Presenter Information:
Presenter 1: Name: Betty Vohr
Affiliation: Women and Infants' Hospital
Betty Vohr is a Professor of Pediatrics at The Warren Alpert Medical School of Brown University, Director of the Women and Infants Hospital’s Follow-up Clinic since 1974 and Medical Director of the Rhode Island Hearing Assessment Program since 1990. Dr. Vohr’s primary clinical and research interests focus on improving the long-term outcomes of high risk premature infants and infants with hearing loss. She has been the national coordinator of the National Institute of Child Health and Human Development Neonatal Research Network follow-up studies since 1990 and chairman of the Joint Committee of Infant Hearing of the American Academy of Pediatrics between 2005 - 2007. Dr. Vohr is currently participating in studies investigating the following areas: 1. outcomes of infants with hearing loss, 2. outcomes of premature infants, and 3. genetics of children with hearing loss. She has published 168 manuscripts as well as numerous textbook chapters.
Presenter 2: Name: Julie Jodoin-Krauzyk
Affiliation: Women and Infants' Hospital
Julie A. Jodoin-Krauzyk, MEd, MA A graduate of Boston University’s Deaf Education program and Assumption College’s Rehabilitation Counseling program, Julie Jodoin-Krauzyk has devoted her career to working with children and adults with hearing loss. Julie is hearing and bilingual – fluent in English and American Sign Language. She began as a classroom teacher at Walden School at The Learning Center for Deaf Children. She then expanded her focus to counseling Deaf, hard-of-hearing and late-deafened adults as a vocational rehabilitation counselor. Currently, as a clinical research associate, Ms. Jodoin-Krauzyk coordinates the Family Perspectives Study – following language and behavior outcomes of early-identified children with hearing loss. Also committed to expanding access and opportunities for children and adults with hearing loss, Ms. Jodoin-Krauzyk is an adjunct faculty member in a local Deaf Studies Program. Through this program, she has trained future deaf service providers and sign language interpreters for the New England area.
Presenter 3: Name: Lucille St. Pierre
Affiliation: Women and Infants' Hospital
Lucille Pierre is a research assistant who has been working on a research study, Language and Behavior Outcomes of Children with Congenital Hearing Loss, with Dr. Betty Vohr at Women and Infants Hospital since 2006. Her responsibilities include administering language testing and parental interviews. She received her BS from Roger Williams University. Prior to working at Women and Infants, she worked as a Clinical Quality Specialist at a major health insurer in the state.
Presenter 4: Name: Richard Tucker
Affiliation: Woman and Infants Hospital
Richard Tucker is a data analyst in the Department of Pediatrics at Women & Infants’ Hospital in Providence, Rhode Island. He received his BA from the University of Rhode Island and has been working in healthcare research since 1985. He has been at Women & Infants’ for the past ten years and previously worked at Brown University, the Rhode Island Department of Health, and The Miriam Hospital. His responsibilities include database design, data management, and statistical analysis. He has provided analyses for and has appeared as coauthor of papers on such topics as the morbidities and outcomes associated with prematurity and low birthweight and the nutrition of premature infants. Richard Tucker has also provided analyses for and co-authored papers on social factors associated with the hearing screening process and the outcomes of offspring of mothers with gestational diabetes.
Author Information:
Author 1: Name: Betty Vohr
Affiliation: Women and Infants' Hospital
Author 2: Name: Julie Jodoin-Krauzyk
Affiliation: Women and Infants' Hospital
Author 3: Name: Richard Tucker
Affiliation: Women and Infants' Hospital
Author 4: Name: Jessica Bloome
Affiliation: SUNY
Author 5: Name: Lucille St. Pierre
Affiliation: Women and Infants' Hospital
Abstract Information:
Title: Association of Maternal Characteristice with Language Outcomes at 18 months for Children with Congenital Hearing Loss
Primary Track: 3-Early Intervention
Keyword(s): Hearing loss, language, maternal stress, verbal involvement


The objective of this investigation was to assess the relationships among maternal communicative effectiveness, parenting stress, and expressive language skills for children with congenital hearing loss at 18-24 months. Hypotheses: 1. More optimal communicative effectiveness will foster improved expressive language outcomes for children with hearing loss and their matched controls. 2. Decreased parenting stress will be associated with more effective expressive language development for children with hearing loss and their matched controls. Study subjects were born in Rhode Island from 10/15/02 to 1/31/05 and screened for newborn hearing loss. Children identified with permanent congenital hearing loss were matched to control children with no hearing loss. During home visits at 6-10, 12-16, and 18-24 months of age, each mother was videotaped playing with her child for 10 minutes. These play sessions were subsequently coded according to the Parent/Caregiver Involvement Scale by reliable coders to assess specific and overall measures of maternal communicative effectiveness. Six items were coded for amount and quality displayed by the parent - Verbal Involvement, Responsiveness, Play Involvement, Control/Directives, Positive Regard and Negative Regard. Four items exhibited by the parent were scored on amount as overall indicators – Availability, Acceptance, Atmosphere and Enjoyment. Five items displayed by the parent were generally rated on independent scales -Sensitivity, Scaffolding, Intrusiveness, Structuring/Intrusiveness & Hostility. Items that showed significant or borderline significant correlation with maternal characteristics or child language outcomes were included in this analysis. Abidin’s Parenting Stress Index and MacArthur-Bates’s Communicative Development Inventories were also administered to mothers along with other standardized assessments as part of a greater maternal/child outcome study of the impact of early intervention on children with varying degrees of congenital hearing loss. Findings will focus on various maternal and child characteristics correlated with improved expressive language scores, including atmosphere of play sessions, maternal verbal involvement and controlling directives.
Presentation(s): Not Available
Handouts: Not Available