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Purpose: The purpose of the present study was to investigate the relationship between speechreading ability, phonological skills, and word reading ability in typically developing children. Method: Sixty-six typically developing children (6-7 years old) completed tasks measuring word reading, speechreading (words, sentences, and short stories), alliteration awareness, rhyme awareness, nonword reading, and rapid automatized naming (RAN). Results: Speechreading ability was significantly correlated with rhyme and alliteration awareness, phonological error rate, nonword reading, and reading ability (medium effect sizes) and RAN (small effect size). Multiple regression analyses showed that speechreading was not a unique predictor of word reading ability beyond the contribution of phonological skills. A speechreading error analysis revealed that children tended to use a phonological strategy when speechreading, and in particular, this strategy was used by skilled speechreaders. Conclusions: The current study provides converging evidence that speechreading and phonological skills are positively related in typically developing children. These skills are likely to have a reciprocal relationship, and children may benefit from having their attention drawn to visual information available on the lips while learning letter sounds or learning to read, as this could augment and strengthen underlying phonological representations.

We presented 28 Spanish monolingual and 28 Catalan-Spanish close-language bilingual 5-year-old children with a video of a talker speaking in the children's native language and a nonnative language and examined the temporal dynamics of their selective attention to the talker's eyes and mouth. When the talker spoke in the children's native language, monolinguals attended equally to the eyes and mouth throughout the trial, whereas close-language bilinguals first attended more to the mouth and then distributed attention equally between the eyes and mouth. In contrast, when the talker spoke in a nonnative language (English), both monolinguals and bilinguals initially attended more to the mouth and then gradually shifted to a pattern of equal attention to the eyes and mouth. These results indicate that specific early linguistic experience has differential effects on young children's deployment of selective attention to areas of a talker's face during the initial part of an audiovisual utterance.

Problems in understanding speech in noisy environments are characteristic for age-related hearing loss. Since hearing aids do not mitigate these communication problems in every case, potential alternatives in a clinical rehabilitation plan need to be explored. This study investigates whether a computer-based speechreading training improves audiovisual speech perception in noise in a sample of middle-aged and older adults (N = 62, 47-83 years) with 32 participants completing a speechreading training and 30 participants of an active control group completing a foreign language training. Before and after training participants performed a speech-in-noise task mimicking real-life communication settings with participants being required to answer a speaker's questions. Using generalized linear mixed-effects models we found a significant improvement in audiovisual speech perception in noise in the speechreading training group. This is of great relevance as these results highlight the potential of a low-cost and easy-to-implement intervention for a profound and widespread problem as speech-in-noise comprehension impairment.

The present study set out to explore effective teaching techniques using PowerPoint for post-secondary students with disabilities by comparing their views to those of students without disabilities. 284 Canadian post-secondary social science students, 75 of whom self-reported a disability, were surveyed about what aspects of PowerPoint use helps them learn. The good news is that the results indicate many similarities between the views of students with and without disabilities. Although all students felt that having PowerPoint available online was highly desirable, for students with disabilities this was perceived as an important disability accommodation. All students preferred that PowerPoint slides be made available before class in both PowerPoint and PDF formats; however, this was particularly important to students with disabilities. All students preferred that professors walk around some of the time rather than simply stand beside the lectern, that they select slides with good contrast rather than an interesting but busy background template, that they write concepts in full sentences as opposed to key words only, and that PowerPoint images be accompanied by text rather than presenting images only. Overall, our findings show that well-designed PowerPoint slides which incorporate accessibility features (easily included by using the Accessibility Checker feature of PowerPoint) can benefit everyone. Notably, fewer than half (41%) of the students with disabilities had registered with the college to receive disability-related accommodations; therefore, it is important that PowerPoint, as used by professors, be accessible to this large segment of the population of students with disabilities. Informative slides with a clear template and good contrast, along with an engaging presentation style, are likely to benefit everyone. Our findings also show that, contrary to the fears of many educators, students are unlikely to miss class if slides are posted online. Moreover, this is equally true for academically stronger as well as weaker students.

Perceptual restoration occurs when the brain restores missing segments from speech under certain conditions. It is investigated in the auditory modality, but minimal evidence has been collected during speechreading tasks. The authors measured perceptual restoration in speechreading by individuals with hearing loss and compared it to perceptual restoration in auditory speech by normally hearing individuals. Visual perceptual restoration for speechreading was measured in 33 individuals with profound hearing loss by blurring the keywords in silent video recordings of a speaker uttering a sentence. Auditory perceptual restoration was measured in 33 normally hearing individuals by distorting the keywords in spoken sentences. It was found that the amount of restoration was similar for speechreading through the visual modality by individuals with hearing loss and speech perception through the auditory modality by normally hearing individuals. These findings may facilitate understanding of speech processing by individuals with hearing loss.

