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Language and Reading Outcomes in Fourth-Grade Children With Mild Hearing Loss Compared to Age-Matched Hearing Peers
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In: Lang Speech Hear Serv Sch (2020)
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Audibility-Based Hearing Aid Fitting Criteria for Children With Mild Bilateral Hearing Loss
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In: Lang Speech Hear Serv Sch (2020)
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Abstract:
PURPOSE: Because of uncertainty about the level of hearing where hearing aids should be provided to children, the goal of the current study was to develop audibility-based hearing aid candidacy criteria based on the relationship between unaided hearing and language outcomes in a group of children with hearing loss who did not wear hearing aids. METHOD: Unaided hearing and language outcomes were examined for 52 children with mild-to-severe hearing losses. A group of 52 children with typical hearing matched for age, nonverbal intelligence, and socioeconomic status was included as a comparison group representing the range of optimal language outcomes. Two audibility-based criteria were considered: (a) the level of unaided hearing where unaided children with hearing loss fell below the median for children with typical hearing and (b) the level of unaided hearing where the slope of language outcomes changed significantly based on an iterative, piecewise regression modeling approach. RESULTS: The level of unaided audibility for children with hearing loss that was associated with differences in language development from children with typical hearing or based on the modeling approach varied across outcomes and criteria but converged at an unaided speech intelligibility index of 80. CONCLUSIONS: Children with hearing loss who have unaided speech intelligibility index values less than 80 may be at risk for delays in language development without hearing aids. The unaided speech intelligibility index potentially could be used as a clinical criterion for hearing aid fitting candidacy for children with hearing loss.
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Keyword:
Forum: Evidence-Based Practices and Outcomes for Children With Mild and Unilateral Hearing Loss
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URL: http://www.ncbi.nlm.nih.gov/pubmed/31913801 https://doi.org/10.1044/2019_LSHSS-OCHL-19-0021 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251589/
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Time-Gated Word Recognition in Children: Effects of Auditory Access, Age, and Semantic Context
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Developmental stuttering in children who are hard of hearing (Arenas et al., 2017) ...
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Developmental stuttering in children who are hard of hearing (Arenas et al., 2017) ...
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Quantity and Quality of Caregivers’ Linguistic Input to 18-month and 3-year-old Children who are Hard of Hearing
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The Influence of Hearing Aids on the Speech and Language Development of Children With Hearing Loss
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The Effects of Musical and Linguistic Components in Recognition of Real-World Musical Excerpts by Cochlear Implant Recipients and Normal-Hearing Adults
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