The Efficacy of the Cycles Phonological Remediation Approach for A Child with Hearing Loss

The Efficacy of the Cycles Phonological Remediation Approach for A Child with Hearing Loss

The purpose of this study was to investigate the efficacy of the Cycles Phonological RemediationApproach (CPRA) on improving the speech intelligibility of a hearing-impaired Mandarin-speaking childwith a severe speech sound disorder (SSD). In this case study, a four-year-and-7-month-old preschoolerwas diagnosed as an acoustic neuroma at the age of 3 years, and consequently had severe sensorineuralhearing loss with fluctuating thresholds and developed highly unintelligible speech. The child with bimodalstimulation participated in the CPRA program in four cycles with a total of 66 hours of remediation overa period of 1.5 years. The results indicated that the child had exhibited a significant improvement onher speech between pre- and post-treatment evaluation. To assess the child’s speech intelligibility, thecontinuous speech samples of free talking and story retelling was used. Intelligibility based speech samplesby three unfamiliar listeners was 75%. The CPRA as well as the hearing technology can be efficacious inmodifying a child’s speech intelligibility.