Teaching Caregivers to Implement the Caregivers Optimizing Achievement of Children With Hearing Loss (COACH) Intervention

Overview

Journal Am J Speech Lang Pathol

Specialty Otorhinolaryngology

Date 2023 Mar 23

PMID 36958019

Authors

Sophie E Ambrose

Margo Appenzeller

Ann P Kaiser

Affiliations

Soon will be listed here.

Abstract

Purpose: This study examined the effectiveness of Caregivers Optimizing Achievement of Children With Hearing Loss (COACH), an intervention in which parents were taught naturalistic interaction strategies that addressed the unique linguistic input needs of their young children with hearing loss.

Method: A single-subject multiple-baseline across-behaviors design was used with four caregiver-child dyads to determine the effects of COACH training on caregivers' use of the COACH language facilitation strategies and on their children's language abilities.

Results: A functional relation was demonstrated between teaching of strategies and caregivers' use of the strategies across three dyads with slower, consistent changes observed in a fourth dyad. Improvements in children's use of target-level language were observed for children in three dyads.

Conclusions: Caregivers were able to implement COACH language facilitation strategies, although the pace of caregivers' learning differed across dyads. Caregivers reported high satisfaction with participating in the intervention. Future research using a randomized design and a longer intervention condition is needed for a more complete assessment of the effects of the intervention on children's language abilities.

Supplemental Material: https://doi.org/10.23641/asha.22290082.

Citing Articles

"It doesn't matter if we're the most amazing professionals in the world…" A qualitative study of professionals' perspectives on parent-child interaction assessment with deaf infants.

Curtin M, Wakefield T, Herman R, Morgan G, Cruice M Front Psychol. 2024; 15:1315220.

PMID: 38500650 PMC: 10944883. DOI: 10.3389/fpsyg.2024.1315220.

References

Kalathottukaren R, Purdy S, Ballard E . Prosody Perception and Production in Children with Hearing Loss and Age- and Gender-Matched Controls. J Am Acad Audiol. 2017; 28(4):283-294. DOI: 10.3766/jaaa.16001. View

Peredo T, Zelaya M, Kaiser A . Teaching Low-Income Spanish-Speaking Caregivers to Implement EMT en Español With Their Young Children With Language Impairment: A Pilot Study. Am J Speech Lang Pathol. 2017; 27(1):136-153. DOI: 10.1044/2017_AJSLP-16-0228. View

Messersmith J, Entwisle L, Warren S, Scott M . Clinical Practice Guidelines: Cochlear Implants. J Am Acad Audiol. 2019; 30(10):827-844. DOI: 10.3766/jaaa.19088. View

Hadley P, Walsh K . Toy talk: simple strategies to create richer grammatical input. Lang Speech Hear Serv Sch. 2014; 45(3):159-72. DOI: 10.1044/2014_LSHSS-13-0055. View

Wrightson A . Universal newborn hearing screening. Am Fam Physician. 2007; 75(9):1349-52. View

Moeller M, Tomblin J . An Introduction to the Outcomes of Children with Hearing Loss Study. Ear Hear. 2016; 36 Suppl 1:4S-13S. PMC: 4704131. DOI: 10.1097/AUD.0000000000000210. View

Roberts M, Curtis P, Sone B, Hampton L . Association of Parent Training With Child Language Development: A Systematic Review and Meta-analysis. JAMA Pediatr. 2019; 173(7):671-680. PMC: 6537769. DOI: 10.1001/jamapediatrics.2019.1197. View

Hampton L, Kaiser A, Nietfeld J, Khachoyan A . Generalized Effects of Naturalistic Social Communication Intervention for Minimally Verbal Children with Autism. J Autism Dev Disord. 2020; 51(1):75-87. DOI: 10.1007/s10803-020-04521-4. View

Quittner A, Cruz I, Barker D, Tobey E, Eisenberg L, Niparko J . Effects of maternal sensitivity and cognitive and linguistic stimulation on cochlear implant users' language development over four years. J Pediatr. 2012; 162(2):343-8.e3. PMC: 3638743. DOI: 10.1016/j.jpeds.2012.08.003. View

10.

Hampton L, Kaiser A, Roberts M . One-Year Language Outcomes in Toddlers With Language Delays: An RCT Follow-up. Pediatrics. 2017; 140(5). DOI: 10.1542/peds.2016-3646. View

11.

Appenzeller M, Ambrose S . Using Technology to Monitor Hearing Device Use and Linguistic Environments: Early Intervention Providers' Perspectives. J Early Hear Detect Interv. 2020; 5(1):62-72. PMC: 7507746. View

12.

Hirsh-Pasek K, Adamson L, Bakeman R, Owen M, Golinkoff R, Pace A . The Contribution of Early Communication Quality to Low-Income Children's Language Success. Psychol Sci. 2015; 26(7):1071-83. DOI: 10.1177/0956797615581493. View

13.

Tomblin J, Oleson J, Ambrose S, Walker E, McCreery R, Moeller M . Aided Hearing Moderates the Academic Outcomes of Children With Mild to Severe Hearing Loss. Ear Hear. 2020; 41(4):775-789. PMC: 7546580. DOI: 10.1097/AUD.0000000000000823. View

14.

Chatterjee M, Kulkarni A, Siddiqui R, Christensen J, Hozan M, Sis J . Acoustics of Emotional Prosody Produced by Prelingually Deaf Children With Cochlear Implants. Front Psychol. 2019; 10:2190. PMC: 6779094. DOI: 10.3389/fpsyg.2019.02190. View

15.

Rufsvold R, Wang Y, Hartman M, Arora S, Smolen E . The Impact of Language Input on Deaf and Hard of Hearing Preschool Children Who Use Listening and Spoken Language. Am Ann Deaf. 2018; 163(1):35-60. DOI: 10.1353/aad.2018.0010. View

16.

Arora S, Smolen E, Wang Y, Hartman M, Howerton-Fox A, Rufsvold R . Language Environments and Spoken Language Development of Children With Hearing Loss. J Deaf Stud Deaf Educ. 2020; 25(4):457-468. DOI: 10.1093/deafed/enaa018. View

17.

Ambrose S . Gesture Use in 14-Month-Old Toddlers With Hearing Loss and Their Mothers' Responses. Am J Speech Lang Pathol. 2016; 25(4):519-531. PMC: 5373693. DOI: 10.1044/2016_AJSLP-15-0098. View

18.

Kamble M, Lam-Cassettari C, James D . Communication Skills and Communicative Autonomy of Prelinguistic Deaf and Hard-of-Hearing Children: Application of a Video Feedback Intervention. Front Psychol. 2020; 11:1983. PMC: 7468426. DOI: 10.3389/fpsyg.2020.01983. View

19.

Su P, Roberts M . Quantity and Quality of Parental Utterances and Responses to Children With Hearing Loss Prior to Cochlear Implant. J Early Interv. 2020; 41(4):366-387. PMC: 7731922. DOI: 10.1177/1053815119867286. View

20.

Suskind D, Leffel K, Graf E, Hernandez M, Gunderson E, Sapolich S . A parent-directed language intervention for children of low socioeconomic status: a randomized controlled pilot study. J Child Lang. 2015; 43(2):366-406. PMC: 10835758. DOI: 10.1017/S0305000915000033. View