published_or_final_version / Education / Master / Master of Education

published_or_final_version / Education / Master / Master of Education

The purpose of the study was to develop a wellness model for teachers in addressing learning barriers for learners with hearing impairment. The study is underpinned by three theories, namely, the Linguistic Interdependence Theory, the Universal Design for Learning and the Wellness Theory to generate understanding of how learners with hearing impairment learn. Ethical standards were adhered to in terms of gaining permission for access, issues of informed consent, voluntary participation, and confidentiality. The study is premised on the pragmatism philosophy that favours a mixed method approach, using both qualitative and quantitative methods of data collection and analysis and interpretation of data. The mixed method is a multi-method, ensuring multiple angles in data collection, interpretation and analysis. Data collection and analysis were concurrent because data were collected and analysed as soon as the data were available. The study used a purposive sampling approach to select samples of educators who responded to the questionnaires and those who participated in the interviews. Three provinces and 11 schools were purposively selected because of their history of providing quality education to learners with hearing impairment. The researcher knew all the schools. One hundred deaf educators (86 female and 14 male) participated in answering a semi-structured, self-completion questionnaire. All respondents were school-based teachers of the deaf, teaching Grade R to seven. Eleven primary school educators were interviewed, consisting of eight women and three men. Concurrent data analysis was used to compare quantitative and qualitative data, which revealed that learners faced several wellness challenges. Most of the learners faced literacy challenges in reading, communication with the hearing and limited academic, social and career dimensions. Some positive strides were showing in the physical and spiritual wellness through health promotion and moral education. The study proposed an integrated wellness model integrating the three lenses. The following four themes emerged from the study. The first theme is that academic challenges are major barriers faced by learners with hearing impairments. The second theme noted that deaf learners faced communication challenges. The third theme indicated curriculum, adaptation, and multidisciplinary teams as factor where hearing-impaired needed support to address barriers to learning. The last theme called for more programmes to be introduced to address academic, career, and spiritual wellness. A wellness model was proposed to assist educators to address the academic, social, career, emotional, physical, and spiritual wellness of the hearing-impaired learners / Inclusive Education / D. Ed. (Inclusive Education)

Awareness and knowledge of the different transmission modes of Human Immunodeficiency Virus (HIV) serves as a vital component of the efforts to prevent the spread of HIV. This quantitative descriptive cross sectional study was conducted with 99 learners from three public schools for learners with hearing impairment in KwaZulu- Natal (KZN). Data was collected via a self-designed questionnaire and analysed via the Statistical Package for Social Sciences (SPSS). Recommendations based on the findings of poor levels of knowledge of transmission modes of HIV were made to motivate for greater awareness amongst these vulnerable learners / Health Studies / M.A. (Public Health)

Thesis (MAud (Interdisciplinary Health Sciences. Speech-Language and Hearing Therapy)--Stellenbosch University, 2008. / Over the past decade an increasing number of learners with cochlear implants have been placed in mainstream settings in South Africa (Müller & Wagenfeld, 2003). The aim of the present study was to describe possible factors that influence the initial grade 1 school placement as well as subsequent changes in placement of learners with cochlear implants. Data collection consisted of a retrospective record review of the children implanted at the Tygerberg Hospital-University of Stellenbosch Cochlear Implant Unit and a questionnaire aimed at assessing parental perceptions regarding the basis of grade 1 school placement for their children. The record review incorporated children implanted in 1988, the year of inception of the unit and included the most recently implanted children who have already started grade 1. Results of the 47 participants indicated that multiple factors influenced the selection of grade 1 school placement. Recommendations by professionals and parental preference were the most important determinants in the selection process. The mainstreamed learners were implanted at a much younger age than the learners placed in special school settings and therefore had a longer duration of implant use at the start of grade 1. Subsequent to grade 1 placement, the number of learners in mainstream placement, increased from 55% to 70%. The aspects identified in the study could be utilised when counselling parents during the school placement decision making process. Long term monitoring of the academic achievement of these learners needs to be an aim of future research.

Thesis (MAud (Interdisciplinary Health Sciences. Speech-Language and Hearing Therapy)--Stellenbosch University, 2008. / Individuals are increasingly undergoing bilateral cochlear implantation in an attempt to benefit from binaural hearing. The main aim of the present study was to compare the speech recognition of children fitted with bilateral cochlear implants, under binaural and monaural listening conditions, in quiet and in noise. Ten children, ranging in age from 5 years 7 months to 15 years 4 months, were tested using the Children’s Realistic Index for Speech Perception (CRISP). All the children were implanted with Nucleus multi-channel cochlear implant systems in sequential operations and used the ACE coding strategy bilaterally. The duration of cochlear implant use ranged from 4 years to 8 years 11 months for the first implant and 7 months to 3 years 5 months for the second implant. Each child was tested in eight listening conditions, which included testing in the presence and absence of competing speech. Performance with bilateral cochlear implants was not statistically better than performance with the first cochlear implant, for both quiet and noisy listening conditions. A ceiling effect may have resulted in the lack of a significant finding as the scores obtained during unilateral conditions were already close to maximum. A positive correlation between the length of use of the second cochlear implant and speech recognition performance was established. The results of the present study strongly indicated the need for testing paradigms to be devised which are more sensitive and representative of the complex auditory environments in which cochlear implant users communicate.

