Dual Language Learning for Children with Hearing...

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Dual Language Learning for Children with Hearing Loss Michael Douglas, MA, CCC-SLP, LSLS, Cert AVT

Transcript of Dual Language Learning for Children with Hearing...

Page 1: Dual Language Learning for Children with Hearing Losspediatrics.med.miami.edu/documents/Dual_Language_Learning_Intro.pdf · Dual Language Learning for Children with Hearing Loss.

Dual Language Learning for Children with

Hearing Loss

Michael Douglas, MA, CCC-SLP, LSLS, Cert AVT

Page 2: Dual Language Learning for Children with Hearing Losspediatrics.med.miami.edu/documents/Dual_Language_Learning_Intro.pdf · Dual Language Learning for Children with Hearing Loss.

Why Support Dual Language Learning?

( Mehra, Eavy & Keamy, 2009)

Current Population Reports, Series P25-1104, PopulationProjections of the United States, by Age, Sex, Race, and Hispanic Origin:1993 to 2050. retrieved

fromhttp://www.census.gov/population/www/pop-profile/natprj.html

Presenter
Presentation Notes
And I would like to kick off the session with Why we should support bilingualism for children with hearing loss by taking a look at some local demographics. Here you can see the percentage of people 5 years and older who speak a language other than English in the US. The darker the purple, the higher the percentage. While English is the official Language of the US, I think we could all agree that the US is not monolingual country. Infact, There are over 100 different languages spoken in the United States. Of those languages, you can see In the pie graph, that Spanish is the second most common language spoken to English, followed by Asian languages. Furthermore, The US Census projects that 60% of the US population growth is expected to be attributed to Hispanic-Americans by the year 2050. With a higher prevalence of Hispanic American children with hearing loss in the US compared to most children, according to Mehra et al, bilingualism will continue to be a necessity for most families – including those with hearing impairment.
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Challenges

Presenter
Presentation Notes
Obviously, There CAN be obstacles on the road to bilingualism – it’s not for every child and it’s important to identify these and maintain an awareness throughout the child’s treatment in order to make timely changes or to start problem solving solutions to prevent undermining the child’s progress. A negative Personality may not necessarily be an obstacle for the child, at times it may be more of an obstacle to us as professionals because we may not get the rich observation we like for gathering evidence….sometimes it’s difficult to tell when a child won’t do something vs. cant’ do something in this situation.
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Considering literature on children without hearing loss

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There is no scientific reason to believe that children can not develop more than one language early in life (Genesee, 2008)

Presenter
Presentation Notes
Historically, many clinicians and educators have discouraged minority-language learning in children with typical hearing due to the belief that acquisition of the majority language will be impaired. However, there is ample literature to suggest that– READ SLIDE
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Strengthening the home language can facilitate development of the second language. (Kohnert, et al, 2005)

Presenter
Presentation Notes
Historically, many clinicians and educators have discouraged minority-language learning in children with typical hearing due to the belief that acquisition of the majority language will be impaired. However, there is ample literature to suggest that– READ SLIDE
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Therapy studies on bilingual children with language impairment yield equal results as monolingual

children with language impairment (Gutierrez-Clellen et al, 2008)

Presenter
Presentation Notes
Historically, many clinicians and educators have discouraged minority-language learning in children with typical hearing due to the belief that acquisition of the majority language will be impaired. However, there is ample literature to suggest that– READ SLIDE
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Sequential Educational Outcomes(Collier & Thomas, 2004; Garcia & Jensen, 2006)

Presenter
Presentation Notes
Program Description Result Subtractive English language learners are immersed in English only. Some are provided ESL support (teachers trained to provide special comprehensible input) for three years or more and then are integrated into all-English instruction Students show less progress in math and reading, limited conversational English, little academic progress, rarely catch up, many forget hm. Lang. & drop out of high school. Many are below the 50th percentile in English reading tests Additive One-way Two-way Content instruction is given in both the target and majority language for four to six years. In some programs, Majority language is introduced in second grade or later Equal achievement in both languages and equal achievement in the majority language as maj.-lang. speaking peers. Outperform ESL subtractive programs. >50%ile in reading
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Considering literature on Bilingual children with hearing loss:

