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For children who are deaf or hard of hearing, it is important to develop the awareness of what a complete thought consists of and to use it consistently in communication. Problems occur when a listener only hears a portion of what is said or only focuses on key words to comprehend what is said. The completeness of the speaker’s thought can be missed and this can result in poor communication or misunderstanding. Instructional strategies and activities include making sentences, word association, subject/predicate identification; sentence practice for beginning, intermediate, and advanced writers.