Language outcomes for children with cochlear implants enrolled in different communication programs

Yanbay, Ennur, Hickson, Louise, Scarinci, Nerina, Constantinescu, Gabriella and Dettman, Shani (2014) Language outcomes for children with cochlear implants enrolled in different communication programs. Cochlear Implants International, 15 3: 121-135. doi:10.1179/1754762813Y.0000000062

Author Yanbay, Ennur
Hickson, Louise
Scarinci, Nerina
Constantinescu, Gabriella
Dettman, Shani
Title Language outcomes for children with cochlear implants enrolled in different communication programs
Journal name Cochlear Implants International   Check publisher's open access policy
ISSN 1467-0100
Publication date 2014-05
Sub-type Article (original research)
DOI 10.1179/1754762813Y.0000000062
Open Access Status
Volume 15
Issue 3
Start page 121
End page 135
Total pages 15
Place of publication Leeds, W Yorks, United Kingdom
Publisher Maney Publishing
Collection year 2015
Language eng
Formatted abstract
Objectives The aims of this study were to (a) compare language outcomes in pediatric cochlear implant users enrolled in three different communication programs: sign and spoken language, auditory–oral, and auditory–verbal therapy, and (b) examine factors influencing language outcomes.

Methods Post-implant standard scores on language assessments of receptive vocabulary, auditory comprehension, and expressive communication were collected from files of 42 children with prelingual hearing loss who were implanted by 3;6 years of age. Early intervention history, device details, and demographic information were obtained for each child. Family involvement was evaluated using a rating scale.

Results After adjusting for potential covariates, there were no significant differences in language outcomes across the three groups. Overall, there was a large degree of variability with some children achieving below average scores and others achieving above average scores. Age at diagnosis of hearing loss and family involvement were significantly associated with language outcomes.

Conclusion Regardless of the type of communication approach received, children diagnosed with hearing loss at an early age and children with a high level of family involvement had better post-implant language scores than children diagnosed later and with lower levels of family involvement. These findings emphasize the importance of early diagnosis and highlight the contribution families make to the language outcomes of children with cochlear implants.
Keyword Cochlear implants
Language outcomes
Communication programs
Auditory–verbal therapy
Sign language
Family involvement
Early diagnosis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: Scopus Citation Count Cited 3 times in Scopus Article | Citations
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Created: Thu, 29 May 2014, 14:59:54 EST by Dr Nerina Scarinci on behalf of School of Health & Rehabilitation Sciences