Demographic Factors Influencing Educational Placement of the Hearing-Impaired Child With a Cochlear Implant

Yehudai, Noam; Tzach, Naama; Shpak, Talma; Most, Tova; Luntz, Michał

doi:10.1097/mao.0b013e31821a8407

Cited by 24 publications

(34 citation statements)

References 33 publications

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“…29 30 31 As for education level of the caregiver in this study, 56.67% of the subjects had completed high school, followed by those with higher education (20%). Yehudai et al 32 state that the socio-demographic parameter, highlighting parental education, a variable that the health system cannot control, significantly influences the results after implantation, since accessibility to speech sounds, achieved after CI activation, must be integrated with the possibilities of stimulation available in the environment throughout the process (re)habilitation. Thus, the education level of the caregiver may limit the chances of the implanted child achieving the expected performance, even when identified and implanted at an early age.…”

Section: Discussionmentioning

confidence: 99%

Auditory Speech Perception Development in Relation to Patient's Age with Cochlear Implant

Ciscare

Mantello

Fortunato-Queiroz

et al. 2016

Int Arch Otorhinolaryngol

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Introduction A cochlear implant in adolescent patients with pre-lingual deafness is still a debatable issue. Objective The objective of this study is to analyze and compare the development of auditory speech perception in children with pre-lingual auditory impairment submitted to cochlear implant, in different age groups in the first year after implantation. Method This is a retrospective study, documentary research, in which we analyzed 78 reports of children with severe bilateral sensorineural hearing loss, unilateral cochlear implant users of both sexes. They were divided into three groups: G1, 22 infants aged less than 42 months; G2, 28 infants aged between 43 to 83 months; and G3, 28 older than 84 months. We collected medical record data to characterize the patients, auditory thresholds with cochlear implants, assessment of speech perception, and auditory skills. Results There was no statistical difference in the association of the results among groups G1, G2, and G3 with sex, caregiver education level, city of residence, and speech perception level. There was a moderate correlation between age and hearing aid use time, age and cochlear implants use time. There was a strong correlation between age and the age cochlear implants was performed, hearing aid use time and age CI was performed. Conclusion There was no statistical difference in the speech perception in relation to the patient's age when cochlear implant was performed. There were statistically significant differences for the variables of auditory deprivation time between G3 - G1 and G2 - G1 and hearing aid use time between G3 - G2 and G3 - G1.

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Section: Discussionmentioning

confidence: 99%

Auditory Speech Perception Development in Relation to Patient's Age with Cochlear Implant

Ciscare

Mantello

Fortunato-Queiroz

et al. 2016

Int Arch Otorhinolaryngol

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“…In this case, a larger amount of concrete and visual resources are necessary to minimize learning difficulties (24,31) . Reports in the literature show that lexical development can be influenced by family income and by the number of schooling years that the parents have (8,22) . In this study, we found no association between these variables.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, we found no association between these variables. However, it is known that verbal models, provided by the environment, can influence language development by their quantity, quality, and relations to situations faced by the child (22) . A study carried out in Brazil shows that families with high per capita incomes and more schooling years, including post-secondary school, tend to use more complete sentences by using more syntactic variations and better grammatical complexity, which positively influences oral language development (8) .…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature, an early diagnosis, along with systematic use of a PSAD and adequate speech and audiology treatment, optimizes the linguistic development in children with hearing impairment (5) . The span of hearing loss and psychosocial, socioeconomic, and environmental aspects can also influence the lexical development in these children (21,22) . The lexical development in the children with hearing impairment assessed in this study turned out to be below expectations.…”

Section: Discussionmentioning

confidence: 99%

“…The family is a modifying agent of the child's reality, both positively and negatively. An environment with good-quality stimulation can be a factor of protection against language development alterations (22) . However, a family environment with few resources, difficult interpersonal relationships, and financial hardships can bring about consequences that impact the child's language acquisition, as well as physical, emotional, and psychic problems (8) .…”

Section: Discussionmentioning

confidence: 99%

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The lexical development of children with hearing impairment and associated factors

