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Most common additional diagnoses of children with hearing devices. 戴助听器的儿童最常见的附加诊断。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf045
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.

本研究的目的是分析与索赔数据的帮助下,哪些额外的诊断是常见的儿童耳聋或听力障碍(DHH)和频率。来自法定健康保险提供商的索赔数据集包含不同的信息片段,包括医疗诊断。对2010年出生队列中投保BARMER健康保险公司的38 705名儿童的索赔数据进行了分析。然后,这个出生队列被缩小到所有在他们生命的前10年内接受过听力设备处方的儿童(n = 474)。对于这474名儿童,我们评估了根据国际疾病分类(ICD)-10-GM编码的最常见的附加诊断,并分析了其频率。除了“中耳和乳突疾病”(ICD分类H65-H75, 95.4%)等耳部疾病的高频率外,我们还发现“发育障碍”(ICD分类F80-F89, 81.9%)和其他各种附加诊断的高频率。我们的研究结果表明,DHH儿童是一个异质性群体,具有很高的附加诊断频率。
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引用次数: 0
Women's way of leading-deaf led and community rooted. 女性的领导方式——聋人主导和社区扎根。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf080
Regan Thibodeau

Deaf women's leadership challenges dominant models of authority by centering relational trust, cultural fluency, and community care. Based on survey and interview insights, it highlights themes of trailblazing, self-authored roles, intersectional barriers, and leadership bias. Deaf women reclaim leadership through language and identity as sources of visibility and power. Their experiences reveal systemic barriers such as sexism, audism, tokenism, intra-community critique, as well as sustaining values of resilience, mentorship and collective celebration, urges for investment in Deaf-led mentorship, and sustainable scaffolding.

聋哑女性的领导能力以关系信任、文化流畅性和社区关怀为中心,挑战了权威的主导模式。基于调查和采访的见解,它突出了开拓性、自我创造的角色、交叉障碍和领导偏见的主题。聋哑女性通过语言和身份作为能见度和权力的来源重新获得领导地位。他们的经历揭示了系统性障碍,如性别歧视、歧视、象征主义、社区内批评,以及韧性、指导和集体庆祝等持续价值观,呼吁投资聋人主导的指导,以及可持续的脚手架。
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引用次数: 0
Navigating sign language learning: insights from hearing parents of deaf and hard-of-hearing children. 引导手语学习:聋哑和听力障碍儿童的听力健全父母的见解。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf059
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.

聋哑和听力障碍(DHH)儿童的听力父母学习手语的重要性得到了充分的证明。然而,在这个学习过程中,父母面临着许多挑战。本研究通过对21位荷兰语家长和6位荷兰语手语教师的半结构化访谈,调查了荷兰语听力家长学习荷兰语手语(NGT)或手语支持荷兰语的经验。访谈探讨了家长和老师对家长手语课程、额外学习材料以及家长在学习手语时面临的挑战的看法。研究结果强调了DHH教师和家庭基础课程的价值,以及与儿童发展阶段一致的课程和超越词汇水平的课程的重要性。家长和老师都赞赏家长和孩子可以一起使用的学习材料,但表示需要额外和更详细的资源。常见的挑战包括语言特有的困难,如掌握手语顺序和适应视觉语言,以及外部障碍,如学习手语课程的困难和专家意见的冲突。这些发现强调需要更容易获得的课程、更长期的支持以及专业人员建议的更大一致性。这将更好地支持听力正常的父母有效地学习手语,并确保他们的DHH孩子从小就能充分接触语言。
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引用次数: 0
This is our rhythm: academic becoming and realignment in deaf space. 这就是我们的节奏:在聋哑空间里的学术成为和重新调整。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf061
Maartje De Meulder, Joseph J Murray, Annelies Kusters

Deaf scholars have long worked at the margins of academic institutions not designed for them. Designated deaf academic spaces-where deaf ways of knowing, teaching, and communicating are centered-remain rare. This study explores what becomes possible when such a space exists, presenting Dr Deaf as a case study. Drawing on interviews with participants and teachers, we show how deaf epistemologies and pedagogies are enacted through cross-stage responsibility and academic becoming through re-alignment of deaf participants and teachers. We also identify a distinct deaf rhythm that emerges in this space. At the same time, we recognize that these practices are not experienced or valued equally by all participants and teachers: needs, priorities, and ways of engaging differ, and Dr Deaf's approaches may not resonate for all. Yet its values offer a flexible framework for imagining and sustaining other deaf academic and broader educational spaces.

