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Vocabulary Facilitates Speech Perception in Children With Hearing Aids
Journal article   Open access   Peer reviewed

Vocabulary Facilitates Speech Perception in Children With Hearing Aids

Kelsey E Klein, Elizabeth A Walker, Benjamin Kirby and Ryan W McCreery
Journal of speech, language, and hearing research, Vol.60(8), pp.2281-2296
08/16/2017
DOI: 10.1044/2017_JSLHR-H-16-0086
PMCID: PMC5829804
PMID: 28738138
url
https://doi.org/10.1044/2017_JSLHR-H-16-0086View
Published (Version of record) Open Access

Abstract

We examined the effects of vocabulary, lexical characteristics (age of acquisition and phonotactic probability), and auditory access (aided audibility and daily hearing aid [HA] use) on speech perception skills in children with HAs. Participants included 24 children with HAs and 25 children with normal hearing (NH), ages 5-12 years. Groups were matched on age, expressive and receptive vocabulary, articulation, and nonverbal working memory. Participants repeated monosyllabic words and nonwords in noise. Stimuli varied on age of acquisition, lexical frequency, and phonotactic probability. Performance in each condition was measured by the signal-to-noise ratio at which the child could accurately repeat 50% of the stimuli. Children from both groups with larger vocabularies showed better performance than children with smaller vocabularies on nonwords and late-acquired words but not early-acquired words. Overall, children with HAs showed poorer performance than children with NH. Auditory access was not associated with speech perception for the children with HAs. Children with HAs show deficits in sensitivity to phonological structure but appear to take advantage of vocabulary skills to support speech perception in the same way as children with NH. Further investigation is needed to understand the causes of the gap that exists between the overall speech perception abilities of children with HAs and children with NH.
Audiometry Child Child, Preschool Comprehension Female Hearing Aids Hearing Loss - psychology Hearing Loss - rehabilitation Humans Male Neuropsychological Tests Noise Pattern Recognition, Physiological Speech Perception Vocabulary

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