Comparative analysis of story-grammar development: a cross-sectional study of Tamil-speaking child cochlear implant users and hearing peers in Tamil Nadu, India

Objective This cross-sectional comparative study aimed to analyse and compare the story-grammar components in Tamil-speaking children with and without hearing impairment (HI) narratives.Design The study used a cross-sectional, comparative design to assess and compare narrative structures.Setting Dat...

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Main Authors: Jenithaa Muthu, Krupa Venkatraman, Latika Ganesh
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/12/e077145.full
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author Jenithaa Muthu
Krupa Venkatraman
Latika Ganesh
author_facet Jenithaa Muthu
Krupa Venkatraman
Latika Ganesh
author_sort Jenithaa Muthu
collection DOAJ
description Objective This cross-sectional comparative study aimed to analyse and compare the story-grammar components in Tamil-speaking children with and without hearing impairment (HI) narratives.Design The study used a cross-sectional, comparative design to assess and compare narrative structures.Setting Data were collected at the Sri Ramachandra Institute of Higher Education and Research in Chennai, India.Participants 30 children participated in the study, including 15 children with severe to profound hearing loss who used cochlear implants and 15 with normal hearing. The participants were language-age-matched children aged 3–5 years, proficient in Tamil.Interventions No specific interventions were implemented in this study.Main outcome measures The primary outcome measures focused on story-grammar components, including settings, characters, initiating events, internal plans, attempts, outcomes, and resolution. These components were evaluated through narrative retellings by the children.Results Analysis of the narratives revealed significant differences between the two groups. Children with normal hearing demonstrated a higher representation of story-grammar elements than children with HI.Conclusions The findings suggest that children with normal hearing exhibit a more proficient understanding and utilisation of story structure in their story-telling than children with HI. This study highlights the importance of narrative analysis in language assessment, particularly for children with HI. Tailored interventions incorporating appropriate language stimulation techniques are needed to enhance children’s narrative skills with HI. Further research in this area is warranted.
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spelling doaj-art-8edb04f23f8a41338edb6a168a1acd272025-08-20T02:10:49ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-077145Comparative analysis of story-grammar development: a cross-sectional study of Tamil-speaking child cochlear implant users and hearing peers in Tamil Nadu, IndiaJenithaa Muthu0Krupa Venkatraman1Latika Ganesh2Audiology and Speech Language Pathology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaSpeech Language Pathology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaAudiology and Speech Language Pathology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaObjective This cross-sectional comparative study aimed to analyse and compare the story-grammar components in Tamil-speaking children with and without hearing impairment (HI) narratives.Design The study used a cross-sectional, comparative design to assess and compare narrative structures.Setting Data were collected at the Sri Ramachandra Institute of Higher Education and Research in Chennai, India.Participants 30 children participated in the study, including 15 children with severe to profound hearing loss who used cochlear implants and 15 with normal hearing. The participants were language-age-matched children aged 3–5 years, proficient in Tamil.Interventions No specific interventions were implemented in this study.Main outcome measures The primary outcome measures focused on story-grammar components, including settings, characters, initiating events, internal plans, attempts, outcomes, and resolution. These components were evaluated through narrative retellings by the children.Results Analysis of the narratives revealed significant differences between the two groups. Children with normal hearing demonstrated a higher representation of story-grammar elements than children with HI.Conclusions The findings suggest that children with normal hearing exhibit a more proficient understanding and utilisation of story structure in their story-telling than children with HI. This study highlights the importance of narrative analysis in language assessment, particularly for children with HI. Tailored interventions incorporating appropriate language stimulation techniques are needed to enhance children’s narrative skills with HI. Further research in this area is warranted.https://bmjopen.bmj.com/content/13/12/e077145.full
spellingShingle Jenithaa Muthu
Krupa Venkatraman
Latika Ganesh
Comparative analysis of story-grammar development: a cross-sectional study of Tamil-speaking child cochlear implant users and hearing peers in Tamil Nadu, India
BMJ Open
title Comparative analysis of story-grammar development: a cross-sectional study of Tamil-speaking child cochlear implant users and hearing peers in Tamil Nadu, India
title_full Comparative analysis of story-grammar development: a cross-sectional study of Tamil-speaking child cochlear implant users and hearing peers in Tamil Nadu, India
title_fullStr Comparative analysis of story-grammar development: a cross-sectional study of Tamil-speaking child cochlear implant users and hearing peers in Tamil Nadu, India
title_full_unstemmed Comparative analysis of story-grammar development: a cross-sectional study of Tamil-speaking child cochlear implant users and hearing peers in Tamil Nadu, India
title_short Comparative analysis of story-grammar development: a cross-sectional study of Tamil-speaking child cochlear implant users and hearing peers in Tamil Nadu, India
title_sort comparative analysis of story grammar development a cross sectional study of tamil speaking child cochlear implant users and hearing peers in tamil nadu india
url https://bmjopen.bmj.com/content/13/12/e077145.full
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AT krupavenkatraman comparativeanalysisofstorygrammardevelopmentacrosssectionalstudyoftamilspeakingchildcochlearimplantusersandhearingpeersintamilnaduindia
AT latikaganesh comparativeanalysisofstorygrammardevelopmentacrosssectionalstudyoftamilspeakingchildcochlearimplantusersandhearingpeersintamilnaduindia