长期以来,聋人学者一直在不是为他们设计的学术机构的边缘工作。指定的聋人学术空间——以聋人的认识、教学和交流方式为中心的地方——仍然很少。这项研究探索了当这样的空间存在时可能发生的事情,并将聋哑博士作为一个案例研究。通过对参与者和教师的访谈,我们展示了聋人认识论和教学法是如何通过聋人参与者和教师的跨阶段责任和学术转变而制定的。我们还发现在这个空间中出现了一种独特的聋人节奏。与此同时,我们认识到,并非所有参与者和教师都能平等地体验或重视这些实践:需求、优先事项和参与方式各不相同,聋人博士的方法可能不会引起所有人的共鸣。然而,它的价值观为想象和维持其他聋人学术和更广泛的教育空间提供了一个灵活的框架。
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引用次数: 0
Morphological awareness and reading skill for deaf and hearing adults. 聋人及健全成人的词形意识及阅读技巧。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf055
Emily Saunders, Haley Helms, Karen Emmorey
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引用次数: 0
Psychological resilience impact career exploration and decision-making self-efficacy through hope. 心理弹性通过希望影响职业探索和决策自我效能。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf018
Xiaoou Bu, Yawen Du, Linlin Guo, Tongao Zeng, Yuwen Zhang, Hao Li

This study examined the effects of psychological resilience on career exploration and decision-making self-efficacy in deaf or hard-of-hearing (DHH) college students, and explored the mediating role of hope. A sample of 356 Chinese DHH college students aged 18-27 years (mean age = 21.23; SD = 1.66) participated in this study and completed measurements about psychological resilience, hope and career exploration and decision self-efficacy. The results showed that psychological resilience positively associated with career exploration and decision-making self-efficacy. Agency thinking mediated the relationship between psychological resilience and career decisional self-efficacy, while pathway thinking mediated the relationship between psychological resilience and career decisional coping efficacy. These results indicated that the confidence of DHH college students in career exploration and decision-making can be built by developing their internal resources.

本研究考察了心理弹性对聋哑大学生职业探索和决策自我效能感的影响,并探讨了希望的中介作用。本研究共选取356名18-27岁的中国DHH大学生(平均年龄21.23岁,SD = 1.66),完成心理弹性、希望与职业探索、决策自我效能感的测量。结果表明,心理弹性与职业探索和决策自我效能感呈正相关。中介思维在心理弹性与职业决策自我效能之间起中介作用,而路径思维在心理弹性与职业决策应对效能之间起中介作用。这些结果表明,DHH大学生可以通过开发其内部资源来建立职业探索和决策的信心。
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引用次数: 0
Professional development and signed literacy instruction: evidence from a multiple-baseline design. 专业发展和手语识字教学:来自多基线设计的证据。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf062
Leala Holcomb, Leah Oakes

This study examined whether professional development can translate a signed literacy instruction framework into high-fidelity classroom practice. Four K-3 teachers in an ASL/English bilingual program received a 2-day training followed by bi-weekly virtual coaching; entry into training was staggered in a non-concurrent multiple-baseline single case design. Teachers' use of indicators of signed literacy instruction was scored for at least 7 baseline and 2 intervention instructional units per teacher. Visual analysis showed near-zero fidelity during baseline and an immediate jump to 45%-60% on the first post-training unit, with 3 teachers accelerating to 80%-90% and 1 maintaining at 60%. Log response-ratio effect sizes ranged from 2.04 to 3.72, confirming large, consistent gains. Social validity interviews indicated that teachers valued the instructional framework, found it feasible, and planned to expand its use the following year. These findings show a functional relationship between SISI professional development and teachers' implementation of signed literacy instruction. They emphasize the value of professional development and suggest that signed literacy instruction can be embedded in early elementary curricula to promote deaf children's signing skills.

本研究探讨专业发展能否将手语识字教学框架转化为高保真的课堂实践。四名K-3教师在ASL/English双语项目中接受了为期两天的培训,然后每两周进行一次虚拟指导;在非并发多基线单病例设计中,进入培训是错开的。每位教师使用手语识字教学指标的评分至少为7个基线和2个干预教学单元。视觉分析显示,在基线阶段,保真度接近于零,而在第一个培训后单元,保真度立即跃升至45%-60%,其中3名教师加速至80%-90%,1名教师保持在60%。对数响应比效应大小范围从2.04到3.72,证实了大的、一致的增益。社会效度访谈表明,教师重视教学框架,认为它是可行的,并计划在第二年扩大其使用。本研究结果显示,小学专业发展与教师实施手语识字教学之间存在功能关系。他们强调专业发展的价值,并建议手语识字教学可以嵌入小学早期课程,以促进聋儿的手语技能。
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引用次数: 0
Explicit tier two vocabulary instruction for young deaf children. 幼儿失聪儿童的显性二级词汇教学。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf056
Sharon Klieve, Kate Leigh, Lois Grant, Lorraine Graham

This study examined the effectiveness of the explicit, evidence-based vocabulary intervention, Text Talk, for deaf children attending mainstream spoken language education settings during the early years of school. The Text Talk program is designed to guide teachers' Tier Two vocabulary instruction in the context of read-aloud storybooks. Participants included 20 children with moderate-to-profound hearing loss using spoken language to communicate, and their teachers of the deaf (ToDs) at mainstream schools with deaf facilities. The study investigated both the students' growth in vocabulary knowledge, and the experience of the teachers in implementing the program. Findings indicated that while all students experienced vocabulary growth, students with the highest level of prior vocabulary knowledge demonstrated the greatest gains. Teachers reported that their involvement in the intervention encouraged them to incorporate additional evidence-based strategies into their instructional repertoires. Importantly, the study outcomes suggest that ToDs' expert knowledge about deafness was a critical component that positively influenced the effective implementation of the Text Talk program with deaf students.

