Boonshoft School of Medicine, Beavercreek, OH.
Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.
J Dev Behav Pediatr. 2023 Dec 1;44(9):e625-e632. doi: 10.1097/DBP.0000000000001225. Epub 2023 Oct 23.
Our study (1) examined demographic factors in families with children with bilateral hearing loss and how they relate to Family Resource Scale (FRS) questionnaire data and (2) examined correlations between FRS data and measures of language.
Children aged 6 months to 10 years with bilateral hearing loss were enrolled. Parents completed the FRS questionnaire to assess their access to socioeconomic resources at the first language measurement visit. Assessments measured receptive and expressive language, nonverbal intelligence quotient, and adaptive functioning.
Among the 85 children included in the analysis, approximately 40% had hearing loss classified as mild to moderate and 25% had a cochlear implant. Participants' mean FRS score was 130 (SD 16.6) (with the highest possible score of 150 and indicating better access to resources). Significant positive correlations ( p -value ≤ 0.05) were found between maternal education, paternal education, and family income and several FRS subscales (Growth and Support, Necessities in Health, Childcare, Personal Resources). Significant positive correlations were found between the Necessities in Health subscale and all the language measurements.
Children whose parents reported better access to socioeconomic resources related to health care had higher language performance scores. Although early access to intervention services has improved for deaf or hard-of-hearing children, there are other variables contributing to language development, including access to socioeconomic resources. This study highlights the need for further research addressing more specific and modifiable resources to improve language performance for deaf or hard-of-hearing children.
我们的研究(1)考察了有双侧听力损失儿童家庭的人口统计学因素,以及这些因素与家庭资源量表(FRS)问卷数据的关系;(2)考察了 FRS 数据与语言测量之间的相关性。
招募了 6 个月至 10 岁患有双侧听力损失的儿童。父母在首次语言测量就诊时完成 FRS 问卷,以评估他们获得社会经济资源的情况。评估包括接受性和表达性语言、非言语智商和适应功能。
在纳入分析的 85 名儿童中,约 40%的听力损失为轻度至中度,25%的儿童植入了人工耳蜗。参与者的平均 FRS 得分为 130(标准差 16.6)(最高得分为 150,表明资源获取更好)。母亲教育、父亲教育和家庭收入与 FRS 的几个子量表(成长和支持、健康必需品、儿童保育、个人资源)呈显著正相关(p 值≤0.05)。健康必需品子量表与所有语言测量均呈显著正相关。
父母报告获得与医疗保健相关的社会经济资源更好的儿童的语言表现得分更高。尽管失聪或重听儿童早期获得干预服务的情况有所改善,但还有其他变量会影响语言发展,包括获得社会经济资源。本研究强调了需要进一步研究更具体和可改变的资源,以提高失聪或重听儿童的语言表现。