Caregiver Decision-Making Factors

Improved Essays
The purpose of this study was to explore the influence of decision-making factors of caregivers of children with hearing loss regarding the use of speech, the use of sign, spoken language multilingualism, and spoken language choice. Often, caregivers are making these important decisions while often not knowing the effects it will have on them and their child. According to the article, the previous studies “(a) allowed for a comprehensive set of potential factors to be examined, (b) allowed for the importance of factors to be compared, or (c) considered a large, heterogeneous sample of children with hearing loss. In addition to these limitations, caregiver decision making regarding spoken language choice for children from multilingual families …show more content…
There were 88 boys (56.1%) and 69 girls (43.9%) between three years five months old and nine years four months old, with an average age of six years seven months old. The questionnaire used in this study investigated the factors that may influence caregiver decision-making about communication mode and language use by looking at how the caregivers rated the importance of items describing potential child, family, community, and advice influences on decision-making that related to use of speech, use of sign, spoken language multilingualism, and the use of English rather than another spoken language (p. 238). The caregivers rated the importance of a range of potential influences on their decision-making regarding their children’s communication on a scale from not important, somewhat important, very important, to not applicable. Almost all caregivers were the parents of the children with whom they were reporting and came from a variety of backgrounds. Children in this study used hearing aids and cochlear implants; the mean age of the first hearing aid fitting was ten years four months, with 56.7% children fitted before six months of age. The data was analyzed using SPSS, exploratory factor analyses, and multiple …show more content…
Most of the caregivers decided their children should live in the hearing world by using speech. When observing what influences were most important in caregivers’ decision-making with regards to speech, “‘my own speech skills’ (96.9%)’, ‘I want my child to be able to speak to his/her extended family’ (91.2%)’ and ‘I want my child to be able to speak to his/her friends’ (91.2%)” were ranked most important (p. 239). Lastly, both communication methods stress audiological and intervention characteristics, children’s future opportunities, communication skills of the family, and how well the child will communicate as areas of influence in decision-making. As mentioned in the article, “the desire for oral communication has been related to providing broader education opportunities, better speech and language development, and better opportunities for socialization (Hyde, Punch, & Komesaroff, 2010; Li et al., 2003)” (p.

Related Documents

  • Improved Essays

    Deaf Like Me Book Report

    • 791 Words
    • 4 Pages

    When I watch her we go over basic signs to help her communicate such as all done, more, food, water, sleepy, diaper change, mom, and dad. Both of her parents are hearing but they encourage leaning ASL because they know what a great tool it is to be able to sign and communicate with others using sign…

    • 791 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    analyses were performed with SPSS software, version 12. Results were considered statistically significant when the probability of findings occurring by chance was less than 5% (p<…

    • 370 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    This data is organized into 43 different variables. This data can be requested by individuals, and was provided to the researcher in SPSS format on a CD-ROM in June of 2014. Confidentiality…

    • 1542 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    After losing her hearing her parents immediately signed into American Sign Language classes so that they could communicate with her and remain involved in her education. Michelle, fortunately living…

    • 621 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    There’s a lot of literature about adoption of Deaf babies into Hearing families. One of the most vital things that most of the literature agrees upon is having the parents of the Deaf child be fluent in ASL. Barbara White writes in “This Child is Mine: Deaf Parents and their Adopted Deaf Children” about Children of Deaf Adults (CODAs) and their experience being raised with Deaf parents; while Deaf children in Hearing families who don’t know ASL are often ignored or cast to the side, CODAs—through ASL—are always fully immersed into conversation. Barbara White talks about this experience of being ignored as a Deaf child by her hearing family: “I grew up in an all hearing family and my frequent complaint, which is all too common by Deaf folks in hearing families, was that I was either ignored to…

    • 837 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Also Gallaudet opened up the first deaf school. The effects of sign language in autistic children had been studied. Various “disabled” children have demonstrated a higher quality of communication. Communication is important for the emotional development of all children. Children with disabilities sometimes have trouble in this area and caregivers need to give a high quality interaction by using sign languages that provide a non-verbal communication.…

