Evidence map›Paper›PMID 34898258›Full record

ArticleLanguage, speech, and hearing services in schools2022

Disparate Oral and Written Language Abilities in Adolescents With Cochlear Implants: Evidence From Narrative Samples.

Luke Breland, Joanna H Lowenstein, Susan Nittrouer

Open access · greenAbstract read
In one paragraph

Article in Language, speech, and hearing services in schools, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Article
  3. Concept vocabulary in children who are deaf or hard of hearing.Journal of deaf studies and deaf education · 2025
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  9. Writing Development in DHH Students: A Bimodal Bilingual Approach.Journal of deaf studies and deaf education · 2023
    Article
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  12. The emergence of bifurcated structure in children's language.Journal of experimental psychology. General · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Luke BrelandDepartment of Speech, Language, and Hearing Sciences, University of Florida, Gainesville.ORCID 0000-0003-4388-8399
Joanna H LowensteinDepartment of Speech, Language, and Hearing Sciences, University of Florida, Gainesville.ORCID 0000-0001-5750-4435
Susan NittrouerDepartment of Speech, Language, and Hearing Sciences, University of Florida, Gainesville.ORCID 0000-0002-3235-1724
Google (United States) · US

Funding

Spoken Language in Adolescents with Hearing LossR01DC015992 · NIDCD · UNIVERSITY OF FLORIDA · PI NITTROUER, SUSAN · 2017 to 2019
$1.6M
NIDCD NIH HHS R01 DC015992
6 · The paper itself

Abstract

purposeIn spite of improvements in language outcomes for children with hearing loss (HL) arising from cochlear implants (CIs), these children can falter when it comes to academic achievement, especially in higher grades. Given that writing becomes increasingly relevant to educational pursuits as children progress through school, this study explored the hypothesis that one challenge facing students with CIs may be written language.

methodParticipants were 98 eighth graders: 52 with normal hearing (NH) and 46 with severe-to-profound HL who used CIs. Oral and written narratives were elicited and analyzed for morphosyntactic complexity and global narrative features. Five additional measures were collected and analyzed as possible predictors of morphosyntactic complexity: Sentence Comprehension of Syntax, Grammaticality Judgment, Expressive Vocabulary, Forward Digit Span, and Phonological Awareness.

resultsFor oral narratives, groups performed similarly on both morphosyntactic complexity and global narrative features; for written narratives, critical differences were observed. Compared with adolescents with NH, adolescents with CIs used fewer markers of morphosyntactic complexity and scored lower on several global narrative features in their written narratives. Adolescents with NH outperformed those with CIs on all potential predictor measures, except for Sentence Comprehension of Syntax. Moderately strong relationships were found between predictor variables and individual measures of morphosyntactic complexity, but no comprehensive pattern explained the results. Measures of morphosyntactic complexity and global narrative features were not well correlated, suggesting these measures are assessing separate underlying constructs.

conclusionsAdolescents with CIs fail to show writing proficiency at high school entry equivalent to that of their peers with NH, which could constrain their academic achievement. Interventions for children with CIs need to target writing skills, and writing assessments should be incorporated into diagnostic assessments. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.17139059.

Indexed as

Cochlear ImplantationCochlear ImplantsDeafnessAdolescentChildHumansLanguageLanguage DevelopmentVocabulary

Identifiers

PMID34898258
PMCPMC9153903
OpenAlexW4200092906

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.