Face coverings have been key in reducing the spread of COVID-19. At the same time, they have hindered interpersonal communication, particularly for those who rely on speechreading to aid communication. The available research indicated that deaf/hard of hearing (HoH) people experienced great difficulty communicating with people wearing masks and negative effects on wellbeing. Here we extended these findings by exploring which factors predict deaf/HoH people's communication difficulties, loss of information, and wellbeing. We also explored the factors predicting perceived usefulness of transparent face coverings and alternative ways of communicating. We report the findings from an accessible survey study, released in two written and three signed languages. Responses from 395 deaf/HoH UK and Spanish residents were collected online at a time when masks were mandatory. We investigated whether onset and level of deafness, knowledge of sign language, speechreading fluency, and country of residence predicted communication difficulties, wellbeing, and degree to which transparent face coverings were considered useful. Overall, deaf/HoH people and their relatives used masks most of the time despite greater communication difficulties. Late-onset deaf people were the group that experienced more difficulties in communication, and also reported lower wellbeing. However, both early- and late-onset deaf people reported missing more information and feeling more disconnected from society than HoH people. Finally, signers valued transparent face shields more positively than non-signers. The latter suggests that, while seeing the lips is positive to everyone, signers appreciate seeing the whole facial expression. Importantly, our data also revealed the importance of visual communication other than speechreading to facilitate face-to-face interactions.

A weaker McGurk effect is observed in individuals with autism spectrum disorder (ASD); weaker integration is considered to be the key to understanding how low-order atypical processing leads to their maladaptive social behaviors. However, the mechanism for this weaker McGurk effect has not been fully understood. Here, we investigated (1) whether the weaker McGurk effect in individuals with high autistic traits is caused by poor lip-reading ability and (2) whether the hearing environment modifies the weaker McGurk effect in individuals with high autistic traits. To confirm them, we conducted two analogue studies among university students, based on the dimensional model of ASD. Results showed that individuals with high autistic traits have intact lip-reading ability as well as abilities to listen and recognize audiovisual congruent speech (Experiment 1). Furthermore, a weaker McGurk effect in individuals with high autistic traits, which appear under the without-noise condition, would disappear under the high noise condition (Experiments 1 and 2). Our findings suggest that high background noise might shift weight on the visual cue, thereby increasing the strength of the McGurk effect among individuals with high autistic traits.

Face masks have become common protective measures in community and workplace environments to help reduce the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Face masks can make it difficult to hear and understand speech, particularly for people with hearing loss. An aim of our cross-sectional survey was to investigate the extent that face masks as a health and safety protective measure against SARS-CoV-2 have affected understanding speech in the day-to-day lives of adults with deafness or hearing loss, and identify possible strategies to improve communication accessibility. We analyzed closed- and open-ended survey responses of 656 adults who self-identified as D/deaf or hard of hearing. Over 80% of respondents reported difficulty with understanding others who wore face masks. The proportion of those experiencing difficulty increased with increasing hearing loss severity. Recommended practical supports to facilitate communication and social interaction included more widespread use of clear face masks to aid lip-reading; improved clarity in policy guidance on face masks; and greater public awareness and understanding about ways to more clearly communicate with adults with hearing loss while wearing face masks.

Visual information conveyed by a speaking face aids speech perception. In addition, children's ability to comprehend visual-only speech (speechreading ability) is related to phonological awareness and reading skills in both deaf and hearing children. We tested whether training speechreading would improve speechreading, phoneme blending, and reading ability in hearing children. Ninety-two hearing 4- to 5-year-old children were randomised into two groups: business-as-usual controls, and an intervention group, who completed three weeks of computerised speechreading training. The intervention group showed greater improvements in speechreading than the control group at post-test both immediately after training and 3 months later. This was the case for both trained and untrained words. There were no group effects on the phonological awareness or single-word reading tasks, although those with the lowest phoneme blending scores did show greater improvements in blending as a result of training. The improvement in speechreading in hearing children following brief training is encouraging. The results are also important in suggesting a hypothesis for future investigation: that a focus on visual speech information may contribute to phonological skills, not only in deaf children but also in hearing children who are at risk of reading difficulties. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=bBdpliGkbkY.

In this paper, I address the question of how interactions with deaf youth and their hearing interlocutors are able to unfold in economical and fluid ways despite the existence of sensory and communicative asymmetries. Bringing together ethnographic insights from two years of fieldwork in Iquitos, Peru with the microanalysis of moments of situated interaction, I highlight the role that repetitions of similar assemblages of people, objects, and places play in the process of meaning-making between deaf youth and their hearing interlocutors. I argue that the repetition of similar assemblages facilitates the process of meaning-making by narrowing down the trajectory of the interactions that emerge in a particular moment and by providing the occasion for building shared semiotic resources specific to the reoccurring activity.

