The Auditory-Verbal approach is a parent-oriented therapy system that seeks to teach deaf students, through the use of hearing aids or cochlear implants, the ability to understand spoken language in order to communicate through the spoken word. Once key factor in this therapy is the reestablishment of the parent as the primary teacher of speech and language. The AV approach is accomplished through structured lessons taught to the parents by the therapist. For hard-of-hearing children, one of the many activities that can facilitate listening to sounds are sound-object association activities also known as "learning to listen sounds". This program is designed to help children working on these sounds.