Prior studies have documented an association between reading comprehension and arithmetical skills. However, the underlying processes that might moderate these associations, particularly while accounting for general cognitive abilities, remain unclear. This study investigated whether grade level moderated the relationship between reading comprehension and mental subtraction in deaf and hard of hearing (DHH) children, after controlling for intelligence. A sample of 257 DHH children from Grades 3 to 9 in China completed measures of reading comprehension, single-digit subtraction, double-digit subtraction, and a test of non-verbal intelligence. Results indicated that after controlling for intelligence, the direct effect of reading comprehension on subtraction performance was not significant. However, moderation analyses using the PROCESS macro revealed that grade level significantly moderated this relationship for both single-digit and double-digit subtraction. Simple slope analyses showed that for children in higher grades, reading comprehension was a strong and significant predictor of subtraction performance. In contrast, for children in lower grades, the association was significantly weaker for single-digit subtraction and non-existent for double-digit subtraction. These findings highlight grade level as a critical developmental moderator, suggesting that the role of reading comprehension in arithmetic emerges and strengthens in later school years among DHH children.
{"title":"Reading comprehension and mental subtraction in deaf and hard of hearing children: the moderating role of grade level.","authors":"Lilan Chen","doi":"10.1093/jdsade/enaf078","DOIUrl":"https://doi.org/10.1093/jdsade/enaf078","url":null,"abstract":"<p><p>Prior studies have documented an association between reading comprehension and arithmetical skills. However, the underlying processes that might moderate these associations, particularly while accounting for general cognitive abilities, remain unclear. This study investigated whether grade level moderated the relationship between reading comprehension and mental subtraction in deaf and hard of hearing (DHH) children, after controlling for intelligence. A sample of 257 DHH children from Grades 3 to 9 in China completed measures of reading comprehension, single-digit subtraction, double-digit subtraction, and a test of non-verbal intelligence. Results indicated that after controlling for intelligence, the direct effect of reading comprehension on subtraction performance was not significant. However, moderation analyses using the PROCESS macro revealed that grade level significantly moderated this relationship for both single-digit and double-digit subtraction. Simple slope analyses showed that for children in higher grades, reading comprehension was a strong and significant predictor of subtraction performance. In contrast, for children in lower grades, the association was significantly weaker for single-digit subtraction and non-existent for double-digit subtraction. These findings highlight grade level as a critical developmental moderator, suggesting that the role of reading comprehension in arithmetic emerges and strengthens in later school years among DHH children.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145949374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article examines how deaf students and interpreters experience positioning within mainstream educational settings, with a focus on environments where a critical mass-defined as multiple deaf students and interpreters-is present. Drawing on interviews with 41 formerly mainstreamed deaf individuals and interpreters, the study explores how critical mass influences engagement, participation, and perceived membership in the school community. Findings suggest that critical mass enhances access to Deaf Community Cultural Wealth (DCCW) and fosters collaborative positioning. These environments strengthen support systems for both deaf students and interpreters. These environments also promote professional development among interpreters and contribute to more inclusive school climates. The study is framed by positioning theory and DCCW, offering insights into how systemic and interpersonal dynamics shape educational experiences. Implications are discussed for both deaf education and interpreter education communities.
