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The Sound Steps Podcast

The Sound Steps Podcast

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Coming 1 October 2025…

What if you could hear, in real time, how a child who is deaf or hard of hearing learns to listen, talk, and thrive?

I’m Shefali Shah, LSLS Cert. AVT®, and this is The Sound Steps Podcast: Conversations in Auditory-Verbal Therapy. Together, we’ll explore how families use Auditory-Verbal Therapy (AVT) to support children with hearing loss in developing spoken language, clear speech, and confidence, one sound step at a time.

From a baby’s first babble to a teenager’s quick wit, each conversation reveals the art and science of spoken language development, helping children with hearing impairment develop fluent spoken language, clear speech, and confidence, one sound step at a time.

💡 Hear practical tips you can use today.

💬 Learn from the voices of parents who’ve been where you are.

🎧 Experience the joy, the struggles, and the triumphs of enjoying the world of sound.

New episodes drop on the 1st and 16th of every month.

Follow now, and take your first sound step toward a wonderfully bright future, for your deaf or hard of hearing child and for you.

The Sound Steps Podcast

2025 Enfermedades Físicas Higiene y Vida Saludable
Episodios
  • 13: Is my deaf child progressing?

    13: Is my deaf child progressing?
    Apr 1 2026
    Progress is at the heart of effective early intervention. The only way to determine whether a child is progressing is to measure development objectively: with data. Auditory-Verbal Therapy recommends administering internationally standardised assessments annually, to quantify developmental progress and track age-equivalent performance in children who are deaf or hard of hearing.In this thirteenth episode, Shefali Shah is joined by Rashi Sanghi in an honest, penetrating conversation on how to plan for progress. Through coaching and guidance, Rashi has evolved into a confident, discerning, and responsive parent who now leads her child’s intervention journey with insight and purpose. Her transformation, from being dismissive to deeply appreciative of her child’s perspective, is a testament to what becomes possible when parents drive AVT.Children with congenital hearing loss often begin life at a developmental disadvantage, as hearing begins in utero by 20 weeks. That means we need more than 12 months of developmental progress in 12 months of time to close this gap.Auditory-Verbal Therapy facilitates this through an active, intentional, and responsive process. It places parents at the centre of services, providing a structured framework and treatment plan that evolves continuously to meet the child’s changing developmental needs.Auditory-Verbal Therapy centres the parent. And when parents take the wheel, children thrive.This is The Sound Steps Podcast.🎧 Top Tips from Episode 13 Absorb Consolidate Demonstrate Measure progress. Use internationally standardised assessments to track your child’s development objectively. Parents drive AV Therapy. With coaching and support, parents plan, implement, and adapt intervention goals. Close the developmental gap. Deliver more than 12 months’ progress in 12 month’s time. Use data to plan: Use the data from assessments to plan systematically and on an on-going basis. Intervention must be dynamic. Auditory-Verbal Therapy AVT is a responsive, evolving process that adapts as your child’s needs and skills grow. Time Stamps:00:00:00 Introduction00:00:1:10 Introduction to this episode 00:02:10 90% of deaf children are born to hearing parents00:02:20 Choosing Auditory-Verbal Therapy for your deaf or hard of hearing child00:02:49 AVT facilitates age-appropriate development00:03:16 Abundant choices open up through AVT00:03:48 Early identification and the fitting of early and optimal amplification.00:03:55 A life free of limitations00:04:04 Show notes, Top tips and Time Stamps00:04:15 Links and contact details00:04:22 Resources00:04:43 Measuring progress with data00:05:54 Standardised assessments00:07:40 Congenital hearing loss has an inherent developmental delay00:09:12 Closing the developmental gap00:09:46 Systematic and on-going planning00:10:38 The Auditory-Verbal Treatment Plan00:11:25 Demonstration of mastery00:12:21 Introducing our guests on this episode00:13:05 Transitioning caregivers to driving therapy00:15:03 Confident parenting00:15:30 Appreciating your child’s perspective00:16:22 Inviting parent participation in planning00:20:22 Delivering at least 12 months’ progress in 12 months’ time00:20:53 Pace of progress00:21:54 Reflection00:22:40 Our next episode: Keeping up with my childResources:💬 Submit your question to the show: https://www.soundsteps.uk/podcast-ask-question/ 👩‍⚕️ Face-to-face AVT with Shefali Shah (London): https://soundsteps.uk 🌐 Online AVT sessions available via AVT Direct: https://avtdirect.com 🎓 Train online as an LSL professional in AVT: https://learnavt.com 📧 Contact Shefali directly: shefalishah@soundsteps.uk Resources — Understanding and Measuring ProgressEstabrooks, W., Morrison, H. M., & MacIver-Lux, K. (2020). Auditory-Verbal Therapy: For Young Children with Hearing Loss and Their Families, and the Practitioners Who Guide Them. Plural Publishing.Madell, J., & Hewitt, L. (2013). Why Can’t My Child Hear? Plural Publishing.Moeller, M. P. (2000). Early intervention and language development in children who are deaf and hard of hearing. Pediatrics, 106(3), e43.The LOCHI Study: The Longitudinal Outcomes of Children with Hearing Impairment https://www.outcomes.nal.gov.au/key-findings (2018) www.nal.gov.au www.outcomes.nal.gov.au
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    24 m
  • 12: My Child Isnt Talking

