Dorie Noll, Celine Fawagreh, Elizabeth M Fitzpatrick
Approximately 50% of children first identified with hearing loss present with mild bilateral and unilateral hearing loss (MUHL), but little is known about their functioning in the school years. The purpose of this study was to examine caregivers' perceptions of their child's functioning and needs at school age. This qualitative inquiry was a follow-up to interviews conducted following the diagnosis of MUHL. Seventeen of the original 20 caregivers participated in this study. The median age of the children at the time of the interviews was 1.0 (8.7-10.7) years. Results represent parents' experiences in four key areas: (a) the challenge of transition, (b) the impact of hearing loss on functional outcomes, (c) the challenges of MUHL, including concerns about "falling through the cracks" and low expectations, and (d) the importance of advocacy. Parents indicated that while their child may not need as much direct support as children with more severe hearing loss, as parents, they still need support and guidance to navigate the educational system. These findings provide valuable insight into parents' perspectives, contribute to our understanding of the impact of MUHL on educational outcomes and highlight the need to ensure that these children are not overlooked.
{"title":"School-aged children with mild bilateral and unilateral hearing loss: parents' experiences.","authors":"Dorie Noll, Celine Fawagreh, Elizabeth M Fitzpatrick","doi":"10.1093/jdsade/enaf037","DOIUrl":"10.1093/jdsade/enaf037","url":null,"abstract":"<p><p>Approximately 50% of children first identified with hearing loss present with mild bilateral and unilateral hearing loss (MUHL), but little is known about their functioning in the school years. The purpose of this study was to examine caregivers' perceptions of their child's functioning and needs at school age. This qualitative inquiry was a follow-up to interviews conducted following the diagnosis of MUHL. Seventeen of the original 20 caregivers participated in this study. The median age of the children at the time of the interviews was 1.0 (8.7-10.7) years. Results represent parents' experiences in four key areas: (a) the challenge of transition, (b) the impact of hearing loss on functional outcomes, (c) the challenges of MUHL, including concerns about \"falling through the cracks\" and low expectations, and (d) the importance of advocacy. Parents indicated that while their child may not need as much direct support as children with more severe hearing loss, as parents, they still need support and guidance to navigate the educational system. These findings provide valuable insight into parents' perspectives, contribute to our understanding of the impact of MUHL on educational outcomes and highlight the need to ensure that these children are not overlooked.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"529-539"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152408","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 qualitative study aimed to explore parents' perceptions regarding the communication of their school-aged child with cochlear implants (CIs) in various social contexts. To this end, the construct of "communicative participation" (World Health Organization (2001), International Classification of Functioning, Disability, and Health, https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health) was broadly applied to the population of children with CIs. Nineteen parents participated in semi-structured interviews and described their perceptions and experiences regarding the communication of their child in social contexts. Data were analyzed using a thematic analysis approach. The results showed that overall, despite describing very positive outcomes with CIs, parents reported that their children do experience participation restrictions and activity limitations because of communication difficulties and/or environmental and social barriers. The findings from this study unveiled the communication difficulties of school-aged children with CIs, as experienced by their parents. These difficulties-which may seem subtle-can significantly impact the participation in communication. Language interventions could be improved to better support pupils who are experienced CI users.
{"title":"Communicative participation of school-aged children with cochlear implants: parental perceptions.","authors":"Louise Duchesne, Marie-Pier Gingras, Maude Gagnon","doi":"10.1093/jdsade/enaf021","DOIUrl":"10.1093/jdsade/enaf021","url":null,"abstract":"<p><p>This qualitative study aimed to explore parents' perceptions regarding the communication of their school-aged child with cochlear implants (CIs) in various social contexts. To this end, the construct of \"communicative participation\" (World Health Organization (2001), International Classification of Functioning, Disability, and Health, https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health) was broadly applied to the population of children with CIs. Nineteen parents participated in semi-structured interviews and described their perceptions and experiences regarding the communication of their child in social contexts. Data were analyzed using a thematic analysis approach. The results showed that overall, despite describing very positive outcomes with CIs, parents reported that their children do experience participation restrictions and activity limitations because of communication difficulties and/or environmental and social barriers. The findings from this study unveiled the communication difficulties of school-aged children with CIs, as experienced by their parents. These difficulties-which may seem subtle-can significantly impact the participation in communication. Language interventions could be improved to better support pupils who are experienced CI users.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"540-552"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988238","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}
Laura Fernández-García, Nahuel Gioiosa Maurno, Jessica Phillips-Silver, María Teresa Daza González
Although previous studies have suggested that language deprivation may affect the development of executive functions (EFs), there are no assessment tools adapted to the language needs of deaf-and-hard-of-hearing (DHH) children. The present study had two objectives: (1) to examine the feasibility of the Executive Brain Battery in assessing 40 prelingually deaf-and-hard-of-hearing children between 6 and 12 years, and (2) to explore whether some sociodemographic and clinical variables could be associated with the performance of deaf children. The results showed that all tasks included in the Executive Brain Battery were practicable for more than 75% of participants, with the decision-making task being the only one that demonstrated an improvement in the performance of children between 6-8 and 9-12 years of age. Moreover, the 6-8 years group displayed a sex effect in inhibition and decision-making tasks. However, this effect disappears in the 9-12 years group, which showed only a negative effect of cochlear implants on the theory of mind task.
