Factors that affect the social well-being of children with cochlear implants (original) (raw)
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Factors influencing the quality of life of children with cochlear implants
Brazilian Journal of Otorhinolaryngology, 2020
Introduction: The multidimensional impact of hearing loss on the various demands of life in children using cochlear implants is represented by variables that can influence the hearing, language and quality of life outcomes of this population. Objective: To evaluate the factors influencing the quality of life of children with cochlear implantation, considering age, hearing age, age at evaluation, hearing skills, spoken language, family degree of receptiveness, schooling and socioeconomic status of the parents. Methods: Participated 30 children using cochlear implants, aged 6 to 12 years and their respective parents. The children were evaluated by the categories auditory performance, by language category, and by the children with cochlear implants: perspectives parents questionnaire. Parents were assessed by the family involvement scale. Results: The cochlear implant impacted the quality of life of the children, with more significant results on the increase of the social relations domain and the decrease of the family support domain. Overall, the increase of the age in the evaluation, better hearing and language skills, the mother's level of schooling and the family receptiveness correlated with the quality of life of children with cochlear implants. Conclusion: The influencing factors that correlated with the quality of life of the implanted children were the child's older age at the evaluation, the better hearing and language skills, the mother's level of schooling and the family receptiveness.
Cochlear Implantation and Social-Emotional Functioning of Children with Hearing Loss
Journal of Deaf Studies and Deaf Education, 2018
This study examined the contribution of cochlear implants (CIs) to the social-emotional functioning of children who are deaf or hard of hearing (dhh). Sixty-three parents of children who are dhh participated in the study. Thirty children were CI users and 32 used hearing aids (HAs). They completed the Strengths and Difficulties Questionnaire and a background questionnaire. Parents of children with CIs reported lower levels of hyperactivity/inattention and higher levels of pro-social behavior compared to parents of children with HAs. Additionally, older age when hearing loss was detected was related to more pro-social behavior, and age at implantation among CI users was negatively correlated with children's hyperactivity/ inattention and conduct problems. These findings add to the existing knowledge about the many benefits of CIs for individuals with hearing loss and emphasize the possible impact of early implantation to children's social-emotional functioning. Social-Emotional Functioning of Children with Hearing Loss Many studies have investigated the social participation and psychosocial well-being of children who are dhh in relation to their interaction with their hearing peers. Studies of children attending classes for deaf students in mainstream schools have found that these children experienced difficulties in social
International Journal of Pediatric Otorhinolaryngology, 2008
Summary Objective: The purpose of this study was to make a quantitative comparison of parameters of self-esteem and social well-being between children with cochlear implants and normal-hearing children. Material and methods: Data were obtained from 164 children with cochlear implant (CI) and 2169 normal-hearing children (NH). Parental questionnaires, used in a national survey assessing the self-esteem and well-being of normal-hearing
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2015
To evaluate the longitudinal effects of cochlear implantation (CIs) on young, deaf children's social competence over 5 years of implant use and compare their social skills to those of same-aged, hearing peers. Prospective, longitudinal between- and within-subjects design, with assessments completed 3 times over 5 years. This study was conducted at 6 cochlear implant centers and two preschools that enrolled both CI and hearing children. Parents of 132 children with CIs and 67 age-matched hearing controls completed the study measures. Children were between 5 and 9 years of age at the first time point. Cochlear implantation and speech-language therapy. Three subscales were drawn from 2 standardized measures of behavioral and social functioning, the Behavioral Assessment Scale for Children (Adaptability, Social Skills) and the Social Skills Rating System (Social Skills). A latent social competence variable was created using multiple subscales, which was modeled over time. Parent dat...
Parents Perceived Quality of Life for Children with Cochlear Implants
International Journal of Otolaryngology and Head & Neck Surgery
The purpose of the study is to identify the important aspects of quality of life assessed in children with cochlear implant. Parental Perspective questionnaire with modified in Bangla was used as a data collection tool in this study. Data was collected through face to face interview with 25 parents of children with Cochlear Implant (CI) attended at Bangabandhu Sheikh Mujib Medical University, Dhaka. Among 25 cochlear implant children, the boys (12) and girls (13) were nearly the same. Results indicated that the majority of the children had difficulties with communication with known people (48.00%) and before implantation children with CI obtained no benefit at all from hearing aids (76.00%). However, the research finding shows that they are largely satisfied with the outcomes from implantation. Improvement of social relationship, family well-being, within the family, educational condition, and self-reliance was satisfactorily reported by the parents. This study would help the clinician, speech pathologist, children and parents to raise awareness about the impact of CI and its treatment.