    12: My Child Isnt Talking
    Mar 16 2026

    Do you worry that your deaf or hard of hearing child is not talking as yet or that she is not talking enough? Listen to this episode: My deaf child isn’t talking which directly addresses your concerns and guides you through them.

    Shefali Shah's conversation with Sheena Kurian in this twelfth episode, guides listeners through the natural developmental sequence of language acquisition, emphasising that comprehension precedes expression. Just like children with typical hearing, your deaf or hard of hearing child will speak, with optimal amplification, once she has built a sufficiently strong foundation of listening and understanding.

    With clear examples and practical insights, Shefali constantly reminds the listener that expressive communication is built on the bedrock of enriched family conversations.

    AV Techniques such as Modelling, Waiting, and Sabotage create opportunities that invite spoken responses, sparking and fulfilling your child’s communicative intent. Perceptive observation offers the insight you need to support your child’s expressive language development.

    Most importantly, this episode reframes the AV Technique of Waiting, not as weakness, but as a stage, onto which to invite your child to talk.

    This is The Sound Steps Podcast.

    🎧 Top Tips from Episode 12

    • Optimal amplification. Provide your child with sufficient and clear access to the speech signal.
    • Spark Communicative Intent. Harness your child’s desire to communicate.
    • Understand typical speech development. Children learn to understand before they talk.
    • The foundation for talking is comprehension. Receptive language lays the foundation for expressive language development.
    • Practice the Wait cue. Invite your child’s participation by waiting.Use Sabotage. Provoke a spoken response from your child.
    • Modelling. Provide the blue-print, especially if your child falters or looks to you for help to express herself.
    • Observe your child. She will cue you in to her communicative needs.
    • Embed your exchanges in Conversation to raise a fluent speaker.


    Time Stamps:

    00:00:00 Introduction
    00:01:09 90% of deaf children are born to hearing parents
    00:01:18 Choosing Auditory-Verbal Therapy for your deaf or hard of hearing child
    00:01:50AVT facilitates age-appropriate development
    00:02:21 Abundant choices open up through AVT
    00:02:48 Early identification and the fitting of early and optimal amplification.
    00:02:54 A life free of limitations
    00:03:05 Show notes, Top tips and Time Stamps
    00:03:12 Links and contact details
    00:03:18 Auditory-Verbal Techniques
    00:03:36 AV Technique: Sabotage
    00:04:00 AV Technique: Modelling
    00:04:33 Introduction to this episode
    00:05:08 Does your child have sufficient access to the speech signal?
    00:05:57 Optimal amplification
    00:06:44 Timely intervention
    00:07:31 Aided audiogram
    00:08:00 CI assisted audiogram
    00:08:27 Amplification to facilitate clear imitation
    00:08:59 The Pragmatics of spoken language communication
    00:09:24 Introducing our guests on this episode: Sheena Kurian
    00:09:43 The human brain wants to learn
    00:09:58 Communicative Intent
    00:11:32 Typical patterns of speech development
    00:13:42 The AV Technique: the Wait Cue
    00:16:08 The AV Technique: Sabotage
    00:16:53 The AV Technique: Modelling
    00:19:12 Embed in Conversation
    00:22:09 Reflection
    00:22:49Our next episode: Is my deaf child progressing?