Purpose: Speechreading (lipreading) is a correlate of reading ability in both deaf and hearing children. We investigated whether the relationship between speechreading and single-word reading is mediated by phonological awareness in deaf and hearing children. Method: In two separate studies, 66 deaf children and 138 hearing children, aged 5-8 years old, were assessed on measures of speechreading, phonological awareness, and single-word reading. We assessed the concurrent relationships between latent variables measuring speechreading, phonological awareness, and single-word reading. Results: In both deaf and hearing children, there was a strong relationship between speechreading and single-word reading, which was fully mediated by phonological awareness. Conclusions: These results are consistent with ideas from previous studies that visual speech information contributes to the development of phonological representations in both deaf and hearing children, which, in turn, support learning to read. Future longitudinal and training studies are required to establish whether these relationships reflect causal effects.

Purpose: The primary purpose of this study was to explore the audiovisual speech perception strategies.80.23.47 adopted by normal-hearing and deaf people in processing familiar and unfamiliar languages. Our primary hypothesis was that they would adopt different perception strategies due to different sensory experiences at an early age, limitations of the physical device, and the developmental gap of language, and others. Method: Thirty normal-hearing adults and 33 prelingually deaf adults participated in the study. They were asked to perform judgment and listening tasks while watching videos of a Uygur-Mandarin bilingual speaker in a familiar language (Standard Chinese) or an unfamiliar language (Modern Uygur) while their eye movements were recorded by eye-tracking technology. Results: Task had a slight influence on the distribution of selective attention, whereas subject and language had significant influences. To be specific, the normal-hearing and the 10 deaf participants mainly gazed at the speaker's eyes and mouth, respectively, in the experiment; moreover, while the normal-hearing participants had to stare longer at the speaker's mouth when they confronted with the unfamiliar language Modern Uygur, the deaf participant did not change their attention allocation pattern when perceiving the two languages. Conclusions: Normal-hearing and deaf adults adopt different audiovisual speech perception strategies: Normal-hearing adults mainly look at the eyes, and deaf adults mainly look at the mouth. Additionally, language and task can also modulate the speech perception strategy.

Purpose: We developed and evaluated in a randomized controlled trial a computerized speechreading training program to determine (a) whether it is possible to train speechreading in deaf children and (b) whether speechreading training results in improvements in phonological and reading skills. Previous studies indicate a relationship between speechreading and reading skill and further suggest this relationship may be mediated by improved phonological representations. This is important since many deaf children find learning to read to be very challenging. Method: Sixty-six deaf 5- to 7-year-olds were randomized into speechreading and maths training arms. Each training program was composed of a 10-min sessions a day, 4 days a week for 12 weeks. Children were assessed on a battery of language and literacy measures before training, immediately after training, and 3 months and 11 months after training. Results: We found no significant benefits for participants who completed the speechreading training, compared to those who completed the maths training, on the speechreading primary outcome measure. However, significantly greater gains were observed in the speechreading training group on one of the secondary measures of speechreading. There was also some evidence of beneficial effects of the speechreading training on phonological representations; however, these effects were weaker. No benefits were seen to word reading. Conclusions: Speechreading skill is trainable in deaf children. However, to support early reading, training may need to be longer or embedded in a broader literacy program. Nevertheless, a training tool that can improve speechreading is likely to be of great interest to professionals working with deaf children.

Speech perception in noise remains challenging for Deaf/Hard of Hearing people (D/HH), even fitted with hearing aids or cochlear implants. The perception of sentences in noise by 20 implanted or aided D/HH subjects mastering Cued Speech (CS), a system of hand gestures complementing lip movements, was compared with the perception of 15 typically hearing (TH) controls in three conditions: audio only, audiovisual, and audiovisual + CS. Similar audiovisual scores were obtained for signal-to-noise ratios (SNRs) 11 dB higher in D/HH participants compared with TH ones. Adding CS information enabled D/HH participants to reach a mean score of 83% in the audiovisual + CS condition at a mean SNR of 0 dB, similar to the usual audio score for TH participants at this SNR. This confirms that the combination of lipreading and Cued Speech system remains extremely important for persons with hearing loss, particularly in adverse hearing conditions.

Purpose: The study was designed primarily to determine if the use of hearing aids (HAs) in individuals with hearing impairment in China would affect their speechreading performance. Method: Sixty-seven young adults with hearing impairment with HAs and 78 young adults with hearing impairment without HAs completed newly developed Chinese speechreading tests targeting 3 linguistic levels (i.e., words, phrases, and sentences). Results: Groups with HAs were more accurate at speechreading than groups without HA across the 3 linguistic levels. For both groups, speechreading accuracy was higher for phrases than words and sentences, and speechreading speed was slower for sentences than words and phrases. Furthermore, there was a positive correlation between years of HA use and the accuracy of speechreading performance; longer HA use was associated with more accurate speechreading. Conclusions: Young HA users in China have enhanced speechreading performance over their peers with hearing impairment who are not HA users. This result argues against the perceptual dependence hypothesis that suggests greater dependence on visual information leads to improvement in visual speech perception.

