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Developing Communication Repair Strategies

When verbal communication with a child who is deaf or hard of hearing is not understood, the child may look confused, bluff by nodding or saying “uh-huh”, or respond inappropriately.  When this happens, the adult should utilize a communication repair strategy rather than repeating what was said.  By adults using communication repair strategies early in life with their child, they model strategies the child can later utilize when they don’t understand what is said.  Different strategies work for different situations.  If one strategy doesn’t work, try another.

  • Rephrase

  • Re-cap what you did hear and ask for confirmation/correction (e.g. "You want to play with ducks?  Oh, you want to play with trucks.").

  • Correct factors which interfere with communication (e.g. turn off dishwasher, face your child with the light source on your face, give your child your undivided attention and repeat using clear speech.

  • Give contextual cues (e.g. “Let’s wash hands.” [demonstrate] “Then we can make cookies.” [show ingredients for making cookies].

  • Give closed set choices (If “What would you like to drink?” is not understood, show your child the milk carton and bottle of juice saying:  “Do you want milk?” [hold out milk] “or apple juice?” [hold out apple juice].

  • Use gestures and elaborate (e.g. If “Get your shoes” is not understood, point to your shoes on your feet and say “Get your blue shoes by the door” and point to shoes by the door.

  • Simplify using a key word (e.g. say “BLUE shoes”, point to something blue in the room and then to your child’s feet or to your shoes.

If none of these strategies work, sign while voicing or encourage your child to show you what is wanted.

 

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