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I don't have a problem with what you've said in terms of the natural limitations of the study, which as you say, applies to many studies of that nature. It doesn't mean that the conclusions are not useful though, especially considering that this particular study contains a good sample size.
I brought it up as a matter of interest because the discussion on this thread touched upon the observation that Lotte, Cloggy's daughter had made a choice in her communication direction. It seems that in those cases the shift happens naturally over a process of time rather than people suddenly stopping sign because they've made a decision that their child is oral right now. However, I acknowledge that there are parents and professionals out there who are more forceful in that way.
I'd have to read the paper all the way through but it sounds like many of the parents were signing with their kids prior to the CI, which implies that they view it somewhat positively as a means of communicating with their children.
Yea, that's where I either overlooked or misunderstood Cloggy's prior statement about sign language is not needed. I thought he meant that they made the decision for their daughter but I see more clearly that she is going in the direction of spoken language rather than sign language. At least she was given the opportunity with both language (I think even more languages too) and let nature take its direction.