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: Ostojić Sanja, Đoković Sanja, Radić-Šestić Marina, Nikolić Mina, Mikić Branka, Mirić Danica
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2015-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500057O.pdf
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author Ostojić Sanja
Đoković Sanja
Radić-Šestić Marina
Nikolić Mina
Mikić Branka
Mirić Danica
author_facet Ostojić Sanja
Đoković Sanja
Radić-Šestić Marina
Nikolić Mina
Mikić Branka
Mirić Danica
author_sort Ostojić Sanja
collection DOAJ
description 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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publishDate 2015-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
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spelling doaj-art-b75b3ef8eabb4fd5bc116296b6e95d492025-08-20T02:00:28ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202015-01-0172868368810.2298/VSP140221057O0042-84501500057OFactors contributing to communication skills development in cochlear implanted childrenOstojić Sanja0Đoković Sanja1Radić-Šestić Marina2Nikolić Mina3Mikić Branka4Mirić Danica5Faculty for Special Education and Rehailitation, Department of Special Education of Deaf and Hard of Hearing Persons, BelgradeFaculty for Special Education and Rehailitation, Department of Special Education of Deaf and Hard of Hearing Persons, BelgradeFaculty for Special Education and Rehailitation, Department of Special Education of Deaf and Hard of Hearing Persons, BelgradeFaculty for Special Education and Rehailitation, Department of Special Education of Deaf and Hard of Hearing Persons, BelgradeClinical Center of Serbia, Clinic for ENT&HNS, Audiology Rehabilitation Department, BelgradeClinical Center of Serbia, Clinic for ENT&HNS, Audiology Rehabilitation Department, BelgradeBackground/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]http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500057O.pdfcochlear implantschildcommunicationquestionnaires
spellingShingle Ostojić Sanja
Đoković Sanja
Radić-Šestić Marina
Nikolić Mina
Mikić Branka
Mirić Danica
Factors contributing to communication skills development in cochlear implanted children
Vojnosanitetski Pregled
cochlear implants
child
communication
questionnaires
title Factors contributing to communication skills development in cochlear implanted children
title_full Factors contributing to communication skills development in cochlear implanted children
title_fullStr Factors contributing to communication skills development in cochlear implanted children
title_full_unstemmed Factors contributing to communication skills development in cochlear implanted children
title_short Factors contributing to communication skills development in cochlear implanted children
title_sort factors contributing to communication skills development in cochlear implanted children
topic cochlear implants
child
communication
questionnaires
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500057O.pdf
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AT radicsesticmarina factorscontributingtocommunicationskillsdevelopmentincochlearimplantedchildren
AT nikolicmina factorscontributingtocommunicationskillsdevelopmentincochlearimplantedchildren
AT mikicbranka factorscontributingtocommunicationskillsdevelopmentincochlearimplantedchildren
AT miricdanica factorscontributingtocommunicationskillsdevelopmentincochlearimplantedchildren