Technology-assisted Language Intervention (TALI)

Inclusion Criteria: * Age 3-10 years * Documented permanent bilateral hearing loss with severity levels clinically defined moderate to profound). * Identified with a language deficit, defined by either the ratio of language standard scores to nonverbal intelligence quotient \<.85 or a differences in nonverbal IQ and language standard scores of 10 points. Language scores may either be receptive or expressive. * Currently receiving speech-language therapy. Exclusion Criteria: Mild hearing loss and unilateral hearing loss * primary language other than English * significant motor impairments * nonverbal IQ \<80 * children with severe communication disorders (i.e. autism spectrum disorders).