{"title":"Critical mass and positioning in mainstream deaf education.","authors":"Lisa M Prinzi","doi":"10.1093/jdsade/enaf085","DOIUrl":"https://doi.org/10.1093/jdsade/enaf085","url":null,"abstract":"<p><p>This article examines how deaf students and interpreters experience positioning within mainstream educational settings, with a focus on environments where a critical mass-defined as multiple deaf students and interpreters-is present. Drawing on interviews with 41 formerly mainstreamed deaf individuals and interpreters, the study explores how critical mass influences engagement, participation, and perceived membership in the school community. Findings suggest that critical mass enhances access to Deaf Community Cultural Wealth (DCCW) and fosters collaborative positioning. These environments strengthen support systems for both deaf students and interpreters. These environments also promote professional development among interpreters and contribute to more inclusive school climates. The study is framed by positioning theory and DCCW, offering insights into how systemic and interpersonal dynamics shape educational experiences. Implications are discussed for both deaf education and interpreter education communities.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There are global initiatives aimed at improving the quality of Family-Centered Early Education (FCEE) for deaf and hard-of-hearing (DHH) children and their parents. This study aims to examine the FCEE practices provided to parents of DHH children aged 0-3 in Türkiye based on parental experiences. Employing a sequential explanatory mixed methods design, data were collected from 268 parents in the quantitative phase and 10 in the qualitative phase through the FCEE-DHH Survey, semi-structured interviews, and information form. Descriptive analyses were conducted, with qualitative findings elaborating on the quantitative results. Findings were categorized into four dimensions: information, guidance, intervention, and assessment. Results indicated that parents primarily relied on internet sources and peer networks to address informational needs. For guidance, limited access to psycho-social support and a lack of attention to parents' emotional needs were reported. Intervention practices were predominantly child-centered with minimal parental involvement. The absence of a systematic assessment led to unrealistic expectations regarding children's development. These results underscore the need for comprehensive, interdisciplinary FCEE programs in Türkiye supported by legal frameworks and integrated service policies.
{"title":"Where are we in family-centered intervention? Parental experiences of DHH children.","authors":"Murat Doğan, Mahire Kılıç, Ramazan Bekar","doi":"10.1093/jdsade/enaf081","DOIUrl":"https://doi.org/10.1093/jdsade/enaf081","url":null,"abstract":"<p><p>There are global initiatives aimed at improving the quality of Family-Centered Early Education (FCEE) for deaf and hard-of-hearing (DHH) children and their parents. This study aims to examine the FCEE practices provided to parents of DHH children aged 0-3 in Türkiye based on parental experiences. Employing a sequential explanatory mixed methods design, data were collected from 268 parents in the quantitative phase and 10 in the qualitative phase through the FCEE-DHH Survey, semi-structured interviews, and information form. Descriptive analyses were conducted, with qualitative findings elaborating on the quantitative results. Findings were categorized into four dimensions: information, guidance, intervention, and assessment. Results indicated that parents primarily relied on internet sources and peer networks to address informational needs. For guidance, limited access to psycho-social support and a lack of attention to parents' emotional needs were reported. Intervention practices were predominantly child-centered with minimal parental involvement. The absence of a systematic assessment led to unrealistic expectations regarding children's development. These results underscore the need for comprehensive, interdisciplinary FCEE programs in Türkiye supported by legal frameworks and integrated service policies.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah M Dostal, Kimberly A Wolbers, Kelsey Spurgin, Leala Holcomb
This study explores the writing performance of deaf high school students, focusing on narrative, argumentative, and argumentative-with-sources genres, and examining the role of expressive language proficiency and early language exposure. Using a descriptive research design, the writing samples of 75 students were scored for idea development, organization, style, sentence fluency, word choice, and conventions using automated scoring. Results revealed a range of low to mid performance, with the argumentative-with-sources writing scoring similarly to narrative writing and showing incremental growth across the grade levels. Early language exposure and proficiency in ASL or spoken English were linked to better writing outcomes, highlighting the importance of early and accessible language development. The results underscore the urgent need for linguistically responsive materials, reliable ASL assessments, and evidence-based instructional strategies for addressing the range of needs of deaf students. The study calls for further exploration of the patterns observed in students' writing to design instruction that builds on strengths and addresses needs, enhancing academic success and societal participation for deaf learners.
