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Wednesday, April 30, 2025

Decoding Sound: Enhancing Reading Skills for Deaf and Hard-of-Hearing Children

Decoding Sound

Enhancing Reading Skills for Deaf and Hard-of-Hearing Children

by Urszula Glogowska

Developing reading skills in deaf and hard-of-hearing (D/HH) children involves more than just recognizing letters and words—it requires bridging the gap between visual cues and phonemic awareness. Traditional reading instruction often emphasizes auditory elements, which can pose challenges for deaf or hard-of-hearing (D/HH) learners. However, with tailored strategies and tools, these children can achieve literacy milestones comparable to their hearing peers.

1. Visual Phonics: Bridging the Sound-Symbol Gap

Visual Phonics is a system that assigns unique hand shapes and written symbols to represent speech sounds. This approach helps D/HH children associate written letters with their corresponding phonemes, thereby enhancing phonemic awareness. Research indicates that consistent use of Visual Phonics improves reading fluency, decoding skills, and spelling in D/HH students.

Example: At Heathlands School, educators utilize Visual Phonics to support deaf and hard-of-hearing (D/HH) students in recognizing and producing speech sounds through visual cues, thereby enhancing their reading and spelling skills.

Learn more:

2. Cued Speech: Enhancing Speechreading and Literacy

Cued Speech utilizes hand shapes and placements near the mouth to visually distinguish phonemes that look similar on the lips. This method supports children who are deaf or hard of hearing (D/HH) in developing phonemic awareness and decoding skills, facilitating a clearer understanding of spoken language through visual cues.

Example: In classrooms where Cued Speech is implemented, deaf or hard-of-hearing (D/HH) students can more accurately perceive and differentiate between phonemes, leading to improved reading and spelling skills.

Learn more:

3. Multisensory Approaches: Engaging Multiple Senses

Incorporating multisensory activities, such as tactile games, sign language, and visual storytelling, can reinforce reading concepts. For instance, using flashcards with colors and textures can help deaf or hard-of-hearing (D/HH) children associate sounds with symbols, making the learning process more interactive and engaging.

Example: Teachers use textured flashcards and sign language to help deaf or hard-of-hearing (D/HH) students connect visual symbols with their meanings, thereby enhancing their reading comprehension.

Learn more:

  • Multisensory Structured Language Teaching for Children with Hearing Loss – Hearing Health & Technology Matters

4. Bilingual-Bimodal Education: Integrating Sign Language and Written English

A bilingual-bimodal approach, combining American Sign Language (ASL) and written English, provides deaf and hard-of-hearing (D/HH) children with a robust language foundation. This method supports cognitive development and literacy by allowing children to access both visual and written forms of language, promoting a deeper understanding of reading materials.

Example: Schools that implement bilingual-bimodal education report higher literacy rates among deaf and hard-of-hearing (D/HH) students, as they can access language through both American Sign Language (ASL) and written English.

Learn more:

  • Position Statement on ASL and English Bilingual Education – National Association of the Deaf

5. Interactive Storytelling and Technology Integration

Utilizing digital platforms that offer interactive storytelling can enhance reading experiences for children who are deaf or hard of hearing (D/HH). For instance, applications that provide stories in both American Sign Language (ASL) and English allow children to engage with content in multiple formats, thereby reinforcing comprehension and vocabulary acquisition.

Example: Applications like VL2 Storybook Apps offer interactive stories in both American Sign Language (ASL) and English, allowing deaf and hard-of-hearing (D/HH) children to engage with content in multiple formats, thereby reinforcing comprehension and vocabulary acquisition.

Learn more:

6. Early Exposure and Consistent Practice

Early and consistent exposure to reading materials is crucial. Engaging in daily reading routines, using books with repetitive text and clear illustrations, can help deaf or hard-of-hearing (D/HH) children develop familiarity with language structures and vocabulary. Additionally, incorporating sign language into reading activities can further support language acquisition and literacy development.

Example: Parents and educators who read daily with deaf or hard-of-hearing (D/HH) children, using sign language and visual aids, observe significant improvements in the children's reading skills over time.

Learn more:

While deaf or hard-of-hearing (D/HH) children may face unique challenges in reading development, employing specialized strategies, such as Visual Phonics, Cued Speech, and bilingual education, can significantly enhance their literacy skills. By integrating these approaches, educators and parents can provide D/HH children with the tools they need to succeed in reading and beyond.

Core VS Fringe Words

Why it is important to teach core and fringe word? What’s the difference?

Core vocabulary includes words such as:

  • Verbs (go, play, look, want, go, etc.)
  • Pronouns (I, you, we, they)
  • Helping verbs (is, am, etc.)
  • modifiers (more, all done, that)
  • Location words (in, on, up, down, etc.) 

