Efficacy of an oral narrative language intervention program on children with hearing impairment: a randomized controlled trial

Abstract Background Children with hearing impairment have less opportunities for adequate language exposure which results in delayed narrative and discourse language development. Previous intervention studies have mainly focused on the early developing language forms, with little focus on narrative...

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Main Authors: Sara Ibrahim, Ossama Sobhy, Riham El-Maghraby, Nesrine Hamouda
Format: Article
Language:English
Published: SpringerOpen 2025-04-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-025-00807-5
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author Sara Ibrahim
Ossama Sobhy
Riham El-Maghraby
Nesrine Hamouda
author_facet Sara Ibrahim
Ossama Sobhy
Riham El-Maghraby
Nesrine Hamouda
author_sort Sara Ibrahim
collection DOAJ
description Abstract Background Children with hearing impairment have less opportunities for adequate language exposure which results in delayed narrative and discourse language development. Previous intervention studies have mainly focused on the early developing language forms, with little focus on narrative intervention. The aim of the current study was to develop the Oral Narrative Language Intervention Program (ONLIP) and detect its efficacy on improving narrative and linguistic skills of HI children in comparison to conventional language and auditory training. The randomized controlled study was conducted on 44 children with sensorineural hearing loss. The subjects were randomly divided by block randomization into two groups: group A (cases) which received training with the ONLIP and group B (control) which received conventional intervention for 3 months. The participants were evaluated pre- and post-intervention by the Arabic version of the Test of Narrative Language — Second Edition (TNL-2) and the Comprehensive Arabic Language Test (CALT). Results A statistically significant improvement was found in all of the assessed narrative comprehension and production skills, as well as the composite performance in the HI cases group when both groups were compared post-therapy. A statistically significant improvement was found in both groups when the scores for the CALT were compared between pre- and post-intervention. Conclusions ONLIP is an effective tool in improving the narrative skills of HI children in comparison to conventional training. Both forms of intervention are effective in improving linguistic form and structure.
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publishDate 2025-04-01
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series The Egyptian Journal of Otolaryngology
spelling doaj-art-b22960f7a2dd474ba43c24059d88c08e2025-08-20T03:10:07ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392025-04-0141111410.1186/s43163-025-00807-5Efficacy of an oral narrative language intervention program on children with hearing impairment: a randomized controlled trialSara Ibrahim0Ossama Sobhy1Riham El-Maghraby2Nesrine Hamouda3Alexandria UniversityAlexandria UniversityAlexandria UniversityAlexandria UniversityAbstract Background Children with hearing impairment have less opportunities for adequate language exposure which results in delayed narrative and discourse language development. Previous intervention studies have mainly focused on the early developing language forms, with little focus on narrative intervention. The aim of the current study was to develop the Oral Narrative Language Intervention Program (ONLIP) and detect its efficacy on improving narrative and linguistic skills of HI children in comparison to conventional language and auditory training. The randomized controlled study was conducted on 44 children with sensorineural hearing loss. The subjects were randomly divided by block randomization into two groups: group A (cases) which received training with the ONLIP and group B (control) which received conventional intervention for 3 months. The participants were evaluated pre- and post-intervention by the Arabic version of the Test of Narrative Language — Second Edition (TNL-2) and the Comprehensive Arabic Language Test (CALT). Results A statistically significant improvement was found in all of the assessed narrative comprehension and production skills, as well as the composite performance in the HI cases group when both groups were compared post-therapy. A statistically significant improvement was found in both groups when the scores for the CALT were compared between pre- and post-intervention. Conclusions ONLIP is an effective tool in improving the narrative skills of HI children in comparison to conventional training. Both forms of intervention are effective in improving linguistic form and structure.https://doi.org/10.1186/s43163-025-00807-5Narrative interventionDiscourse languagePragmaticsHearing impairmentCochlear implants
spellingShingle Sara Ibrahim
Ossama Sobhy
Riham El-Maghraby
Nesrine Hamouda
Efficacy of an oral narrative language intervention program on children with hearing impairment: a randomized controlled trial
The Egyptian Journal of Otolaryngology
Narrative intervention
Discourse language
Pragmatics
Hearing impairment
Cochlear implants
title Efficacy of an oral narrative language intervention program on children with hearing impairment: a randomized controlled trial
title_full Efficacy of an oral narrative language intervention program on children with hearing impairment: a randomized controlled trial
title_fullStr Efficacy of an oral narrative language intervention program on children with hearing impairment: a randomized controlled trial
title_full_unstemmed Efficacy of an oral narrative language intervention program on children with hearing impairment: a randomized controlled trial
title_short Efficacy of an oral narrative language intervention program on children with hearing impairment: a randomized controlled trial
title_sort efficacy of an oral narrative language intervention program on children with hearing impairment a randomized controlled trial
topic Narrative intervention
Discourse language
Pragmatics
Hearing impairment
Cochlear implants
url https://doi.org/10.1186/s43163-025-00807-5
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