This
study investigated language input (adult word count, AWC; conversational turn
count, CTC; response types; high-, mid-, and low-level) and language outcomes
(receptive, expressive) in children aged 2–5 years with hearing loss (CwHL)
and those with normal hearing (CwNH). Associations between language input and
outcomes, relationships between language input, and demographics were
examined. Language input was analyzed using full-day Language Environment
Analysis (LENA) audio-recordings, and language outcomes were assessed using
standardized language assessments in 14 CwHL and 20 CwNH. There were no
significant differences in language input between CwHL (AWC/hr: M = 1137, SD
= 554; CTC/hr: M = 48.26, SD = 19.18) and CwNH (AWC/hr: M = 1243, SD = 426;
CTC/hr: M = 60.94, SD = 21.34). There were, however, significant differences
between groups in response types and language outcomes. Caregivers of CwHL
used less high- and more mid- and low-level responses than caregivers of CwNH
(p = < .01). Language input in CwHL showed no association with language
outcomes, and there were no correlations with demographic factors. For CwNH,
receptive language was correlated with AWC/hr, CTC/hr, and high- and
low-level response types (p = < .01); and expressive language was
correlated with AWC/hr (p = < .01), CTC/hr (p = .02), and high- (p = .02)
and low-level (p = < .01) response types significantly. Correlations were
negative for low-level response types, with lower language scores associated
with relatively more use of low-level responses. For CwNH, maternal education
correlated with AWC/hr (p = < .01), and caregivers of younger CwNH had
significantly more CTC/hr (p = < .01). Quantitative LENA data suggested
comparable interaction frequency between groups. CwHL were exposed to more
low-level response types, had significantly lower language scores. Further
investigation into response types, child language outcomes, and therapeutic
implications for CwHL is needed.