An example of what words/categories fringe vocabulary might include:

  • Colors (red, orange, yellow, etc.)
  • Toys (ball, blocks, puzzle, etc.)
  • Food (water, juice, muffins, apples, etc.)
  • Social (hello, goodbye, or custom pre-programmed greetings “How are you?”, etc.)
  • Read (book, newspaper, turn the page, etc.)

https://crawlwalkjumprun.com/what-is-core-vocabulary-vs-fringe-vocabulary/

Core Vocabulary

  • High frequency words that can be used in a variety of situations and with various communication partners
  • Make up about 75-80% of the words we use everyday
  • You cannot form a sentence without using core words
  • You can create a sentence using only core words
  • Often more difficult to visualize
  • Usually includes pronouns, helping verbs, prepositions, articles, and common verbs
  • Examples include – I, he/she, like, play, have, on, open, help, more, can, do, it
  • Sentences using only core vocabulary – “I like to play”, “I need help”, “you can do it”

Fringe Vocabulary

  • Words more specific to a situation – mostly nouns
  • Cannot be used across a variety of situations
  • Cannot form a sentence with only fridge words
  • Can visualize the fringe vocabulary words
  • Examples include “pig”, “school”, “teacher”, “pizza”, “TV”, “dinosaurs”

https://theautismhelper.com/core-and-fringe-vocabulary-what-it-is-how-to-use-it/

More info:

https://www.beyondwordsslt.co.nz/making-sense-of-core-and-fringe-vocabulary/

Sunday, March 23, 2025

Recommendations and Resources to Support the Development of Academic, Verbal, and Cognitive Skills in Children with Hearing Loss


Recommendations for General Cognitive Functioning:

·     Student's FSIQ falls within the Borderline range, indicating potential difficulties in multiple areas of functioning.

·     Intervention strategies:

o  Pre-teaching and re-teaching lessons to provide her with additional exposure to new concepts, thereby aiding comprehension and recall.

o  Present new content through multiple modalities (e.g., visual, auditory) and use simple vocabulary and sentence structure.

o  Set small, measurable academic goals in each subject area and involve Student in creating rewards for meeting them.

o  Track her success using charts to provide a sense of accomplishment.

o  Consider an adaptive behavior assessment to identify goals in self-care, community interactions, and household chores.

o  Engage Student in hobbies and extracurricular activities to build success in multiple areas of functioning.

Recommendations for Verbal Skills:

·     Student's performance on the Verbal Comprehension Index (VCI) was significantly weaker compared to her peers, possibly due to bilingualism.

·     Verbal skill interventions:

o  Use dialogic reading to engage Student with child-specific questions that foster interest, comprehension, and critical thinking.

o  Enrich vocabulary by exposing Student to novel situations and encouraging her to ask about unfamiliar objects.

o  Keep a list of new words Student learns and review them periodically.

o  Encourage verbal discourse in a positive, open environment, asking open-ended questions and giving her time to respond.

o  Encourage Student to engage in age-appropriate conversations outside of school (e.g., ordering food at a restaurant).

o  Provide positive feedback during conversations, including reciprocal conversations and encouraging elaboration on her thoughts.

Recommendations for Fluid Reasoning Skills:

·     Student performed in the Average range on the Fluid Reasoning Index (FRI), making this a strength area for her.

·     Support for fluid reasoning:

o  Encourage Student to identify patterns and predict what comes next in sequences.

o  Help her group objects in different ways and explain her reasoning.

o  Engage in age-appropriate science experiments, where Student forms hypotheses and measures results.

o  Provide activities that are both at her skill level and appropriately challenging to promote further development.

Building Verbal Skills:

·     Family involvement:

o  Set aside time each evening for discussing the day’s events, minimizing distractions during the conversation.

o  Ask Student open-ended questions, avoid interrupting, and allow her time to respond fully.

o  Provide positive feedback when she engages in conversation.

o  Develop naming games where Student lists objects based on specific characteristics (e.g., "red," "round").

o  Use story-time activities where Student identifies changes in stories or completes unfinished stories.

·     Classroom support:

o  Reduce complexity in classroom discourse by controlling vocabulary, simplifying multi-step commands, and offering written support.

o  Organize new information into visual categories to help retain it more easy (e.g., using diagrams, graphs, or pictures).

o  Use visual support for lessons and text to reinforce learning.

Building Visual-Spatial and Fluid Reasoning Skills:

·     Family and teacher support:

o  Encourage Student to complete puzzles that involve matching shapes and colors.

o  Support her in identifying sequences of activities (e.g., performing and replicating actions).

o  Develop stories with Student as the central character, allowing to draw/select pictures to represent the sequence of events.

o  Ask Student to identify what happens before and after an event in a story to develop sequential reasoning.