    • 1159 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Parents/ caregivers are educated to help them be the primary language facilitator for their child. Parents should be well informed about the goals for the child. Being informed about goals helps keep the parents motivated and engaged in the therapy. Children will develop auditory skills at different times detection is the earliest emerging skill then localization. Discrimination and auditory feedback loop develop a little later and finally identification and comprehension.…

    • 429 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Treatment targets allow clinicians to successfully create a plan of action for the client. The first treatment target is developmental norms are based on normative data gathered from speech development research studies. Clinicians use developmental norms the most due to the clinically wise decision of treating the child to what is appropriate for his/her age. A clinician may use developmental norms because the norms of the research serves as a representation of where the child falls in and can ultimately be useful in the school setting or for insurance requirements.…

    • 448 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Deaf Like Me Summary

    • 711 Words
    • 3 Pages

    Since being hearing and speaking is viewed normal many hearing parents goal for their deaf child is to get them to have intelligible speech and be able to lip-read. Although theoretically this may sound like a great goal, it is ultimately setting the child up to fail. The goal should be communication and for a child who is deaf sign language is the most successful means of communication. Therefore, sign language should be the first avenue for teaching communication, not the oral approach.…

    • 711 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    American Sign Language (ASL) is the way that people who are deaf can communicate with each other and the rest of the world. American Sign Language has evolved over time and is no longer only used by those who are deaf. It is commonly used for people who are hard of hearing, completely deaf, people with autism and Down syndrome and other disabilities. Many parents have begun to use sign language with their babies so that the child will be able to talk before they are able to actually talk using their voice. When your child, who is deaf, is taught to use sign language it is a no brainer because that will be how they communicate from the rest of their lives.…

    • 1850 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Developing Vocabulary Vocabulary development is something that seems very easy to teach, but in all honesty is one of the most difficult skills not only to teach but also to master. From a young age students start building their vocabulary through several strategies. The most obvious one is of course reading. Children of all ages love stories and fairytales. They love to sit down and listen to their parents or teachers go on and on about situations that would only happen in their dreams.…

    • 1200 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Deaf children should be exposed to language particularly Sign Language as soon as their deafness is detected. Without the exposure to a good language model Deaf individuals will loose their window of opportunity to improve their language development, which can negatively impact a Deaf individual by causing a risk for linguistic…

    • 922 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Stuttering is a speech disorder that involves significant problems with the normal fluency of speech. Fluency is a component of speech production that “refers to the smoothness, rate, and effort of speech” (American Speech-Language-Hearing Association, p. 1). Stuttering is an interruption in the flow of speaking in which “sounds, syllables, or words are repeated or prolonged, disrupting the rate and rhythm of speech” (National Institute on Deafness and Other Communication Disorders, 2014, p. 1). These speech disfluencies may be accompanied by physical tension (rapid eye blinks or tremors of the lips), negative reactions, secondary behaviors, and avoidance of sounds, words, or speaking situations. Stuttering can make it difficult to communicate…

    • 1363 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Children as young as six months can remember signs, with single word signs and imitated gestures at eight months, and compound words and full sentences by twenty-four months (Carrow). A study in 2000 examined the verbal reasoning skills of 80 five-year-old children enrolled in a comprehensive intervention program. The study found that regardless of degree of hearing loss, the children who were enrolled in the program by eleven months of age achieved higher scores on the Peabody Picture Vocabulary Test and the Preschool Language Assessment Instrument than the children who were enrolled at an older age (Moeller). A study conducted by the University of Cordoba compared the speech development in deaf children with cochlear implants. In a group of eighteen children between 4- and 8-years-old who received a cochlear implant between fifteen months and 5 years of age, each child was separated into two groups based on language: the first group was of children who used both sign and spoken language and the second was of children who only used spoken language.…

    • 465 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Age, Orthography, and Language Maturity Effect of age on language development, cross-linguistic influence, and orthography are one variable worthy of consideration. However, the focus of this research segregates age from language maturity, that is, we measure the orthographic understanding of the mother tongue, or first language (L1), against the second language (or additional new language). Therefore the issues that I believe need consideration are the ability for individuals to read, recognize, say or write, according to their present stage of educational development. These issues cover the motor skills, for young, disabled or elderly, and cognitive development, infants, toddlers, children, preteens, etc., up to elderly.…

    • 1364 Words
    • 6 Pages
    Great Essays