本研究考察了显性的、基于证据的词汇干预——文本交谈——对早期就读主流口语教育环境的聋儿的有效性。本课程旨在指导教师在朗读故事书的背景下进行第二级词汇教学。参与者包括20名使用口语进行交流的中度至重度听力损失儿童,以及他们在设有聋人设施的主流学校的聋人老师。本研究既调查了学生词汇知识的增长情况,也调查了教师在实施该计划时的经验。研究结果表明,虽然所有学生都经历了词汇量的增长,但先前词汇知识水平最高的学生表现出最大的收获。教师报告说,他们参与干预鼓励他们将额外的循证策略纳入他们的教学曲目。重要的是,研究结果表明,ToDs对耳聋的专业知识是对聋哑学生有效实施文本交谈计划产生积极影响的关键因素。
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引用次数: 0
Postsecondary education for deaf and hard-of-hearing students: a scoping review. 聋人和听力障碍学生的高等教育:范围审查。
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-23 DOI: 10.1093/jdsade/enaf053
Anwar A Alsalamah, Areej A Alsalamah

Research has been conducted worldwide to address various topics related to postsecondary education programs for deaf and hard-of-hearing (DHH) students. However, there is a paucity of reviews covering relevant research that could guide future efforts. Therefore, this literature scoping review was conducted to highlight exciting empirical studies in postsecondary education programs for DHH students. The review included 102 studies. The results of this review show the main characteristics of these studies, the years of publication, countries, research methods, and participants. This review also reveals 9 themes that were addressed in the reviewed studies. The most discussed topics relate to supportive services and the least to distance learning. Additionally, this analysis highlights the restrictions in the reviewed studies and the remaining areas that need to be addressed. Future directions are also discussed.

研究已经在世界范围内进行,以解决与聋人和听力障碍(DHH)学生的高等教育计划相关的各种主题。然而,涵盖相关研究的评论很少,这些研究可以指导未来的努力。因此,本文献综述旨在突出针对DHH学生的高等教育项目中令人兴奋的实证研究。该综述包括102项研究。本综述的结果显示了这些研究的主要特征、发表年份、国家、研究方法和参与者。本综述还揭示了所综述研究中涉及的9个主题。讨论最多的话题与支持性服务有关,与远程学习有关的话题最少。此外,这一分析强调了审查研究中的限制和需要解决的其余领域。并讨论了未来的发展方向。
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引用次数: 0
A call to action: more parent-child interaction research within daily routines! 行动呼吁:日常生活中多做亲子互动研究!
IF 1.4 3区 教育学 Q2 EDUCATION, SPECIAL Pub Date : 2025-12-17 DOI: 10.1093/jdsade/enaf057
Martina Curtin, Evelien Dirks, Amy Szarkowski

Parent-child interaction (PCI) is known to be a suportive predictor of child developmental outcomes. PCI is a 2-way, connected exchange where, particularly in infancy, the child is the agent of the interaction, initiating with eye gaze, action, emotion, and/or language, and the parent adapts their communication and interactional style in order to attune to and respond to their child. The research objectives of this study were informed by a group of hearing parents of deaf and hard-of-hearing (DHH) children. Whereas much of the literature examining PCI involves observations of parents/caregivers interacting with their children during play or book reading, these parents noted that PCI happens throughout the day; therefore, guidance and support to promote PCI during daily routines (i.e., repeated routines in care, hygiene, and nutrition) would also be useful. A systematic review aimed to identify and synthesize all academic papers assessing PCI with DHH children aged 0-3 within daily routine activities at home (i.e., activities outside of play or book reading). Severely limited results led to a 4-point Call to Action for researchers in the field: (1) examine PCI in daily routines; (2) capture PCI using video; (3) recruit diverse participant groups; and (4) report explicitly.

亲子互动(PCI)被认为是儿童发展结果的支持性预测因子。PCI是一种双向的、相互联系的交流,特别是在婴儿期,孩子是互动的代理人,以眼神、动作、情感和/或语言开始,父母调整他们的沟通和互动方式,以适应和回应他们的孩子。本研究的研究目的是由一组聋哑和听力障碍(DHH)儿童的听力正常的父母告知。尽管许多研究PCI的文献涉及观察父母/照顾者在玩耍或读书时与孩子的互动,但这些父母注意到PCI全天都在发生;因此,在日常生活中(即在护理、卫生和营养方面重复常规)促进PCI的指导和支持也是有用的。一项系统综述旨在识别和综合所有评估0-3岁DHH儿童在家中日常活动(即游戏或读书以外的活动)中PCI的学术论文。严重有限的结果导致了该领域研究人员的四点行动呼吁:(1)在日常工作中检查PCI;(2)利用视频捕获PCI;(3)招募多样化的参与者群体;(4)明确报告。
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引用次数: 0
期刊
Journal of Deaf Studies and Deaf Education
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