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Updated: Jul 27, 2026

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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Phonological development in 4-6-year-old moderately hearing impaired children
1Department of Finnish, Saami and Logopedics, University of Oulu, Finland. Kerttu.Huttunen@oulu.fi
Summary
Finnish children with hearing impairments exhibit frequent articulation errors and phonological processes impacting speech development. These processes are linked to the severity of hearing loss, not age, with implications for speech therapy interventions.
Area of Science:
- Linguistics
- Speech-Language Pathology
- Audiology
Background:
- Clear phonological rule acquisition is crucial for children's spoken language decoding and meaning conveyance.
- Hearing impairment (HI) can significantly affect a child's phonological development and speech production.
Purpose of the Study:
- To investigate phonological processes in Finnish-speaking children with moderate hearing impairment.
- To compare the phonological development of hearing-impaired children with normally hearing peers.
Main Methods:
- Collected speech samples of 62 words from 15 Finnish-speaking children (5 normally hearing, 10 hearing impaired).
- Utilized a picture naming task to elicit speech data.
- Analyzed phonetic errors and phonological processes in relation to hearing loss severity and age.
Main Results:
- Hearing-impaired children demonstrated frequent phonetic (articulation) errors.
- Both normal (delayed) and deviant phonological processes were observed in hearing-impaired children.
- The frequency and type of phonological processes correlated more strongly with the grade of hearing impairment than with the child's age.
Conclusions:
- Children with moderate hearing impairment exhibit distinct phonological patterns that deviate from typical development.
- The severity of hearing loss is a key factor influencing phonological development in children.
- Findings suggest tailored speech therapy approaches are necessary for hearing-impaired children.