Penna

Lemos

Alves

2014

CoDAS

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Purpose: This study aimed at analyzing the association between the lexical development of children with hearing impairment and their psychosocial and socioeconomic characteristics and medical history. Methods: An analytic transversal study was conducted in an Auditive Health Attention Service. One hundred and ten children from 6 to 10 years old using hearing aids and presenting hearing loss that ranged from light to deep levels were evaluated. All children were subjected to oral, written language and auditory perception tests. Parents answered a structured questionnaire to collect data from their medical history and socioeconomic status, and questionnaires about the features of the family environment and psychosocial characteristics. RESUMOObjetivo: Estudar o desenvolvimento lexical de crianças com deficiência auditiva e analisar sua associação com aspectos assistenciais, características psicossociais da criança e socioeconômicas das famílias. Métodos: Trata-se de um estudo transversal analítico, realizado em um Serviço de Atenção à Saúde Auditiva. Foram avaliadas 110 crianças com perda auditiva de grau leve a profundo, na idade de 6 a 10 anos de idade, usuárias de Aparelho de Amplificação Sonora Individual. Todas as crianças foram submetidas a testes de linguagem oral e escrita e de discriminação auditiva. Os responsáveis pelas crianças responderam a um questionário estruturado para levantamento dos dados da história pregressa e socioeconômicos, aos questionários sobre os recursos do ambiente familiar (RAF) e sobre capacidades e dificuldades dos comportamentos sociais (SDQ). Conclusão:O resultado reforça a importância da estimulação do processamento auditivo, principalmente da habilidade de discriminação fonêmica, durante todo o processo de reabilitação da criança com deficiência auditiva. Essa estimulação poderá potencializar o desenvolvimento lexical e minimizar as dificuldades de metalinguagem e aprendizagem, frequentemente observadas nessas crianças.

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Identification of Potential Barriers to Timely Access to Pediatric Hearing Aids

Zhang

Links

Boss

et al. 2020

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Despite various barriers identified to early pediatric access to cochlear implantation, barriers to timely access to pediatric hearing aids are not well characterized.OBJECTIVE To identify socioeconomic, demographic, and clinical factors that may be associated with pediatric access to hearing aids. DESIGN, SETTING, AND PARTICIPANTSThis retrospective cohort study included 90 patients aged 1 to 15 years who were referred for auditory brainstem response (ABR) testing and evaluation for hearing aids at a single tertiary care academic medical center from March 2004 to July 2018. Children who did not receive both ABR testing and hearing aids at the same center were excluded from analysis.MAIN OUTCOMES AND MEASURES Associations of insurance type (private vs public), race/ethnicity (white vs other), primary language (English vs other), cause of hearing loss (complex vs not complex), zip code, hearing aid manufacturer, and severity of hearing loss (in decibels) with the duration of intervals from newborn hearing screening to ABR testing, from ABR testing to ordering of hearing aids, and from ABR testing to dispensing of hearing aids. RESULTSOf the 90 patients, mean (SD) age was 5.6 (3.7) years, 56% were female, and 77 (86%) were non-Hispanic. Results of χ 2 tests indicated significant assocations existed between public insurance and race/ethnicity and between public insurance and primary language other than English. Variables associated with the interval from newborn hearing screening to ABR testing included insurance type (mean difference, 7.4 months; 95% CI, 2.6-12.2 months) and race/ethnicity (mean difference, 6.9 months; 95% CI, 2.7-11.1 months). Increased delays between birth and a child's first ABR test were associated with public insurance (mean difference, 6.0 months; 95% CI, 1.8-10.2 months) and race/ethnicity other than white (mean difference, 6.0 months; 95% CI, 2.3-9.7 months). The mean time from birth to initial ABR testing was a mean of 6 months longer for patients from non-English-speaking families than for those from English-speaking families (mean [SD] interval, 14.9 [16.3] months vs 9.0 [8.5] months), although the difference was not statistically significant. Severity of hearing loss was associated with a decrease in the interval from ABR testing to ordering of hearing aids after accounting for other potential barriers (odds ratio, 0.6; 95% CI, 0.4-0.9). Zip code and complexity of the child's medical condition did not appear to be associated with timely access to pediatric hearing aids.CONCLUSIONS AND RELEVANCE This study's findings suggest that insurance type, race/ethnicity, and primary language may be barriers associated with pediatric access to hearing aids, with the greatest difference observed in time to initial ABR testing. Clinical severity of hearing loss appeared to be associated with a significant decrease in time from ABR testing to ordering of hearing aids. Greater efforts to assist parents with ABR testing and coordination of follow-up may help improve access for other at-risk ch...

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Demographic Factors Influencing Educational Placement of the Hearing-Impaired Child With a Cochlear Implant

Cited by 24 publications

References 33 publications

Auditory Speech Perception Development in Relation to Patient's Age with Cochlear Implant

Auditory Speech Perception Development in Relation to Patient's Age with Cochlear Implant

The lexical development of children with hearing impairment and associated factors

Identification of Potential Barriers to Timely Access to Pediatric Hearing Aids

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