Speech, sign, or multilingualism for children with hearing loss

Quantitative insights into caregivers' decision-making

Kathryn Crowe, Sharynne McLeod, David McKinnon, Teresa Y.C. Ching

Research output: Contribution to journalArticle

12 Citations (Scopus)
5 Downloads (Pure)

Abstract

Purpose: To investigate the influence of a comprehensive range of factors on the decision-making of caregivers of children with hearing loss regarding the use of speech, the use of sign, spoken language multilingualism, and spoken language choice. This is a companion paper to the qualitative investigation described in Crowe, Fordham, McLeod and Ching (in press).
Method: Through a questionnaire, 177 caregivers of 157 Australian children with hearing loss (ages 3;5 to 9;4, mean age 6;6) rated the importance of a range of potential influences on their decision-making about their children's communication. The majority of children were reported to use speech (96.6%) as part or all of their communication system, with less reported to use sign (20.9%). Few children used more than one spoken language (8.3%).
Results: Proportional analyses and exploratory factor analyses were conducted. Overall, caregivers' decisions were influenced by their children's future lives, audiological and intervention characteristics, communication with those around them, community participation, access to intervention and education services in English, and concerns about their children's future lives. Advice of speech-language pathologists, audiologists, and specialist teachers was more important to caregivers than advice from medical practitioners and non-professionals.
Conclusion: Caregivers' decision-making about communication mode and language use is influenced by factors that are not equally weighted, and relate to child, family, community, and advice from others. Knowledge of these factors can assist professionals in supporting caregivers making choices regarding communication.
Original languageEnglish
Pages (from-to)234-247
Number of pages14
JournalLanguage, Speech, and Hearing Services in Schools
Volume45
Issue number3
DOIs
Publication statusPublished - Jul 2014

Fingerprint

Multilingualism
multilingualism
Hearing Loss
Caregivers
caregiver
Decision Making
decision making
Communication
Language
spoken language
communication
Sign Language
Hearing Impairment
language
communication system
Statistical Factor Analysis
community
Education

Cite this

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title = "Speech, sign, or multilingualism for children with hearing loss: Quantitative insights into caregivers' decision-making",
abstract = "Purpose: To investigate the influence of a comprehensive range of factors on the decision-making of caregivers of children with hearing loss regarding the use of speech, the use of sign, spoken language multilingualism, and spoken language choice. This is a companion paper to the qualitative investigation described in Crowe, Fordham, McLeod and Ching (in press). Method: Through a questionnaire, 177 caregivers of 157 Australian children with hearing loss (ages 3;5 to 9;4, mean age 6;6) rated the importance of a range of potential influences on their decision-making about their children's communication. The majority of children were reported to use speech (96.6{\%}) as part or all of their communication system, with less reported to use sign (20.9{\%}). Few children used more than one spoken language (8.3{\%}). Results: Proportional analyses and exploratory factor analyses were conducted. Overall, caregivers' decisions were influenced by their children's future lives, audiological and intervention characteristics, communication with those around them, community participation, access to intervention and education services in English, and concerns about their children's future lives. Advice of speech-language pathologists, audiologists, and specialist teachers was more important to caregivers than advice from medical practitioners and non-professionals. Conclusion: Caregivers' decision-making about communication mode and language use is influenced by factors that are not equally weighted, and relate to child, family, community, and advice from others. Knowledge of these factors can assist professionals in supporting caregivers making choices regarding communication.",
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author = "Kathryn Crowe and Sharynne McLeod and David McKinnon and Ching, {Teresa Y.C.}",
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language = "English",
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Speech, sign, or multilingualism for children with hearing loss : Quantitative insights into caregivers' decision-making. / Crowe, Kathryn; McLeod, Sharynne; McKinnon, David; Ching, Teresa Y.C.

In: Language, Speech, and Hearing Services in Schools, Vol. 45, No. 3, 07.2014, p. 234-247.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Speech, sign, or multilingualism for children with hearing loss

T2 - Quantitative insights into caregivers' decision-making

AU - Crowe, Kathryn

AU - McLeod, Sharynne

AU - McKinnon, David

AU - Ching, Teresa Y.C.

N1 - Includes bibliographical references.

PY - 2014/7

Y1 - 2014/7

N2 - Purpose: To investigate the influence of a comprehensive range of factors on the decision-making of caregivers of children with hearing loss regarding the use of speech, the use of sign, spoken language multilingualism, and spoken language choice. This is a companion paper to the qualitative investigation described in Crowe, Fordham, McLeod and Ching (in press). Method: Through a questionnaire, 177 caregivers of 157 Australian children with hearing loss (ages 3;5 to 9;4, mean age 6;6) rated the importance of a range of potential influences on their decision-making about their children's communication. The majority of children were reported to use speech (96.6%) as part or all of their communication system, with less reported to use sign (20.9%). Few children used more than one spoken language (8.3%). Results: Proportional analyses and exploratory factor analyses were conducted. Overall, caregivers' decisions were influenced by their children's future lives, audiological and intervention characteristics, communication with those around them, community participation, access to intervention and education services in English, and concerns about their children's future lives. Advice of speech-language pathologists, audiologists, and specialist teachers was more important to caregivers than advice from medical practitioners and non-professionals. Conclusion: Caregivers' decision-making about communication mode and language use is influenced by factors that are not equally weighted, and relate to child, family, community, and advice from others. Knowledge of these factors can assist professionals in supporting caregivers making choices regarding communication.

AB - Purpose: To investigate the influence of a comprehensive range of factors on the decision-making of caregivers of children with hearing loss regarding the use of speech, the use of sign, spoken language multilingualism, and spoken language choice. This is a companion paper to the qualitative investigation described in Crowe, Fordham, McLeod and Ching (in press). Method: Through a questionnaire, 177 caregivers of 157 Australian children with hearing loss (ages 3;5 to 9;4, mean age 6;6) rated the importance of a range of potential influences on their decision-making about their children's communication. The majority of children were reported to use speech (96.6%) as part or all of their communication system, with less reported to use sign (20.9%). Few children used more than one spoken language (8.3%). Results: Proportional analyses and exploratory factor analyses were conducted. Overall, caregivers' decisions were influenced by their children's future lives, audiological and intervention characteristics, communication with those around them, community participation, access to intervention and education services in English, and concerns about their children's future lives. Advice of speech-language pathologists, audiologists, and specialist teachers was more important to caregivers than advice from medical practitioners and non-professionals. Conclusion: Caregivers' decision-making about communication mode and language use is influenced by factors that are not equally weighted, and relate to child, family, community, and advice from others. Knowledge of these factors can assist professionals in supporting caregivers making choices regarding communication.

KW - Bilingual

KW - Children

KW - Communication

KW - Deaf

KW - Decision-making

KW - Early childhood

KW - Education

KW - Hearing

KW - Hearing loss

KW - Language

KW - Multilingual

KW - Speech

U2 - 10.1044/2014_LSHSS-12-0106

DO - 10.1044/2014_LSHSS-12-0106

M3 - Article

VL - 45

SP - 234

EP - 247

JO - Language, Speech and Hearing Services in Schools

JF - Language, Speech and Hearing Services in Schools

SN - 0161-1461

IS - 3

ER -