Khadija Chapter 2
Khadija Chapter 2
Literature Review
2.1 Introduction to Hearing Impairment
Hearing impairment, also known as hearing loss, refers to the partial or total inability to
hear sounds in one or both ears. It can range from mild to profound and can affect individuals of
all ages. Hearing impairment can be congenital (present at birth) or acquired (developing later in
life). The causes of hearing impairment are diverse, including genetic factors, infections,
exposure to loud noise, aging, and certain medical conditions (WHO, 2021).
In the 19th century, significant advancements were made in the understanding and
treatment of hearing impairment. The invention of the telephone by Alexander Graham Bell,
whose mother and wife were deaf, led to increased interest in communication devices for the
deaf. Bell's work laid the foundation for the development of hearing aids and other assistive
technologies. The 20th century saw further progress with the advent of electronic hearing aids in
the 1920s and the introduction of cochlear implants in the 1980s (Balkany& Hodges, 2012).
Children with hearing loss may experience delays in speech and language development, which
can impact academic performance and social interactions. Early detection and intervention are
crucial in mitigating these effects. Methods such as sign language, speech therapy, and the use of
hearing aids or cochlear implants play a vital role in supporting communication (Marschark&
Hauser, 2012).
1
Education significantly enhances communication skills in students with hearing
impairments. Through specialized instruction in speech therapy and sign language, students can
improve their ability to communicate effectively. Early intervention programs that focus on
language development are particularly beneficial (Flexer, 2015). Students with hearing
impairments often face challenges in academic settings due to difficulties in accessing spoken
information. However, with appropriate educational accommodations such as the use of assistive
listening devices, captioned videos, and sign language interpreters, these students can achieve
supported through education. Access to counseling services and peer support groups within the
school setting can help these students manage the emotional challenges associated with hearing
loss. Research indicates that students who receive emotional support are more likely to have
hearing impairments. Higher levels of education correlate with better job prospects and higher
income levels. Vocational training and career counseling provided in schools can prepare
students for the workforce by teaching them job-specific skills and helping them understand
enhanced educational opportunities for students with hearing impairments. Devices such as
hearing aids, cochlear implants, and FM systems improve auditory access in the classroom.
Additionally, software applications that provide real-time captioning and video relay services
2
2020). These technologies help bridge the gap between hearing and hearing-impaired students,
The Bilingual-Bicultural (Bi-Bi) theory advocates for the use of sign language as the
primary language of instruction for students with hearing impairments, with written and spoken
language as secondary. This approach recognizes the cultural and linguistic identity of the deaf
community and promotes academic success and personal identity development. Research
supports that Bi-Bi programs lead to better linguistic and educational outcomes compared to
The Bi-Bi approach is its focus on linguistic accessibility. By using sign language,
students can fully access the curriculum, which can lead to improved comprehension and
retention of information. This is particularly important for young children, as early language
acquisition is crucial for cognitive development. Studies have indicated that students in Bi-Bi
programs typically achieve higher levels of literacy and academic success compared to their
peers in oral-only programs. These students also demonstrate better social and emotional
outcomes, as they are able to communicate more effectively with their peers and teachers
Bi-Bi approach addresses the limitations of oral-only methods, which often fail to
provide sufficient language input for deaf students. Oral-only approaches rely heavily on speech
and lip-reading, which can be challenging and ineffective for many deaf individuals. In contrast,
the use of sign language as the primary mode of instruction ensures that students receive a rich
3
and accessible linguistic environment. This leads to more effective language development and
academic achievement. The Bi-Bi approach, therefore, not only supports the linguistic and
academic needs of deaf students but also respects and promotes their cultural identity (Schick,
The Theory of Mind (ToM) refers to the ability to attribute mental states—beliefs,
intents, desires, emotions, knowledge—to oneself and others. Children with hearing impairments
often experience delays in developing ToM due to reduced access to incidental learning and
Children with hearing impairments often face unique challenges in developing ToM. One
of the primary reasons for this is their reduced access to incidental learning opportunities and
conversations that involve discussing mental states. Incidental learning, which occurs through
development. For hearing children, these interactions provide numerous opportunities to learn
about the thoughts and feelings of others. However, children with hearing impairments may miss
out on these subtle social cues and conversations, leading to delays in ToM development
(Peterson, 2004).
