Poor reading skills represent a significant public health concern because low literacy is associated with many negative social and economic outcomes (e.g., poor employment opportunities, limited access to health care information, reduced civic engagement). A Priority Area in NIDCD?s strategic plan for 2017-2021 includes research to ?Identify central and peripheral factors associated with the successful comprehension and use of written language for people who use sign language as their primary way of communication (pg. 48)?. To that end, this project investigates the neuro-cognitive processes that support successful reading in adult signers who were born deaf or became deaf in early infancy. The primary goal is to use psycholinguistic paradigms and event-related potentials (ERPs) to differentiate deafness-related from reading-related factors that impact the functioning of the reading circuit when deaf adults recognize single-words (Aims 1 and 2), identify multiple words in parallel (Aim 3), and comprehend sentences (Aim 4).
Aim 1 tests the hypothesis that sensory- dependent neural plasticity impacts the time course of early visual and orthographic processes, but that later lexico-semantic processes are similar for deaf and hearing readers with comparable reading levels.
Aim 2 tests the hypothesis that deaf readers prioritize the morpho-semantic route for reading morphologically complex words but that better spellers utilize the morpho-segmentation route.
Aim 3 tests the hypothesis that deaf readers exhibit greater parafoveal-on-foveal word processing effects due to changes in the distribution of spatial attention associated with early deafness.
Aim 4 tests this hypothesis for sentence-level processing and also investigates whether the previously identified difference in the ERP response to grammatical violations (the P600) for deaf readers is due to the type of violation and/or to effects of early language deprivation.
These aims will be achieved through innovative methods that combine ERPs with novel flanker paradigms and with co-registered eye-movements during natural reading. We also use linear mixed effects regression to identify the effects of continuous measures of reading, spelling, and phonological skills on ERP components using single trial EEG data. The results of this project will advance our understanding of the neuroplasticity of the reading system and will be key to creating targeted remediation programs for deaf adults with poor reading ability. By understanding how skilled adult deaf readers compensate for reduced access to speech, interventions can be crafted to promote those skills. Overall, this project will help build a framework for creating new strategies to improve reading skills in deaf children and adults.

Public Health Relevance

We live in a society for which reading skill is critical to health, economic success, and public engagement. However, for individuals who are born deaf, reading presents a significant challenge because they cannot hear the language represented by print. This project aims to discover the neurocognitive factors that impede or facilitate literacy outcomes for deaf people and thereby identify possibly alternative pathways to reading success.

Agency
National Institute of Health (NIH)
Institute
National Institute on Deafness and Other Communication Disorders (NIDCD)
Type
Research Project (R01)
Project #
3R01DC014246-05A1S1
Application #
10143003
Study Section
Program Officer
Cooper, Judith
Project Start
2015-02-01
Project End
2024-08-31
Budget Start
2020-08-01
Budget End
2020-08-31
Support Year
5
Fiscal Year
2020
Total Cost
Indirect Cost
Name
San Diego State University
Department
Other Health Professions
Type
Sch Allied Health Professions
DUNS #
073371346
City
San Diego
State
CA
Country
United States
Zip Code
92182
Giustolisi, Beatrice; Emmorey, Karen (2018) Visual Statistical Learning With Stimuli Presented Sequentially Across Space and Time in Deaf and Hearing Adults. Cogn Sci 42:3177-3190
Glezer, Laurie S; Weisberg, Jill; O'Grady Farnady, Cindy et al. (2018) Orthographic and phonological selectivity across the reading system in deaf skilled readers. Neuropsychologia 117:500-512
Emmorey, Karen; Midgley, Katherine J; Kohen, Casey B et al. (2017) The N170 ERP component differs in laterality, distribution, and association with continuous reading measures for deaf and hearing readers. Neuropsychologia 106:298-309
Meade, Gabriela; Midgley, Katherine J; Sevcikova Sehyr, Zed et al. (2017) Implicit co-activation of American Sign Language in deaf readers: An ERP study. Brain Lang 170:50-61