'Part of our world'

Influences on caregiver decisions about communication choices for children with hearing loss

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Abstract

Caregivers of young children with hearing loss make decisions about which communication mode/s and spoken language/s their children and family will use. Influences on decision-making about communication were examined for 177 caregivers of Australian children with hearing loss through a questionnaire. The majority of the 157 children used speech as part or all of their communication system (n = 138, 87.9%), and approximately one-third of the children (n = 52, 33.1%) currently or had previously used sign as part or all of their communication system. Twenty-two (14.0%) children and 35 (19.8%) caregivers used a spoken language other than English. Four themes emerged from the qualitative analysis of caregiver responses about the most important influences on their decision-making. Theme one identified caregivers' sources of information, including advice from professionals, family, and friends, as well as caregivers' own research and preferences. Theme two related to practicalities of communication within the family and the community, as well as the need for one language or communication mode to be acquired before another was introduced. Theme three described the influence of children's individual characteristics on caregivers' decision-making, including children's ability to access speech through audition, communication skills, additional disabilities, and children' s own preferences about communication. Finally, in theme four caregivers expressed their hopes for their children's future lives, specifically fostering a sense of belonging, creating future opportunities and successes, and giving children the opportunity to choose their own method of communication. The findings can assist families and professionals to make informed decisions about children's communication.
Original languageEnglish
Pages (from-to)61-85
Number of pages25
JournalDeafness and Education International
Volume16
Issue number2
DOIs
Publication statusPublished - Jun 2014

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Hearing Loss
Caregivers
caregiver
Communication
communication
Decision Making
Language
spoken language
decision making
communication system
Hope
Aptitude
Foster Home Care
communication skills
source of information
Hearing
disability

Cite this

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title = "'Part of our world': Influences on caregiver decisions about communication choices for children with hearing loss",
abstract = "Caregivers of young children with hearing loss make decisions about which communication mode/s and spoken language/s their children and family will use. Influences on decision-making about communication were examined for 177 caregivers of Australian children with hearing loss through a questionnaire. The majority of the 157 children used speech as part or all of their communication system (n = 138, 87.9{\%}), and approximately one-third of the children (n = 52, 33.1{\%}) currently or had previously used sign as part or all of their communication system. Twenty-two (14.0{\%}) children and 35 (19.8{\%}) caregivers used a spoken language other than English. Four themes emerged from the qualitative analysis of caregiver responses about the most important influences on their decision-making. Theme one identified caregivers' sources of information, including advice from professionals, family, and friends, as well as caregivers' own research and preferences. Theme two related to practicalities of communication within the family and the community, as well as the need for one language or communication mode to be acquired before another was introduced. Theme three described the influence of children's individual characteristics on caregivers' decision-making, including children's ability to access speech through audition, communication skills, additional disabilities, and children' s own preferences about communication. Finally, in theme four caregivers expressed their hopes for their children's future lives, specifically fostering a sense of belonging, creating future opportunities and successes, and giving children the opportunity to choose their own method of communication. The findings can assist families and professionals to make informed decisions about children's communication.",
keywords = "Bilingual, Children, Communication mode, Early childhood, Education, Hearing, Hearing loss, Language, Multilingual, Speech, decision-making",
author = "Kathryn Crowe and Loraine Fordham and Sharynne McLeod and Ching, {Teresa Y.C.}",
note = "Includes bibliographical references.",
year = "2014",
month = "6",
doi = "10.1179/1557069X13Y.0000000026",
language = "English",
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pages = "61--85",
journal = "Deafness and Education International",
issn = "0266-4062",
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T1 - 'Part of our world'

T2 - Influences on caregiver decisions about communication choices for children with hearing loss

AU - Crowe, Kathryn

AU - Fordham, Loraine

AU - McLeod, Sharynne

AU - Ching, Teresa Y.C.

N1 - Includes bibliographical references.

PY - 2014/6

Y1 - 2014/6

N2 - Caregivers of young children with hearing loss make decisions about which communication mode/s and spoken language/s their children and family will use. Influences on decision-making about communication were examined for 177 caregivers of Australian children with hearing loss through a questionnaire. The majority of the 157 children used speech as part or all of their communication system (n = 138, 87.9%), and approximately one-third of the children (n = 52, 33.1%) currently or had previously used sign as part or all of their communication system. Twenty-two (14.0%) children and 35 (19.8%) caregivers used a spoken language other than English. Four themes emerged from the qualitative analysis of caregiver responses about the most important influences on their decision-making. Theme one identified caregivers' sources of information, including advice from professionals, family, and friends, as well as caregivers' own research and preferences. Theme two related to practicalities of communication within the family and the community, as well as the need for one language or communication mode to be acquired before another was introduced. Theme three described the influence of children's individual characteristics on caregivers' decision-making, including children's ability to access speech through audition, communication skills, additional disabilities, and children' s own preferences about communication. Finally, in theme four caregivers expressed their hopes for their children's future lives, specifically fostering a sense of belonging, creating future opportunities and successes, and giving children the opportunity to choose their own method of communication. The findings can assist families and professionals to make informed decisions about children's communication.

AB - Caregivers of young children with hearing loss make decisions about which communication mode/s and spoken language/s their children and family will use. Influences on decision-making about communication were examined for 177 caregivers of Australian children with hearing loss through a questionnaire. The majority of the 157 children used speech as part or all of their communication system (n = 138, 87.9%), and approximately one-third of the children (n = 52, 33.1%) currently or had previously used sign as part or all of their communication system. Twenty-two (14.0%) children and 35 (19.8%) caregivers used a spoken language other than English. Four themes emerged from the qualitative analysis of caregiver responses about the most important influences on their decision-making. Theme one identified caregivers' sources of information, including advice from professionals, family, and friends, as well as caregivers' own research and preferences. Theme two related to practicalities of communication within the family and the community, as well as the need for one language or communication mode to be acquired before another was introduced. Theme three described the influence of children's individual characteristics on caregivers' decision-making, including children's ability to access speech through audition, communication skills, additional disabilities, and children' s own preferences about communication. Finally, in theme four caregivers expressed their hopes for their children's future lives, specifically fostering a sense of belonging, creating future opportunities and successes, and giving children the opportunity to choose their own method of communication. The findings can assist families and professionals to make informed decisions about children's communication.

KW - Bilingual

KW - Children

KW - Communication mode

KW - Early childhood

KW - Education

KW - Hearing

KW - Hearing loss

KW - Language

KW - Multilingual

KW - Speech

KW - decision-making

U2 - 10.1179/1557069X13Y.0000000026

DO - 10.1179/1557069X13Y.0000000026

M3 - Article

VL - 16

SP - 61

EP - 85

JO - Deafness and Education International

JF - Deafness and Education International

SN - 0266-4062

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ER -