Cued Speech (CS) is a communication system developed for deaf people, which exploits hand cues to complement speechreading at the phonetic level. Currently, it is estimated that CS has been adapted to over 60 languages; however, no official CS system is available for Mandarin Chinese. This article proposes a novel and efficient Mandarin Chinese CS system, satisfying the main criterion that the hand coding constitutes a complement to the lips' movements. We propose to code vowels [i, u, y] as semiconsonants when they are followed by other Mandarin finals, which reduces the number of Mandarin finals to be coded from 36 to 16. We establish a coherent similarity between Mandarin Chinese and French vowels for the remaining 16 finals/vowels, which allows us to take advantage of the French CS system. Furthermore, by investigating the lips viseme distribution based on a new corpus, an optimal allocation of the 16 Mandarin vowels to different hand positions is obtained. A Gaussian classifier was used to evaluate the average separability of different allocated vowel groups, which gives 92.08%, 92.33%, and 92.73% for the three speakers, respectively. The consonants are mainly designed according to their similarities with the French CS system, as well as some considerations on the special Mandarin consonants. In our system, the tones of Mandarin are coded with head movements.

We tested the capability of deaf adolescents, including a group of users of cochlear implants, to generate inferences during spoken language comprehension and whether they benefited from the use of sign-supported speech (SSS). Stimuli consisted of 24 short video-recorded texts in spoken language and in SSS. Participants responded to literal and inferential multiple-choice questions. In spoken language cochlear implant users had more difficulty in processing inferential than literal information and found predictive inferences harder than associative inferences. The level of spoken language proficiency was related to inference generation, especially for predictive inferences. Similarly, deaf native signers had more difficulties in generating predictive inferences, although SSS increased their comprehension. Lip-reading skills and working memory were positively related to accuracy in SSS. The inclusion of SSS only had a positive impact on the comprehension of native signers. Results suggest that cochlear implant users would benefit from an intervention to enhance verbal skills.

The aim of this paper is to analyse oral communication strategies in English as a foreign language (EFL) of deaf and hard of hard-of-hearing (D/HH) students. The paper is based on an action research case study concerning oral communication strategies of this group of students with special educational needs. The results demonstrate that when they communicate orally in the target foreign language, D/HH students use the same verbal, nonverbal, linguistic, and non-linguistic stimuli as their hearing peers, alongside certain characteristic communication strategies. The paper relates these students' employment of various communication strategies to their greater autonomy, and emphasises the need to identify and promote beneficial communication strategies during EFL classes for the D/HH.

One of the ongoing challenges teachers of students who are deaf or hard of hearing face is managing the visual split attention implicit in multimedia learning. When a teacher presents various types of visual information at the same time, visual learners have no choice but to divide their attention among those materials and the teacher and interpreter who present the material. These situations may not allow students to separate visual input meaningfully and to effectively learn the material. This splitting of attention can adversely affect their classroom performance. Teachers must understand that for many learners who are deaf or hard of hearing, visual learning is a stand-alone input model, and traditional classrooms have historically focused on learners who can take in information both visually and auditorily. The authors point out that the auditory-based classroom--the traditional class model--unfairly increases the cognitive load for deaf and hard of hearing students by requiring them to constantly engage in splitting their visual attention. This split attention overloads working memory. Recognizing this and incorporating some visually based learning strategies could go a long way towards eliminating traditionally low levels of academic achievement for deaf and hard of hearing students. (Contains 2 figures.)

Lipreaders recognize words with phonetically impoverished stimuli, an ability that varies widely in normal-hearing adults. Lipreading accuracy for sentence stimuli was modeled with data from 339 normal-hearing adults. Models used measures of phonemic perceptual errors, insertion of text that was not in the stimulus, gender, and auditory speech perception in noise thresholds to predict lipreading accuracy of 10,170 responses. Interactions of the lipreading predictors with gender necessitated different models for males' versus females' lipreading. Females' lipreading accuracy was significantly predicted by their auditory speech in noise thresholds and an interaction between the magnitude of their perceptual errors and the number of nonstimulus phonemes in their responses. Males' lipreading accuracy was a function of their auditory speech in noise thresholds in interaction with the magnitude of their perceptual errors. The predictor coefficients of the two models suggest the possibility of different mechanisms influencing lipreading accuracy in males versus females.

