Identification and Comprehension of Narrow Focus by Arabic-Speaking Adolescents with Moderate-to-Profound Hearing Loss

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Title: Identification and Comprehension of Narrow Focus by Arabic-Speaking Adolescents with Moderate-to-Profound Hearing Loss
Language: English
Authors: Kawar, Khaloob (ORCID 0000-0001-9197-2005), Kishon-Rabin, Liat, Segal, Osnat (ORCID 0000-0002-6277-0997)
Source: Journal of Speech, Language, and Hearing Research. May 2022 65(5):2029-2046.
Availability: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Peer Reviewed: Y
Page Count: 18
Publication Date: 2022
Document Type: Journal Articles
Reports - Research
Descriptors: Arabic, Sentences, Pragmatics, Semantics, Comprehension, Assistive Technology, Speech Communication, Cognitive Ability, Language Skills, Adolescents, Hearing Impairments, Vocabulary, Short Term Memory, Acoustics, Cues
DOI: 10.1044/2022_JSLHR-21-00296
ISSN: 1092-4388
1558-9102
Abstract: Purpose: Processing narrow focus (NF), the stressed word in the sentence, includes both the perceptual ability to identify the stressed word in the sentence and the pragmatic-semantic ability to comprehend the nonexplicit linguistic message. NF and its underlying meaning can be conveyed only via the auditory modality. Therefore, NF can be considered as a measure for assessing the efficacy of the hearing aid (HA) and cochlear implants (CIs) for acquiring nonexplicit language skills. The purpose of this study was to assess identification and comprehension of NF by HA and CI users who are native speakers of Arabic and to associate NF outcomes with speech perception and cognitive and linguistic abilities. Method: A total of 46 adolescents (age range: 11;2-18;8) participated: 18 with moderate-to-severe hearing loss who used HAs, 10 with severe-to-profound hearing loss who used CIs, and 18 with typical hearing (TH). Test materials included the Arabic Narrow Focus Test (ANFT), which includes three subtests assessing identification (ANFT1), comprehension of NF in simple four-word sentences (ANFT2), and longer sentences with a construction list at the clause or noun phrase level (ANFT3). In addition, speech perception, vocabulary, and working memory were assessed. Results: All the participants successfully identified the word carrying NF, with no significant difference between the groups. Comprehension of NF in ANFT2 and ANFT3 was reduced for HA and CI users compared with TH peers, and speech perception, hearing status, and memory for digits predicted the variability in the overall results of ANFT1, ANFT2, and ANFT3, respectively. Conclusions: Arabic speakers who used HAs or CIs were able to identify NF successfully, suggesting that the acoustic cues were perceptually available to them. However, HA and CI users had considerable difficulty in understanding NF. Different factors may contribute to this difficulty, including the memory load during the task as well as pragmatic-linguistic knowledge on the possible meanings of NF.
Abstractor: As Provided
Entry Date: 2022
Accession Number: EJ1345038
Database: ERIC
FullText Links:
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PubType: Academic Journal
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Items – Name: Title
  Label: Title
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  Data: Identification and Comprehension of Narrow Focus by Arabic-Speaking Adolescents with Moderate-to-Profound Hearing Loss
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Kawar%2C+Khaloob%22">Kawar, Khaloob</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-9197-2005">0000-0001-9197-2005</externalLink>)<br /><searchLink fieldCode="AR" term="%22Kishon-Rabin%2C+Liat%22">Kishon-Rabin, Liat</searchLink><br /><searchLink fieldCode="AR" term="%22Segal%2C+Osnat%22">Segal, Osnat</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-6277-0997">0000-0002-6277-0997</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Speech%2C+Language%2C+and+Hearing+Research%22"><i>Journal of Speech, Language, and Hearing Research</i></searchLink>. May 2022 65(5):2029-2046.
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  Label: Availability
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  Data: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
– Name: PeerReviewed
  Label: Peer Reviewed
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  Data: Y
– Name: Pages
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  Group: Src
  Data: 18
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2022
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Arabic%22">Arabic</searchLink><br /><searchLink fieldCode="DE" term="%22Sentences%22">Sentences</searchLink><br /><searchLink fieldCode="DE" term="%22Pragmatics%22">Pragmatics</searchLink><br /><searchLink fieldCode="DE" term="%22Semantics%22">Semantics</searchLink><br /><searchLink fieldCode="DE" term="%22Comprehension%22">Comprehension</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+Technology%22">Assistive Technology</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+Communication%22">Speech Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+Ability%22">Cognitive Ability</searchLink><br /><searchLink fieldCode="DE" term="%22Language+Skills%22">Language Skills</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+Impairments%22">Hearing Impairments</searchLink><br /><searchLink fieldCode="DE" term="%22Vocabulary%22">Vocabulary</searchLink><br /><searchLink fieldCode="DE" term="%22Short+Term+Memory%22">Short Term Memory</searchLink><br /><searchLink fieldCode="DE" term="%22Acoustics%22">Acoustics</searchLink><br /><searchLink fieldCode="DE" term="%22Cues%22">Cues</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1044/2022_JSLHR-21-00296
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1092-4388<br />1558-9102
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Processing narrow focus (NF), the stressed word in the sentence, includes both the perceptual ability to identify the stressed word in the sentence and the pragmatic-semantic ability to comprehend the nonexplicit linguistic message. NF and its underlying meaning can be conveyed only via the auditory modality. Therefore, NF can be considered as a measure for assessing the efficacy of the hearing aid (HA) and cochlear implants (CIs) for acquiring nonexplicit language skills. The purpose of this study was to assess identification and comprehension of NF by HA and CI users who are native speakers of Arabic and to associate NF outcomes with speech perception and cognitive and linguistic abilities. Method: A total of 46 adolescents (age range: 11;2-18;8) participated: 18 with moderate-to-severe hearing loss who used HAs, 10 with severe-to-profound hearing loss who used CIs, and 18 with typical hearing (TH). Test materials included the Arabic Narrow Focus Test (ANFT), which includes three subtests assessing identification (ANFT1), comprehension of NF in simple four-word sentences (ANFT2), and longer sentences with a construction list at the clause or noun phrase level (ANFT3). In addition, speech perception, vocabulary, and working memory were assessed. Results: All the participants successfully identified the word carrying NF, with no significant difference between the groups. Comprehension of NF in ANFT2 and ANFT3 was reduced for HA and CI users compared with TH peers, and speech perception, hearing status, and memory for digits predicted the variability in the overall results of ANFT1, ANFT2, and ANFT3, respectively. Conclusions: Arabic speakers who used HAs or CIs were able to identify NF successfully, suggesting that the acoustic cues were perceptually available to them. However, HA and CI users had considerable difficulty in understanding NF. Different factors may contribute to this difficulty, including the memory load during the task as well as pragmatic-linguistic knowledge on the possible meanings of NF.
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  Data: As Provided
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  Label: Entry Date
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  Data: 2022
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  Label: Accession Number
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  Data: EJ1345038
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        Value: 10.1044/2022_JSLHR-21-00296
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      – Text: English
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        StartPage: 2029
    Subjects:
      – SubjectFull: Arabic
        Type: general
      – SubjectFull: Sentences
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      – SubjectFull: Language Skills
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      – SubjectFull: Adolescents
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      – SubjectFull: Hearing Impairments
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      – SubjectFull: Short Term Memory
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      – SubjectFull: Acoustics
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      – SubjectFull: Cues
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      – TitleFull: Identification and Comprehension of Narrow Focus by Arabic-Speaking Adolescents with Moderate-to-Profound Hearing Loss
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