Otitis media, fluctuant hearing loss, and speech-language outcomes: a preliminary structural equation model.
The goals of this study were to estimate the risk for lowered speech-language outcomes associated with early recurrent otitis media with effusion (OME) with and without hearing loss and to develop a preliminary descriptive-explanatory model for the findings. Three statistical approaches were used to...
| Published in: | Journal of Speech, Language & Hearing Research Vol. 43; no. 1; pp. 100 - 121 |
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| Main Authors: | , , |
| Format: | Article |
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American Speech-Language-Hearing Association
February 2000
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=507689221&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 507689221 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: February 2000 vid: 43 iid: 1 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 507689221 ppf: 100 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.8MB tig: atl: Otitis media, fluctuant hearing loss, and speech-language outcomes: a preliminary structural equation model. aug: au: Shriberg, Lawrence D. Friel-Patti, Sandy Flipsen, Peter su: Otitis media Deafness Speech disorders Structural equation modeling sug: subj: Otitis media Deafness Speech disorders Structural equation modeling ab: The goals of this study were to estimate the risk for lowered speech-language outcomes associated with early recurrent otitis media with effusion (OME) with and without hearing loss and to develop a preliminary descriptive-explanatory model for the findings. Three statistical approaches were used to assess associations among OME, hearing loss, and speech-language outcomes. Participants were a subsample of 70 children followed prospectively in the Dallas Cooperative Project on Early Hearing and Language Development (Friel-Patti & Finitzo, 1990). Findings indicated that hearing levels at 12-18 months were significantly associated with speech delay and low language outcomes at 3 years of age. The risk for subclinical or clinical speech delay at 3 years of age was 2% for children with less than 20 dB average hearing levels at 12-18 months and 33% for children with greater than 20 dB average hearing levels at 12-18 months. A structural equation model (Jöreskog & Sörbom, 1993) indicated that the significant and substantial effects of hearing levels at 12-18 months on speech status at 3 years were significantly mediated by language status at 3 years. Discussion includes implications of these findings for alternative speech perception models linking early OME and hearing loss to later speech-language disorder. Reprinted by permission of the publisher. Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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