SLPOtherJournal of child language2018

Visual speech fills in both discrimination and identification of non-intact auditory speech in children.

Susan Jerger, Markus F Damian, Rachel P McAlpine and 1 others

PMID 28724465

WHAT IT FOUND

Seeing the talker's mouth helped children fill in missing beginning sounds for easy-to-see /b/ items across ages four to fourteen, but not much for hard-to-see /g/ items.

Key findings

01Children of all ages benefited significantly from visual speech for easy-to-speechread /b/ onsets, but only minimally or not at all for difficult-to-speechread /g/ onsets.

02For /b/ onsets, the visual speech benefit increased with age and was consistently larger for identification than for discrimination.

03The visual speech benefit for discrimination was linked to the visual speech benefit for identification and to receptive vocabulary.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The children were typically developing and had normal hearing, vision, articulation, word recognition, visual perception, and vocabulary, so the findings do not show how children with hearing loss or speech-language disorders would respond. The study used specially edited nonwords and syllables with removed consonant onsets, not everyday speech or a tested therapy, so it cannot be read as a clinical intervention result. The /g/ benefit was small or absent, and confidence intervals were close to zero, so visual speech should not be treated as a reliable cue for all consonants. The association between the visual speech benefit for discrimination and receptive vocabulary was correlational and shared only about 3% to 4% of variance, so it does not show that visual speech causes better word learning. Children disliked the discrimination task, and no feedback was given, so task demands and motivation may have influenced performance.

Declared interests

The supplied text does not include a conflicts-of-interest declaration. The paper is tagged as supported by NIH extramural and non-U.S. government research support.

The easy way to misread this

Do not conclude that showing children the talker's mouth will improve speech or language therapy. The study tested perception of edited nonwords in typically developing children, and the clear benefit was only for easy-to-speechread /b/ sounds.

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