{"title":"\"Cool\" and \"Hot\" executive functions in deaf children: the executive brain battery (EBB).","authors":"Laura Fernández-García, Nahuel Gioiosa Maurno, Jessica Phillips-Silver, María Teresa Daza González","doi":"10.1093/jdsade/enaf019","DOIUrl":"10.1093/jdsade/enaf019","url":null,"abstract":"<p><p>Although previous studies have suggested that language deprivation may affect the development of executive functions (EFs), there are no assessment tools adapted to the language needs of deaf-and-hard-of-hearing (DHH) children. The present study had two objectives: (1) to examine the feasibility of the Executive Brain Battery in assessing 40 prelingually deaf-and-hard-of-hearing children between 6 and 12 years, and (2) to explore whether some sociodemographic and clinical variables could be associated with the performance of deaf children. The results showed that all tasks included in the Executive Brain Battery were practicable for more than 75% of participants, with the decision-making task being the only one that demonstrated an improvement in the performance of children between 6-8 and 9-12 years of age. Moreover, the 6-8 years group displayed a sex effect in inhibition and decision-making tasks. However, this effect disappears in the 9-12 years group, which showed only a negative effect of cochlear implants on the theory of mind task.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"469-480"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991905","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}
{"title":"Reframing Coda narratives: a response to \"Specific manifestations of sandwich generation effect in deaf parents and coda families\".","authors":"Jeffrey Levi Palmer","doi":"10.1093/jdsade/enaf047","DOIUrl":"10.1093/jdsade/enaf047","url":null,"abstract":"","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"425-427"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733984","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}
Nynke Dethmers, Harry Knoors, Constance Vissers, Hille van Gelder, Daan Hermans
This paper reports upon an evaluation of a school-based screening program aimed at detecting psychological problems1 in 495 deaf and hard of hearing (DHH) students. The first aim of the study was to evaluate the actual implementation of this program. Furthermore, the prevalence of internalizing and externalizing problems in a subset of 277 DHH students was analysed and subsequently how these problems vary as a function of age, gender, context, and negative life circumstances (NLCs). The results show higher prevalence rates of psychological problems compared to typical hearing peers, but lower than in previous studies. More problems were observed in the context of school than at home. No age or gender differences were found, but significantly more internalizing problems in DHH adolescents than externalizing problems. Prevalence of psychological problems among DHH students without NLCs were significantly lower than among students with one or more NLCs. The results shows a screening program to identify psychological problems in special schools can be successfully implemented. Such programs will help to identify psychological problems at an early stage and provide care for DHH children and adolescents with psychological problems.
{"title":"Screening for psychological problems in deaf and hard of hearing students.","authors":"Nynke Dethmers, Harry Knoors, Constance Vissers, Hille van Gelder, Daan Hermans","doi":"10.1093/jdsade/enaf017","DOIUrl":"10.1093/jdsade/enaf017","url":null,"abstract":"<p><p>This paper reports upon an evaluation of a school-based screening program aimed at detecting psychological problems1 in 495 deaf and hard of hearing (DHH) students. The first aim of the study was to evaluate the actual implementation of this program. Furthermore, the prevalence of internalizing and externalizing problems in a subset of 277 DHH students was analysed and subsequently how these problems vary as a function of age, gender, context, and negative life circumstances (NLCs). The results show higher prevalence rates of psychological problems compared to typical hearing peers, but lower than in previous studies. More problems were observed in the context of school than at home. No age or gender differences were found, but significantly more internalizing problems in DHH adolescents than externalizing problems. Prevalence of psychological problems among DHH students without NLCs were significantly lower than among students with one or more NLCs. The results shows a screening program to identify psychological problems in special schools can be successfully implemented. Such programs will help to identify psychological problems at an early stage and provide care for DHH children and adolescents with psychological problems.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"506-515"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12550358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054384","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 study concerns adult Codas, or hearing children of deaf1, signing parents. They are of significant interest to language researchers as bimodal bilinguals who grew up in a multifaceted bicultural environment. The study is based on interviews with 12 Coda adults in Sweden (aged 18-50 years). The interviews were translated, transcribed, and coded for thematic analysis. The analysis draws on the theoretical concepts of social identity and investment proposed by Norton (Norton Peirce, B. (1995). Social identity, investment, and language learning. TESOL Quarterly, 1(29), 9-31 https://faculty.educ.ubc.ca/norton/Norton%201995%20p.pdf.). The main findings indicate that for these Codas, the everyday experience of bimodal bilingualism acts as a driving force in the formation of social identities, fostering linguistic, cultural, and social awareness, which, in turn, influences how individuals invest in their languages and cultures.
