Factors contributing to communication skills development in cochlear implanted children
Background/Aim. Over the last 10 years more than 300 persons received cochlear implant in Serbia and more than 90% of the recipients were children under 10 years of age. The program of cochlear implantation includes postoperative rehabilitation in which cognitive, integrative and develop...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500057O.pdf |
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| Summary: | Background/Aim. Over the last 10 years more than 300 persons received
cochlear implant in Serbia and more than 90% of the recipients were children
under 10 years of age. The program of cochlear implantation includes
postoperative rehabilitation in which cognitive, integrative and
developmental methods are used. The study was conducted to reveal factors
affecting communication performance (CP) of cochlear implanted (CI) children.
Special attention was focused on the influence of the duration and intensity
of rehabilitation and hearing age on further development of communication
skills. Methods. A group of 30 CI children (13 boys and 17 girls) aged 2 to 5
years was enrolled in the study. All of the children had average intelligence
and no other developmental disorder. They lived in families and attended
rehabilitative seances 3 to 5 times a week. Their parents/ caregivers
answered structured questionnaire about functioning after pediatric cochlear
implantation (FAPCI) and the results were the subject of detailed statistical
analysis. Results. Analysis of variance did not show any difference between
the boys and the girls regarding FAPCI achievements (F (1, 28) = 2.909; p =
0.099) and age aberration in CP score (F (1, 28) = 0.114, p = 0.738).
Correlation analysis showed a statistically significant difference in FAPCI
scores related to hearing age and duration of rehabilitation. Regression
analysis (enter method) showed that model consisting of indipendent variables
significantly contributed to prediction of overall FAPCI scores and Adjusted
R2 value could explain 32% difference in communication skills of participants
in this study. Conclusion. Communication skills of CI children evaluated by
FAPCI are falling behind normatives for normal hearing children 18.6 months
on the average. Hearing age, duration and intensity of rehabilitation have
positive predictive value for communication skills development. Later
identification of hearing loss and later cochlear implantation lead to
delayed development of communication skills. [Projekat Ministarstva nauke
Republike Srbije, br. 179055: Influence of cochlear implantation on education
of deaf and hard of hearing children] |
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| ISSN: | 0042-8450 2406-0720 |