| Titre : | Relationships Between Daily Device Use and Early Communication Outcomes in Young Children With Cochlear Implants (2021) |
| Auteurs : | Kathryn B. Wiseman ; Andrea D. Warner-Cyz ; Shari Kwon ; Kim Fiorentino ; Melissa Sweeney |
| Type de document : | Article |
| Dans : | Ear and hearing (Vol. 42, n°4, Juillet- Aout 2021) |
| Article en page(s) : | p. 1042-1053 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Collecte de données ; Compétence langagière ; Implants cochléaires ; Perception auditive ; Utilisation de l'outil |
| Résumé : |
Objectives: Children with significant hearing loss can gain access to sound via a cochlear implant (CI), but they must wear the device to reap the communication benefits of the device. That is, poor daily device use may result in underdeveloped perceptual and language skills in children and adolescents using CIs. This retrospective study focuses on the relationship between daily CI use and communication performance (auditory skills, speech recognition, expressive and receptive language) in young children, with the hypothesis that greater daily device use coincides with better communication outcomes.
Design: The authors conducted a clinical chart review of patients with CIs younger than 5 years old who used at least 1 CI speech processor with datalogging technology. Participants (n = 65) had a mean chronologic age of 3.5 years, mean implantation age of 1.9 years, and mean device experience of 1.6 years. Approximately one quarter of participants had additional disabilities. Daily device use (i.e., datalogging information), child characteristics (e.g., age at CI), and assessments of communication skills (i.e., parent questionnaires, speech recognition tests, standardized language assessments) were obtained from each child's records. The investigators performed correlational analyses to examine relationships between communication outcomes and daily device use, and they employed group comparisons and correlations to identify child characteristics that were significantly associated with daily device use (p Results: Young children with CIs used their device, on average, 6.7 hr/d, with 63% below full-time use ( Conclusions: The strong relationship between daily device use and early communication suggests clinicians and parents should focus on increasing the number of hours per day young children wear their CIs to enhance auditory and language outcomes. However, intervention strategies must consider barriers to consistent device use and goals of the family to efficiently and effectively support families of young children with CIs who struggle with inconsistent device use. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=toc&D=yrovft&AN=00003446-000000000-00000 |
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