SLPPilotJournal of deaf studies and deaf education2025

Explicit tier two vocabulary instruction for young deaf children.

Sharon Klieve, Kate Leigh, Lois Grant and 1 others

PMID 40888795

WHAT IT FOUND

Deaf children with low-average vocabulary learned most target words in this small group intervention.

Children with very low vocabulary learned and retained far fewer, suggesting grade-level words may be too advanced for them without significant adjustments.

Key findings

01Students with low-average receptive vocabulary gained an average of 31.18 words, while those with extremely low vocabulary gained only 9.6 words.

02Maintenance of learned words 8-10 weeks post-intervention was 45.11% for the low-average group but only 10.37% for the extremely low vocabulary group.

03Teachers reported using visuals, gesture, shortened sentences, and increased wait time to support access, aligning with strategies for English as an Additional Language learners.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

There was no control group; each child served as their own control, so gains cannot be separated from general development or classroom instruction. The sample was very small (n=20) and heterogeneous, limiting generalisability. The subgroup analysis was exploratory and retrospective, not pre-registered. Maintenance was assessed only 8-10 weeks post-intervention, so long-term retention is unknown. The study did not measure whether learned words were used in functional communication or academic tasks, only knowledge of the specific target words.

Declared interests

The study was funded by the Victorian Deaf Education Institute. The authors declared no other conflicts of interest.

The easy way to misread this

Do not assume this program works equally well for all deaf children. The children with the lowest baseline vocabulary learned very few words and retained even fewer, suggesting the standard grade-level targets were not appropriate for them without major modification.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →