Speech intelligibility of 24 prelingually deaf pediatric cochlear implant (CI) recipients with 84 months of device experience was investigated. Each CI participant's speech samples were judged by a panel of 3 listeners. Intelligibility scores were calculated as the average of the 3 listeners' responses. The average write-down intelligibility score was 71.54% (SD = 29.89), and the average rating-scale intelligibility score was 3.03 points (SD = 1.01). Write-down and rating-scale intelligibility scores were highly correlated (r = .91, p < .001). Linear regression analyses revealed that both age at implantation and different speech-coding strategies contribute to the variability of CI participants' speech intelligibility. Implantation at a younger age and the use of the spectralpeak speech-coding strategy yielded higher intelligibility scores than implantation at an older age and the use of the multipeak speech-coding strategy. These results serve as indices for clinical applications when long-term advancements in spoken-language development are considered for pediatric CI recipients.Keywords cochlear implants; speech intelligibility; speech development; speech production Acochlear implant (CI) is an auditory prosthesis that electrically stimulates the primary auditory nerve fibers to elicit sound perception in individuals with severe-to-profound sensorineural hearing impairments. A substantial number of studies have demonstrated that the use of CIs can facilitate the development of speech and language skills of children who are prelingually deaf (born deaf or become deaf before age 3; e.g., Blamey, Barry, & Jacq, 2001;Geers & Tobey, 1995;Serry & Blamey, 1999;Serry, Blamey, & Grogan, 1997;Spencer, Tye-Murray, & Tomblin, 1998;Svirsky, Robbins, Kirk, Pisoni, & Miyamoto, 2000;Tobey, Geers, Brenner, Altuna, & Gabbert, 2003;Tomblin, Spencer, Flock, Tyler, & Gantz, 1999;Tye-Murray & Kirk, 1993;Tye-Murray, Spencer, & Woodworth, 1995). Some investigators have also studied postimplant speech development by applying speech intelligibility measures (e.g., Chin, Finnegan, & Chung, 2001;Chin, Tsai, & Gao, 2003;Miyamoto, Kirk, Robbins, Todd, & Riley, 1996;Moog & Geers, 1999;Osberger, Robbins, Todd, & Riley, 1994;Svirsky & Chin, 2000;Tobey et al., 2003;Tobey & Hasenstab, 1991). The term "speech intelligibility" refers to the degree to which a speaker's intended message can be recovered by other listeners (Bunton, Kent, Kent, & Duffy, 2001). Speech intelligibility is a joint product of a speaker and a listener and can provide a close approximation of an individual's everyday communication status with regard to how well the individual can be understood by other listeners (Kent, Miolo, & Bloedel, 1994 reason, speech intelligibility measures tend to be relatively holistic and are distinct from many other clinical measures of speech production skills that intend to determine an individual's discreet phoneme accuracy.Although individual intelligibility scores vary greatly from 0% to approximately 80% in the speech production of...