Defining and evaluating success in paediatric cochlear implantation – An exploratory study

Black, Jane; Hickson, Louise; Black, Bruce

doi:10.1016/j.ijporl.2012.05.027

Cited by 20 publications

(33 citation statements)

References 43 publications

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“…Each of the first 55 items has five possible response categories, namely, never (1), sometimes (2), often (3), mostly (4), and always (5). The final five items present response categories as follows: no (1), poorly (2), moderate (3), adequate (4), and good (5). Respondents are also offered a sixth response category to cover items that were not pertinent to them -not applicable (N/A).…”

Section: Methodsmentioning

confidence: 99%

“…However, not all CI users benefit from access to sounds in the same manner, with variability between results observed in clinical practice. Only the performance obtained in the auditory and language skills is not enough to justify the variability of results verified in the user population of this electronic device (4,5) . The need to use a measure that involves factors other than the aspects associated with hearing and speech has motivated researchers in this area to use QoL measures to evaluate the benefits and limitations of CI.…”

Section: Introductionmentioning

confidence: 93%

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Nijmegen Cochlear Implantation Questionnaire (NCIQ): tradução, adaptação cultural e aplicação em adultos usuários de implante coclear

Santos

Couto

Martinho-Carvalho

2017

CoDAS

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Purpose: Cross-cultural adaptation and translation of the Nijmegen Cochlear Implant Questionnaire (NCIQ) into Brazilian Portuguese and analysis of quality of life (QoL) results in adults with cochlear implant (CI). Methods: The NCIQ instrument was translated into Brazilian Portuguese and culturally adapted. After that, a cross-sectional and clinical QoL evaluation was conducted with a group of 24 adults with CI. Results: The questionnaire title in Brazilian Portuguese is 'Questionário Nijmegen de Implantes Cocleares' (NCIQ-P). The version of the NCIQ questionnaire translated into Brazilian Portuguese presented good internal consistency (0.78). The social and physical domains presented the highest scores, with the basic and advanced sound perception subdomains achieving the highest scores. No correlation between gender and time of device use was found for the questionnaire domains and subdomains. Conclusion: The cross-cultural adaptation and translation of the NCIQ into Brazilian Portuguese suggests that this instrument is reliable and useful for clinical and research purposes in Brazilian adults with CI. RESUMOObjetivo: Traduzir e adaptar culturalmente para o Português Brasileiro o Nijmegen Cochlear Implantation Questionnaire (NCIQ) e descrever os resultados de qualidade de vida em adultos. Método: Tradução e adaptação cultural do NCIQ. Depois desta etapa, foi realizado um estudo transversal e clínico de avaliação da qualidade de vida em um grupo de 24 adultos usuários de implante coclear (IC). Resultados: O título do questionário na versão traduzida para o Português Brasileiro foi definido em Questionário Nijmegen de Implantes Cocleares (NCIQ-P). A versão traduzida do questionário NCIQ-P apresentou boa consistência interna para todos os domínios existentes no questionário (0,78). Os resultados de qualidade de vida em adultos demonstraram que os domínios mais pontuados foram o social e o físico, sendo os subdomínios percepção básica e avançada os de maior pontuação. Não foi observada correlação entre gênero e tempo de uso do dispositivo para os domínios e subdomínios existentes no questionário. Conclusão: A tradução e adaptação cultural do NCIQ-P sugere que o instrumento é válido e útil para o uso clínico e de pesquisa em adultos usuários de IC e falantes do Português Brasileiro.Santos et al. CoDAS 2017;29(6):e20170007

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

Nijmegen Cochlear Implantation Questionnaire (NCIQ): tradução, adaptação cultural e aplicação em adultos usuários de implante coclear

Santos

Couto

Martinho-Carvalho

2017

CoDAS

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“…The speech perception abilities of CI children were determined from a review of their clinical test results, which included open-and closed-set tests. Speech perception scores were assigned to each child according to the Categories of Auditory Performance Index [24], which has nine hierarchic classifications (numbered 0-8). Higher scores reflect better speech perception abilities, with a score of 8 indicating an ability to perceive speech very well through audition alone in both quiet and noisy conditions.…”

Section: Participantsmentioning

confidence: 99%

Electrophysiological evidence for altered visual, but not auditory, selective attention in adolescent cochlear implant users