Thesis (M Speech Path)--University of Stellenbosch, 2011. / ENGLISH ABSTRACT: Various approaches to the communication-development of the young child with a hearing impairment exist, of which the auditory-verbal approach is one. This approach is based on the principle that the child with a hearingimpairment develops speech- and language skills by using his/her residual hearing that is appropriately strengthened with the use of a hearing aid and/or cochlear implant. One of the most important requirements for the successful application of this approach is the appropriate transfer of the techniques and strategies that is used in institution-based intervention to the child’s home environment. Parents, teachers, speech-language therapists and audiologists are responsible for facilitating the transfer of intervention methods and acquired skills to the home environment and it is important that all team members are aware of his/her own, as well as each other’s roles, in the application of this approach. The principal aim of the proposed research project was to describe and explain the perceptions of parents/caregivers, teachers, speech-language therapists and audiologists, that are involved in the intervention of the hearing impaired child, regarding the auditory-verbal approach to education. Semi-structured interviews were conducted with nine parents of hearing impaired children younger than the age of four, and with four teachers that are involved in the education of the said children. Lastly, semi-structured interviews were held with four speech-language therapists and two audiologists that are involved in the provision of the intervention to hearing impaired children younger than four years. All the participants were affiliated with a specific centre for children with hearing impairment in the Western Cape province of South Africa. All the participants noted that parents must take part in the decision-making process with regards to the selection of the most suitable communication approach for their child with a hearing loss. Participants also agreed that most parents choose the auditory-verbal approach to communication development of their child because speech as a communication medium, is familiar to them and it is also associated with normality. Parents also indicated that the auditory-verbal approach is the most suitable approach for all children with a hearing loss. Teachers, speech-language therapists and audiologists did not completely agree with the parents as they mentioned some aspects, e.g. the presence of additional disabilities must be taken into account before a decision can be made regarding whether the child with hearing loss could follow the auditory-verbal approach to communication development. All participants displayed a positive attitude towards the auditory-verbal approach and it appears that parents, teachers, speech-language therapists and audiologists have good insight into the principles and outcomes of this approach. / AFRIKAANSE OPSOMMING: Daar bestaan verskeie benaderings tot kommunikasie-ontwikkeling by die jong kind met gehoorverlies waarvan die ouditief-verbale benadering een opsie is. Hierdie benadering is gebaseer op die beginsel dat die kind met gehoorverlies spraak- en taalvaardighede ontwikkel deur gebruik te maak van hulle residuele gehoor wat deur middel van die gebruik van ‘n gehoorapparaat en/of kogleêre inplanting toepaslik versterk word. Een van die belangrikste vereistes vir die suksesvolle toepassing van die benadering is toepaslike oordrag van die tegnieke en strategieë wat in terapie gebruik word, na die kind se tuisomgewing. Ouers, onderwysers, spraak-taalterapeute en oudioloë speel ‘n baie belangrike rol om hierdie oordrag na alledaagse kontekste te fassiliteer en dit is belangrik dat elke spanlid bewus is van sy/haar rol asook die ander lede se rolle in die toepassing van die benadering. Die hoofdoelwit van die voorgestelde navorsingsprojek was om ouers/versorgers, onderwyseresse, spraaktaalterapeute en oudioloë, betrokke by die intervensie en opvoeding van die kind met gehoorverlies, se persepsies rakende die ouditief-verbale benadering tot opvoeding te beskryf en te verduidelik. Tydens die studie is daar semi-gestruktureerde onderhoude gevoer met onderskeidelik nege ouers van kinders, jonger as vier-jaar oud, met gehoorgestremdheid en met vier onderwyseresse wat betrokke is by die die opvoeding van genoemde ouers se kinders met gehoorverlies. Laastens is daar ook semi-gestruktureerde onderhoude gevoer met vier spraak-taalterapeute en twee oudioloë wat betrokke is by die verskaffing van intervensie aan kinders met gehoorverlies, jonger as vier-jaar oud. Al die deelnemers was verbonde aan ’n spesifieke sentrum vir kinders met gehoorverlies in die Wes-Kaap provinsie van Suid Afrika. Al die deelnemers het aangedui dat ouers betrek word by die besluitnemingsproses rakende die keuse van die mees geskikte kommunikasie-benadering vir die kind met gehoorverlies. Deelnemers het almal saamgestem dat ouers meestal die ouditief-verbale benadering tot kommunikasie-ontwikkeling vir hulle kind kies omdat spraak as kommunikasiemedium bekend is aan die ouers en verband hou met normaliteit. Ouers het aangedui dat die ouditief-verbale benadering die mees toepaslike benadering is vir enige kind met gehoorverlies. Onderwyseresse, spraak-taalterapeute en oudioloë het nie volkome saam met die ouers gestem nie en hulle het genoem dat daar sekere aspekte, byvoorbeeld die teenwoordigheid van bykomende gestremdhede, is wat oorweeg moet word voor daar besluit word of die kind die ouditief-verbale benadering tot kommunikasieontwikkeling moet volg. Deelnemers het oor die algemeen ‘n positiewe houding getoon teenoor die ouditief-verbale benadering en dit wil voorkom asof ouers, onderwyseresse, spraak-taalterapeute en oudioloë goeie begrip toon van die beginsels en uitkomstes van die benadering.