    Resources:

    • 💬 Submit your question to the show: https://www.soundsteps.uk/podcast-ask-question/
    • 👩‍⚕️ Face-to-face AVT with Shefali Shah (London): https://soundsteps.uk
    • 🌐 Online AVT sessions available via AVT Direct: https://avtdirect.com
    • 🎓 Train online as an LSL professional in AVT: https://learnavt.com
    • 📧 Contact Shefali directly: shefalishah@soundsteps.uk
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    24 m
  • 11: Does my child understand

    11: Does my child understand
    Mar 1 2026
    Not understanding is not a calamity!In this eleventh episode: Does my deaf child understand?, Shefali Shah in conversation with families in her in-person therapy sessions in the UK and India, guides them to offer simple, clear explanations to their child for information they did not understand, without asking test questions, interrupting or simplifying content. These break the flow of interaction and dilute meaning. Instead, Shefali guides them to observe, listen, and believe.Engage completely with your child so that whatever you’re doing together feels relevant, meaningful, and engaging. With optimal amplification and early intervention, trust that your child is listening and then lean into that trust.Your child will let you know when something isn’t clear. This builds connection and genuine understanding.This is The Sound Steps Podcast.🎧 Top Tips from Episode 11 Connect with your child. Does your child relate to what you are talking about, playing, reading or doing together? Engage your child. If your child stays engaged, she is likely understanding.Talk through the day about what your child is about to do. Keep content meaningful. Relevance supports attention and recall. Trust that your baby is listening. Assumes that your child is optimally amplified. Explain clearly. Explain to your child what she doesn’t understand or has not understood. Observe closely. Watch for cues —your child will let you know if she hasn’t understood. Test questions and interruptions disrupt engagement. These break engagement and focus—and can obstruct understanding. Do not simplify excessively. Enrich with new language in meaningful contexts—not watered-down versions. Time Stamps:00:00:00 Introduction00:01:2090% of deaf children are born to hearing parents00:01:30 Choosing Auditory-Verbal Therapy for your deaf or hard of hearing child00:02:10 AVT facilitates age-appropriate development00:02:33 Abundant choices open up through AVT00:02:58 Early identification and the fitting of early and optimal amplification.00:03:10 A life free of limitations00:03:15 Show notes, Top tips and Time Stamps00:03:25 Links and contact details00:03:31 Introducing and thanking our guests on this episode: Rebecca Rajkumar00:04:38 Why would your child not understand?00:05:11 Connect to your child00:05:37 Ask: Does this interest your child?00:06:27 Engaging your child00:07:40 Talk through the day about what your child is about to do00:08:07 Stay relevant00:07:28 Children let us know when they don’t understand 00:08:26 Observation and recognition of engagement00:09:48 Optimal amplification00:10:03 The Speech String Bean00:10:19 Detect and comprehend soft conversation00:10:24 Detect and comprehend conversation at a distance00:10:26 Listening in noise00:11:16 Trust that your baby is listening 00:11:32 The OWL Strategy (Hanen Centre)00:12:12 Do not test your child00:12:26 Interruptions00:13:28 Blurring auditory memory00:14:40 Not understanding is not a calamity!00:15:54 Suspend doubt00:16:51 Explaining00:17:27 Do not dilute your message!00:20:18 Reflection00:20:46 Our next episode: My deaf child isn’t talking.Resources:💬 Submit your question to the show: https://www.soundsteps.uk/podcast-ask-question/ 👩‍⚕️ Face-to-face AVT with Shefali Shah (London): https://soundsteps.uk 🌐 Online AVT sessions available via AVT Direct: https://avtdirect.com 🎓 Train online as an LSL professional in AVT: https://learnavt.com 📧 Contact Shefali directly: shefalishah@soundsteps.uk RESOURCES: Supporting Language ComprehensionCole, E. B., & Flexer, C. (2019). Children with hearing loss: Developing listening and talking birth to six, 4thed. San Diego: Plural Publishing. Madell, J., Flexer C., Schafer E., and Wolfe J., (2019), Pediatric Audiology: Diagnosis, Technology and Management, 3rd Edition, Thieme, NY.Madell, J. R. (2015), The Speech String Bean, Hearing Health and Technology Matters.Madell, J. R. (2012) Speech Perception -The Basics, Hearing Health and Technology Matters. https://hearinghealthmatters.org/hearing-and-kids/2012/speech-perception-the-basics/
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    22 m
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