Predicting speech-sound disorder outcomes in school-age children with hearing loss : The VicCHILD experience

Journal article

St John, Miya, Columbus, Georgie, Brignell, Amanda, Carew, Peter, Skeat, Jemma, Reilly, Sheena and Morgan, Angela T.. (2020). Predicting speech-sound disorder outcomes in school-age children with hearing loss : The VicCHILD experience. International Journal of Language and Communication Disorders. 55(4), pp. 537-546. https://doi.org/10.1111/1460-6984.12536
AuthorsSt John, Miya, Columbus, Georgie, Brignell, Amanda, Carew, Peter, Skeat, Jemma, Reilly, Sheena and Morgan, Angela T.
Abstract

Background
Congenital hearing loss is the most common birth anomaly, typically influencing speech and language development, with potential for later academic, social and employment impacts. Yet, surprisingly, the nuances of how speech is affected have not been well examined with regards to the subtypes of speech-sound disorder (SSD). Nor have the predictors of speech outcome been investigated within a sizeable population cohort.

Aims
(1) To describe the subtypes and prevalence of SSD in children with hearing loss. (2) To determine which characteristics of hearing loss predict the presence of SSD.

Methods & Procedures
A total of 90 children (5–12 years of age) with permanent hearing loss were recruited from an Australian population cohort. Children completed a standardized speech assessment to determine the presence and subtype of SSD. Logistic regression was used to determine the predictors of speech outcome. Demographic, developmental and hearing-related predictors were examined.

Outcomes & Results
The prevalence of speech disorder overall was 58%, with the most common subtype being phonological delay in 49% of the sample. Factors most predictive of speech disorder were being male, younger and a bimodal user (i.e., using both a hearing aid and a cochlear implant).

Conclusions & Implications
This is the first study, in a sizeable cohort, to describe the prevalence and predictive factors for SSD associated with hearing loss. Clinically, it could be beneficial to implement earlier targeted phonological interventions for children with hearing loss.

Keywordsspeech; speech-sound disorder; hearing loss
Year2020
JournalInternational Journal of Language and Communication Disorders
Journal citation55 (4), pp. 537-546
PublisherJohn Wiley & Sons Australia, Ltd
ISSN1368-2822
Digital Object Identifier (DOI)https://doi.org/10.1111/1460-6984.12536
Scopus EID2-s2.0-85085125992
Research or scholarlyResearch
Page range537-546
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online06 May 2020
Publication process dates
Accepted14 Mar 2020
Deposited12 Jul 2021
Grant IDNHMRC/607315
NHMRC/1105008
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