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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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Use of an Application to Verify Classroom Acoustic Recommendations for Children Who Are Hard of Hearing in a General Education Setting
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In: Am J Audiol (2019)
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Bilateral Cochlear Implants Using Two Electrode Lengths in Infants With Profound Deafness
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Auditory, Cognitive, and Linguistic Factors Predict Speech Recognition in Adverse Listening Conditions for Children With Hearing Loss
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Remote Microphone Systems for Preschool-Age Children who are Hard of Hearing: Access and Utilization
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Time-Gated Word Recognition in Children: Effects of Auditory Access, Age, and Semantic Context
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Auditory, Cognitive, and Linguistic Factors Predict Speech Recognition in Adverse Listening Conditions for Children With Hearing Loss
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In: Special Education and Communication Disorders Faculty Publications (2019)
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Abstract:
Objectives: Children with hearing loss listen and learn in environments with noise and reverberation, but perform more poorly in noise and reverberation than children with normal hearing. Even with amplification, individual differences in speech recognition are observed among children with hearing loss. Few studies have examined the factors that support speech understanding in noise and reverberation for this population. This study applied the theoretical framework of the Ease of Language Understanding (ELU) model to examine the influence of auditory, cognitive, and linguistic factors on speech recognition in noise and reverberation for children with hearing loss. Design: Fifty-six children with hearing loss and 50 age-matched children with normal hearing who were 7–10 years-old participated in this study. Aided sentence recognition was measured using an adaptive procedure to determine the signal-to-noise ratio for 50% correct (SNR50) recognition in steady-state speech-shaped noise. SNR50 was also measured with noise plus a simulation of 600ms reverberation time. Receptive vocabulary, auditory attention, and visuospatial working memory were measured. Aided speech audibility indexed by the Speech Intelligibility Index was measured through the hearing aids of children with hearing loss. Results: Children with hearing loss had poorer aided speech recognition in noise and reverberation than children with typical hearing. Children with higher receptive vocabulary and working memory skills had better speech recognition in noise and noise plus reverberation than peers with poorer skills in these domains. Children with hearing loss with higher aided audibility had better speech recognition in noise and reverberation than peers with poorer audibility. Better audibility was also associated with stronger language skills. Conclusions: Children with hearing loss are at considerable risk for poor speech understanding in noise and in conditions with noise and reverberation. Consistent with the predictions of the ELU model, children with stronger vocabulary and working memory abilities performed better than peers with poorer skills in these domains. Better aided speech audibility was associated with better recognition in noise and noise plus reverberation conditions for children with hearing loss. Speech audibility had direct effects on speech recognition in noise and reverberation and cumulative effects on speech recognition in noise through a positive association with language development over time.
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Keyword:
children; Education; hearing aids; hearing loss; noise; reverberation; Special Education and Teaching; speech recognition
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URL: https://digitalcommons.unl.edu/specedfacpub/211 https://digitalcommons.unl.edu/cgi/viewcontent.cgi?article=1213&context=specedfacpub
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Word learning in children with cochlear implants: Examining performance relative to hearing peers and relations with age at implantation
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Early Literacy Predictors and Second-Grade Outcomes in Children Who Are Hard of Hearing
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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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Longitudinal Speech Perception and Language Performance in Pediatric Cochlear Implant Users: the Effect of Age at Implantation
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