teaching children with hearing impairments to use their residual hearing and develop spoken
language through listening. Rooted in the principles of listening and spoken language
development, AVT emphasizes early intervention and the use of hearing technology like
4
cochlear implants. Research shows that children who undergo AVT can develop age-appropriate
Central to AVT is the belief that children with hearing loss can learn to listen and speak if
they have access to sound through hearing aids or cochlear implants and receive appropriate
intervention. The therapy is rooted in the principles of listening and spoken language
development, emphasizing the importance of early diagnosis and intervention. AVT practitioners
work closely with parents and caregivers to integrate listening and spoken language into the
The primary goal of AVT is to enable children with hearing impairments to develop age-
appropriate speech and language skills that allow them to integrate into mainstream educational
settings and participate fully in the hearing world. This is achieved through a combination of
techniques that focus on maximizing the use of residual hearing. Therapists guide children in the
consistent use of hearing technology, such as hearing aids and cochlear implants, and provide
auditory training that helps them interpret sounds and develop language. The therapy sessions
often include activities designed to enhance listening skills, speech perception, and language
Multisensory learning theory posits that engaging multiple senses in the learning process
can enhance memory and understanding. For students with hearing impairments, this might
include the use of visual aids, tactile resources, and kinesthetic activities to reinforce learning
(Ludwig, 2014).
5
Multisensory Learning Theory suggests that learning is most effective when multiple
senses are engaged simultaneously. This approach posits that by involving visual, auditory,
tactile, and kinesthetic pathways, learners can enhance their memory, comprehension, and
retention of information. The theory is grounded in the understanding that different students have
varying learning preferences and strengths. By incorporating multiple sensory modalities into
instruction, educators can cater to diverse learning styles and improve educational outcomes for
For students with hearing impairments, the application of Multisensory Learning Theory
is particularly beneficial. These students often rely heavily on visual and tactile inputs to
compensate for their reduced auditory access. Incorporating visual aids such as diagrams, charts,
and videos can help convey information more effectively. Tactile resources, like textured
materials or physical models, provide hands-on experiences that can reinforce learning concepts.
Kinesthetic activities, which involve movement and action, can also aid in solidifying
understanding by allowing students to physically engage with the material. These multisensory
approaches can create a richer, more inclusive educational environment that addresses the unique
Universal Design for Learning (UDL) is a framework that aims to make education
engagement. UDL is particularly relevant for students with hearing impairments, as it advocates
for the use of diverse teaching methods and materials to accommodate different learning needs
6
UDL also emphasizes the importance of multiple means of action and expression,
allowing students to demonstrate their knowledge and skills in diverse ways. For students with
hearing impairments, this might include the use of written assignments, multimedia projects, or
oral presentations with the support of sign language or speech-to-text technology. By offering
various options for expression, UDL accommodates the strengths and preferences of all students,
providing them with equitable opportunities to succeed. This flexibility is crucial for fostering an
inclusive learning environment where students with hearing impairments can thrive (Rose &
Meyer, 2002).
engagement, educators can tap into students' interests and motivations, making learning more
relevant and meaningful. For students with hearing impairments, this might involve creating
collaborative learning opportunities where they can interact with peers using sign language, or
incorporating technology that makes learning more interactive and engaging. Providing choices
in how students participate in activities and assignments can also boost engagement by allowing
them to select the methods that best suit their learning preferences. Overall, UDL's emphasis on
flexibility and inclusivity helps create a supportive educational environment that meets the
diverse needs of all students, including those with hearing impairments (Hall, Meyer, & Rose,
2012).
Parent-teacher collaboration plays a crucial role in the academic success of students with
and cooperative problem-solving between parents and teachers, ensuring that students receive
7
consistent support both at home and school (Epstein, 2010). Effective parent-teacher
collaboration begins with establishing a framework for regular communication. Tools such as
hearing impairments. Parents who are engaged in their child's education can reinforce reading
and writing activities at home, complementing the instruction received at school (DesJardin,
2006). When parents and teachers collaborate, students with hearing impairments often exhibit
higher levels of engagement and motivation. Joint efforts to create a supportive learning
environment and set achievable goals contribute to a positive attitude toward learning
addressing the specific needs of each student. Parents provide valuable insights into their child's
learning preferences and challenges, enabling teachers to customize their instructional strategies
(Luckner& Muir, 2001). Collaboration enhances problem-solving skills among students with
hearing impairments. Parents and teachers can work together to identify obstacles and develop
Through collaborative efforts, parents and teachers can help students develop self-
advocacy skills, which are essential for academic success. Teaching students to communicate
their needs and seek assistance empowers them to take charge of their learning (Antia et al.,
2009). Consistency in reinforcing learning goals at home and school is crucial for the academic
success of students with hearing impairments. Collaborative efforts ensure that the same
8
educational objectives are emphasized in both settings, providing a cohesive learning experience
(Moeller, 2000).
collaboration. When students see their parents and teachers working together, it creates a sense
of security and encouragement, which can significantly enhance their academic performance
(Knoors&Marschark, 2014). Collaborative efforts between parents and teachers also contribute
to the development of social skills and peer relationships. Programs that involve social
interactions and group activities help students with hearing impairments build friendships and
social networks, which are essential for academic and personal development (Antia et al., 2011).