Bilingual Home Language

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HISTORICALLY

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Children with Hearing Loss(Phillips, A.H. 1999)

Presenter
Presentation Notes
Review of the literature for Children with HI reveals no evidence to support the opinion that minority language learning will impair acquisition of the majority language in children with HI. Highlight the interesting points in the yellow articles.
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Bilingual Children with Hearing Loss(Waltzman, Robbins, Green & Cohen, 2003)

N = 18

Presenter
Presentation Notes
Review of the literature for Children with HI reveals no evidence to support the opinion that minority language learning will impair acquisition of the majority language in children with HI. Highlight the interesting points in the yellow articles.
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Bilingual Children with Hearing Loss(Waltzman, Robbins, Green & Cohen, 2003)

N = 18

Intermediate Fluency

Presenter
Presentation Notes
Review of the literature for Children with HI reveals no evidence to support the opinion that minority language learning will impair acquisition of the majority language in children with HI. Highlight the interesting points in the yellow articles.
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Bilingual vs. Monolingual Children with Hearing Loss

Thomas, El Kashlan & Zwolan, 2008

Presenter
Presentation Notes
Review of the literature for Children with HI reveals no evidence to support the opinion that minority language learning will impair acquisition of the majority language in children with HI. Highlight the interesting points in the yellow articles.
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Children with Hearing Loss

Thomas, El Kashlan & Zwolan, 2008

Bilingual GroupVocabulary Monolingual Group

Vocabulary

Presenter
Presentation Notes
Review of the literature for Children with HI reveals no evidence to support the opinion that minority language learning will impair acquisition of the majority language in children with HI. Highlight the interesting points in the yellow articles.
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Bilingual Children with Hearing LossTeschendorf et al. (2011)

Presenter
Presentation Notes
Review of the literature for Children with HI reveals no evidence to support the opinion that minority language learning will impair acquisition of the majority language in children with HI. Highlight the interesting points in the yellow articles.
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Bilingual Children with Hearing LossTeschendorf et al. (2011)

LOW SESNo support

Hi SESSupport

Presenter
Presentation Notes
Review of the literature for Children with HI reveals no evidence to support the opinion that minority language learning will impair acquisition of the majority language in children with HI. Highlight the interesting points in the yellow articles.
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Bilingual Children with Hearing LossDeriaz, et al (2014)

MonolingualFrench Bilingual

French

Bilingual French GroupLate Identified,

lower SES, parents not proficient in French

Monolingual French GroupOpposite

Less engagement and fidelity

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Bilingual Children with Hearing LossSecond Language Skills

(Guiberson, 2014)

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Bilingual Children with Hearing LossSecond Language Skills

(Guiberson, 2014)

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Bilingual Children with Hearing LossSecond Language Skills

(Guiberson, 2014)

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Bilingual children with hearing loss:Home Language NOT English

With support

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TOTAL LANGUAGEBilingual children with HL not different from monolingual English-speaking peers (F (1, 32) = 0.002 at p =

0.966 with a non-measurable effect size of η² = 0.000)

31.25 31.1

(Bunta & Douglas, 2013)

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TOTAL LANGUAGEBilingual children: no statistical differences in Spanish vs. English

Highly correlative of one another

(Bunta & Douglas, 2013)

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Receptive Vocabulary

Bilingual and monolingual children with HL tend to have equal abilities/deficiencies in receptive vocabulary compared to

Typically hearing peers

(Lund, Werfel, & Schuele, 2014)

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Expressive VocabularyBilingual Advantage

Simultaneous Bilingual Children with HL and TH demonstrated a bilingual advantage for expressive vocabulary

(Lund, Werfel, & Schuele, 2014)

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Simultaneous Bilingual AdvantageRhyming

Simultaneous Bilingual Children with HL are showing a bilingual advantage for phonological awareness over monolingual

children with HL and bilingual children with TH

(Lund, Werfel, & Schuele, 2014)

SimultaneousLearners

Sequential Learners

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no statistically significant differences in learning

Appropriate intervention has the potential toovercome maternal education effects (Bunta & Douglas, 2013).

