How Masks Impact Communication

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How Masks Impact Communication

Wearing a mask has become part of our daily life and that will continue throughout the current pandemic. We wear masks to stop the spread of COVID-19 and to protect the people around us. As a speech therapist and mother of two, it’s important to understand how wearing a mask can impact speech and hearing.  In addition, there are some strategies we can use to ensure that our children are communicating effectively and understand those around them. 

Let’s review some important information about masks and communication:

  1. Wearing a mask removes many visual cues that we get from the speaker.
  2. Masks attenuate sound by three to twelve decibels and also result in low-pass filtering of high-frequency sounds. This can make it more difficult to understand speech and some higher-pitched voices (Goldin et al., 2020).
  3. Masks hide many non-verbal cues, such as smiling.

Since we know that masks help prevent a person who is sick from spreading the virus to others, we have to figure out how to overcome the communication barriers. Here are some ways we can improve communication during this pandemic:  


Tips for Improving Communication While Wearing a Mask

  1. Wear a clear mask. Let’s start with visual cues. Visual cues, such as pointing to your lips to remind the child to close his/her lips when producing /b/ and /p/, are instantly removed when wearing a mask. If you are worried about the loss of these visual cues in speech therapy, teletherapy is a fantastic option! There is no need to wear a mask. If speech therapy must be done in-person, there are now a variety of masks that have a clear section for the mouth so that children (and adults) can see the speaker’s mouth. We can also use videos to show visual cues that have been removed as a result of a mask. In the classroom setting, providing the necessary visual cues may not be possible. In these cases, we turn to the parents for help. If you see your child struggling with a speech sound, try to encourage him/her to watch your mouth at home. If he/she continues to struggle with speech sound production, that’s when you may want to contact a speech therapist. 
  2. Use images and gestures to support understanding and/or rephrase and speak more slowly when wearing a mask. If you or your child is struggling to hear the speaker’s message, the speaker can use visuals (such as pictures) or gestures to support the listener’s understanding. You can find images easily on a phone, tablet, or computer. The speaker can also show what it is that he/she is talking about through pointing or perhaps even acting it out! In addition, the speaker may be able to re-phrase what was said. The use of context can be really helpful in these situations. Last but not least, try to slow down. Decreasing your rate of speech can significantly help with intelligibility. 
  3. Engage with eye contact, use hand gestures, and maintain positive body language when wearing a mask. We need to be a bit more creative when it comes to the loss of non-verbal cues. We also must increase awareness as many people forget just how much we communicate non-verbally. A thumbs up is an easy gesture that can be used when a smile can’t be seen. Maintaining eye contact and the use of other hand gestures can be helpful as well. A person can also convey emotions and feelings through body posture. 
If you have concerns about your child’s development, please don’t hesitate to reach out! TherapyWorks team of pediatric therapists are happy to consult with you and make recommendations. Schedule a free phone consultant or click the button below to answer a few questions about your child. A TherapyWorks team member will follow up with you right away. 
Therapyworks Erin Michelle

Are you interested in services for your child? Founded by Michelle Worth and Erin Vollmer, TherapyWorks provides in-home speech, occupational and physical therapies in Michigan, Ohio and Illinois and teletherapy nationwide.

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COVID-19 Protocol

We hope you and your family are continuing to stay safe and healthy! We have outlined our protocols for in-person sessions during COVID-19. As you know, the health and safety of our clients and therapists remain our highest priority. As always, please reach out with any questions or concerns. Thank you for your cooperation and understanding as we work together through these unprecedented times.

Hand Washing:
Upon arrival at your home, your therapist will wash their hands with soap and water and/or use hand sanitizer. We ask that you and your child also wash your hands and/or use hand sanitizer upon your therapist’s arrival.
We are asking our therapists to wear masks upon entering your home and throughout your child’s session. That said, we understand that some children have adverse reactions to seeing adults in masks and will leave it up to you and your therapist to decide your comfort level while still taking safety precautions.
We ask that parents and caregivers also follow the guidelines and wear masks when sitting in on sessions. We will not enforce that policy, but we do kindly ask for compliance.
As for your child, we realize that masks may not be appropriate for every child so we will not enforce the rule that children over the age of 2 should wear a mask.  However, if your therapist insists that your child wear a mask, then that will be a requirement directly between the two of you. We respect our therapists’ individual comfort levels with safety precautions and ask that you respect them as well.


Protocol Acknowledgment and Health Certification:

Before your child’s first in-person session, we are asking clients to submit an acknowledgment of these protocols and a health certification, which you can find here. Thank you again for your cooperation and for helping all of us stay healthy!