For children who are born deaf, lipreading (speechreading) is an important source of access to spoken language. We used eye tracking to investigate the strategies used by deaf (n = 33) and hearing 5-8-year-olds (n = 59) during a sentence speechreading task. The proportion of time spent looking at the mouth during speech correlated positively with speechreading accuracy. In addition, all children showed a tendency to watch the mouth during speech and watch the eyes when the model was not speaking. The extent to which the children used this communicative pattern, which we refer to as social-tuning, positively predicted their speechreading performance, with the deaf children showing a stronger relationship than the hearing children. These data suggest that better speechreading skills are seen in those children, both deaf and hearing, who are able to guide their visual attention to the appropriate part of the image and in those who have a good understanding of conversational turn-taking.

Despite the body of research on auditory-visual speech perception in infants and schoolchildren, development in the early childhood period remains relatively uncharted. In this study, English-speaking children between three and four years of age were investigated for: (i) the development of visual speech perception--lip-reading and visual influence in auditory-visual integration; (ii) the development of auditory speech perception and native language perceptual attunement; and (iii) the relationship between these and a language skill relevant at this age, receptive vocabulary. Visual speech perception skills improved even over this relatively short time period. However, regression analyses revealed that vocabulary was predicted by auditory-only speech perception, and native language attunement, but not by visual speech perception ability. The results suggest that, in contrast to infants and schoolchildren, in three- to four-year-olds the relationship between speech perception and language ability is based on auditory and not visual or auditory-visual speech perception ability. Adding these results to existing findings allows elaboration of a more complete account of the developmental course of auditory-visual speech perception.

Individuals with developmental dyslexia (DD) may experience, besides reading problems, other speech-related processing deficits. Here, we examined the influence of visual articulatory information (lip-read speech) at various levels of background noise on auditory word recognition in children and adults with DD. We found that children with a documented history of DD have deficits in their ability to gain benefit from lip-read information that disambiguates noise-masked speech. We show with another group of adult individuals with DD that these deficits persist into adulthood. These deficits could not be attributed to impairments in unisensory auditory word recognition. Rather, the results indicate a specific deficit in audio-visual speech processing and suggest that impaired multisensory integration might be an important aspect of DD.

There is a paucity of Vygotskian influenced inner speech research in relation to the reading process. Those few studies which have examined Vygotskian inner speech from a reading perspective tend to support the notion that inner speech is an important covert function that is crucial to the reading process and to reading acquisition in general. However, Vygotskian notions on inner speech, in particular, syntactic and semantic aspects of inner speech (e.g., predication, word sense and agglutination), have not been investigated in relation to the study of the decoding aspects of silent reading. In this paper, an argument is presented that Vygotskian inner speech acts in two main ways to process text during silent reading, as a mechanism which condenses chunks of text into compact meaning units and as a subvocal rehearsal mechanism which elicits meanings when reading cognition becomes problematic. In addition to this, a Vygotskian inner speech reading model is also described.

Forty-one children with severe-profound prelingual hearing loss were assessed on single word reading, reading comprehension, English vocabulary, phonological awareness and speechreading at three time points, 1 year apart (T1-T3). Their progress was compared with that of a group of hearing children of similar nonverbal IQ, initially reading at the same level. Single word reading improved at each assessment point for the deaf children but there was no growth in reading comprehension from T2 to T3. There were no differences between children with cochlear implants and those with hearing aids on either reading measure but orally educated children had higher scores than children who signed in the classroom. English vocabulary and speechreading were the most consistent longitudinal predictors of reading for the deaf children. Phonological awareness was the most consistent longitudinal predictor for the hearing group and also a concurrent predictor of reading at T3 for both groups. There were many more significant correlations among the various measures for the deaf children than the hearing at both T1 and T3, suggesting that skills underpinning reading, including phonological awareness and vocabulary, are more closely related for deaf children. Implications of these findings for of deaf children's literacy are explored.

Purpose: Lipreading and its cognitive correlates were studied in school-age children with typical language development and delayed language development due to specific language impairment (SLI). Method: Forty-two children with typical language development and 20 children with SLI were tested by using a word-level lipreading test and an extensive battery of standardized cognitive and linguistic tests. Results: Children with SLI were poorer lipreaders than their typically developing peers. Good phonological skills were associated with skilled lipreading in both typically developing children and in children with SLI. Lipreading was also found to correlate with several cognitive skills, for example, short-term memory capacity and verbal motor skills. Conclusions: Speech processing deficits in SLI extend also to the perception of visual speech. Lipreading performance was associated with phonological skills. Poor lipreading in children with SLI may be, thus, related to problems in phonological processing.

