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ERIC Number: EJ1043590
Record Type: Journal
Publication Date: 2014-Oct
Pages: 11
Abstractor: As Provided
ISSN: ISSN-1092-4388
Development of Joint Engagement in Young Deaf and Hearing Children: Effects of Chronological Age and Language Skills
Cejas, Ivette; Barker, David H.; Quittner, Alexandra L.; Niparko, John K.
Journal of Speech, Language, and Hearing Research, v57 n5 p1831-1841 Oct 2014
Purpose: To evaluate joint engagement (JE) in age-matched children with and without hearing and its relationship to oral language skills. Method: Participants were 180 children with severe-to-profound hearing loss prior to cochlear implant surgery, and 96 age-matched children with normal hearing; all parents were hearing. JE was evaluated in a 10-minute videotaped free play task with parents. Engagement states ranged from the lowest (unengaged) to the highest level (symbol-infused coordinated). Standardized language measures were administered. Results: Multivariate analyses were conducted between the groups, stratified by chronological and language age. Children who were deaf (Deaf) spent less time in total symbol-infused JE than children with normal hearing (NH) across all ages. The majority of the Deaf group (83%) fell in the lowest language age group, in comparison to 35% of the NH group, and spent significantly less time in symbol-infused JE than hearing children. These delays were also observed in the Deaf group, who fell into the 18-36 month language age. No children in the Deaf group had achieved a language age of > 36 months. Conclusions: Young children with and without hearing had different developmental trajectories of JE, which were related to oral language skills.
American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute on Deafness and Other Communication Disorders (NIDCD)
Authoring Institution: N/A
Grant or Contract Numbers: R01 DC004797