Babies born with a congenital sensorineural hearing impairment or acquire early-onset permanent bilateral hearing impairment are at risk for delayed speech and language development and poor scholastic outcomes. Auditory Verbal Therapy (AVT) has become the primary intervention approach for developing spoken language in children with hearing impairment, and South Africa also has adopted this approach. The outcomes of AVT within the South African context have not been thoroughly investigated. As part of a larger study, the objective of this systematic review was to describe the speech, language and scholastic outcomes of hearing-impaired children enrolled in AVT as a therapeutic approach to early intervention. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Electronic databases searched included Google Scholar, Science Direct and PubMed. Selected studies were published in English and focused on the outcomes of early intervention for children with hearing impairment. The selected date range of the included articles ensured that the latest research was reviewed. Due to the limited evidence base, the review cannot conclude definitively that AVT yields positive speech, language, and scholastic outcomes in children with hearing impairment. Of the reviewed articles, only one study compares the outcomes of therapeutic intervention approaches, an important consideration, particularly in Low- and Middle-Income countries (LMICs). Current findings provide a strong rationale for the larger study by highlighting that further research comparing AVT to standard speech-language habilitation is required. Research in contexts with linguistic and cultural diversity in countries such as South Africa is required.

出生时患有先天性感音神经性听力障碍或获得早发性永久性双侧听力障碍的婴儿有言语和语言发育延迟以及学习成绩不佳的风险。听觉言语治疗（AVT）已成为听力障碍儿童发展口语的主要干预方法，南非也采用了这种方法。南非背景下 AVT 的结果尚未得到彻底调查。作为一项更大研究的一部分，本系统评价的目的是描述作为早期干预治疗方法参加 AVT 的听障儿童的言语、语言和学习成果。本系统评价是根据系统评价和元分析的首选报告项目 (PRISMA) 进行的。搜索的电子数据库包括 Google Scholar、Science Direct 和 PubMed。部分研究以英文发表，重点关注听力障碍儿童早期干预的结果。纳入文章的选定日期范围确保了对最新研究的审查。由于证据基础有限，该评价无法明确得出 AVT 对听力障碍儿童产生积极的言语、语言和学习成果的结论。在审查的文章中，只有一项研究比较了治疗干预方法的结果，这是一个重要的考虑因素，尤其是在低收入和中等收入国家 (LMIC)。当前的研究结果通过强调需要进一步研究将 AVT 与标准语音语言训练进行比较，为更大的研究提供了强有力的理由。