Abstract
This study examined parent decision-making regarding communication modalities for Deaf and Hard of Hearing (DHH) children, focusing on oral-only communication through interviews with families of DHH children. It highlights the influence of professionals' recommendations, trust, resource availability, and family dynamics on these decisions. In addition to these factors, the preference for oral-only communication modalities results from families' communication goals, technological advancements, concerns and challenges, expectations and the child's progress, support networks, and emotional influences. The study emphasizes the importance of professionals providing families of DHH children with consistent and comprehensive communication through family-centered care (FCC) practices to guide informed decisions and provide equitable access to resources throughout their journey.