Parents and teachers working together can identify and address barriers to learning more
&Whitmire, 2000). Collaborative advocacy by parents and teachers can influence policy
development and implementation at school and district levels. This collective effort ensures that
the specific needs of students with hearing impairments are considered in educational policies
(Luft, 2012).
educators. Parents can provide feedback and suggest areas for improvement, leading to better
teaching practices and more effective educational interventions (Luckner& Stewart, 2003). The
hearing impairments is profound. By working together, parents and teachers can create a
9
supportive, consistent, and effective educational environment that caters to the unique needs of
2.5 Role of sign language and other communication methods facilitated by parent-teacher
efforts
Sign language and other communication methods are pivotal in the education and
development of children with hearing impairments. Early exposure to sign language significantly
impacts linguistic and cognitive outcomes in these children (Grosjean, 2010). Parents play a
crucial role in the initial stages of sign language acquisition, with children whose parents actively
use sign language at home demonstrating better language proficiency and social skills
those proficient in sign language and other communication methods, enabling better classroom
Integrating sign language into the classroom environment promotes inclusivity and
ensures that hearing-impaired students can fully participate in activities (Marschark& Hauser,
2008). Additionally, alternative communication methods such as Cued Speech and Total
Communication cater to individual learning preferences and needs. Assistive technologies like
hearing aids and cochlear implants further support communication skills when effectively
methods for hearing-impaired children (Henderson et al., 2007). Regular communication and
joint planning ensure consistent support both at home and school, setting realistic goals and
10
on sign language, alternative communication methods, and assistive technologies, enhances their
2.6 Collaboration strategies that promote the development of speech and language skills
addressing individual needs and promoting overall communication competence. Parents are
primary stakeholders in the development of their child's speech and language skills. Studies have
shown that parental involvement in speech and language interventions positively impacts
assessing and treating speech and language disorders. Collaboration between SLPs and other
professionals, such as teachers and occupational therapists, facilitates comprehensive support for
children with complex communication needs (Gillam et al., 2008). Peer-mediated intervention is
another collaborative approach that promotes the development of speech and language skills.
Research has shown that involving peers in intervention activities can enhance social
communication skills and language development in children with speech and language disorders.
opportunities for children to practice and generalize newly acquired skills (Kaiser et al., 2000).
consistent language support and reinforcement. Communication between parents and educators
11
allows for the sharing of information, strategies, and resources to support the child's speech and
language development (Baker & Cantwell, 2012). Professional development and training are
key components of effective collaboration strategies. Educators and other professionals benefit
from ongoing training in evidence-based practices for speech and language development (Justice
involving parents, educators, and other professionals in the goal-setting process, interventions are
more likely to be relevant, meaningful, and achievable (Brady et al., 2016). Regular
approaches. Ongoing communication between parents, educators, and SLPs allows for the
fostering the social and emotional development of children. These partnerships provide a
network of care that extends from home to school, ensuring that children receive consistent
emotional support across environments. Research underscores the importance of strong parent-
Parents play a fundamental role in their children's emotional development. When parents
collaborate with teachers, they can share insights about their child's emotional needs and
12
Teachers, in turn, contribute by creating a classroom environment that supports emotional
security. Studies have shown that teachers who establish trusting and supportive relationships
with their students positively impact their emotional and academic outcomes (Hamre&Pianta,
have proven effective in enhancing children's emotional skills. SEL programs that involve both
parents and teachers help children develop critical emotional competencies, such as self-
enable parents and teachers to develop and implement strategies that support the child's
emotional needs (Sheridan &Kratochwill, 2007). Emotional support systems benefit significantly
from parental involvement in school activities. Parents who engage in school events, volunteer in
Training and professional development for teachers on effective parent engagement and
emotional support strategies are critical. Programs that focus on building teachers' skills in
family engagement and emotional support enhance their ability to collaborate effectively with
parents (Henderson &Mapp, 2002). Cultural competence is another important aspect of effective
emotional support systems. Teachers who understand and respect the diverse cultural
backgrounds of their students and their families are better able to provide relevant and respectful
emotional support (Gay, 2002). The involvement of school counselors and psychologists in
13
bring specialized expertise in addressing emotional and behavioral issues, offering valuable
resources and strategies for both parents and teachers (Adelman & Taylor, 2002).
