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Speech and language development in a parent-infant total communication program.

A Dee, I Rapin, R J Ruben

    The Annals of Otology, Rhinology & Laryngology. Supplement
    |September 1, 1982
    PubMed
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    Total communication (TC) aids speech development in deaf preschoolers. Sign language combined with speech enhances hearing and lip-reading skills, promoting earlier and more robust language acquisition for improved cognitive and social outcomes.

    Area of Science:

    • Pediatric audiology
    • Developmental psychology
    • Linguistics

    Background:

    • The efficacy of different communication modalities for deaf children remains a critical area of research.
    • Understanding the impact of early language intervention on cognitive and social development is essential.

    Purpose of the Study:

    • To evaluate the effect of total communication (TC), incorporating sign language and speech, on speech development in preschool deaf children.
    • To investigate whether TC facilitates earlier and more comprehensive language acquisition compared to oral methods.

    Main Methods:

    • A program utilizing total communication (TC) was implemented with preschool deaf children.
    • Speech development, language acquisition milestones, and the use of residual hearing and lip-reading were assessed.

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  • Cognitive and social development implications were considered.
  • Main Results:

    • Total communication did not impede speech development in deaf preschoolers.
    • Sign language exposure facilitated the acquisition of communicative oral speech.
    • Children in the TC program demonstrated earlier and more extensive language development compared to orally trained peers.

    Conclusions:

    • Total communication, integrating sign language and speech, supports robust language development in young deaf children.
    • This approach may mitigate cognitive delays and positively influence long-term educational and social outcomes.
    • TC programs can normalize family dynamics and child-rearing experiences.