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Caregiver-Report Questionnaires Measuring Speech Audibility in Young Deaf and Hard of Hearing Children: A Scoping Review
Manion, Hannah
Manion, Hannah
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2025-08
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Communication Sciences
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https://doi.org/10.34944/qswv-y737
Abstract
Language access profiles capture the cumulative distribution of a deaf and hard of hearing (DHH) child’s language history across the various types of input they may receive (Hall & De Anda, 2021). The present study focuses on the construct of “limited access,” which refers to the lack of access to any communicative input. Speech audibility varies over time even within a single child for a variety of reasons, such as changes in baseline hearing function, type and use of technology, and listening environments (Hall, M.L., 2020; Houston, 2022). Valid and reliable measures are needed to quantify cumulative speech audibility during infancy and toddlerhood to better understand the relationship between early language access and later language outcomes.
Although objective measures of speech audibility exist, they do not meet the clinical needs of speech-language pathologists, who gather DHH children’s early language histories via conversation with caregivers (American Speech-Language Hearing Association [ASHA] n.d.-c). In addition, they fail to meet the needs of researchers because they provide point estimates (rather than cumulative histories) and may only be defined for subsets of the population. These limitations highlight the need for subjective measures of cumulative speech audibility. Therefore, a scoping review was conducted with the aim to improve estimates of limited access by determining whether any existing caregiver-report measures of speech audibility may be adapted for the purpose of measuring limited access or whether there is justification for the development of a new instrument.
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