The following manuscript has been accepted for publication
Crowe,
K., McLeod, S., McKinnon, D. H., & Ching, T. Y. C. (in press, February 2014).
Speech, sign, or multilingualism for children with hearing loss: Quantitative
insights into caregivers’ decision-making. Language,
Speech, and Hearing Services in Schools.
Here is the abstract
Purpose: To investigate the influence of a comprehensive range of factors on
the decision-making of caregivers of children with hearing loss regarding the
use of speech, the use of sign, spoken language multilingualism, and spoken
language choice. This is a companion paper to the qualitative investigation
described in Crowe, Fordham, McLeod and Ching (in press).
Method: Through a
questionnaire, 177 caregivers of 157 Australian children with hearing loss
(ages 3;5 to 9;4, mean age 6;6) rated the importance of a range of potential
influences on their decision-making about their children’s communication. The
majority of children were reported to use speech (96.6%) as part or all of
their communication system, with less reported to use sign (20.9%). Few
children used more than one spoken language (8.3%).
Results: Proportional analyses
and exploratory factor analyses were conducted. Overall, caregivers’ decisions
were influenced by their children’s future lives, audiological and intervention
characteristics, communication with those around them, community participation,
access to intervention and education services in English, and concerns about
their children’s future lives. Advice of speech-language pathologists,
audiologists, and specialist teachers was more important to caregivers than
advice from medical practitioners and non-professionals.
Conclusion: Caregivers’
decision-making about communication mode and language use is influenced by
factors that are not equally weighted, and relate to child, family, community,
and advice from others. Knowledge of these factors can assist professionals in
supporting caregivers making choices regarding communication.