The aim of the study is to describe the performance of deaf and hearing people while speechreading Spanish, a language with transparent orthography, and to relate this skill to reading efficiency. Three groups of 27 participants each were recruited: a group of deaf participants, a chronological age-matched hearing group and a reading age-matched hearing group. All three were tested on vocabulary, phonological awareness, reading speed, speechreading and, only in the group of deaf people, speech intelligibility. The results indicate that deaf people are better speechreaders than younger hearing people, but they are no better than their age-matched peers, and that speechreading is related to reading only in deaf people.

The national policy in deaf education in Mainland China primarily focuses on oral/aural instruction and hearing rehabilitation. The curriculum in primary grades is specifically structured on speech and hearing skills for language development. But there is little evidence that documents what early literacy instruction looks like or how teachers conduct the teaching of reading and writing in classrooms with Chinese deaf children. By analyzing videotapes from the first and second grade classrooms, we describe how reading and writing are taught to deaf children in China. The key findings are that the primary grade literacy instruction (1) shares features of Gradual Release of Responsibility model with a focus on speech and hearing skills; (2) uses multimodal strategies and pedagogical tools such as lip-reading, Pinyin phonetic symbols, Pinyin Finger Spelling, Chinese Sign Language (CSL), and Signed Chinese (SC). Moreover, the curriculum reflects low expectations for deaf students as it lacks the academic content provided to their hearing peers. We conclude with implications for literacy instruction in deaf education, and suggest a future research agenda.

Adults use vision to perceive low-fidelity speech; yet how children acquire this ability is not well understood. The literature indicates that children show reduced sensitivity to visual speech from kindergarten to adolescence. We hypothesized that this pattern reflects the effects of complex tasks and a growth period with harder-to-utilize cognitive resources, not lack of sensitivity. We investigated sensitivity to visual speech in children via the phonological priming produced by low-fidelity (non-intact onset) auditory speech presented audiovisually (see dynamic face articulate consonant/rhyme b/ag; hear non-intact onset/rhyme: -b/ag) vs. auditorily (see still face; hear exactly same auditory input). Audiovisual speech produced greater priming from four to fourteen years, indicating that visual speech filled in the non-intact auditory onsets. The influence of visual speech depended uniquely on phonology and speechreading. Children--like adults--perceive speech onsets multimodally. Findings are critical for incorporating visual speech into developmental theories of speech perception.

The article furthers the study of urban multilingual (i.e. metrolingual) practices, in particular the study of customer interactions, by a focus on the use of gestures in these practices. The article focuses on fluent deaf signers and hearing non-signers in Mumbai who use gestures to communicate with each other, often combined with mouthing, speaking and/or writing in different languages. The data were gathered through linguistic ethnography in markets, shops, food joints and public transport in Mumbai. Within gesture-based interactions, people with sensorial asymmetries (i.e. deaf vs. hearing) combined the visual-gestural modality and certain features of the auditory-oral modality, and/or switched between modalities. Interlocutors thus orient towards the ongoing interaction and negotiate the constraints and possibilities imposed not only by different modalities but also by different sensorial access to these modalities.

When identifying phonemes in new spoken words, lipreading is an important source of information for many deaf people. Because many groups of phonemes are virtually indistinguishable by sight, deaf people are able to identify about 30% of phonemes when lipreading non-words. Cued speech (CS) is a system of hand shapes and hand positions used alongside speech to disambiguate similarities in lip patterns. Deaf children exposed to CS from under 3 years of age go on to develop age-appropriate language and literacy skills. However, there are no studies evaluating the explicit training of CS with older deaf children. This study is the first part of a long-term project to develop and evaluate a computer-delivered programme to teach school-aged deaf children to recognize cued phonemes. Sixty-two adult hearing participants were allocated to a single training session in one of three training conditions: cued speech training (CST), lipreading training and auditory training in noise. They were all tested on their ability to identify 13 phonemes in non-words when denied access to sound. The CST group made highly significant improvements in identifying cued phonemes and these changes could not be explained by lipreading practice or familiarization with a closed set of phonemes. Improvements generalized to non-words that were not used in training. This suggests that explicit training in CS could help deaf children to identify cued phonemes in new words. Practical implications of introducing the teaching of CS to selected deaf children are discussed.

Different studies have showed poor reading performance in the deaf compared to the hearing population. This has overshadowed the fact that a minority of deaf children learns to read successfully and reaches levels similar to their hearing peers. We analyze whether deaf people deploy the same cognitive and learning processes in reading as their hearing peers. For this purpose, we analyzed the relation between phonological processing, speechreading, vocabulary, reading speed, and accuracy with reading efficiency in a sample of deaf people and two control groups respectively matched on chronological age and reading level. The results indicate that deaf people's level of reading efficiency is lower than hearing people's of the same age, but that deafness status in itself is not a good predictor of reading level. The results do not support the idea that deaf people's reading is the result of different processes from the hearing population.