{"title":"Writing outcomes and expressive language use of deaf high school students.","authors":"Hannah M Dostal, Kimberly A Wolbers, Kelsey Spurgin, Leala Holcomb","doi":"10.1093/jdsade/enaf050","DOIUrl":"10.1093/jdsade/enaf050","url":null,"abstract":"<p><p>This study explores the writing performance of deaf high school students, focusing on narrative, argumentative, and argumentative-with-sources genres, and examining the role of expressive language proficiency and early language exposure. Using a descriptive research design, the writing samples of 75 students were scored for idea development, organization, style, sentence fluency, word choice, and conventions using automated scoring. Results revealed a range of low to mid performance, with the argumentative-with-sources writing scoring similarly to narrative writing and showing incremental growth across the grade levels. Early language exposure and proficiency in ASL or spoken English were linked to better writing outcomes, highlighting the importance of early and accessible language development. The results underscore the urgent need for linguistically responsive materials, reliable ASL assessments, and evidence-based instructional strategies for addressing the range of needs of deaf students. The study calls for further exploration of the patterns observed in students' writing to design instruction that builds on strengths and addresses needs, enhancing academic success and societal participation for deaf learners.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"70-84"},"PeriodicalIF":1.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Both deaf and hearing readers use morphological awareness skills to decode and comprehend printed English. Deaf readers, for whom phonological awareness is a relative weakness while orthographic sensitivity is a strength, may have a different relationship with morphology than similarly skilled hearing readers. This study investigated the impact of various reading sub-skills-spelling, vocabulary size, morphological awareness, and phonological awareness-on reading comprehension for deaf and hearing adult readers. Morphological awareness had a stronger relationship with reading comprehension for deaf than hearing readers, particularly for deaf readers with advanced morphological skills. Morphology and vocabulary were also more strongly related for the deaf group, indicating that deaf readers leverage morphology to expand their word knowledge. Overall, the findings highlight the unique and significant role of morphological awareness in the skilled deaf reader's "toolbox" and underscore the importance of morphological instruction in supporting the reading development of deaf individuals.
{"title":"Morphological awareness and reading skill for deaf and hearing adults.","authors":"Emily Saunders, Haley Helms, Karen Emmorey","doi":"10.1093/jdsade/enaf042","DOIUrl":"10.1093/jdsade/enaf042","url":null,"abstract":"<p><p>Both deaf and hearing readers use morphological awareness skills to decode and comprehend printed English. Deaf readers, for whom phonological awareness is a relative weakness while orthographic sensitivity is a strength, may have a different relationship with morphology than similarly skilled hearing readers. This study investigated the impact of various reading sub-skills-spelling, vocabulary size, morphological awareness, and phonological awareness-on reading comprehension for deaf and hearing adult readers. Morphological awareness had a stronger relationship with reading comprehension for deaf than hearing readers, particularly for deaf readers with advanced morphological skills. Morphology and vocabulary were also more strongly related for the deaf group, indicating that deaf readers leverage morphology to expand their word knowledge. Overall, the findings highlight the unique and significant role of morphological awareness in the skilled deaf reader's \"toolbox\" and underscore the importance of morphological instruction in supporting the reading development of deaf individuals.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"58-69"},"PeriodicalIF":1.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12723586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper, the 6th in a series about the level of access afforded to students who use educational interpreters, examines the intelligibility of messages produced by Conceptually Accurate Signed English (CASE) transliterators. Eight highly skilled receivers of CASE evaluated the intelligibility of messages that varied in accuracy and lag time. Results of intelligibility tests showed that (1) overall intelligibility (40%) was considerably lower than average accuracy (58%), (2) accuracy played a smaller role than expected in intelligibility, and (3) the relationship between accuracy and intelligibility likelihood was roughly sigmoidal in shape, with intelligibility likelihood falling fastest as accuracy drops below 65%. Mouthing was the primary factor in intelligibility of all words in the message, explaining 24% of the variance; accuracy accounted for another 6%. The roles were reversed for key words (accuracy accounted for 15% of variance; mouthing explained 6%). Lag time had no contribution after accounting for accuracy and mouthing, but utterances with lag times between 0.5 and 1.5 s were most likely to exceed 70% intelligibility. Future work should investigate sources of transliterator variability (e.g., speechreadability, presentation rate) and other communication options (e.g., American Sign Language) in order to ensure accessibility for all students who use educational interpreters.
