2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
4/15/2014 | 1:45 PM - 2:15 PM | Speech and Language Goals in Clinical Settings for Young Children who are Deaf/Hard of Hearing | Grand Ballroom 2 | 3
Speech and Language Goals in Clinical Settings for Young Children who are Deaf/Hard of Hearing
Background: Despite advances in early identification and intervention, our understanding of functional communication skills in children who are deaf/hard of hearing (deaf/HH) is limited. The objective was to assess the types of goals set during therapy and their association with functional language skills.
Methods: Children with prelingual mild-profound bilateral hearing loss, ages 3-6 years participating in a study on cognition, language and functional communication were included in this exploratory study. Language goals from clinical settings were reviewed among these children receiving services. Goals were coded in the following categories: 1) Receptive semantic vocabulary based; 2) Expressive semantic vocabulary based; 3) Syntactic/Grammar/Increased mean length of utterance; 4) Pragmatic/Social Language; 5) Articulation/Speech Sound; 6) Aural Rehabilitation; and 7) Voice. Coding occurred with two speech language pathologists to ensure agreement of placement of goals into a speech/language category.
Results: Among 66 children who were deaf/HH enrolled in the study, 85% of children were receiving speech/language pathology services. Among 171 documented goals to date, 30% focused on receptive semantic goals, 12% on expressive semantic goals, 15% on syntactic/grammar, 3.5% on pragmatic/social, 18% on articulation, 16% on aural rehabilitation and 6% on voice. Only three children had documented pragmatic or social goals.
Conclusion: Despite a high rate of difficulties for children in functional and social communication, pragmatic/social goals are minimally represented in documentation of speech/language goals for children who are deaf/HH. When developing goals for young children who are deaf/HH, it is important to consider including social/pragmatic language development.
- Describe the language needs in young children who are deaf/hard of hearing
- 2) Recognize the importance of including pragmatic/social skills goals for children receiving speech/pathology services.
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Presenters/Authors
Susan Wiley
(Primary Presenter), Cincinnati Children's Hospital Medical Center, susan.wiley@cchmc.org;
Dr. Susan Wiley is a developmental pediatrician with extensive expertise in children who are deaf/hard of hearing. She has many years of experience serving children with multiple disabilities. Dr Wiley provides leadership and guidance to the National American Academy of Pediatrics, the Ohio Department of Health Early Hearing Detection and Intervention Program, the Ohio Center for Deaf-Blind Education, and the Outreach Center for Deafness and Blindness in the Ohio Center for Low Incidence.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Laura Smith
(Co-Presenter), Cincinnati Children's Hospital Medical Center, laura.smith1@cchmc.org;
Laura is a clinical research coordinator at the Cincinnati Children's Hospital Medical Center. She has been working with an MCHB funded research study evaluting the impact of cognition and language on functional outcomes in young children who are deaf/hard of hearing.
ASHA DISCLOSURE:
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Nonfinancial -
Jareen Meinzen-Derr
(Author), Cincinnati Children's Hospital Medical Center, jareen.meinzen-derr@cchmc.org;
Dr. Meinzen-Derr is quantitative epidemiologist at the Cincinnati Children's Hospital Medical Center. She has focused her research on outcomes of children who are deaf or hard of hearing, and specifically those who have additional developmental disabilities.
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Nonfinancial -
Sandra Grether
(Author), Cincinnati Children's Hospital Medical Center, sandra.grether@cchmc.org;
Dr. Grether is a Speech and Language Pathologist who works with children with developmental disabilities. Her expertise is in the field of augmentative and alternative communication.
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Nonfinancial -