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Sign Language and Spoken Language for Children With Hearing Loss: A Systematic Review
Abstract
Context Permanent hearing loss affects 1 to 3 per 1000 children and interferes with typical communication development. Early detection through newborn hearing screening and hearing technology provide most children with the option of spoken language acquisition. However, no consensus exists on optimal interventions for spoken language development. Objective To conduct a systematic review of the effectiveness of early sign and oral language intervention compared with oral language intervention only for children with permanent hearing loss. Data sources An a priori protocol was developed. Electronic databases (eg, Medline, Embase, CINAHL) from 1995 to June 2013 and gray literature sources were searched. Studies in English and French were included. Study selection Two reviewers screened potentially relevant articles. Data extraction Outcomes of interest were measures of auditory, vocabulary, language, and speech production skills. All data collection and risk of bias assessments were completed and then verified by a second person. Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) was used to judge the strength of evidence. Results Eleven cohort studies met inclusion criteria, of which 8 included only children with severe to profound hearing loss with cochlear implants. Language development was the most frequently reported outcome. Other reported outcomes included speech and speech perception. Limitations Several measures and metrics were reported across st…
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There is no evidence that bilingual-bimodalism is detrimental to the child's development.
“There is no evidence, however, that bilingual-bimodalism is detrimental to the child's development [75]”
From Support for parents of deaf children: Common questions and informed, evidence-based answers (2019) · cites this paper as [75]
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An Evidence Based Checklist for the Peer Review of Electronic Search Strategies (PRESS EBC)
McGowan, J., Sampson, M., & Lefebvre, C. (2010) · Evidence Based Library and Information Practice · doi:10.18438/b8sg8r · Cited by 200
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Cited by
Sorted by citations
Support for parents of deaf children: Common questions and informed, evidence-based answers
Humphries, T., Kushalnagar, P., Mathur, G., Napoli, D. J., Rathmann, C., & Smith, S. (2019) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2018.12.036 · Cited by 113
Metadata
- Authors
- Fitzpatrick, E. M., Hamel, C., Stevens, A., Pratt, M., Moher, D., Doucet, S. P., Neuss, D., Bernstein, A., & Na, E.
- Affiliations
- Children's Hospital of Eastern Ontario (CA)
- Ottawa Hospital Research Institute (CA)
- University of Ottawa (CA)
- Consultant, Moncton, New Brunswick;
- Voice for Hearing-Impaired Children, Toronto, Ontario, Canada
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2016-01-01
- Volume
- 137
- Issue
- 1
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2199669622
- Cited by
- 123
- References
- 3
- Citations by year
- 2026: 5 · 2025: 23 · 2024: 21 · 2023: 8 · 2022: 14 · 2021: 10 · 2020: 12 · 2019: 15 · 2018: 9 · 2017: 6
- FWCI
- 1.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (124600_1)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Hearing Impairment and Communication
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Keywords
- sign language, spoken language, hearing-impaired children, early intervention, cochlear implants, language development, speech production, speech perception, vocabulary, severe to profound hearing loss
- MeSH terms
- Adolescent, Child, Child, Preschool, Deafness, Hearing Tests, Humans, Language, Language Development, Language Therapy, Sign Language
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