Bridging the Communication Gap: Pragmatics and Interactional Dynamics in Deaf and Hard of Hearing Children.
Purpose: Children who are deaf and hard of hearing (DHH) often face challenges in everyday social communication, even when they achieve good auditory recovery through hearing technologies. These difficulties, particularly in pragmatic and interactional domains, can affect peer relationships, educati...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 69; no. 3; pp. 1166 - 1204 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Speech-Language-Hearing Association
Mar2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192310472&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192310472 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Mar2026 vid: 69 iid: 3 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 192310472 10.1044/2025_JSLHR-25-00325 ppf: 1166 ppct: 38 formats: fmt: @attributes: type: P size: 8.9MB tig: atl: Bridging the Communication Gap: Pragmatics and Interactional Dynamics in Deaf and Hard of Hearing Children. aug: au: Mazzocconi, Chiara Hidalgo, Céline Hallart, Charlie Roman, Stéphane Bertrand, Roxane Lancia, Leonardo Schön, Daniele affil: Inserm, INS, Institute Neurosciences Systèmes, Aix-Marseille University, France Institute of Language, Communication and the Brain, Aix-Marseille University, France CNRS, Laboratoire Parole et Langage, Aix-Marseille University, France Ecole d'Orthophonie, Aix-Marseille University, France APHM, Hôpital de la Timone, Service ORL Pédiatrique, Marseille, France su: France Conversation Task performance Speech Assistive technology Sound recordings Interpersonal relations Hearing Health facilities Phonetics Affect (Psychology) Laughter Child behavior Children Treatment of deafness Cochlear implants Statistical models Computer software Research funding Hearing aids Fisher exact test Physiological aspects of speech Statistics Video recording sug: subj: Conversation Task performance Speech Assistive technology Sound recordings Interpersonal relations Hearing Health facilities Phonetics Affect (Psychology) Laughter Child behavior Children France Computer and Computer Peripheral Equipment and Software Merchant Wholesalers Computer, computer peripheral and pre-packaged software merchant wholesalers Computer and software stores Software publishers (except video game publishers) All Other Outpatient Care Centers Electromedical and Electrotherapeutic Apparatus Manufacturing All Other Health and Personal Care Stores Professional machinery, equipment and supplies merchant wholesalers Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers Sound recording merchant wholesalers Integrated Record Production/Distribution Record Production Treatment of deafness Cochlear implants Statistical models Computer software Research funding Hearing aids Fisher exact test Physiological aspects of speech Statistics Video recording ab: Purpose: Children who are deaf and hard of hearing (DHH) often face challenges in everyday social communication, even when they achieve good auditory recovery through hearing technologies. These difficulties, particularly in pragmatic and interactional domains, can affect peer relationships, educational outcomes, and quality of life. This study aims to characterize interactional and discourse-level challenges in DHH children with functional auditory access to inform targeted interventions. Method: We analyzed dyadic child-adult interactions involving nine DHH and 13 typically hearing (TH) children (ages 6-11 years), all using oral language. The DHH group included users of bilateral cochlear implants (CIs), bimodal devices (CI + hearing aid), and bilateral hearing aids. Each child interacted with an adult in a referential (treasure-hunting) task, alternated with child-led subtasks (e.g., storytelling). We adopted a multilevel analysis approach ranging from acoustics to pragmatics: acoustic features, turn-taking, laughter and their convergence, and dialogue acts. Results: Turn-taking and acoustic alignment (fundamental frequency, intensity, syllable rate) were similar across groups. However, dyads involving DHH children are less likely to complete the task, and DHH children produce significantly shorter turns and less speech laughter. They also showed significantly lower contingent responding to adult laughter and dialogue acts. Conversations with DHH children were more asymmetrical, with the adult speaking more, producing significantly longer turns, less laughter, and less laughter mimicry than when interacting with TH children. Conclusions: We provide a detailed, multilevel characterization of DHH conversational dynamics while interacting with a TH adult--whose behavior at times reduces interactional opportunities for the child. These findings highlight the dynamic nature of conversation and the importance of interventions that foster contingency, engagement, and mutual responsiveness to support DHH children's communicative development. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|