{"title":"Conceptually Accurate Signed English transliteration: effects of accuracy and lag time on message intelligibility.","authors":"Jean C Krause, Amanda Kluzynski","doi":"10.1093/jdsade/enaf054","DOIUrl":"10.1093/jdsade/enaf054","url":null,"abstract":"<p><p>This paper, the 6th in a series about the level of access afforded to students who use educational interpreters, examines the intelligibility of messages produced by Conceptually Accurate Signed English (CASE) transliterators. Eight highly skilled receivers of CASE evaluated the intelligibility of messages that varied in accuracy and lag time. Results of intelligibility tests showed that (1) overall intelligibility (40%) was considerably lower than average accuracy (58%), (2) accuracy played a smaller role than expected in intelligibility, and (3) the relationship between accuracy and intelligibility likelihood was roughly sigmoidal in shape, with intelligibility likelihood falling fastest as accuracy drops below 65%. Mouthing was the primary factor in intelligibility of all words in the message, explaining 24% of the variance; accuracy accounted for another 6%. The roles were reversed for key words (accuracy accounted for 15% of variance; mouthing explained 6%). Lag time had no contribution after accounting for accuracy and mouthing, but utterances with lag times between 0.5 and 1.5 s were most likely to exceed 70% intelligibility. Future work should investigate sources of transliterator variability (e.g., speechreadability, presentation rate) and other communication options (e.g., American Sign Language) in order to ensure accessibility for all students who use educational interpreters.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"128-143"},"PeriodicalIF":1.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12723582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vocational identity development is a crucial yet underexplored aspect of Deaf and Hard of Hearing (DHH) students' education and career progression. This study investigates the role of father involvement in shaping DHH students' vocational identity, focusing on the mediating effects of internal (self-determination) and external (social competence) factors. Using data from 1,003 DHH university students across China, the results revealed that father involvement significantly enhances vocational identity (β = 2.273, p < .001). Specifically, it positively impacts self-determination (β = 1.810, p < .001) and social competence (β = 0.889, p < .001), both of which independently and significantly influence vocational identity. Self-determination accounted for approximately 57.3% of the total mediation effect, while social competence contributed 28.1%. These findings highlight the importance of internal motivation and external social skills in career development. This study provides valuable insights into how father involvement influences vocational identity through distinct psychological pathways, offering evidence-based recommendations for interventions aimed at enhancing self-determination and social competence to support DHH students' vocational identity development.
职业认同发展是聋人和听障学生教育和职业发展的一个重要但尚未得到充分探讨的方面。本研究探讨了父亲参与在DHH学生职业认同形成中的作用,重点探讨了内部(自我决定)和外部(社会能力)因素的中介作用。使用来自全国1003名DHH大学生的数据,结果显示父亲参与显著提高了职业认同(β = 2.273, p
{"title":"Father Involvement and Deaf and Hard-of-Hearing Students' Vocational Identity Development.","authors":"Sanyin Cheng, Li Deng","doi":"10.1093/jdsade/enaf036","DOIUrl":"10.1093/jdsade/enaf036","url":null,"abstract":"<p><p>Vocational identity development is a crucial yet underexplored aspect of Deaf and Hard of Hearing (DHH) students' education and career progression. This study investigates the role of father involvement in shaping DHH students' vocational identity, focusing on the mediating effects of internal (self-determination) and external (social competence) factors. Using data from 1,003 DHH university students across China, the results revealed that father involvement significantly enhances vocational identity (β = 2.273, p < .001). Specifically, it positively impacts self-determination (β = 1.810, p < .001) and social competence (β = 0.889, p < .001), both of which independently and significantly influence vocational identity. Self-determination accounted for approximately 57.3% of the total mediation effect, while social competence contributed 28.1%. These findings highlight the importance of internal motivation and external social skills in career development. This study provides valuable insights into how father involvement influences vocational identity through distinct psychological pathways, offering evidence-based recommendations for interventions aimed at enhancing self-determination and social competence to support DHH students' vocational identity development.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"104-118"},"PeriodicalIF":1.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
