Exploration of the cognitive and behavioural consequences of paediatric cochlear implantation

Edwards, Lindsey; Khan, Sonya; Broxholme, Catherine; Langdon, Dawn

doi:10.1002/cii.300

Cited by 14 publications

(31 citation statements)

References 20 publications

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“…These items were selected as they reflected areas reported by parents and children, clinically and in research studies, as being important in deaf children and/or improving after cochlear implantation (e.g. Edwards, Khan, Broxholme and Langdon, 2006; Huttunen & Välimaa, 2010; Anmyr, Larsson, Olsson and Freijd, 2012;Van-Gent, Goedhart & Treffers, 2012;Shin, Kim, Kim et al, 2007;Bat-Chava, Martin & Kosciw, 2005). Each of these factors was presented within a table and respondents were asked to tick the box to show how things have changed, indicating degree of change using the following scale: much worse; slightly worse; no change; slightly better; much better.…”

Section: Quality Of Life Itemsmentioning

confidence: 99%

Brief Assessment of Parental Perception (BAPP): Development and validation of a new measure for assessing paediatric outcomes after bilateral cochlear implantation

Samuel

Gamble

Cullington

et al. 2016

International Journal of Audiology

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ObjectiveIn contrast to previous clinical practice, current guidelines recommend bilateral cochlear implantation in children, resulting in a cohort of children who initially received one implant, but have subsequently had a second, contralateral implant. This study aimed to explore satisfaction and quality of life in children implanted simultaneously or sequentially. DesignA novel measure of satisfaction and quality of life following paediatric bilateral cochlear implantation (the Brief Assessment of Parental Perception; BAPP) was developed and preliminary validation undertaken as part of a large, national project of bilateral implantation. Children's parents completed the measure yearly for up to three years following implantation. Study SampleChildren from 14 UK implant centres were recruited into the study; data were available for 410 children one year post-implantation. ResultsThe BAPP was found to have good face and convergent validity, and internal consistency. Results indicated very high levels of satisfaction with the devices, and improvements in quality of life. However there was evidence that children implanted sequentially were less willing to wear their second implant in the first two years than those children receiving simultaneous implants. ConclusionSimultaneous and sequential cochlear implants have a positive impact on the quality of life of deaf children. 2 IntroductionIn 2009, the United Kingdom National Institute for Health and Care Excellence (NICE) recommended that all suitable children be offered simultaneous bilateral cochlear implants (NICE, 2009). NICE also advised that children who were unilaterally implanted prior to the guidance should be offered a second implant if appropriate. When the guidance was published, NICE recommended that an audit of bilateral cochlear implantation be conducted. A consortium of 14 cochlear implant centres in the United Kingdom was formed to identify appropriate assessment measures to assess the benefit children receive from bilateral cochlear implants. This National Paediatric Bilateral Project (NPBP) consortium identified a number of clinical outcomes to be assessed: localisation of sound, speech recognition in quiet and background noise, speech production, listening, vocabulary, surgical data including complications, and parental perceptions of quality of life (Cullington, Bele, Brinton et al, 2013). One existing measure of quality of life (QoL), the Paediatric Cochlear Implantation: Parent Outcome Profile (POP; O'Neill, Lutman, Archbold, et al, 2004) was adopted for the project, the results of which, along with the clinical outcomes, are reported elsewhere. However, the need for an additional, brief, QoL of life measure was identified, and the development of this, along with selected results obtained from the project, form the focus of this paper. Quality of Life AssessmentQuality of life measures take two primary forms; generic and condition specific. Although there are a range of generic paediatric QoL measures available, they may not be suit...

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Section: Quality Of Life Itemsmentioning

confidence: 99%

Brief Assessment of Parental Perception (BAPP): Development and validation of a new measure for assessing paediatric outcomes after bilateral cochlear implantation

Samuel

Gamble

Cullington

et al. 2016

International Journal of Audiology

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“…The inclusion criteria (based on Edwards, Khan, Broxholme, & Langdon, 2006) for the Cochlear Implant group were (a) aged between 7-12 years; (b) no known evidence of severe developmental delay or severe global learning difficulties; (c) no significant visual impairment (this could affect performance on some of the tasks); (d) no significant motor difficulties (this could affect performance on some of the tasks); (e) born and educated in the United Kingdom (tests are normed on UK population); and (f) severe-profound hearing loss in both ears, unaided. Fifty-three children from the Cochlear Implant Programme at Great Ormond Street Hospital met the criteria for participation and the parents/guardians of these children were sent invitation packs inviting them to take part.…”

Section: Participantsmentioning

confidence: 99%

The mathematical abilities of children with cochlear implants

Edwards

Langdon

2013

Child Neuropsychology

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Research has shown that cochlear implants give rise to improvements in speech recognition and production in children with profound hearing loss but very few studies have explored mathematical abilities in these children. The current study compared the mathematical abilities of 24 children with cochlear implants (mean age 10 years 1 month) to a control group of 22 hearing children (mean age 9 years 8 months). The math questions were categorized into questions that tapped into arithmetic or geometrical reasoning. It was predicted that the cochlear implant group would perform below the hearing group on the arithmetic questions but not the geometrical reasoning questions. Unexpectedly, the results showed that the cochlear implant group performed significantly below the hearing group on both types of math questions, but that this difference was mediated by language skill as assessed by vocabulary knowledge. The clinical implications of these results and possible future research results are considered.

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“…Similarly, these studies show that children with these implants display improved attention, concentration, and capacity to accept rules and cultural values, relating these findings with a standardisation of conduct and relations with their parents [4,5].…”

Section: Introductionmentioning

confidence: 97%

A comparative study of speech development between deaf children with cochlear implants who have been educated with spoken or spoken+sign language

Jiménez

Pino

Herruzo

2009

International Journal of Pediatric Otorhinolaryngology

117

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Exploration of the cognitive and behavioural consequences of paediatric cochlear implantation

Cited by 14 publications

References 20 publications

Brief Assessment of Parental Perception (BAPP): Development and validation of a new measure for assessing paediatric outcomes after bilateral cochlear implantation

Brief Assessment of Parental Perception (BAPP): Development and validation of a new measure for assessing paediatric outcomes after bilateral cochlear implantation

The mathematical abilities of children with cochlear implants

A comparative study of speech development between deaf children with cochlear implants who have been educated with spoken or spoken+sign language

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