ERIC Number: EJ1325079
Record Type: Journal
Publication Date: 2021-Dec
Pages: 15
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1092-4388
EISSN: N/A
Available Date: N/A
Verbal Working Memory Error Patterns and Speech-Language Outcomes in Youth with Cochlear Implants
Romano, Daniel R.; Kronenberger, William G.; Henning, Shirley C.; Montgomery, Caitlin J.; Ditmars, Allison M.; Johnson, Courtney A.; Bozell, Hannah D.; Yates, Adeline D.; Pisoni, David B.
Journal of Speech, Language, and Hearing Research, v64 n12 p4949-4963 Dec 2021
Purpose: Verbal working memory (VWM) delays are commonly found in prelingually deaf youth with cochlear implants (CIs), albeit with considerable interindividual variability. However, little is known about the neurocognitive information-processing mechanisms underlying these delays and how these mechanisms relate to spoken language outcomes. The goal of this study was to use error analysis of the letter-number sequencing (LNS) task to test the hypothesis that VWM delays in CI users are due, in part, to fragile, underspecified phonological representations in short-term memory. Method: Fifty-one CI users aged 7-22 years and 53 normal hearing (NH) peers completed a battery of speech, language, and neurocognitive tests. LNS raw scores and error profiles were compared between samples, and a hierarchical regression model was used to test for associations with measures of speech, language, and hearing. Results: Youth with CIs scored lower on the LNS test than NH peers and committed a significantly higher number of errors involving phonological confusions (recalling an incorrect letter/digit in place of a phonologically similar one). More phonological errors were associated with poorer performance on measures of nonword repetition and following spoken directions but not with hearing quality. Conclusions: Study findings support the hypothesis that poorer VWM in deaf children with CIs is due, in part, to fragile, underspecified phonological representations in short-term/working memory, which underlie spoken language delays. Programs aimed at strengthening phonological representations may improve VWM and spoken language outcomes in CI users.
Descriptors: Short Term Memory, Verbal Communication, Deafness, Hearing Impairments, Assistive Technology, Error Patterns, Phonology, Children, Adolescents, Young Adults, Phonological Awareness, Repetition, Speech Communication, Language Impairments, Cognitive Processes, Speech Skills
American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute on Deafness and Other Communication Disorders (NIDCD) (DHHS/NIH)
Authoring Institution: N/A
Identifiers - Assessments and Surveys: Clinical Evaluation of Language Fundamentals; Leiter International Performance Scale; Peabody Picture Vocabulary Test; Wechsler Intelligence Scale for Children
Grant or Contract Numbers: R01DC015257
Author Affiliations: N/A