For most deaf readers, learning to read is a challenging task. Visual word recognition is crucial during reading; however, little is known about the cognitive mechanism of Chinese deaf readers during visual word recognition. In the present study, two experiments explored the activation of orthographic, phonological, and sign language representations during Chinese word recognition. Eye movements were recorded as participants read sentences containing orthographically similar words, homophones, sign language-related words, or unrelated words. All deaf readers showed shorter reading times for orthographically similar words compared to unrelated words. However, when the reading ability was controlled, the homophone advantage was observed only for deaf readers with more oral language experience, whereas the sign language advantage was observed only for deaf readers with more sign language experience. When language experience was controlled, in comparison to deaf readers with lower reading fluency levels, those with higher reading fluency levels had more stable orthographic and sign language representations. Deaf college readers with more oral language experience activate word meanings through orthographic and phonological representation, whereas deaf college readers with more sign language experience activate word meanings through orthographic and sign language representation, reflecting a unique cognitive mechanism, and reading ability moderates this process.
{"title":"Language experience and reading ability modulate word recognition in deaf readers.","authors":"Zebo Lan, Meihua Guo, Nina Liu, Guoli Yan, Valerie Benson","doi":"10.1093/jdsade/enaf016","DOIUrl":"10.1093/jdsade/enaf016","url":null,"abstract":"<p><p>For most deaf readers, learning to read is a challenging task. Visual word recognition is crucial during reading; however, little is known about the cognitive mechanism of Chinese deaf readers during visual word recognition. In the present study, two experiments explored the activation of orthographic, phonological, and sign language representations during Chinese word recognition. Eye movements were recorded as participants read sentences containing orthographically similar words, homophones, sign language-related words, or unrelated words. All deaf readers showed shorter reading times for orthographically similar words compared to unrelated words. However, when the reading ability was controlled, the homophone advantage was observed only for deaf readers with more oral language experience, whereas the sign language advantage was observed only for deaf readers with more sign language experience. When language experience was controlled, in comparison to deaf readers with lower reading fluency levels, those with higher reading fluency levels had more stable orthographic and sign language representations. Deaf college readers with more oral language experience activate word meanings through orthographic and phonological representation, whereas deaf college readers with more sign language experience activate word meanings through orthographic and sign language representation, reflecting a unique cognitive mechanism, and reading ability moderates this process.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"41-57"},"PeriodicalIF":1.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jasmin Filip, Heike van de Sand, Elena Pützer, Ingrid Schubert, Ingo Meyer, Ursula Marschall, Karolin Schäfer
The aim of this study was to analyze with the help of claims data which additional diagnoses are common for children who are deaf or hard-of-hearing (DHH) and at what frequency. Claims data sets from statutory health insurance providers contain different pieces of information, including medical diagnoses. The analysis of claims data was conducted for the 2010 birth cohort of 38,705 children who were insured by the BARMER health insurance company. This birth cohort was then narrowed down to all children who received a prescription for a hearing device within the first 10 years of their life (n = 474). For these 474 children, we assessed the most common additional diagnoses coded according to the International Classification of Diseases (ICD)-10-GM and analyzed their frequency. Apart from the high frequency of ear diseases such as "Diseases of middle ear and mastoid" (ICD category H65-H75, 95.4%), we also found a high frequency for "Developmental disorders" (ICD category F80-F89, 81.9%) and various other additional diagnoses. Our results show that DHH children are a heterogenous group with a high frequency of additional diagnoses.
