Speech and literacy development in a child with a cochlear implant: Application of a psycholinguistic framework

This single case study describes the speech, phonological awareness and literacy of a 6;0-year-old girl with a cochlear implant. NG, a child with a congenital bilateral severe / profound hearing loss, received a monaural cochlear implant at the age of 3; 0, three years prior to the study. Using a psycholinguistic framework to investigate her single word speech processing skills, we aimed to describe NG's speech, phonological awareness and literacy in relation to norms for her chronological age, and areas of relative strength and weakness in terms of her own speech processing profile. These aims were pertinent as NG faced her first year of formal schooling in a mainstream school and for providing further targeted intervention. NG was shown to have developed age-appropriate literacy and phonological awareness skills, although her speech processing profile revealed residual difficulties with processing and production of multisyllabic words. The case study contributes to knowledge of speech processing skills in children with cochlear implants, and has clinical implications for those working with children with cochlear implants and their families.