidence from regression patterns of language development. Lang Sci. 2017;59:180-91. [DOI:10.1016/j.langsci.2016.10.005]
5. Mitchell RE, Karchmer MA. Parental hearing status and signing among deaf and hard of hearing students. Sign Lang Stud. 2005;5(2):231-44. [DOI:10.1353/sls.2005.0004]
6. Tait ME, Nikolopoulos TP, Lutman ME. Age at implantation and development of vocal and auditory preverbal skills in implanted deaf children. Int J Pediatr Otorhinolaryngol. 2007;71(4):603-10. [DOI:10.1016/j.ijporl.2006.12.010]
7. Scaife M, Bruner JS. The capacity for joint visual attention in the infant. Nature. 1975;253(5489):265-6. [DOI:10.1038/253265a0]
8. Thorup E, Nyström P, Bölte S, Falck-Ytter T. What are you looking at? Gaze following with and without target objects in ASD and typical development. Autism. 2022;26(7):1668-80. [DOI:10.1177/13623613211061940]
9. Lieberman AM, Hatrak M, Mayberry RI. Learning to Look for Language: Development of Joint Attention in Young Deaf Children. Lang Learn Dev. 2014;10(1):19-35. [DOI:10.1080/15475441.2012.760381]
10. Majorano M, Brondino M, Morelli M, Ferrari R, Lavelli M, Guerzoni L, et al. Preverbal Production and Early Lexical Development in Children With Cochlear Implants: A Longitudinal Study Following Pre-implanted Children Until 12 Months After Cochlear Implant Activation. Front Psychol. 2020;11:591584. [DOI:10.3389/fpsyg.2020.591584]
11. VanDam M, Ambrose SE, Moeller MP. Quantity of parental language in the home environments of hard-of-hearing 2-year-olds. J Deaf Stud Deaf Educ. 2012;17(4):402-20. [DOI:10.1093/deafed/ens025]
12. Lam-Cassettari C, Wadnerkar-Kamble MB, James DM. Enhancing Parent-Child Communication and Parental Self-Esteem With a Video-Feedback Intervention: Outcomes With Prelingual Deaf and Hard-of-Hearing Children. J Deaf Stud Deaf Educ. 2015;20(3):266-74. [DOI:10.1093/deafed/env008]
13. Phillips L, Hassanzadeh S, Kosaner J, Martin J, Deibl M, Anderson I. Comparing auditory perception and speech production outcomes: non-language specific assessment of auditory perception and speech production in children with cochlear implants. Cochlear Implants Int. 2009;10(2):92-102. [DOI:10.1179/cim.2009.10.2.92]
14. Huttunen K, Välimaa T. Parents’ views on changes in their child’s communication and linguistic and socioemotional development after cochlear implantation. J Deaf Stud Deaf Educ. 2010;15(4):383-404. [DOI:10.1093/deafed/enq029]
15. Nicastri M, Giallini I, Ruoppolo G, Prosperini L, de Vincentiis M, Lauriello M, et al. Parent Training and Communication Empowerment of Children With Cochlear Implant. J Early Interv. 2020;43(2):117-34. [DOI:10.1177/105381512092]
16. Lund E. The Effects of Parent Training on Vocabulary Scores of Young Children With Hearing Loss. Am J Speech Lang Pathol. 2018;27(2):765-77. [DOI:10.1044/2018_AJSLP-16-0239]
17. Moeller MP. Early Intervention and Language Development in Children Who Are Deaf and Hard of Hearing. Pediatrics. 2000;106(3):e43. [DOI:10.1542/peds.106.3.e43]
18. Fantuzzo, J, McWayne C. The relationship between peer-play interactions in the family context and dimensions of school readiness for low-income preschool children. J Educ Psychol. 2002;94(1):79-87. [DOI:10.1037/0022-0663.94.1.79]
19. Daneshi A, Hassanzadeh S. Cochlear implantation in prelingually deaf persons with additional disability. J Laryngol Otol. 2007;121(7):635-8. [DOI:10.1017/S0022215107005051]
20. Wetherby A, Prizant B. Communication and Symbolic Behavior Scales Developmental Profile. Baltimore, MD: Paul H Brookes; 2002.
21. Naghsh Z, Nikkhoo F, Gholami Fesharaki M. The Study of Psychometric Properties of the Persian Version of Communication and Symbolic Behavior Scale Developmental Profile /Infant toddler Checklist: An Application of Confirmatory Factor Analysis with Skew Distribution. J Biostat Epidemiol. 2022;8(2):128-37. [DOI:10.18502/jbe.v8i2.10411]
22. Hassanzadeh S, Nikkhoo F. [The Efficacy of Navayesh Parentbased Aural Habilitation on Communication Abilities of Deaf Infants who are in Cochlear Implantation Waiting List: An Experience of Early Intervention on Infants with Deafness]. Journal of Applied Psychological Research. 2016;7(3):1-18. Persian. [DOI:10.22059/JAPR.2016.57786]
23. Nikkhoo F, Hassanzadeh S, Afrooz GA, Farzad V. [Early Hearing, Language, and Attachment based Interventions for Deaf Children under Age of Two]. Journal of Paramedical Sciences and Rehabilitation. 2018;7(1):57-68. Persian. [DOI:10.22038/JPSR.2018.20011.1500]
24. Yoshinaga-Itano C. From Screening to Early Identification and Intervention: Discovering Predictors to Successful Outcomes for Children With Significant Hearing Loss. J Deaf Stud Deaf Educ. 2003;8(1):11-30. [DOI:10.1093/deafed/8.1.11]
25. Calderon R. Parental Involvement in Deaf Children’s Education Programs as a Predictor of Child’s Language, Early Reading, and Social-Emotional Development. J Deaf Stud Deaf Educ. 2000;5(2):140-55. [DOI:10.1093/deafed/5.2.140]
26. Meadow Orlans KP, Spencer PE, Koester LS, Stainberg AG. Implications for intervention with infants and families. In: Meadow Orlans KP, Spencer PE, Koester LS, editors. The World of Deaf Infants: A Longitudinal Study.1st ed. New York: Oxford University Press; 2004. p. 218-28.
27. Terry J. Enablers and barriers for hearing parents with deaf children: Experiences of parents and workers in Wales, UK. Health Expect. 2023;26(6):2666-83. [DOI:10.1111/hex.13864]
28. Goldstein MH, Schwade JA, Bornstein MH. The value of vocalizing: five-month-old infants associate their own noncry vocalizations with responses from caregivers. Child Dev. 2009;80(3):636-44. [DOI:10.1111/j.1467-8624.2009.01287.x]
29. Loots G, Devisé I I. The Use of Visual-Tactile Communication Strategies by Deaf and Hearing Fathers and Mothers of Deaf Infants. J Deaf Stud Deaf Educ. 2003;8(1):31-42. [DOI:10.1093/deafed/8.1.31]
30. Tomasello M. Constructing a Language: A Usage-Based Theory of Language Acquisition. 1st ed. Cambridge: Harvard University Press; 2003.
| Files | ||
| Issue | Vol 33 No 3 (2024) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v33i3.15502 | |
| Keywords | ||
| Early communication skill cochlear implant hearing loss infant and toddler | ||
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How to Cite
1.
Hassanzadeh S, Nikkhoo F. Early Communication Skills Training for Infants and Toddlers with Cochlear Implant. Aud Vestib Res. 2023;33(3):208-218.
