关键词: Audiology Community child health OTOLARYNGOLOGY PAEDIATRICS Speech pathology

Mesh : Child Humans Cochlear Implants Cross-Sectional Studies India Language Hearing Hearing Loss

来  源:   DOI:10.1136/bmjopen-2023-077145   PDF(Pubmed)

Abstract:
This cross-sectional comparative study aimed to analyse and compare the story-grammar components in Tamil-speaking children with and without hearing impairment (HI) narratives.
The study used a cross-sectional, comparative design to assess and compare narrative structures.
Data were collected at the Sri Ramachandra Institute of Higher Education and Research in Chennai, India.
30 children participated in the study, including 15 children with severe to profound hearing loss who used cochlear implants and 15 with normal hearing. The participants were language-age-matched children aged 3-5 years, proficient in Tamil.
No specific interventions were implemented in this study.
The primary outcome measures focused on story-grammar components, including settings, characters, initiating events, internal plans, attempts, outcomes, and resolution. These components were evaluated through narrative retellings by the children.
Analysis of the narratives revealed significant differences between the two groups. Children with normal hearing demonstrated a higher representation of story-grammar elements than children with HI.
The findings suggest that children with normal hearing exhibit a more proficient understanding and utilisation of story structure in their story-telling than children with HI. This study highlights the importance of narrative analysis in language assessment, particularly for children with HI. Tailored interventions incorporating appropriate language stimulation techniques are needed to enhance children\'s narrative skills with HI. Further research in this area is warranted.
摘要:
目的:这项横断面比较研究旨在分析和比较有和没有听力障碍(HI)叙述的泰米尔语儿童的故事语法成分。
方法:这项研究采用了横截面,比较设计来评估和比较叙事结构。
方法:数据是在钦奈的SriRamachandra高等教育与研究学院收集的,印度。
方法:30名儿童参加了这项研究,包括15名使用人工耳蜗的严重至严重听力损失的儿童和15名听力正常的儿童。参与者是语言年龄匹配的3-5岁儿童,精通泰米尔语。
方法:本研究未实施具体干预措施。
方法:主要结果指标集中在故事语法成分上,包括设置,字符,启动事件,内部计划,尝试,结果,和决议。这些组件是通过孩子们的叙述复述来评估的。
结果:叙述分析显示两组之间存在显着差异。听力正常的儿童比HI的儿童表现出更高的故事语法元素代表性。
结论:研究结果表明,与HI儿童相比,听力正常的儿童在讲故事中表现出对故事结构的更熟练的理解和利用。这项研究强调了叙事分析在语言评估中的重要性,特别是对于有HI的儿童。需要结合适当语言刺激技术的量身定制干预措施,以提高儿童的HI叙事技能。有必要在这一领域进行进一步的研究。
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