“…Many studies comparing the effectiveness of oral and signed modes of communication have methodological weaknesses and their findings remain controversial (Commission, 1988;Meadow-Orlans, 1987;Moores, 1985;Levitt, McGarr & Geffner, 1987;Armstrong, 1991;Yoshinaga-Itano, 1995;Carney & Moeller, 1998). Some studies on hearing-impaired children adopted a broader perspective and assessed the setting of intervention (home/center-based), the intensity of the services provided to the child, and parental involvement (Weisel, 1989;Musselman, Wilson & Lindsay, 1988;Strong & Clark, 1992;Watkins, 1987;Craig, 1992). Home-based services appear to produce good results.…”