Measuring "Language Access Profiles" in Deaf and Hard-of-Hearing Children With the DHH Language Exposure Assessment Tool.

Purpose: The purposes of this study were (a) to introduce "language access profiles" as a viable alternative construct to "communication mode" for describing experience with language input during early childhood for deaf and hard-ofhearing (DHH) children; (b) to describe the development of a new too...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 64; no. 1; pp. 134 - 159
Autores principales: Hall, Matthew L., De Anda, Stephanie
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jan2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2021
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      pub: American Speech-Language-Hearing Association
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        10.1044/2020_JSLHR-20-00439
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        atl: Measuring "Language Access Profiles" in Deaf and Hard-of-Hearing Children With the DHH Language Exposure Assessment Tool.
      aug:
        au:
          Hall, Matthew L.
          De Anda, Stephanie
        affil:
          Department of Communication Sciences and Disorders, Temple University, Philadelphia, PA
          Communication Disorders and Sciences Program, University of Oregon, Eugene
      su:
        Deaf children
        Children's language
        Infants
        Hearing disorders in children
        Toddlers
      sug:
        subj:
          Deaf children
          Children's language
          Infants
          Hearing disorders in children
          Toddlers
      ab: Purpose: The purposes of this study were (a) to introduce "language access profiles" as a viable alternative construct to "communication mode" for describing experience with language input during early childhood for deaf and hard-ofhearing (DHH) children; (b) to describe the development of a new tool for measuring DHH children's language access profiles during infancy and toddlerhood; and (c) to evaluate the novelty, reliability, and validity of this tool. Method: We adapted an existing retrospective parent report measure of early language experience (the Language Exposure Assessment Tool) to make it suitable for use with DHH populations. We administered the adapted instrument (DHH Language Exposure Assessment Tool [D-LEAT]) to the caregivers of 105 DHH children aged 12 years and younger. To measure convergent validity, we also administered another novel instrument: the Language Access Profile Tool. To measure test--retest reliability, half of the participants were interviewed again after 1 month. We identified groups of children with similar language access profiles by using hierarchical cluster analysis. Results: The D-LEAT revealed DHH children's diverse experiences with access to language during infancy and toddlerhood. Cluster analysis groupings were markedly different from those derived from more traditional grouping rules (e.g., communication modes). Test--retest reliability was good, especially for the same-interviewer condition. Content, convergent, and face validity were strong. Conclusions: To optimize DHH children's developmental potential, stakeholders who work at the individual and population levels would benefit from replacing communication mode with language access profiles. The D-LEAT is the first tool that aims to measure this novel construct. Despite limitations that future work aims to address, the present results demonstrate that the D-LEAT represents progress over the status quo.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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