Vocal Turn-Taking in Families With Children With and Without Hearing Loss.
Vocal Turn-Taking in Families With Children With and Without Hearing Loss.
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DOI：
10.1097/aud.0000000000001135
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Kinney K
中科院分区：
文献类型：
--
作者：
Kondaurova MV;Zheng Q;VanDam M;Kinney K
语音话轮转换是听力损失儿童和非听力损失儿童语言发展的重要预测因素。大多数研究都没有考虑到在一个孩子的生活中的多说话者的背景下，检查了母亲和孩子的二人组的声音转向。本研究调查了聋儿和重听儿童与其社会环境中的多个成员之间的声音转向量。参与者是52个使用助听器（HA，平均年龄26.3个月）或人工耳蜗植入（CI，平均年龄63.2个月）的儿童家庭和27个听力正常（NH，平均年龄26.6个月）的儿童家庭。语言增强分析系统估计所有家庭成员之间每小时的会话回合数（CTC/hr）（即，成年女性、成年男性、目标儿童和其他儿童）。与HA和NH组相比，CI中目标儿童与成年女性或成年男性之间的CTC/hr较低。最初，目标儿童和成年女性之间的CTC/hr高于成年男性或其他儿童之间。随着儿童年龄的增长，目标儿童和成年女性之间的话轮转换比目标儿童和成年男性之间的话轮转换增加。随着时间的推移，目标儿童和其他儿童之间的轮流增加，并超过了目标儿童和成人照顾者之间的轮流。与没有兄弟姐妹的家庭相比，在有兄弟姐妹的家庭中观察到这种增加的时间更早。言语话轮转换的数量取决于儿童听力损失的程度以及儿童与其社会环境成员之间的关系。从纵向上看，辅助设备对儿童与家庭成员之间的旋转数量有积极的影响，这种影响在有兄弟姐妹的家庭中更强。
Vocal turn taking is an important predictor of language development in children with and without hearing loss. Most studies have examined vocal turn taking in mother-child dyads without considering the multitalker context in a child’s life. The present study investigates the quantity of vocal turns between deaf and hard-of-hearing children and multiple members of their social environment. Participants were 52 families with children who used hearing aids (HA, mean age 26.3 months) or cochlear implants (CI, mean age 63.2 months) and 27 families with normal-hearing (NH, mean age 26.6 months) children. The Language ENvironment Analysis system estimated the number of conversational turns per hour (CTC/hr) between all family members (i.e., adult female, adult male, target child and other child) during full-day recordings over a period of about one year. The CTC/hr was lower between the target child and the adult female or adult male in the CI compared to the HA and NH groups. Initially, CTC/hr was higher between the target child and the adult female than between the adult male or the other child. As the child’s age increased, turn taking between the target child and the adult female increased in comparison to that between the target child and the adult male. Over time, turn taking between the target child and the other child increased and exceeded turn taking between the target child and the adult caregivers. The increase was observed earlier in families with siblings compared to those without. The quantity of vocal turn taking depends on the degree of child hearing loss and the relationship between the children and the members of their social environment. Longitudinally, the positive effect of an assistive device on the quantity of turns between the children and their family members was found. The effect was stronger in families with siblings.