The Impact of Cumulative Cochlear Implant Wear Time on Spoken Language Outcomes at Age 3 Years.
Purpose: The purpose of this study was to analyze the impact of cumulative hearing hour percentage (HHP) on pediatric cochlear implant users’ speech and language development at age 3 years and to determine an evidencebased wear time recommendation that yields typical spoken language standard scores....
| Published in: | Journal of Speech, Language & Hearing Research Vol. 64; no. 4; pp. 1369 - 1376 |
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| Main Authors: | , , , |
| Format: | Article |
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American Speech-Language-Hearing Association
Apr2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=149813932&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 149813932 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Apr2021 vid: 64 iid: 4 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 149813932 10.1044/2020_JSLHR-20-00567 ppf: 1369 ppct: 7 formats: fmt: @attributes: type: P size: 679KB tig: atl: The Impact of Cumulative Cochlear Implant Wear Time on Spoken Language Outcomes at Age 3 Years. aug: au: Gagnon, Erika B. Eskridge, Hannah Brown, Kevin D. Park, Lisa R. affil: Department of Otolaryngology Head and Neck Surgery, The University of North Carolina at Chapel Hill. su: Language acquisition Retrospective studies Children Cochlear implants Acquisition of data methodology Multiple regression analysis Speech evaluation Medical records sug: subj: Language acquisition Retrospective studies Children Cochlear implants Acquisition of data methodology Multiple regression analysis Speech evaluation Medical records ab: Purpose: The purpose of this study was to analyze the impact of cumulative hearing hour percentage (HHP) on pediatric cochlear implant users’ speech and language development at age 3 years and to determine an evidencebased wear time recommendation that yields typical spoken language standard scores. Method: A retrospective chart review of 40 pediatric cochlear implant recipients was completed. Children met the following criteria: prelingually deafened, implanted at age 2 years or younger, utilized a speech processor with datalogging capabilities, a minimum of 1 year of cochlear implant use, and language testing completed at approximately age 3 years. Exclusion criteria included significant inner ear malformation (i.e., common cavity) or developmental delay that would preclude spoken language development. Results: Multiple regression analysis revealed that age and implantation and HHP were predictive of spoken language skills at age 3 years. Further analysis yielded wear time recommendations associated with age-appropriate spoken language based on the age at implantation. Conclusions: When the goal is age-appropriate spoken language, wear time recommendations should reflect a child’s current age, age at implantation, and the comparative daily sound access of age-matched normal-hearing peers. The HHP measurement can help provide that information. The minimum wear time recommendation should be set to 80% HHP with the ultimate goal of 100% HHP to give pediatric cochlear implant recipients enough access to sound and language to achieve their spoken language goals. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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