2.8 Role of parents and teachers in the early stages of education for hearing-impaired
children
The role of parents and teachers in the early stages of education for hearing-impaired
children is critical for their language development, academic success, and social integration.
Early intervention and collaborative efforts between parents and teachers create a supportive
environment that addresses the unique needs of hearing-impaired children (Moeller, 2000).
Parents are often the first to identify and address their child's hearing impairment. Their early
involvement is crucial as it sets the foundation for future learning and development. Studies
indicate that early diagnosis and intervention lead to better language outcomes for hearing-
impaired children. Parents who actively engage in their child's early education by learning sign
Home-based interventions led by parents can also play a significant role in the early
stages of education. These interventions, which include activities such as reading, playing
interactive games, and using assistive technologies, help develop the child's language and
cognitive skills (DesJardin& Eisenberg, 2007). Parental involvement in these activities ensures
that learning continues outside the classroom, providing a consistent and enriching learning
Educators trained in special education and sign language can create inclusive classroom
14
environments that cater to the diverse needs of hearing-impaired students (Luckner& Muir,
2001).
The collaboration between parents and teachers is fundamental in the early education of
hearing-impaired children. Effective communication and coordination between home and school
ensure that the child's learning needs are met comprehensively. Regular meetings, shared goals,
and consistent strategies help create a cohesive support system for the child (Calderon
&Greenberg, 2003). Early childhood programs that include both hearing-impaired and hearing
children can be beneficial for social integration. These inclusive settings provide hearing-
impaired children with opportunities to interact with their hearing peers, promoting social skills
and reducing feelings of isolation. Assistive technologies, such as hearing aids and cochlear
implants, are important tools in the education of hearing-impaired children. Parents and teachers
must work together to ensure that these devices are used effectively and consistently (Geers et
al., 2007).
Professional development for teachers is critical in ensuring they have the skills and
knowledge to support hearing-impaired students effectively. Training programs that focus on the
latest research in hearing impairment, teaching strategies, and assistive technologies can enhance
teachers' ability to provide high-quality education (Marschark& Hauser, 2008). Parental support
groups and resources can provide valuable assistance and information for families of hearing-
impaired children. These groups offer a platform for parents to share experiences, seek advice,
and access resources that can aid in their child's education (Meadow-Orlans et al., 2003).
15
Assistive technology (AT) encompasses a broad range of tools designed to aid
impossible. These tools include anything from simple devices like pencil grips to sophisticated
software applications for reading and writing. The use of AT in education is crucial as it helps
level the playing field for students with disabilities, allowing them to access the curriculum and
Proper training is essential for the effective use of assistive technology. Without adequate
training, both teachers and parents may struggle to integrate AT tools into the learning
environment or daily routines. Training ensures that these stakeholders are proficient in using the
technology, can troubleshoot common issues, and understand how to tailor the tools to meet
individual student needs. Research has shown that well-trained users of AT are more likely to see
Assistive technology can be categorized into several types, including mobility aids,
communication devices, educational software, and adaptive tools for daily living. For instance,
speech-to-text software can assist students with writing difficulties, while communication boards
can help non-verbal students express themselves. Each type of AT serves a specific purpose and
can significantly enhance the learning experience when used appropriately (Bryant & Bryant,
2012).
16
Parents play a crucial role in the successful implementation of AT. They are often the
primary caregivers and have a deep understanding of their child's unique needs and challenges.
Training for parents typically involves teaching them how to use the technology, integrate it into
daily activities, and advocate for their child's needs in educational settings. Parental involvement
has been shown to improve the consistency and effectiveness of AT use (Parette& Stoner, 2008).
Teachers are essential in integrating AT into the classroom. They need to be proficient in
using these tools to support student learning effectively. Teacher training programs often include
instruction on how to select appropriate AT, customize it to individual student needs, and
incorporate it into lesson plans. Effective teacher training can lead to more inclusive classrooms
Various training programs and resources are available for parents and teachers. These can
range from formal workshops and seminars to online courses and instructional manuals.