Building Processing Speed and Working Memory Skills:

·        Memory strategies:

o  Use "chunking" techniques to help Student remember information. For example, group a phone number (555-5678) into chunks (5, 55, 56, 78).

o  Link new information to familiar concepts to improve memory retention and ease her ability to recall new facts.

Resources

Articles

1.       "Supporting Language Development in Children with Hearing Loss" (Hearing Health Foundation)
This article discusses strategies for supporting language development in children with hearing loss, with a focus on improving speech and language skills. Link: HearingHealth Foundation - Language Development

2.       "Strategies for Supporting Children with Limited Verbal Communication" (National Center on Deaf-Blindness)
This article provides strategies for improving communication skills in children with limited verbal abilities, including the use of gestures and alternative communication methods. Link: NCDB- Limited Verbal Communication Strategies

3.       "Improving Cognitive and Verbal Skills in Children with Hearing Loss" (American Speech-Language-Hearing Association) This article outlines strategies for improving both cognitive and verbal skills in children with hearing impairments. Link: ASHA -Cognitive and Verbal Skills

Books

1.       "The Handbook of Child Language" by Paul Fletcher and Brian MacWhinney
This comprehensive handbook covers various aspects of child language development, including cognitive and verbal skills. It’s useful for understanding language development delays and supporting children in these areas.

2.       "Building Early Literacy Skills: A Practical Guide for Parents and Teachers" by Marian R. Whitehead
This book offers practical strategies for supporting early literacy development in children, focusing on language acquisition, cognitive development, and verbal skills.

3.       "The Social Skills Guidebook" by Chris MacLeod
A great resource for parents and educators looking to help children develop stronger social skills. It includes strategies for improving peer interactions, verbal communication, and understanding social cues.

Video Playlists 

  1.  “7 Tips to Help Late-Talking Toddlers from a Speech Therapist: Improving Speech and Language at Home.” This YouTube channel is dedicated to helping parents and educators support speech and language development in children, including those with language delays or hearing impairments. Link: https://youtu.be/6_8-fP2gqfI?si=f4cK5r7OFxKE7imL 
  2.  “Cochlear Americas” (Cochlear Implant Videos) This side provides educational content for parents and professionals working with children who have cochlear implants, offering guidance on maximizing the benefits of cochlear implantation for speech and language development. Link: https://www.youtube.com/@CochlearAmericas/videos 
  3.  “Speech Therapy Ideas” a side that offers practical therapy ideas for improving speech, language, and cognitive skills. This includes strategies for both expressive and receptive language, as well as cognitive development. Link: https://www.youtube.com/results?search_query=Speech+Therapy+Ideas+for+children+with+hearing+loss

Websites for Additional Support

1.       American Speech-Language-Hearing Association (ASHA)
ASHA offers a range of resources for supporting children with speech and language disorders, including those with hearing loss. Link: ASHA Website

2.       National Deaf Children's Society (NDCS)
The NDCS provides extensive resources on how to support children with hearing loss, including advice for parents, teachers, and professionals. Link: NDCS - Supporting Children withHearing Loss

3.       Cochlear Americas - Family Support Resources
Offers a variety of resources for parents and families of children with cochlear implants, with helpful tips on supporting communication and language development. Link: https://www.cochlear.com/us/en/professionals/resources-and-training/professional-education/school-resource-center


Sunday, February 2, 2025

Sunshine Cottage Educational Products - CASLLS

The Cottage Acquisition Scales for Listening, Language, and Speech (CASLLS) is a comprehensive tool designed to monitor the progress of children who are deaf or hard of hearing, from preverbal stages to complex language structures. Developed by Sunshine Cottage School for Deaf Children, CASLLS is widely used by professionals to assess and guide language development.

Web Resources:

  • Sunshine Cottage Educational Products: The official website offers detailed information about CASLLS, including purchasing options and related resources. You can explore their products here:

CASLLS Educational Products edproducts.sunshinecottage.org  

  • Reading CASLLS Manual (PDF): This manual complements existing materials by providing a holistic tool to track development across all reading domains, aligning with CASLLS's framework. Access the manual here:

CASLLS Manual $30 to purchase edproducts.sunshinecottage.org

YouTube Resources:

For a more in-depth understanding and practical guidance, consider exploring webinars offered by Sunshine Cottage. They provide sessions such as "Discover the Basics in Implementing the CASLLS" and "Moving Beyond the Basics of the CASLLS," which can be found on their website.

A complete set for progress monitoring CASLLES forms from preverbal to complex language structures, $240, edproducts.sunshinecottage.org