Structured assessment of nonverbal communication skills in ...
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Structured assessment of nonverbal communication skills in children with
hearing loss Tina M. Grieco-Calub, Erin Ingvalson,
Nancy Young, Patrick Wong
@ Northwestern University
Our research question
What tools are children using to learn their spoken native language following activation?
What is joint attention?
The capacity to engage in coordinated social interaction by:
* sharing attention * following the attention of others * directing the attention of others
Emerges in the first 6 months of life à aspects of joint attention predict language abilities in young childhood (Mundy & Gomes, 1998; Tomasello & Todd, 1983)
Children with hearing loss
Spontaneous free play, mother-child dyads Hearing mothers of deaf infants are less successful at establishing joint attention than hearing mothers of hearing infants Hearing mothers of deaf infants are less responsive to their infants’ bids for joint attention than hearing mothers of hearing infants (Spencer, 1992) BUT.. Deaf infants of hearing mothers and hearing infants of hearing mothers did not differ in their ability to initiate joint attention (Spencer, 1992; Nowakowski, Tasker & Schmidt, 2009; Gale & Schick, 2009: Cejas, Barker, Quittner, & Niparko, 2014)
Experimental Design
Participants: Children with bilateral, severe-to-profound sensorineural hearing loss
12 mos, N=3 18 mos, N=4
Lurie Cochlear Implant Program Time of evaluation: Post-surgery, pre-activation
Mundy et al., 2003
EARLY SOCIAL COMMUNICATION SCALES
(ESCS)
0
50
100
12 mo 18 mo 0
50
100
12 mo 18 mo
Follows gaze/pointing Responds to requests
0 10 20 30 40 50
12 mo 18 mo
Uses gaze/gestures for JA
0 10 20 30 40 50
12 mo 18 mo
Tota
l # o
f ob
serv
atio
ns
Perc
ent c
orre
ct
Mundy et al., 2007
NH
HL
Results Uses gaze/gestures for requests
Summary
Thanks to.. Families Lurie Cochlear Implant Program Priyanka Thakrar, Mary Scheibel, Hillary Snyder, Katherine Castillo Valentin, Kelli Freeman Funding R01-DC008333 (PCW) Knowles Hearing Center of NU, School of Communication (TGC, PCW, NMY) Department of Surgery, Ann & Robert H Lurie Children's Hospital of Chicago (NMY)
1. Structured assessment of nonverbal communication is feasible in young children with hearing loss.
2. 12-month old children use more eye gaze to direct attention of others.
3. 12-months old children are less responsive to behavioral requests.