Parenting Stress, Self-Efficacy, and Involvement: Effects on Spoken Language Ability Three Years After Cochlear Implantation

2021 ◽  
Vol 42 (10S) ◽  
pp. S11-S18
Author(s):  
Ivette Cejas ◽  
Christine M. Mitchell ◽  
David H. Barker ◽  
Christina Sarangoulis ◽  
Laurie S. Eisenberg ◽  
...  
Keyword(s):  
Parenting Stress ◽  
Cochlear Implantation ◽  
Self Efficacy ◽  
Spoken Language ◽  
Language Ability

Identifying Disadvantaged Groups for Cochlear Implantation: Demographics from a Large Cochlear Implant Program

2019 ◽  
Vol 129 (4) ◽  
pp. 347-354 ◽  
Author(s):  
Anthony M. Tolisano ◽  
Natalie Schauwecker ◽  
Bethany Baumgart ◽  
Johanna Whitson ◽  
Joe Walter Kutz ◽  
...  
Keyword(s):  
Marital Status ◽  
Cochlear Implantation ◽  
Older Patients ◽  
Independent Predictor ◽  
Spoken Language ◽  
Referral Rate ◽  
Disadvantaged Groups ◽  
Insurance Type ◽  
Younger Age ◽  
Qualification Rate

Objective: To identify demographic predictors of patients undergoing cochlear implantation evaluation and surgery. Methods: Consecutive adult patients between 2009 and 2018 who underwent cochlear implantation evaluation at a university cochlear implantation program were retrospectively identified to determine (1) cochlear implantation qualification rate and (2) pursuit of surgery rate with respect to age, gender, race, primary spoken language, marital status, insurance type, and distance to the cochlear implantation center. Results: A total of 823 cochlear implantation evaluations were analyzed. Overall, 76.3% of patients qualified for cochlear implantation and 61.5% of these patients pursued surgery. Age was the only independent predictor for cochlear implantation qualification, such that, for each year younger, the odds of qualifying for cochlear implantation increased by 2.5% (OR 0.98; 95% CI: 0.96-0.99). Age, race, marital status, and insurance type were each independent predictors of the decision to pursue surgery. The odds of pursuing surgery increased by 2.8% for each year younger (OR 1.03; 95% CI: 1.01-1.05). Compared to White patients, non-Whites were half as likely to pursue surgery (OR 0.47; 95% CI: 0.25-0.88). Single (OR 0.49; 95% CI: 0.26-0.94) and widowed patients (OR 0.46; 95% CI: 0.23-0.95) were about half as likely to pursue surgery as compared to married patients. Patients with military insurance were 13 times more likely to pursue surgery as compared to patients with Medicare (OR 13.0; 95% CI: 1.67-101.4). Conclusion: Younger age is an independent predictor for a higher cochlear implantation qualification rate, suggesting the possibility for delayed candidacy referral. Rate of surgical pursuit in qualified cochlear implantation candidates is lower for racial minorities, single and widowed patients, and older patients.

scholarly journals Are Self-Efficacy, Language Learning Strategies, and Foreign Language Ability Interrelated?

2010 ◽  
Vol 2 ◽  
pp. 47-60
Author(s):  
Olive Gahunga
Keyword(s):  
Language Learning ◽  
Learning Strategies ◽  
Self Efficacy ◽  
Language Ability ◽  
Medium Size ◽  
Language Learning Strategies ◽  
Significant Relationships ◽  
Learning Tasks ◽  
Item Questionnaire ◽  
Study Participants

This study investigated the interrelationships among three variables: self-efficacy, language learning strategies, and language ability. The study participants were thirty-seven college students studying French at a midwestern, medium-size, university located a large metropolitan area. All the students were at the intermediate level of proficiency in French. The students’ self-efficacy was measured through a forty-item questionnaire in which they expressed their levels of certainty that they could perform learning tasks at desired levels of proficiency. Their use of language learning strategies was also measured through a forty-item questionnaire that was an adaptation of Oxford’s (1990) Strategy Inventory for Language Learning (SILL). Their language ability in French was measured through a sixty-item cloze test. The results of the study revealed the existence of positive and statistically significant relationships among the three variables. Recommendations for second language students, programs, and instructors were suggested to help students achieve higher communicative competence.

scholarly journals The Limitations of FDA Criteria: Inconsistencies with Clinical Practice, Findings, and Adult Criteria as a Barrier to Pediatric Implantation