Organizations such as the Assistive Technology Industry Association (ATIA) and local
education agencies often provide valuable training materials and support. Additionally, online
resources like webinars and instructional videos can offer flexible learning opportunities (ATIA,
2023).
assessing the student's needs, selecting appropriate technology, and ensuring continuous support
17
and evaluation. Both parents and teachers should work together to create an implementation plan
that includes specific goals, regular check-ins, and adjustments as needed. Collaboration between
all stakeholders is key to the successful integration of AT (Dell, Newton, &Petroff, 2012).
There are several barriers to the effective use of AT, including lack of awareness,
insufficient training, and limited funding. Addressing these barriers requires a concerted effort
from educators, parents, and policymakers. Providing comprehensive training, raising awareness
about the benefits of AT, and advocating for adequate funding are critical steps in overcoming
these challenges. Ensuring that all stakeholders are well-informed and supported can lead to
strategies such as goal setting, feedback, and modeling. For instance, goal-setting activities help
students break down tasks into manageable steps, increasing their confidence in completing these
tasks (Schunk, 2003). Feedback, particularly when it is specific and constructive, allows students
to understand their progress and areas for improvement, thereby boosting their self-efficacy
(Hattie & Timperley, 2007). Modeling, where teachers or peers demonstrate successful strategies
and behaviors, can also significantly impact self-efficacy. When students observe others
successfully completing tasks, they are more likely to believe that they too can succeed
(Schunk&Pajares, 2002).
Technology use in education has also been shown to enhance self-efficacy and
independence. Digital tools and resources can provide personalized learning experiences that
18
adapt to the individual needs and pace of each student (Zhang et al., 2006). Incorporating self-
regulated learning strategies into educational practices is another effective way to promote
student independence. Self-regulated learning involves teaching students how to plan, monitor,
and evaluate their learning processes (Zimmerman, 2002). Collaborative learning environments
also contribute to increased self-efficacy and independence. Working in groups allows students
to share knowledge, solve problems collectively, and learn from each other’s experiences
independence. When parents are engaged in their children’s education, providing support and
encouragement, children are more likely to develop a positive attitude towards learning and
believe in their capabilities (Fan & Chen, 2001). The impact of these educational interventions
instance, research shows that students who participate in programs that emphasize self-regulation
and goal-setting exhibit higher levels of academic achievement and greater confidence in their
2.11 Laws and policies that promote parent-teacher collaboration (e.g., IDEA, ADA)
Laws and policies that promote parent-teacher collaboration, such as the Individuals with
Disabilities Education Act (IDEA) and the Americans with Disabilities Act (ADA), play a
crucial role in ensuring that children with disabilities receive appropriate education and support.
These legislative frameworks provide the foundation for structured, meaningful collaboration
between parents and teachers, which is essential for the success of students with special needs
19
The IDEA, originally enacted in 1975 as the Education for All Handicapped Children Act
and later reauthorized, mandates that schools provide children with disabilities a Free
Appropriate Public Education (FAPE) in the least restrictive environment (LRE). One of the key
Program (IEP) for each student with a disability. This program is created through a collaborative
process involving parents, teachers, and other school staff, ensuring that the educational needs of
where parents and educators discuss the child’s progress, set goals, and adjust the educational
plan as needed. This continuous interaction allows for the sharing of insights and strategies,
which can significantly enhance the educational experience for the student (Fish, 2008).
Moreover, IDEA requires schools to involve parents in the decision-making process regarding
the child’s educational placement, further emphasizing the importance of collaboration (Turnbull
et al., 2007).
Section 504 of the Rehabilitation Act of 1973, which predates both IDEA and the ADA,
also plays a pivotal role in promoting parent-teacher collaboration. Section 504 ensures that
students with disabilities receive accommodations that allow them to participate fully in school
activities. It requires schools to develop 504 Plans, similar to IEPs, through a collaborative
process involving parents and educators. This ensures that the specific needs of students are
addressed, and parents are integral to planning and implementing these accommodations
20
Policies at the state and local levels often build on federal laws to further promote parent-
teacher collaboration. For example, many states have enacted legislation that requires schools to
establish parent advisory committees or councils. These bodies provide a formal mechanism for
between parents and educators (Crockett & Yell, 2008). The implementation of IDEA and
similar policies has led to the development of resources and training programs aimed at
enhancing parent-teacher collaboration. These programs educate parents and teachers about their
rights and responsibilities under the law, provide strategies for effective communication, and
offer tools for collaborative problem-solving. Such resources empower both parents and
educators to work together more effectively to support students (Blue-Banning et al., 2004).
21