Clinical and Experimental Otorhinolaryngology

Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회)
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Spoken and Written Narrative in Persian-Speaking Students Who Received Cochlear Implant and/or Hearing Aid

  • Zamani, Peyman (Hearing and Speech Research Center, Ahvaz Jundishapur University of Medical Sciences) ;
  • Soleymani, Zahra (Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences) ;
  • Rashedi, Vahid (Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences) ;
  • Farahani, Farhad (Hearing Disorders Research Center, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences) ;
  • Lotfi, Gohar (Hearing Disorders Research Center, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences) ;
  • Rezaei, Mohammad (Hearing Disorders Research Center, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences)
  • Received : 2017.08.06
  • Accepted : 2018.03.26
  • Published : 2018.12.31
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Abstract

Objectives. To compare narrative skills between fourth and fifth grades of Persian-speaking students with hearing impairments and typical hearing students of the same grade and also to evaluate the effects of group, sex, hearing age, and educational grade of the students on their spoken/written narrative performance. Methods. The subjects were 174 students aged 10-13 years, 54 of whom wore cochlear implants, 60 suffered from moderate to severe hearing losses and wore hearing aids, with the remaining 60 students being typical hearing in terms of the sense of hearing. The micro- and macrostructure components of spoken and written narrative were elicited from a pictorial story (The Playful Little Elephant) and then scored by raters. Results. Compared to the typical hearing, the students with hearing impairments had significantly lower scores in all of the microstructure components of narratives. However, the findings showed no significant difference among different groups in macrostructure components of narratives. It was also revealed that the students had equal performance in spoken and written narrative. Finally, factor analysis manifested that group, sex, hearing age, and educational level of children might alter the outcome measures in various interactions. Conclusion. Although cochlear implantation was more effective than hearing aid on spoken and written narrative skills, the Persian-speaking students with hearing impairments were seen to need additional trainings on microstructure components of spoken/written narrative.

Keywords

Acknowledgement

Supported by : Hamadan University of Medical Sciences and Health Services

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