{"title":"Most common additional diagnoses of children with hearing devices.","authors":"Jasmin Filip, Heike van de Sand, Elena Pützer, Ingrid Schubert, Ingo Meyer, Ursula Marschall, Karolin Schäfer","doi":"10.1093/jdsade/enaf045","DOIUrl":"10.1093/jdsade/enaf045","url":null,"abstract":"<p><p>The aim of this study was to analyze with the help of claims data which additional diagnoses are common for children who are deaf or hard-of-hearing (DHH) and at what frequency. Claims data sets from statutory health insurance providers contain different pieces of information, including medical diagnoses. The analysis of claims data was conducted for the 2010 birth cohort of 38,705 children who were insured by the BARMER health insurance company. This birth cohort was then narrowed down to all children who received a prescription for a hearing device within the first 10 years of their life (n = 474). For these 474 children, we assessed the most common additional diagnoses coded according to the International Classification of Diseases (ICD)-10-GM and analyzed their frequency. Apart from the high frequency of ear diseases such as \"Diseases of middle ear and mastoid\" (ICD category H65-H75, 95.4%), we also found a high frequency for \"Developmental disorders\" (ICD category F80-F89, 81.9%) and various other additional diagnoses. Our results show that DHH children are a heterogenous group with a high frequency of additional diagnoses.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"156-165"},"PeriodicalIF":1.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jos Ritmeester, Beyza Sümer, Marije Boonstra, Maartje de Meulder, Belinda van der Aa, Floris Roelofsen
The importance of hearing parents of deaf and hard-of-hearing (DHH) children learning sign language is well documented. However, parents face many challenges in this learning process. This study investigates the experiences of Dutch hearing parents learning Dutch Sign Language (NGT) or Sign-supported Dutch through semi-structured interviews with 21 parents and 6 NGT teachers. The interviews explored parents' and teachers' perspectives on parental sign language courses, additional learning materials, and the challenges parents face in learning sign language. The findings highlight the value of DHH teachers and home-based initial courses, as well as the importance of courses aligning with the child's developmental stage and extending beyond vocabulary level. Both parents and teachers appreciated learning materials that could be used together by parent and child but expressed a need for additional and more elaborate resources. Common challenges included language-specific difficulties, such as mastering sign order and adapting to a visual language, and external barriers, such as difficulties accessing courses and conflicting expert advice regarding the use of sign language. These findings underscore the need for more accessible courses, longer-duration support, and greater consistency among professionals in their advice. This would better support hearing parents in effectively learning sign language and ensuring their DHH children have full access to language from an early age.
{"title":"Navigating sign language learning: insights from hearing parents of deaf and hard-of-hearing children.","authors":"Jos Ritmeester, Beyza Sümer, Marije Boonstra, Maartje de Meulder, Belinda van der Aa, Floris Roelofsen","doi":"10.1093/jdsade/enaf059","DOIUrl":"10.1093/jdsade/enaf059","url":null,"abstract":"<p><p>The importance of hearing parents of deaf and hard-of-hearing (DHH) children learning sign language is well documented. However, parents face many challenges in this learning process. This study investigates the experiences of Dutch hearing parents learning Dutch Sign Language (NGT) or Sign-supported Dutch through semi-structured interviews with 21 parents and 6 NGT teachers. The interviews explored parents' and teachers' perspectives on parental sign language courses, additional learning materials, and the challenges parents face in learning sign language. The findings highlight the value of DHH teachers and home-based initial courses, as well as the importance of courses aligning with the child's developmental stage and extending beyond vocabulary level. Both parents and teachers appreciated learning materials that could be used together by parent and child but expressed a need for additional and more elaborate resources. Common challenges included language-specific difficulties, such as mastering sign order and adapting to a visual language, and external barriers, such as difficulties accessing courses and conflicting expert advice regarding the use of sign language. These findings underscore the need for more accessible courses, longer-duration support, and greater consistency among professionals in their advice. This would better support hearing parents in effectively learning sign language and ensuring their DHH children have full access to language from an early age.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"85-103"},"PeriodicalIF":1.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12723584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}