Presenter
Presentation Notes
Current Data SEEMS TO INDICATE THAT AV Education is so successful that it CAN overcome maternal education
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No Dual Language Intervention:Home Language NOT English

(Bunta & Douglas et al, 2016)

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Children with Hearing Loss

Bunta et al, 2016

Bilingual SupportMonolingual Support

Expressive and Omnibus Language in English

Presenter
Presentation Notes
Review of the literature for Children with HI reveals no evidence to support the opinion that minority language learning will impair acquisition of the majority language in children with HI. Highlight the interesting points in the yellow articles.
Page 33: Dual Language Learning for Children with Hearing Losspediatrics.med.miami.edu/documents/Dual_Language_Learning_Intro.pdf · Dual Language Learning for Children with Hearing Loss.

Special Considerations

N = 20

Age

in m

onth

s

Often Show no dominance

Presenter
Presentation Notes
Variability – importance of considering the other language so we can implement the integrated model
Page 34: Dual Language Learning for Children with Hearing Losspediatrics.med.miami.edu/documents/Dual_Language_Learning_Intro.pdf · Dual Language Learning for Children with Hearing Loss.

Special Considerations

N = 20

Age

in m

onth

s

Proficiency Can Shift Over Time

Presenter
Presentation Notes
Variability – importance of considering the other language so we can implement the integrated model
Page 35: Dual Language Learning for Children with Hearing Losspediatrics.med.miami.edu/documents/Dual_Language_Learning_Intro.pdf · Dual Language Learning for Children with Hearing Loss.

Special Considerations

N = 20

Age

in m

onth

s

Consider Both Languages when determining progress

Presenter
Presentation Notes
Variability – importance of considering the other language so we can implement the integrated model
Page 36: Dual Language Learning for Children with Hearing Losspediatrics.med.miami.edu/documents/Dual_Language_Learning_Intro.pdf · Dual Language Learning for Children with Hearing Loss.

Bilingual children with hearing loss:

Sign Language + Spoken EnglishVs.

Spoken Language only

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Connor, Hieber, Arts & Zwolan, 2000: 147 children

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TCGroup

LSLGroup

Spoken receptive &Expressive Vocabulary

(sign + oral)

When both groups were implantedIn or prior to preschool years….

Page 39: Dual Language Learning for Children with Hearing Losspediatrics.med.miami.edu/documents/Dual_Language_Learning_Intro.pdf · Dual Language Learning for Children with Hearing Loss.

(Dettman, Wall, Constantinescu & Dowell, 2013)

Bi Bi Auditory-Oral Auditory-Verbal

Auditory Verbal

Auditory-Oral

Bi + Bi

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• ONLY spoken language skills assessed• AV group had most experience with CI• Not matched by family involvement and SES

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Why support/facilitate Bilingualism?

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Take Home Messages

Presenter
Presentation Notes
Bilingualism with hearing impaired children is a team effort; at the same time, it is no more difficult than helping a hearing impaired child acquire one language. The achievement of bilingualism with hearing impaired children is not necessarily related to parent education level 
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Take Home Message

Presenter
Presentation Notes
With normal cognition and no other disabilities, duration of deafness, inconsistent use and/or inappropriate amplification seem to be the largest contributing factor (s) to a child’s reduced facility for learning any spoken language in a timely manner.
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Take Home Messages

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Future Directions

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Questions?We have a lot to learn today

What would you like to know?

[email protected]

Presenter
Presentation Notes
why we should support bilingualism. Actually, there are many reasons – too many to cover in the interest of time, but I will cover a few