{"title":"Identity formation in bimodal-bilingual children of Deaf adults (Codas).","authors":"Karin Allard, Carin Roos","doi":"10.1093/jdsade/enaf040","DOIUrl":"10.1093/jdsade/enaf040","url":null,"abstract":"<p><p>This study concerns adult Codas, or hearing children of deaf1, signing parents. They are of significant interest to language researchers as bimodal bilinguals who grew up in a multifaceted bicultural environment. The study is based on interviews with 12 Coda adults in Sweden (aged 18-50 years). The interviews were translated, transcribed, and coded for thematic analysis. The analysis draws on the theoretical concepts of social identity and investment proposed by Norton (Norton Peirce, B. (1995). Social identity, investment, and language learning. TESOL Quarterly, 1(29), 9-31 https://faculty.educ.ubc.ca/norton/Norton%201995%20p.pdf.). The main findings indicate that for these Codas, the everyday experience of bimodal bilingualism acts as a driving force in the formation of social identities, fostering linguistic, cultural, and social awareness, which, in turn, influences how individuals invest in their languages and cultures.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"481-495"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512604","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}
The main group of interest in this study are deaf parents of hearing children and the aim is to describe the phenomenon of the inverted sandwich generation effect with deaf parents of hearing children. The basic research framework for this study was Interpretative Phenomenological Analysis as defined by Smith et al. (Smith, J. A., Larkin, M., & Flowers, P. (2009). Interpretative phenomenological analysis: Theory, method and research. Sage.). Five themes were defined-grandparent help, child help with interpretation and life support, help from neighbors and others, parental dependency, child independence, and interpretation of childhood and parenthood. These themes were interpreted by analyzing data from two groups of respondents-deaf parents and their hearing children (children of deaf adults). The main finding relates to the reverse sandwich model operating within these generations.
本研究的主要研究对象是听力正常儿童的聋人父母,目的是描述听力正常儿童的聋人父母的倒三明治生成效应现象。本研究的基本研究框架是Smith等人定义的解释性现象学分析(Smith, J. A., Larkin, M., & Flowers, P., 2009)。解释现象学分析:理论、方法与研究。Sage)。研究确定了五个主题:祖父母的帮助、孩子在解释和生活支持方面的帮助、邻居和其他人的帮助、父母的依赖、孩子的独立、童年和为人父母的解释。这些主题是通过分析两组受访者——聋人父母和他们的听力正常的孩子(聋人成年人的孩子)的数据来解释的。主要的发现与在这些世代中运作的反向三明治模型有关。
{"title":"Specific manifestations of sandwich generation effect in deaf parents and CODA families.","authors":"Vít Dočekal, Eva Klimentová","doi":"10.1093/jdsade/enaf020","DOIUrl":"10.1093/jdsade/enaf020","url":null,"abstract":"<p><p>The main group of interest in this study are deaf parents of hearing children and the aim is to describe the phenomenon of the inverted sandwich generation effect with deaf parents of hearing children. The basic research framework for this study was Interpretative Phenomenological Analysis as defined by Smith et al. (Smith, J. A., Larkin, M., & Flowers, P. (2009). Interpretative phenomenological analysis: Theory, method and research. Sage.). Five themes were defined-grandparent help, child help with interpretation and life support, help from neighbors and others, parental dependency, child independence, and interpretation of childhood and parenthood. These themes were interpreted by analyzing data from two groups of respondents-deaf parents and their hearing children (children of deaf adults). The main finding relates to the reverse sandwich model operating within these generations.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"553-563"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046709","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}
{"title":"Correction to: Language use and identity in an ethnically heterogeneous deaf community.","authors":"","doi":"10.1093/jdsade/enaf058","DOIUrl":"10.1093/jdsade/enaf058","url":null,"abstract":"","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"581"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974153","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}
Within the Hungarian Deaf minority in Romania, a combination of two distinct types of culturally rooted minority identity occurs, which generates a minority situation at several levels. Our research conducted in a multicultural city of western Romania (Oradea) aimed to find out what are the prevailing means of linguistic communication within the local Deaf Association community; what are the linguistic communication opportunities available for ethnic Hungarian Deaf community members; and what resources the ethnic Hungarian Deaf employ to maintain and nurture their ethno-linguistic and national identity. The research is based on a combination of quantitative and qualitative approaches: questionnaire survey, participant observation within the local association Deaf community, and life course interviews with ethnic Hungarian Deaf. We found that in case of ethnic Hungarian Deaf minority members the sense of belonging to the ethnically heterogeneous local Deaf community tends to override the belonging to the ethnically defined Hungarian Deaf sub-community. While assigning a great importance to their own ethnic identity, Hungarian minority Deaf demonstrate a high capacity and willingness to adapt to the specific sign language communicational mode of the ethnic Romanian Deaf majority in order to gain and preserve full recognition as equal members of the community.
