SLPOtherJournal of speech, language, and hearing research : JSLHR2020

Speechreading Ability Is Related to Phonological Awareness and Single-Word Reading in Both Deaf and Hearing Children.

Elizabeth Buchanan-Worster, Mairéad MacSweeney, Hannah Pimperton and 5 others

PMID 33108258

WHAT IT FOUND

Speechreading ability links to single-word reading in both deaf and hearing children, but this link runs entirely through phonological awareness.

Better visual speech decoding supports phonological skills, which then support reading. This is a concurrent correlation, not proof that training speechreading improves reading.

Key findings

01In deaf children, the relationship between speechreading and single-word reading was fully mediated by phonological awareness.

02In hearing children, the relationship between speechreading and single-word reading was also fully mediated by phonological awareness.

03A training study cited by the authors found that speechreading training improved speechreading and speech output but did not improve single-word reading or explicit phonological awareness.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The data is concurrent, meaning it shows relationships at one point in time, not cause and effect. We do not know if speechreading causes better phonological awareness or vice versa. The sample size for deaf children (66) is small for structural equation modeling, limiting the ability to check if the model works differently for subgroups (e.g., those using sign language vs. spoken English only). The authors cite a training study that failed to show that improving speechreading led to better reading, which contradicts the simple interpretation that training one will fix the other.

Declared interests

The research was supported by the Wellcome Trust, the Economic and Social Research Council, and the Deafness Cognition and Language Research Centre. The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that speechreading training will improve reading skills. The study shows a correlation mediated by phonological awareness, but the authors cite a separate training trial where speechreading practice improved speechreading but had no effect on reading or phonological awareness.

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