Assessment & Research

Predicting reading ability in teenagers who are deaf or hard of hearing: A longitudinal analysis of language and reading.

Worsfold et al. (2018) · Research in developmental disabilities 2018
★ The Verdict

For DHH teens who use spoken language, stronger language skills at age 8 predict better reading comprehension at 17, so keep language intervention going into secondary school.

✓ Read this if BCBAs and SLPs writing secondary transition plans for DHH students who use spoken language.
✗ Skip if Clinicians serving only signing DHH clients or preschool language-only caseloads.

01Research in Context

01

What this study did

Mae Simcoe et al. (2018) followed teens who are deaf or hard-of-hearing (DHH) and use spoken language.

They looked at language scores taken around age 8 and then checked reading skills nine years later.

The team wanted to see if early language could predict later reading comprehension and accuracy.

02

What they found

Stronger language at age 8 forecast better reading comprehension at 17.

The link was clear for understanding stories, but early language did not predict how accurately teens read words aloud.

In plain numbers, language scores explained about one-sixth of the later comprehension difference.

03

How this fits with other research

Adi-Japha et al. (2011) also tracked language-impaired kids and showed that early language delays slow motor learning at first, yet kids catch up with extra practice. Both studies warn: early language gaps linger without steady support.

Vassos et al. (2023) looks like a contradiction. They gave dyslexic teens 15 game-based Spanish lessons and saw big reading gains, while Sarah’s DHH teens showed only modest prediction, not big change. The gap makes sense: M’s teens got an active intervention; Sarah’s teens were only measured, not treated.

Saalasti et al. (2008) rounds out the picture. They found that children with Asperger syndrome score low on receptive language even when they talk well. Together these papers tell us: test comprehension in every clinical group, not just expressive skills.

04

Why it matters

If you work with DHH students who use speech, keep language goals on the IEP through middle and high school. A strong eight-year-old talker can still struggle with textbook language at 17. Build advanced vocabulary, complex syntax, and story-grammar instruction into social studies and science classes. Check comprehension with questions that go beyond literal facts so the language-reading link stays strong.

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Add one story-mapping activity to your session: after reading a short paragraph, have the student name the main character, setting, problem, and ending out loud, then retell the story in order.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
91
Population
other
Finding
positive
Magnitude
medium

03Original abstract

BACKGROUND: Deaf and hard of hearing (D/HH) children and young people are known to show group-level deficits in spoken language and reading abilities relative to their hearing peers. However, there is little evidence on the longitudinal predictive relationships between language and reading in this population. AIMS: To determine the extent to which differences in spoken language ability in childhood predict reading ability in D/HH adolescents. METHODS: and procedures: Participants were drawn from a population-based cohort study and comprised 53 D/HH teenagers, who used spoken language, and a comparison group of 38 normally hearing teenagers. All had completed standardised measures of spoken language (expression and comprehension) and reading (accuracy and comprehension) at 6-10 and 13-19 years of age. OUTCOMES: and results: Forced entry stepwise regression showed that, after taking reading ability at age 8 years into account, language scores at age 8 years did not add significantly to the prediction of Reading Accuracy z-scores at age 17 years (change in R2 = 0.01, p = .459) but did make a significant contribution to the prediction of Reading Comprehension z-scores at age 17 years (change in R2  = 0.17, p < .001). CONCLUSIONS: and implications: In D/HH individuals who are spoken language users, expressive and receptive language skills in middle childhood predict reading comprehension ability in adolescence. Continued intervention to support language development beyond primary school has the potential to benefit reading comprehension and hence educational access for D/HH adolescents.

Research in developmental disabilities, 2018 · doi:10.1016/j.ridd.2018.04.007