Factors Influencing Spoken Language Outcomes in Children following Early Cochlear Implantation

2006 ◽  
pp. 50-65 ◽  
Author(s):  
Ann E. Geers
Keyword(s):  
Cochlear Implantation ◽  
Spoken Language ◽  
Language Outcomes ◽  
Factors Influencing

scholarly journals Enduring Advantages of Early Cochlear Implantation for Spoken Language Development

2013 ◽  
Vol 56 (2) ◽  
pp. 643-655 ◽  
Author(s):  
Ann E. Geers ◽  
Johanna G. Nicholas
Keyword(s):  
Cochlear Implantation ◽  
Spoken Language ◽  
Language Outcomes ◽  
Prospective Longitudinal Study ◽  
Language Tests ◽  
Age Appropriate ◽  
Added Benefit ◽  
Device Use ◽  
Spoken Language Skills ◽  
Prospective Longitudinal

Purpose In this article, the authors sought to determine whether the precise age of implantation (AOI) remains an important predictor of spoken language outcomes in later childhood for those who received a cochlear implant (CI) between 12 and 38 months of age. Relative advantages of receiving a bilateral CI after age 4.5 years, better pre-CI-aided hearing, and longer CI experience were also examined. Method Sixty children participated in a prospective longitudinal study of outcomes at 4.5 and 10.5 years of age. Twenty-nine children received a sequential second CI. Test scores were compared with normative samples of hearing age mates, and predictors of outcomes were identified. Results Standard scores on language tests at 10.5 years of age remained significantly correlated with age of first cochlear implantation. Scores were not associated with receipt of a second, sequentially acquired CI. Significantly higher scores were achieved for vocabulary as compared with overall language, a finding not evident when the children were tested at younger ages. Conclusion Age-appropriate spoken language skills continued to be more likely with younger AOI, even after an average of 8.6 years of additional CI use. Receipt of a second implant between ages 4 and 10 years and longer duration of device use did not provide significant added benefit.

Language Outcomes After Cochlear Implantation

2012 ◽  
Vol 45 (1) ◽  
pp. 173-185 ◽  
Author(s):  
Hillary Ganek ◽  
Amy McConkey Robbins ◽  
John K. Niparko
Keyword(s):  
Cochlear Implantation ◽  
Language Outcomes

scholarly journals Preschool speech intelligibility and vocabulary skills predict long-term speech and language outcomes following cochlear implantation in early childhood

2013 ◽  
Vol 15 (4) ◽  
pp. 200-210 ◽  
Author(s):  
Irina Castellanos ◽  
William G Kronenberger ◽  
Jessica Beer ◽  
Shirley C Henning ◽  
Bethany G Colson ◽  
...  
Keyword(s):  
Early Childhood ◽  
Cochlear Implantation ◽  
Speech Intelligibility ◽  
Language Outcomes ◽  
Speech And Language ◽  
Vocabulary Skills

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

Listening and spoken language outcomes after 5 years of cochlear implant use for children born preterm and at term

2021 ◽  
Author(s):  
Jennifer Robertson ◽  
Cristina Simoes‐Franklin ◽  
Olivia Ferguson ◽  
Antonia Hussey ◽  
Patsy Costello ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Spoken Language ◽  
Language Outcomes

scholarly journals Assistive Hearing Technology for Deaf and Hard-of-Hearing Spoken Language Learners

2019 ◽  
Vol 9 (2) ◽  
pp. 153 ◽  
Author(s):  
Frush Holt
Keyword(s):  
Cochlear Implants ◽  
Hearing Aids ◽  
Hard Of Hearing ◽  
Spoken Language ◽  
School Age Children ◽  
Future Research ◽  
Language And Literacy ◽  
Language Outcomes ◽  
Related Factors ◽  
Literacy Outcomes

Radical advancements in hearing technology in the last 30 years have offered some deaf and hard-of-hearing (DHH) children the adequate auditory access necessary to acquire spoken language with high-quality early intervention. However, meaningful achievement gaps in reading and spoken language persist despite the engineering marvel of modern hearing aids and cochlear implants. Moreover, there is enormous unexplained variability in spoken language and literacy outcomes. Aspects of signal processing in both hearing aids and cochlear implants are discussed as they relate to spoken language outcomes in preschool and school-age children. In suggesting areas for future research, a case is made for not only expanding the search for mechanisms of influence on outcomes outside of traditional device- and child-related factors, but also for framing the search within Biopsychosocial systems theories. This theoretical approach incorporates systems of risk factors across many levels, as well as the bidirectional and complex ways in which factors influence each other. The combination of sophisticated hearing technology and a fuller understanding of the complex environmental and biological factors that shape development will help maximize spoken language outcomes in DHH children and contribute to laying the groundwork for successful literacy and academic development.

Does Access to Visual Input Inhibit Auditory Development for Children With Cochlear Implants? A Review of the Evidence

2017 ◽  
Vol 2 (9) ◽  
pp. 10-24 ◽  
Author(s):  
Jena McDaniel ◽  
Stephen Camarata
Keyword(s):  
Hearing Loss ◽  
Cochlear Implants ◽  
Sensory Deprivation ◽  
Spoken Language ◽  
Visual Input ◽  
Theoretical Argument ◽  
Language Outcomes ◽  
Auditory Development ◽  
Children With Hearing Loss ◽  
Multisensory Input

Purpose We review the evidence for attenuating visual input during intervention to enhance auditory development and ultimately improve spoken language outcomes in children with cochlear implants. Background Isolating the auditory sense is a long-standing tradition in many approaches for teaching children with hearing loss. However, the evidence base for this practice is surprisingly limited and not straightforward. We review four bodies of evidence that inform whether or not visual input inhibits auditory development in children with cochlear implants: (a) audiovisual benefits for speech perception and understanding for individuals with typical hearing, (b) audiovisual integration development in children with typical hearing, (c) sensory deprivation and neural plasticity, and (d) audiovisual processing in individuals with hearing loss. Conclusions Although there is a compelling theoretical rationale for reducing visual input to enhance auditory development, there is also a strong theoretical argument supporting simultaneous multisensory auditory and visual input to potentially enhance outcomes in children with hearing loss. Despite widespread and long-standing practice recommendations to limit visual input, there is a paucity of evidence supporting this recommendation and no evidence that simultaneous multisensory input is deleterious to children with cochlear implants. These findings have important implications for optimizing spoken language outcomes in children with cochlear implants.

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.

Sign in / Sign up

Export Citation Format

Share Document