Abstract

ᅟChildren who use cochlear implants (CI) and who are readers usually produce more accurate speech in response to text than to pictures. Equivalence-based instruction (EBI) can be a route to establish functional interdependence between these verbal operants. The present study investigated whether children with CI who read would improve speech accuracy when tacting pictures of scenes after EBI that included dictated sentences, pictures of scenes, and printed sentences. This study evaluated whether teaching verbal relations to diagonal sentences from a matrix with subject-verb-object combinations promoted recombinative generalization to untrained sentences. Participants were three children with CI with a more accurate speech when reading print than when tacting pictures of scenes. They were taught to select pictures of scenes in response to dictated sentences (AB) by matching-to-sample (MTS) and to construct printed sentences in response to dictated sentences (AE) by constructed-response-matching-to-sample (CRMTS). Speech production in response to print (CD) and in response to pictures of scenes (BD) were probed for both trained and untrained sentences, using a multiple baseline design across participants. All participants learned the trained relations, showed emergence of derived relations, and improved speech accuracy when tacting pictures of scenes. They were able to recombine sentence components and tact novel pictures using untrained sentences from the matrix. These results indicate that speech accuracy and generative sentence production can be improved in children with CI from interventions that incorporate EBI and matrix training.Trial registrationCAAE#01454412.0.0000.5441 registered 01/29/2013.

Highlights

  • Oral language skills are built when social environments jointly provide auditory experience and speech production, allowing children to acquire their first words to generate sentences (Fagan & Pisoni, 2010; Papalia & Olds, 2000)

  • The total number of sessions varied between participants, and the interval between the last pretest and last posttest was an average of 30 days, not including follow-up tests

  • The present study investigated whether children with cochlear implants (CI) who were readers improve their speech accuracy when tacting pictures of scenes (BD) after Equivalence-based instruction (EBI) that involved matching pictures of scenes to dictated sentences (AB) and constructing printed sentences after dictation (AE)

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Summary

Introduction

Oral language skills are built when social environments jointly provide auditory experience and speech production, allowing children to acquire their first words to generate sentences (Fagan & Pisoni, 2010; Papalia & Olds, 2000). 70-dB, interferes with the typical development of oral language and hinders learning both listening and speaking skills (Fagan & Pisoni, 2010; Houston, Stewart, Moberly, Hollich, & Miyamoto, 2012). Auditory speech-based approaches focus on auditory learning and oral language development, and residual hearing can be intensified with the use of electronic devices, such as hearing aids and cochlear implants (CIs) (Moog & Stein, 2008; Plant, 1997). The present study assessed rehabilitation in children who used CIs to improve hearing function and establish

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