Symbolic and deictic gestures as a tool to promote parent-child communication in the context of hearing loss : A systematic review

Copyright © 2022 Elsevier B.V. All rights reserved..

BACKGROUND: Language and communication outcomes in children with congenital sensorineural hearing loss (cSNHL) are highly variable, and some of this variance can be attributed to the quantity and quality of language input. In this paper, we build from the evidence that human language is inherently multimodal and positive scaffolding of children's linguistic, cognitive, and social-relational development can be supported by Parent Centered Early Interventions (PCEI), to suggest that the use of gestures in these interventions could be a beneficial approach, yet scarcely explored.

AIMS AND METHODS: This systematic review aimed to examine the literature on PCEI focused on gestures (symbolic and deictic) used to enhance the caregiver-child relationship and infant's language development, in both typically and atypically developing populations. The systematic review was conducted following the PRISMA guidelines for systematic reviews and meta-analyses. From 246 identified studies, 8 met PICO inclusion criteria and were eligible for inclusion. Two reviewers screened papers before completing data extraction and risk of bias assessment using the RoB2 Cochrane scale.

RESULTS: Included studies measured the effect of implementing symbolic or deictic gestures in daily communication on the relational aspects of mother/parent-child interaction or on language skills in infants. The studies indicate that gesture-oriented PCEI may benefit deprived populations such as atypically developing children, children from low-income families, and children who, for individual reasons, lag behind their peers in communication.

CONCLUSIONS: Although gesture-oriented PCEI appear to be beneficial in the early intervention for atypically developing populations, this approach has been so far scarcely explored directly in the context of hearing loss. Yet, symbolic gestures being a natural part of early vocabulary acquisition that emerges spontaneously regardless of hearing status, this approach could represent a promising line of intervention in infants with cSNHL, especially those with a worse head start.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:165

Enthalten in:

International journal of pediatric otorhinolaryngology - 165(2023) vom: 01. Feb., Seite 111421

Sprache:

Englisch

Beteiligte Personen:

Colombani, Arianna [VerfasserIn]
Saksida, Amanda [VerfasserIn]
Pavani, Francesco [VerfasserIn]
Orzan, Eva [VerfasserIn]

Links:

Volltext

Themen:

Deictic gestures
Family-centered intervention
Journal Article
Multimodal communication
Parent training
Parent-child interaction
Sensorineural hearing loss
Symbolic gestures
Systematic Review

Anmerkungen:

Date Completed 08.02.2023

Date Revised 08.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijporl.2022.111421

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351799982