2021 ◽  
Vol 42 (04) ◽  
pp. 373-380
Author(s):  
Lisa R. Park ◽  
Erika B. Gagnon ◽  
Kevin D. Brown
Keyword(s):  
Clinical Practice ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Spoken Language ◽  
Evidence Based ◽  
Residual Hearing ◽  
Off Label ◽  
Single Side ◽  
Hearing Children

AbstractChildren require greater access to sound than adults as they are learning to communicate using hearing and spoken language. Yet when it comes to cochlear implant candidacy, currently approved Food and Drug Administration (FDA) criteria for adults are much less restrictive than those for children, allowing for greater levels of residual hearing and aided speech recognition in adults. Cochlear implant guidelines for children have changed very little in the 30 years since cochlear implants have been approved for pediatrics, and this lack of change has proven to be a barrier to implantation. Using evidence-based practice, centers have been providing off-label implantation for children who fall outside of current FDA criteria, including children with more residual hearing, children with single-side deafness younger than 5 years, and infants with bilateral profound loss younger than 9 months. The purpose of this article is to outline how these restrictions impede access to implants for children and describe the evidence supporting cochlear implantation in children who fall outside of current criteria.

scholarly journals Development of Spoken Language Grammar Following Cochlear Implantation in Prelingually Deaf Children

2004 ◽  
Vol 130 (5) ◽  
pp. 629 ◽  
Author(s):  
Thomas P. Nikolopoulos ◽  
Dee Dyar ◽  
Sue Archbold ◽  
Gerard M. O'Donoghue
Keyword(s):  
Cochlear Implantation ◽  
Spoken Language ◽  
Deaf Children ◽  
Prelingually Deaf

scholarly journals How to improve parenting in Hong Kong by training: the 6As Positive Parenting Program

2019 ◽  
Vol 22 (1) ◽  
pp. 55-70
Author(s):  
Fiona W.L. Yip ◽  
Diane Zelman ◽  
Adrian Low
Keyword(s):  
Hong Kong ◽  
Parenting Stress ◽  
Parental Stress ◽  
Self Efficacy ◽  
Positive Parenting ◽  
Parenting Program ◽  
Child Rearing ◽  
Content Type ◽  
Parenting Training ◽  
Positive Parenting Program

Purpose Research suggests that children in Hong Kong are at an elevated risk of emotional problems. Authoritarian parenting, a common parenting style in Hong Kong, is a critical factor associated with childhood mental health problems. The purpose of this paper is to evaluate the effectiveness of the 6As Positive Parenting Program (6As) in modifying parenting attitudes, reduction of parenting stress and increasing self-efficacy in positive parenting, among a sample of 82 Hong Kong parents. 6As focuses on prevention by instilling positive parenting beliefs and principles, thereby reducing reliance on authoritarian and related parenting styles. Design/methodology/approach The program was evaluated using a controlled pre-post-treatment design. Outcome measures were the Chinese Child-rearing Beliefs Questionnaire, Parental Stress Scale, Parenting Self-efficacy Scale and participant feedback. ANOVA and correlation were utilized to detect treatment effects and relationships between the degree of change among measures and subscales. Findings Relative to the control group, the 6As Positive Parenting Program significantly changed parents’ parenting attitudes, reduced parenting stress and increased self-efficacy in positive parenting. In sum, 97.6 percent of the participants agreed that the program is a good fit for the Hong Kong culture. Research limitations/implications A larger sample would have been desirable for this study. One factor that limited analyzable data was that some of the participating organizations enrolled participants into the program who did not meet research inclusion criteria. Furthermore, the size of groups varied from 5 to 16 participants, which may have produced different group dynamics that added variability to outcomes. Future 6As parenting program research should attempt to standardize group size or to directly compare the effectiveness of smaller vs larger groups. Furthermore, as noted earlier, the research was conducted during the primary school application period, which may have heightened the parenting stress for parents of younger children. Practical implications The results suggest that an enhanced belief in authoritative, autonomy and training strategies could reduce parental stress and shift parents’ attitude toward a more positive approach in child-rearing. Social implications There is considerable need for a holistically designed parenting training that is culturally credible and sensitive. Originality/value Findings suggest that positive parenting can enhance the parent–child relationship and reduce parental stress. The results support governmental, non-governmental organizational and community focus on positive practices for parenting training in Hong Kong.

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