We investigated 34 deaf and hard-of-hearing children with hearing devices aged 8-12years and 30 typical hearing peers. We used the capability approach to assess well-being in both groups through interviews. Capability is "the real freedom people have to do and to be what they have reason to value." Speech perception, phonology, and receptive vocabulary data of the deaf and hard-of-hearing children, that were used retrospectively, showed a large variability. The analysis of the relation between clinical quantitative outcome measures and qualitative capability interview outcomes suggests that at this age, differences in clinical performance do not appear to translate into considerable differences in capability, including capability did offer insight into the factors that appeared to ensure this equivalence of capability. We argue that capability outcomes should be used to determine the focus of (auditory) rehabilitation and support, in line with the United Nations Convention on the Rights of the Child.

This study investigated if the language profiles of prelingually deaf children with bilateral cochlear implants (CIs) and children with typical hearing (TH) matched on their quantitative score on clinical spoken expressive language tasks differed in terms of sentence complexity, sentence length, and severity of grammatical errors. No significant differences were found between the groups in terms of (1) proportion of simple, conjoined, and complex sentences; (2) mean length of utterance based on words and syllables; and (3) proportion of local and global grammatical errors. The results indicate that the quantitative scores on the clinical spoken expressive language tasks are related to similar spoken language profiles in children with CIs and children with TH. These findings suggest that these tests can be used for meaningful comparisons of expressive spoken language skills. However, more studies are needed on the real-life expressive language skills of children with CIs, as clinical tests often rely on one specific modality (in this study: spoken language) and might therefore not accurately represent the language skills of the children.

This study explored the impact of a caregiver training intervention on caregivers' use of individually selected facilitative language techniques (FLTs) with their children (ranging from 14 to 27months of age) who were deaf or hard of hearing. In addition, the study sought to identify real-time relationships between caregiver input and child output. Finally, the Language ENvironment Analysis (LENA) system was used to assess generalization of intervention gains to the natural environment. Intervention was delivered via a telehealth approach to train four caregivers to utilize a targeted FLT with their child. Pre-baseline LENA recordings guided selection of treatment targets, and post-intervention LENA recordings were used to assess generalization to the natural environment. All caregivers demonstrated increases in use of their targeted FLT in structured intervention sessions and maintained them 2-6weeks after the conclusion of intervention. All children demonstrated an increase in their developmentally appropriate vocalizations in tandem with caregiver FLT increases. Results indicate that coaching can be used to increase caregiver responsiveness, changes which were found to carry over into the home environment.

This article describes the lexical and syntactic development of written narratives in 24 deaf and hard-of-hearing (DHH) students aged between 8 and 18 and takes into account how their varying linguistic backgrounds may predict their written performance. All participants use spoken Swedish, but the study also considers their proficiency in Swedish Sign language, which ranged from zero to fluent. Their narrative texts were analyzed in regard to syntax and lexicon, which demonstrated a strong developmental trend in which increased age predicted more complex texts. Age of acquisition did not predict any writing outcome, which is suggested to occur because all participants were exposed to language early, that is, within the critical time window for language acquisition. Sign language proficiency showed a tendency to predict adjective density and number of clauses, which encourages future research in this area, especially since this connection argues for the benefits of early access to a language and the positive relationship between sign language proficiency and writing.

This study investigated the associations between self-reported deaf or hard of hearing (D/HH) and informal and formal social participation among Americans aged 65 or older and how their family resources, health, and community social capital may partially account for these associations. Using cross-sectional data from the National Health and Aging Trends Study, multiple logistic regressions were conducted to test the research questions. Results revealed that older adults who were D/HH had significantly lower odds of attending recreational and clubs and organized activities. Family resources and health significantly explained the disparity for all types of social participation, whereas community social capital contributed more to the disparity in religious service attendance. Findings provide important intervention directions to reduce the disparity in late-life social participation as a result of experiencing D/HH.

Deaf professionals, whom we term Deaf Language Specialists (DLS), are frequently employed to work with children and young people who have difficulties learning sign language, but there are few accounts of this work in the literature. Through questionnaires and focus groups, 23 DLSs described their work in this area. Deductive thematic analysis was used to identify how this compared to the work of professionals (typically Speech and Language Therapists/Pathologists, SLPs) working with hearing children with difficulties learning spoken language. Inductive thematic analysis resulted in the identification of two additional themes: while many practices by DLSs are similar to those of SLPs working with hearing children, a lack of training, information, and resources hampers their work; additionally, the cultural context of language and deafness makes this a complex and demanding area of work. These findings add to the limited literature on providing language interventions in the signed modality with clinical implications for meeting the needs of deaf and hard-of-hearing children who do not achieve expectations of learning a first language in their early years. The use of these initial results in two further study phases to co-deliver interventions and co-produce training for DLSs is briefly described.

This study analyzes the mother-child interaction that takes place after co-viewing an educational video, comparing a group of 12 Spanish hearing mothers of deaf or hard of hearing (DHH) 7- to 9-year-olds and a group of 12 Spanish mothers of an age-matched cohort of children with typical hearing (TH). The results show that, in order to ascertain what the children have understood from the video, the mothers of the DHH children ask significantly more questions than the mothers of children with TH. Regarding the strategies that they use to prompt their children to explain the video, the mothers of the DHH children make reference most of all to shared experiences and focus their attention on contents of the video, whereas the mothers of children with TH tend to encourage their children to begin or continue the explanation of the video. The age of the hearing mothers was not found to have any effect on these results.

An empirical estimate of how many deaf and hard-of-hearing persons use sign language in the USA was obtained a half-century ago, but no study has measured how many people sign regardless of deafness. This study estimated the number of deaf, hard-of-hearing, and hearing adult signers. Concatenation of the 2010-2018 National Health Interview Surveys was required to provide sufficient sample size. Unadjusted and age-by-sex-adjusted sign language use prevalence across the range of hearing acuity was estimated. Adult sign language use was substantial (2.80%), with its rate of use greater for women than men and younger adults than older adults. As a group, deaf respondents had a far higher rate of sign language use than any other hearing acuity group. This study provides the first empirical estimate of adult sign language use generally, and the first update of any sign language use estimate in a half-century.

Deaf and hearing adults perceive faces differently. This study investigates whether these differences are acquired during childhood development. We characterized facial perception in deaf and hearing children aged 7-17 using a perceptual discrimination task. Configural and featural information was manipulated in the eye and mouth facial regions. Participants were asked whether two faces presented simultaneously were different. Deaf and hearing children performed better in featural than configural discriminations and in mouth than eye discriminations. Compared with children with typical hearing, deaf children performed better in featural and mouth judgments but had longer reaction times with strongest effects at 7-8 and 13-14years old. Type and location contributed jointly in deaf children's face perception with different configural but similar featural discriminations in mouth and eye locations. However, children with typical hearing showed different featural and configural judgments in both locations. Thus, featural and configural information effects on location processing differ between the two groups.