Purpose: This study compared the use of 2 different types of contextual cues (sentence based and situation based) in 2 different modalities (visual only and auditory only). Method: Twenty young adults were tested with the Illustrated Sentence Test (Tye-Murray, Hale, Spehar, Myerson, & Sommers, 2014) and the Speech Perception in Noise Test (Bilger, Nuetzel, Rabinowitz, & Rzeczkowski, 1984; Kalikow, Stevens, & Elliott, 1977) in the 2 modalities. The Illustrated Sentences Test presents sentences with no context and sentences accompanied by picture-based situational context cues. The Speech Perception in Noise Test presents sentences with low sentence-based context and sentences with high sentence-based context. Results: Participants benefited from both types of context and received more benefit when testing occurred in the visual-only modality than when it occurred in the auditory-only modality. Participants' use of sentence-based context did not correlate with use of situation-based context. Cue usage did not correlate between the 2 modalities. Conclusions: The ability to use contextual cues appears to be dependent on the type of cue and the presentation modality of the target word(s). In a theoretical sense, the results suggest that models of word recognition and sentence processing should incorporate the influence of multiple sources of information and recognize that the 2 types of context have different influences on speech perception. In a clinical sense, the results suggest that aural rehabilitation programs might provide training to optimize use of both kinds of contextual cues.

This qualitative, longitudinal, single-case study analyzes naturalistic interactions in Swedish Sign Language. Multiple interactions took place mainly between a mother and a deaf twin on twelve occasions. The participants' actions and language structure are examined as the child progressed from ten to forty months of age. The results are presented in three segments: transformations (i.e., types of actions during the sessions); gaze; and structure of utterances. The first segment (when the child was between ten and thirteen months of age) includes mediating utterances that contained a few signs with steady eye contact (i.e., focus on an object with mediating, displaced signing, as from the signer's perspective). The second segment (when the child was between fifteen and twenty-four months of age) includes flexible eye contact, multiple phrases, and narrative structure. The third segment comprises conversations that include a dynamic visual contact utilizing nonmanual structures. Mediating factors such as simultaneous tactile looking, mediating vision, and mediating triangles, which may be useful for pedagogical purposes, are emphasized.

Purpose: The study addressed three research questions: Does lipreading improve between the ages of 7 and 14 years? Does hearing loss affect the development of lipreading? How do individual differences in lipreading relate to other abilities? Method: Forty children with normal hearing (NH) and 24 with hearing loss (HL) were tested using 4 lipreading instruments plus measures of perceptual, cognitive, and linguistic abilities. Results: For both groups, lipreading performance improved with age on all 4 measures of lipreading, with the HL group performing better than the NH group. Scores from the 4 measures loaded strongly on a single principal component. Only age, hearing status, and visuospatial working memory were significant predictors of lipreading performance. Conclusions: Results showed that children's lipreading ability is not fixed but rather improves between 7 and 14 years of age. The finding that children with HL lipread better than those with NH suggests experience plays an important role in the development of this ability. In addition to age and hearing status, visuospatial working memory predicts lipreading performance in children, just as it does in adults. Future research on the developmental time-course of lipreading could permit interventions and pedagogies to be targeted at periods in which improvement is most likely to occur.

Speakers possess a natural capacity for lip reading; analogous to this, there may be an intuitive ability to "tongue-read." Although the ability of untrained participants to perceive aspects of the speech signal has been explored for some visual representations of the vocal tract (e.g. talking heads), it is not yet known to what extent there is a natural ability to interpret speech information presented through two clinical phonetic tools: EPG and ultrasound. This study aimed to determine whether there is any intuitive ability to interpret the images produced by these systems, and to determine whether one tool is more conducive to this than the other. Twenty adults viewed real-time and slow motion EPG and ultrasound silent movies of 10 different linguo-palatal consonants and 4 vowels. Participants selected which segment they perceived from four forced-choice options. Overall, participants scored above chance in the EPG and ultrasound conditions, suggesting that these images can be interpreted intuitively to some degree. This was the case for consonants in both the conditions and for vowels in the EPG condition. (Contains 2 tables and 4 figures.)

Purpose: In this article, the authors describe the development of a new instrument, the Test of Child Speechreading (ToCS), which was specifically designed for use with deaf and hearing children. Speechreading is a skill that is required for deaf children to access the language of the hearing community. ToCS is a deaf-friendly, computer-based test that measures child speechreading (silent lipreading) at 3 psycholinguistic levels: (a) Words, (b) Sentences, and (c) Short Stories. The aims of the study were to standardize the ToCS with deaf and hearing children and to investigate the effects of hearing status, age, and linguistic complexity on speechreading ability. Method: Eighty-six severely and profoundly deaf children and 91 hearing children participated. All children were between the ages of 5 and 14 years. The deaf children were from a range of language and communication backgrounds, and their preferred mode of communication varied. Results: Speechreading skills significantly improved with age for both groups of children. There was no effect of hearing status on speechreading ability, and children from both groups showed similar performance across all subtests of the ToCS. Conclusion: The ToCS is a valid and reliable assessment of speechreading ability in school-age children that can be used to measure individual differences in performance in speechreading ability. (Contains 2 tables, and 4 figures.)

