Development of Social-Pragmatic Understanding in Children With Congenital Hearing Loss and Typical Hearing Between the Ages of 4 and 6 Years.

Purpose: This prospective longitudinal study aimed to explore (a) the develop- ment of social-pragmatic understanding of children with bilateral hearing aids (BiHAs), bilateral cochlear implants (BiCIs), and typical hearing (TH) between the ages of 4 and 6 years and (b) group differences between chi...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 66; no. 7; pp. 2503 - 2521
Autores principales: Tuohimaa, Krista, Loukusa, Soile, Löppönen, Heikki, Välimaa, Taina, Kunnari, Sari
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jul2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2023
      vid: 66
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-22-00700
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        atl: Development of Social-Pragmatic Understanding in Children With Congenital Hearing Loss and Typical Hearing Between the Ages of 4 and 6 Years.
      aug:
        au:
          Tuohimaa, Krista
          Loukusa, Soile
          Löppönen, Heikki
          Välimaa, Taina
          Kunnari, Sari
        affil:
          Research Unit of Logopedics, University of Oulu, Finland.
          Child Language Research Center, University of Oulu, Finland.
          Department of Otorhinolaryngology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio.
          Department of Otorhinolaryngology—Head and Neck Surgery, Kuopio University Hospital, Finland.
      su:
        Communication
        Social skills
        Emotions
        Children
        Thought & thinking
        Kruskal-Wallis Test
        Hearing aids
        Mann Whitney U Test
        Hearing disorders
        Visual perception
        Descriptive statistics
        Research funding
        Longitudinal method
      sug:
        subj:
          Communication
          Social skills
          Emotions
          Children
          All Other Health and Personal Care Stores
          Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
          Electromedical and Electrotherapeutic Apparatus Manufacturing
          Professional machinery, equipment and supplies merchant wholesalers
          Thought & thinking
          Kruskal-Wallis Test
          Hearing aids
          Mann Whitney U Test
          Hearing disorders
          Visual perception
          Descriptive statistics
          Research funding
          Longitudinal method
      ab: Purpose: This prospective longitudinal study aimed to explore (a) the develop- ment of social-pragmatic understanding of children with bilateral hearing aids (BiHAs), bilateral cochlear implants (BiCIs), and typical hearing (TH) between the ages of 4 and 6 years and (b) group differences between children with BiHAs, BiCIs, and TH. Method: The Pragma test was used for a comprehensive assessment of social- pragmatic understanding of a total of 86 children: 19 children with BiHAs, 22 children with BiCIs, and 45 children with TH. The Pragma test requires answer- ing socially and contextually demanding questions and explaining the right answers. The explanation tasks are targeted at studying the participant’s own awareness of the inferencing process. The children in this study were assessed yearly at the ages of 4, 5, and 6 years. Results: The participants with BiHAs, BiCIs, and TH showed significant devel- opment in their social-pragmatic understanding between the ages of 4 and 6 years, but most children with hearing loss (HL) still did not meet age expecta- tions at the age of 6 years. Children with BiHAs and BiCIs both showed large- scale inferential difficulties, including utilizing theory of mind, utilizing verbal and visual information, and understanding conversational norms and emotions in context. Conclusions: Children with BiHAs and BiCIs are at risk of delays in social- pragmatic understanding despite early detection of HL, early amplification, and cochlear implantation. Therefore, the social-pragmatic abilities of children with HL should be assessed regularly, and the children with HL should have early access to social-pragmatic interventions where utilizing contextual information is practiced comprehensively.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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