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Factors influencing caregiver decision making to change the communication method of their child with hearing loss

Nerina Scarinci*, Monica Gehrke, Teresa Y. C. Ching, Vivienne Marnane, Laura Button

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The communication journey of a child with hearing loss is often a complex, interwoven process in which the child's use of language or method of communication may change numerous times. As there has been limited research exploring the caregiver decision-making process behind making such changes, this qualitative descriptive study aimed to explore the factors which influence the caregiver decision making-process to change the communication method of their child with hearing loss. Individual semi-structured in-depth interviews were conducted with seven caregivers of children with hearing loss in Australia. Thematic analysis revealed five key themes which influenced caregiver decisions regarding changes to their child's method of communication, including: (1) family characteristics; (2) family access to information; (3) family strengths; (4) family beliefs; and (5) family-centered practice. The overall finding that the family unit is at the core of decision-making has important clinical implications regarding early intervention professionals’ provision of family-centered services when working with the families of children with hearing loss.

Original languageEnglish
Pages (from-to)123-153
Number of pages31
JournalDeafness and Education International
Volume20
Issue number3-4
DOIs
Publication statusPublished - 2 Oct 2018
Externally publishedYes

Bibliographical note

Funding Information:
The authors acknowledge the financial support of the HEARing Cooperative Research Centre, established under the Cooperative Research Centers (CRC) Programme. The CRC Programme supports industry led end-user driven research collaborations to address the major challenges facing Australia.

Publisher Copyright:
© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.

Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.

Keywords

  • children
  • hearing loss
  • communication method
  • language
  • choice
  • decision-making
  • family-centered care
  • qualitative

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