  Auditory-verbal training is essential for children with hearing challenges,
and the gamification approach has become a promising direction for improving
the rehabilitation experience and effect. However, the specific influence of
the gamified training approach on participants at different rehabilitation
stages has not been empirically studied. This paper is thusly intended to
investigate the research questions: Do the training performances of children at
advanced rehabilitation stage differ before and after using the gamified
training system? Do the training performances of children at intermediate
rehabilitation stage differ before and after using the gamified training
system? Do children enjoy the gamified training approach? For the purpose, a
digital gamified auditory-verbal training system was originally developed, and
a series of user experiments were organized. Particularly, 31
hearing-challenged children aging between three-six years old at an
auditory-verbal rehabilitation center were recruited to take the training, and
six professional therapists were also invited to assist with the experiments
and attend the interviews. Based on the training performance observation and
interviews with participants, their parents and the therapists, it can be found
that generally the gamified training approach can effectively facilitate the
training experience, and help with the basic auditory memory and expression
capabilities. Regarding the specific influence, the gamified way can better
improve the basic auditory-verbal performance of children at the intermediate
stage, since they focus more on the ease of learning and adaption to the
training system. These findings and conclusions can provide insights for the
further exploration and application of the gamification approach in children's
auditory-verbal rehabilitation.
