Effect of telepractice on pediatric cochlear implant users and provider vowel space: A preliminary report.

Clear speaking styles are goal-oriented modifications in which talkers adapt acoustic-phonetic characteristics of speech to compensate for communication challenges. Do children with hearing loss and a clinical provider modify speech characteristics during telepractice to adjust for remote communication? The study examined the effect of telepractice (tele-) on vowel production in seven (mean age 4:11 years, SD 1:2 years) children with cochlear implants (CIs) and a provider. The first (F1) and second (F2) formant frequencies of /i/, /ɑ/, and /u/ vowels were measured in child and provider speech during one in-person and one tele-speech-language intervention, order counterbalanced. Child and provider vowel space areas (VSA) were calculated. The results demonstrated an increase in F2 formant frequency for /i/ vowel in child and provider speech and an increase in F1 formant frequency for /ɑ/ vowel in the provider speech during tele- compared to in-person intervention. An expansion of VSA was found in child and provider speech in tele- compared to in-person intervention. In children, the earlier age of CI activation was associated with larger VSA in both tele- and in-person intervention. The results suggest that the children and the provider adjust vowel articulation in response to remote communication during telepractice.