According to Chiu, such kids are not only very adept at signing, but also healthy, upbeat, and sociable. She recommends that hearing-impaired students who don't speak clearly adopt an integrated approach to communication that supplements the spoken word with gestures and facial expressions. Doing so will help them to be better understood and to build better relationships.
她也建議，如果聽障生在不甚清晰的口語表達之餘，能同時加上肢體和表情，用邊說邊比劃的「綜合溝通」方式，將有助於別人「聽」懂他的話，人際關係也會變好。