Purpose: The effect of the signal-to-noise ratio (SNR) on the perception of audiovisual speech in children with and without developmental language disorder (DLD) was investigated by varying the noise level and the sound intensity of acoustic speech. The main hypotheses were that the McGurk effect (in which incongruent visual speech alters the auditory speech percept) would be weaker for children with DLD than for controls and that it would get stronger with decreasing SNR in both groups. Method: The participants were 8-year-old children with DLD and a sample of children with normal language development. In the McGurk stimuli, the consonant uttered by the voice differed from that articulated by the face. Three sound intensities (24, 36, and 48 dB) and noise levels (-12, 0, and +6 dB) were used. Perception of unisensory visual speech was also measured. Results: The children with DLD experienced a weak McGurk effect, that is, a weak influence of visual speech on audiovisual speech perception, which remained rather constant across SNR levels. The children with DLD were inaccurate at lipreading. Conclusions: Children with DLD have problems in perceiving spoken consonants presented audiovisually and visually. The weaker McGurk effect could be accounted for by the poorer lipreading ability of children with DLD.

The function of consciousness was explored in two contexts of audio-visual speech, cross-modal visual attention guidance and McGurk cross-modal integration. Experiments 1, 2, and 3 utilized a novel cueing paradigm in which two different flash suppressed lip-streams cooccured with speech sounds matching one of these streams. A visual target was then presented at either the audio-visually congruent or incongruent location. Target recognition differed for the congruent versus incongruent trials, and the nature of this difference depended on the probabilities of a target appearing at these respective locations. Thus, even though the lip-streams were never consciously perceived, they were nevertheless meaningfully integrated with the consciously perceived sounds, and participants learned to guide their attention according to statistical regularities between targets and these unconsciously perceived cross-modal cues. In Experiment 4, McGurk stimuli were presented in which the lip-streams were either flash suppressed (4a) or unsuppressed (4b), and the McGurk effect was found to vanish under conditions of flash suppression. Overall, these results suggest a simple yet fundamental principle regarding the function of consciousness in multisensory integration--cross-modal effects can occur in the absence of consciousness, but the influencing modality must be consciously perceived for its information to cross modalities. (Contains 9 figures.)

Although speechreading has always served an important role in the communication of deaf people, educational interest in speechreading has decreased in recent decades. This paper reviews speechreading in terms of speech processing, neural activity and literacy, and suggests that it has an important role in intervention programmes for all deaf children, including those with cochlear implants. (Contains 3 figures and 1 footnote.)

Purpose: To investigate the effect of visual cues on listening effort as well as whether predictive variables such as working memory capacity (WMC) and lipreading ability affect the magnitude of listening effort. Method: Twenty participants with normal hearing were tested using a paired-associates recall task in 2 conditions (quiet and noise) and 2 presentation modalities (audio only [AO] and auditory-visual [AV]). Signal-to-noise ratios were adjusted to provide matched speech recognition across audio-only and AV noise conditions. Also measured were subjective perceptions of listening effort and 2 predictive variables: (a) lipreading ability and (b) WMC. Results: Objective and subjective results indicated that listening effort increased in the presence of noise, but on average the addition of visual cues did not significantly affect the magnitude of listening effort. Although there was substantial individual variability, on average participants who were better lipreaders or had larger WMCs demonstrated reduced listening effort in noise in AV conditions. Conclusions: Overall, the results support the hypothesis that integrating auditory and visual cues requires cognitive resources in some participants. The data indicate that low lipreading ability or low WMC is associated with relatively effortful integration of auditory and visual information in noise.

Individuals with aphasia have more problems detecting small differences between speech sounds than larger ones. This paper reports how phonemic processing is impaired and how this is influenced by speechreading. A non-word discrimination task was carried out with "audiovisual", "auditory only" and "visual only" stimulus display. Subjects had to decide whether two presented stimuli were the same. Six aphasic subjects with speech sound processing difficulties and 14 non-brain-damaged control subjects participated in this study. It was found that the aphasic subjects have difficulties in discriminating pairs of non-words, which are more profound for small differences. Differences in "voicing" were least often detected and therefore seem most difficult to perceive. This implies different processing of the phonetic dimensions in speech sound perception. Performance improved when speechreading was possible. As this improvement is not based on differences in place of articulation only, theories of audiovisual processing need to be revised. (Contains 7 tables, 4 figures and 1 note.)