0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Original Investigation |

The Influence of Hearing Aids on the Speech and Language Development of Children With Hearing Loss

J. Bruce Tomblin, PhD1; Jacob J. Oleson, PhD2; Sophie E. Ambrose, PhD3; Elizabeth Walker, PhD1; Mary Pat Moeller, PhD3
[+] Author Affiliations
1Department of Communication Sciences and Disorders, The University of Iowa, Iowa City
2Department of Biostatistics, The University of Iowa, Iowa City
3Center for Childhood Deafness, Boys Town National Research Hospital, Omaha, Nebraska
JAMA Otolaryngol Head Neck Surg. 2014;140(5):403-409. doi:10.1001/jamaoto.2014.267.
Text Size: A A A
Published online

Importance  Hearing loss (HL) in children can be deleterious to their speech and language development. The standard of practice has been early provision of hearing aids (HAs) to moderate these effects; however, there have been few empirical studies evaluating the effectiveness of this practice on speech and language development among children with mild-to-severe HL.

Objective  To investigate the contributions of aided hearing and duration of HA use to speech and language outcomes in children with mild-to-severe HL.

Design, Setting, and Participants  An observational cross-sectional design was used to examine the association of aided hearing levels and length of HA use with levels of speech and language outcomes. One hundred eighty 3- and 5-year-old children with HL were recruited through records of Universal Newborn Hearing Screening and referrals from clinical service providers in the general community in 6 US states.

Interventions  All but 4 children had been fitted with HAs, and measures of aided hearing and the duration of HA use were obtained.

Main Outcomes and Measures  Standardized measures of speech and language ability were obtained.

Results  Measures of the gain in hearing ability for speech provided by the HA were significantly correlated with levels of speech (ρ179 = 0.20; P = .008) and language: ρ155 = 0.21; P = .01) ability. These correlations were indicative of modest levels of association between aided hearing and speech and language outcomes. These benefits were found for children with mild and moderate-to-severe HL. In addition, the amount of benefit from aided hearing interacted with the duration of HA experience (Speech: F4,161 = 4.98; P < .001; Language: F4,138 = 2.91; P < .02). Longer duration of HA experience was most beneficial for children who had the best aided hearing.

Conclusions and Relevance  The degree of improved hearing provided by HAs was associated with better speech and language development in children. In addition, the duration of HA experience interacted with the aided hearing to influence outcomes. These results provide support for the provision of well-fitted HAs to children with HL. In particular, the findings support early HA fitting and HA provision to children with mild HL.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Place holder to copy figure label and caption
Figure 1.
Participants’ Speech Intelligibility Index (SII) as a Function of Unaided, Better-Ear 4-Frequency Pure-Tone Average (PTA)

Unaided SII (filled circles) and aided SII (open circles) for all research participants as a function of their unaided better-ear 4-frequency PTA. HL indicates hearing loss.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
The Relationship Between Residualized Speech Intelligibility Index (rSII) and Speech and Language Achievement

A, The linear relationship between rSII and speech sound production ability (Goldman-Fristoe Test of Articulation 2 [GFTA-2]). B, Language ability for children with mild or moderate-to-severe hearing loss (HL). The rSII is a measure of the aided SII with unaided SII partialled out. Solid lines indicate mild HL; dashed lines indicate moderate-to-severe HL.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();