The Impact of Cumulative Cochlear Implant Wear Time on Spoken Language Outcomes at Age 3 Years

Autor/inn/en	Gagnon, Erika B.; Eskridge, Hannah; Brown, Kevin D.; Park, Lisa R.
Titel	The Impact of Cumulative Cochlear Implant Wear Time on Spoken Language Outcomes at Age 3 Years
Quelle	In: Journal of Speech, Language, and Hearing Research, 64 (2021) 4, S.1369-1375 (7 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Gagnon, Erika B.) ORCID (Park, Lisa R.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
Schlagwörter	Preschool Children; Hearing Impairments; Assistive Technology; Time; Oral Language; Pediatrics; Developmental Delays; Language Skills; Preschool Language Scale; Oral and Written Language Scales + Suchen Sie Ihr Suchwort? Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Hearing impairment; Hörbehinderung; Zeit; Oral interpretation; Mündlicher Sprachgebrauch; Klinische Sozialpädiatrie; Entwicklungsverzögerung; Language skill; Sprachkompetenz
Abstract	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 evidence-based 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. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01