Vocal and Tactile Input to Children Who Are Deaf or Hard of Hearing.

Purpose Caregivers may show greater use of nonauditory signals in interactions with children who are deaf or hard of hearing (DHH). This study explored the frequency of maternal touch and the temporal alignment of touch with speech in the input to children who are DHH and age-matched peers with normal hearing. Method We gathered audio and video recordings of mother-child free-play interactions. Maternal speech units were annotated from audio recordings, and touch events were annotated from video recordings. Analyses explored the frequency and duration of touch events and the temporal alignment of touch with speech. Results Greater variance was observed in the frequency of touch and its total duration in the input to children who are DHH. Furthermore, touches produced by mothers of children who are DHH were significantly more likely to be aligned with speech than touches produced by mothers of children with normal hearing. Conclusion Caregivers' modifications in the input to children who are DHH are observed in the combination of speech with touch. The implications for such patterns and how they may impact children's attention and access to the speech signal are discussed.