Harris

Kamke

2014

International Journal of Pediatric Otorhinolaryngology

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Objective: Selective attention fundamentally alters sensory perception, but little is known about the functioning of attention in individuals who use a cochlear implant. This study aimed to investigate visual and auditory attention in adolescent cochlear implant users.Methods: Event related potentials were used to investigate the influence of attention on visual and auditory evoked potentials in six cochlear implant users and age-matched normally-hearing children. Participants were presented with streams of alternating visual and auditory stimuli in an oddball paradigm: each modality contained frequently presented 'standard' and infrequent 'deviant' stimuli. Across different blocks attention was directed to either the visual or auditory modality.Results: For the visual stimuli attention boosted the early N1 potential, but this effect was larger for cochlear implant users. Attention was also associated with a later P3 component for the visual deviant stimulus, but there was no difference between groups in the later attention effects. For the auditory stimuli, attention was associated with a decrease in N1 latency as well as a robust P3 for the deviant tone. Importantly, there was no difference between groups in these auditory attention effects. Conclusion:The results suggest that basic mechanisms of auditory attention are largely normal in children who are proficient cochlear implant users, but that visual attention may be altered. Ultimately, a better understanding of how selective attention influences sensory perception in cochlear implant users will be important for optimising habilitation strategies.

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“…Then again, family factors such as a high socioeconomic level [5,35,39], sufficient parental involvement in the rehabilitation process [23,40,41] and higher levels of maternal education [42] are all related to improved language outcomes. Prematurity is considered as an anecdotal prognostic factor often described in pediatric CI literature, but has not been consistently proven [43]. The same holds for other likely etiological factors or risk indicators associated with permanent childhood hearing loss, such as neonatal intensive care unit (NICU) admittance, low birth weight and assisted ventilation [44].…”

Section: Introductionmentioning

confidence: 99%

“…Parents will only be able to set evidence-based and achievable expectations for their children if they are guided by professionals who are able to discern the factors that will exert an adverse effect on outcomes [3,43]. Given the paucity of proven prognostic factors in pediatric cochlear implantation [43], this current work aims to identify possible predictors of outcomes and to investigate the prognostic significance of these factors, in a large caseload of pediatric CI recipients in South Africa. Since the first multichannel cochlear implantation took place in South Africa in 1986, more than 1500 individuals has been implanted at nine respective CI programs [55,56].…”

Section: Introductionmentioning

confidence: 99%

Predictors of pediatric cochlear implantation outcomes in South Africa

Roux

Vinck

Butler

et al. 2016

International Journal of Pediatric Otorhinolaryngology

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Objective: To identify and describe predictors of pediatric cochlear implantation outcomes in a South African population. Methods:A retrospective study of 301 pediatric CI recipients from five cochlear implant programs was conducted and cross-sectional outcome data were added at the time of data collection. Twenty potential prognostic factors were identified from the retrospective dataset, including biographical, cochlear implant (CI), family and risk factors. Multiple regression analyses was performed to identify predictor variables that influence outcomes in terms of auditory performance (CAP scores), speech production (SIR scores), communication mode and educational placement.Results: Although implanted children within this sample did not have equal opportunity to access a second implant, bilateral implantation was strongly predictive of better auditory performance and speech production scores, an oral mode of communication and mainstream education. NICU admittance/ prematurity were associated with poorer auditory performance and speech production scores, together with a higher probability for non-oral communication and non-mainstream education. The presence of one or more additional developmental 2 condition was predictive of poorer outcomes in terms of speech production and educational placement, while a delay between diagnosis and implantation of more than one year was also related to non-mainstream education. Ethnicities other than Caucasian were predictive of poorer auditory performance scores and a lower probability for mainstream education.Conclusion: An extensive range of prognostic indicators were identified for pediatric CI outcomes in South Africa. These predictive factors of better and poorer outcomes should guide pediatric CI services to promote optimal outcomes and assist professionals in providing evidence-based informational counselling.

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Defining and evaluating success in paediatric cochlear implantation – An exploratory study

Cited by 20 publications

References 43 publications

Nijmegen Cochlear Implantation Questionnaire (NCIQ): tradução, adaptação cultural e aplicação em adultos usuários de implante coclear

Nijmegen Cochlear Implantation Questionnaire (NCIQ): tradução, adaptação cultural e aplicação em adultos usuários de implante coclear

Electrophysiological evidence for altered visual, but not auditory, selective attention in adolescent cochlear implant users

Predictors of pediatric cochlear implantation outcomes in South Africa

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