The children speak: An examination of the quality of life of pediatric cochlear implant users
Otolaryngology - Head and Neck Surgery, 2010
To examine the results of health-related qualityof-life questionnaire scores from profoundly deaf children fitted with at least one cochlear implant (CI) and to compare their responses with those of normal-hearing mates of similar age and their parents. STUDY DESIGN: Cross-sectional study utilizing a generic quality-of-life questionnaire designed to be completed by both parents and children independently of each other. SETTING: Questionnaires completed at various summer camps designed for children with CIs in Texas and Colorado. SUBJECTS AND METHODS: Eighty-eight families from 16 states were divided into two subgroups by age of cochlear implantation: an eight-to 11-year-old group and a 12-to 16-year-old group. The KINDL-R Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents was distributed, and CI participants completed the questionnaire independently of their participating family member. RESULTS: CI users in both age groups scored similarly to their normal-hearing peers and their parents. Younger CI users scored their family domain lower compared with their normal-hearing peers. Teen CI users scored the school domain lower compared with their parents. Among CI participants, earlier implantation and longer CI use resulted in higher quality-of-life scores. CONCLUSION: Children with CIs experience quality of life similar to that of normal-hearing peers. Parents are reliable reporters on the status of their child's overall quality of life.
Parent versus child assessment of quality of life in children using cochlear implants
International Journal of Pediatric Otorhinolaryngology, 2009
Objective: Children with hearing loss who use cochlear implants have lower quality of life (QoL) in social situations and lower self-esteem than hearing peers. The child's QoL has been assessed primarily by asking the parent rather than asking the child. This poses a problem because parents have difficulty judging less observable aspects like self-esteem and socio-emotional functioning, the domains most affected by hearing loss. Methods: This case-control study evaluated QoL in 50 preschoolers using a cochlear implant and their parents with the Kiddy KINDL 1 , an established QoL measure. Children's responses were compared to a hearing control group and correlated with demographic variables. We used a questionnaire for parents and a face-to-face interview with children. T-tests were used to compare (a) paired parent-child ratings and (b) children with cochlear implants versus normal hearing. Pearson rank correlations were used to compare QoL with demographic variables. Results: Children using cochlear implants rated overall QoL significantly more positively than their parents (M Difference = 4.22, p = .03). Child rating of QoL did not differ significantly by auditory status (cochlear implant (82.8) vs. hearing (80.8), p = .42). Overall QoL correlated inversely with cochlear implant experience and chronologic age, but did not correlate with implantation age. Conclusions: Preschool children using cochlear implants can assess adequately their own QoL, but parents afford valuable complementary perspective on the child's socio-emotional and physical wellbeing. Preschool children using cochlear implants rate overall QoL measures similar to hearing peers. A constellation of QoL measures should be collected to yield a better understanding of general QoL as well as specific domains centered on hearing loss. ß
Quality of life of parents and siblings of children with cochlear implants
Journal of otology, 2019
This study examined the quality of life (QoL) of the parents and siblings of hearing-impaired children with cochlear implants (CIs). Design: This is a cross-sectional, questionnaire-based study. The questionnaire consists of three sub-domainsinteraction, emotional well-being and support for the hearing-impaired child and the overall QoL-and two open-ended questions for participants to provide comments and suggestions to enhance their family's QoL. A total of 63 questionnaires were e-mailed or mailed to families who met the inclusion criteria.
A psychosocial follow-up study of children with cochlear implants in different school settings
EDUCARE-Vetenskapliga skrifter, 2006, 2006
In order to study the psychosocial and communicative consequences of cochlear implants (CI) in deaf children in Sweden, a longitudinal study of 22 preschool children with cochlear implants was carried out. When the children had started school a continued longitudinal follow up study of the same group of children was initiated in order to follow their development in different school settings. Twenty of the 22 children took part in the school study and a short overview of some of the main results of the school study is presented here.