{"title":"Language use and identity in an ethnically heterogeneous deaf community.","authors":"Emese Belenyi, Gavril Flora","doi":"10.1093/jdsade/enaf043","DOIUrl":"10.1093/jdsade/enaf043","url":null,"abstract":"<p><p>Within the Hungarian Deaf minority in Romania, a combination of two distinct types of culturally rooted minority identity occurs, which generates a minority situation at several levels. Our research conducted in a multicultural city of western Romania (Oradea) aimed to find out what are the prevailing means of linguistic communication within the local Deaf Association community; what are the linguistic communication opportunities available for ethnic Hungarian Deaf community members; and what resources the ethnic Hungarian Deaf employ to maintain and nurture their ethno-linguistic and national identity. The research is based on a combination of quantitative and qualitative approaches: questionnaire survey, participant observation within the local association Deaf community, and life course interviews with ethnic Hungarian Deaf. We found that in case of ethnic Hungarian Deaf minority members the sense of belonging to the ethnically heterogeneous local Deaf community tends to override the belonging to the ethnically defined Hungarian Deaf sub-community. While assigning a great importance to their own ethnic identity, Hungarian minority Deaf demonstrate a high capacity and willingness to adapt to the specific sign language communicational mode of the ethnic Romanian Deaf majority in order to gain and preserve full recognition as equal members of the community.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"516-528"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498428","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}
Melissa L Anderson, Alexander M Wilkins, Sheri Hostovsky, Emma Pici-D'Ottavio, Aileen Aldalur, Felicia McGinnis, Kayla Meza
At the time of publication, there are no evidence-based psychotherapies to treat any behavioral health condition with Deaf clients. This article describes unique study design considerations for psychotherapy clinical trials conducted in the U.S. Deaf community. We synthesized emergent themes from participant exit interviews with feasibility data and real-life challenges that our team encountered when implementing the Signs of Safety pilot clinical trial, conducted from 2019 to 2022. Particularly illustrative participant accounts were selected to demonstrate five major lessons learned-expanding reach for recruitment; formally assessing participants' ASL fluency; selecting ethically-sound control groups; streamlining video fidelity monitoring; and making crystallized outcome assessments ASL-accessible. These lessons learned informed the design of the first-ever full-scale psychotherapy trial in the U.S. Deaf community, to be conducted from late autumn 2024 through 2028. This trial will potentially validate the first evidence-based therapy for Deaf people and provide a vital roadmap for conducting Deaf community-engaged clinical trials.
{"title":"Psychotherapy research in the deaf community: pilot clinical trial lessons learned.","authors":"Melissa L Anderson, Alexander M Wilkins, Sheri Hostovsky, Emma Pici-D'Ottavio, Aileen Aldalur, Felicia McGinnis, Kayla Meza","doi":"10.1093/jdsade/enaf007","DOIUrl":"10.1093/jdsade/enaf007","url":null,"abstract":"<p><p>At the time of publication, there are no evidence-based psychotherapies to treat any behavioral health condition with Deaf clients. This article describes unique study design considerations for psychotherapy clinical trials conducted in the U.S. Deaf community. We synthesized emergent themes from participant exit interviews with feasibility data and real-life challenges that our team encountered when implementing the Signs of Safety pilot clinical trial, conducted from 2019 to 2022. Particularly illustrative participant accounts were selected to demonstrate five major lessons learned-expanding reach for recruitment; formally assessing participants' ASL fluency; selecting ethically-sound control groups; streamlining video fidelity monitoring; and making crystallized outcome assessments ASL-accessible. These lessons learned informed the design of the first-ever full-scale psychotherapy trial in the U.S. Deaf community, to be conducted from late autumn 2024 through 2028. This trial will potentially validate the first evidence-based therapy for Deaf people and provide a vital roadmap for conducting Deaf community-engaged clinical trials.</p>","PeriodicalId":47768,"journal":{"name":"Journal of Deaf Studies and Deaf Education","volume":" ","pages":"315-323"},"PeriodicalIF":1.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068730","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}