Long-term language and reading results of a parent-led program for deaf toddlers

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for children who are deaf or hard of hearing and who took part in the first part of this trial as toddlers. It follows them into early school years.

Age

5 Years to 8 Years now. At first enrolment, children were between 12-18 months.

Sex

All

Disease stage

Hearing loss in both ears (bilateral hearing loss).

Earlier treatment

Children must have been enrolled in the first part of this trial.

Main reasons for not taking part

• Children not enrolled in the first part of the trial cannot join.
• Children with other diagnoses, such as Down syndrome, cerebral palsy, seizure disorder or blindness, could not join.
• Children without at least one parent with typical hearing could not join.
• Children not exposed to some spoken language by their parents could not join.

The registry criteria, word for word

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

• Are you between 5 and 8 years old?YesNo

What the trial wants to find out

The overall goal of this randomized clinical trial is to learn about the effects of a parent-mediated intervention (PMI) designed to support communication outcomes for deaf and hard-of-hearing (DHH) children. Previously, the investigators enrolled 96 DHH children between 12 and 18 months of age and their parents. Families were randomly assigned to receive either the PMI or a business-as-usual control group. The PMI was a 6-month intervention that included weekly, hour-long Zoom sessions. During the intervention sessions, parents were taught communication support strategies to support their child's language development throughout daily routines and play.

The 2 groups in the trial

• Parent-Mediated Intervention (PMI)Treatment being tested

  Participants in both the parent-mediated intervention (PMI) group and the business-as-usual (BAU) control group continued to receive standard community-based early intervention services outside of the clinical trial. In addition to these services, dyads in the PMI group participated in weekly intervention sessions via Zoom for 6 months. Intervention sessions followed a Teach-Model-Coach-Review framework to support parents in using communication support strategies with their child. Parents were taught seven communication support strategies in a fixed sequence: (1) Setting the Stage, (2) Play and Engage, (3) Respond and Wait, (4) Notice and Say, (5) Show It, (6) Contrast It, and (7) Add On. These strategies focused on helping parents create opportunities for language learning during everyday routines and play, notice and respond to their child's communication, and model rich, salient language.

• Business-As-Usual (BAU) ControlNo study treatment, for comparison

  Participants in both the parent-mediated intervention (PMI) group and the business-as-usual (BAU) control group continued to receive standard community-based early intervention services outside of the clinical trial. Dyads in the BAU control group did not receive the PMI.