The purpose of this study was to determine the effectiveness of Filial Therapy training in increasing teachers of deaf and hard of hearing preschool students': 1) empathic responsiveness with their students; 2) communication of acceptance to their students; 3) allowance of self-direction by their students. A second purpose was to determine the effectiveness of Filial Therapy training in reducing experimental group students': 1) overall behavior problems; 2) internalizing behaviors; and 3) externalizing behavior problems. Filial Therapy is a didactic/dynamic modality used by play therapists to train parents and teachers to be therapeutic agents with their children and students. Teachers are taught primary child-centered play therapy skills for use with their own students in weekly play sessions with their students. Teachers learn to create a special environment that enhances and strengthens the teacher-student emotional bond by means of which both teacher and child are assisted in personal growth and change. The experimental group (N=24) consisted of 12 teachers, who participated in 11 weekly Filial Therapy training sessions (22 total instructional hours) during the fall semester at the preschool of a center for communications disorders, and 12 students chosen by the teachers as their student of focus. Teachers and students met once a week during the training for 30 minute teacher student play sessions in a room specified for this purpose. The non-treatment comparison group received no training during the 11 weeks. Teacher participants completed two written instruments: the Child Behavior Checklist/Caregiver-Teacher Report Form and the Meadow-Kendall Social-Emotional Assessment Inventory for Deaf and Hearing Impaired Students. Teachers who received Filial Therapy training were videotaped during student teacher play sessions. The videotaped sessions were used for pretest and posttest evaluation for the Measurement of Empathy in Adult-Child Interaction. Analysis of covariance revealed the children in the experimental group significantly decreased overall behavior problems. Teachers in the experimental group increased communication of empathy with their students of focus, significantly increased their attitude of acceptance with their students, and significantly increased in their ability to allow the students appropriate self-direction. This study supports Filial Therapy as an effective method of training teachers of deaf and hard of hearing preschool children to be therapeutic agents of change with their students.

Awareness and knowledge of the different transmission modes of Human Immunodeficiency Virus (HIV) serves as a vital component of the efforts to prevent the spread of HIV. This quantitative descriptive cross sectional study was conducted with 99 learners from three public schools for learners with hearing impairment in KwaZulu- Natal (KZN). Data was collected via a self-designed questionnaire and analysed via the Statistical Package for Social Sciences (SPSS). Recommendations based on the findings of poor levels of knowledge of transmission modes of HIV were made to motivate for greater awareness amongst these vulnerable learners / Health Studies / M. A. (Public Health)

With the exponential increase of Internet usage and the embedding of multimedia content on the Web, some of the Internet resources remain inaccessible for people with disabilities. Particularly, people who are deaf or Hard of Hearing (HOH) experience inaccessible Web sites due to a lack of Closed Captioning (CC) for multimedia content on the Web, no sign language equivalents for the content on the Web, and an insufficient evaluation framework for determining if a Web page is accessible to the Hearing Impaired community. Several opportunities for accessing content needed to be rectified in order for the Hearing Impaired community to access the full benefits of the information repository on the Internet. The research contributions of this thesis are to resolve some of the Web accessibility problems being faced by the Hearing Impaired community. These objectives are to create an automated CC for the Web for multimedia content, to embed sign language equivalent for content available on the Web, to create a framework to evaluate Web accessibility for the Hearing Impaired community, and to create a social network for the Deaf community. To demonstrate the feasibility of fulfilling the above listed objectives several prototypes were implemented. These prototypes have been used in real life scenarios in order to have an objective evaluation of the proposed framework. Further, the implemented prototypes have had an impact to both the academic community and to the industry. / by Simone Pasmore. / Signature page unsigned. / Thesis (M.S.C.S.)--Florida Atlantic University, 2008. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2008. Mode of access: World Wide Web.