Fatores que influenciam na participação dos pais de crianças usuárias de implante coclear na (re)habilitação oral: revisão sistemática

Couto, Maria Inês Vieira; Carvalho, Ana Maria

doi:10.1590/s2317-17822013000100015

Cited by 6 publications

(5 citation statements)

References 20 publications

(37 reference statements)

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“…Aural rehabilitation inserts the child into oral communication, using the appeal of auditory integration, with the purpose of enabling the child or adolescent to become communicatively independent 24,25,34 .…”

Section: Discussionmentioning

confidence: 99%

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Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

2017

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Purpose: to analyze auditory and oral communication behaviors in a group of children and adolescents, users of cochlear implants and to establish a relationship with factors that interfere with aural rehabilitation. Methods: participants were 13 children or adolescents with profound bilateral sensorineural hearing loss. Standardized procedures were applied to check: the auditory and oral communication behaviors of participants and their relationships with the child's age at diagnosis period; the interval between diagnosis and intervention, adaptation onset of the cochlear implant; the hearing age and aural rehabilitation period. Results: statistically significant data were found to correlate the interval between diagnosis and intervention with the scores in the evaluation procedures of oral communication. Conclusion:there was a significant impact on the development of oral communication when the period elapsed between the diagnosis and intervention was analyzed, in such way that the faster the intervention time, the better the results. It was also evident that the earlier the beginning of the use of cochlear implants, the greater the hearing age, and the longer the rehabilitation period, the better the scores in the procedures that evaluated auditory and verbal development. Keywords: Hearing Loss; Cochlear Implant; Language; Auditory Perception RESUMO Objetivo: analisar os comportamentos auditivos e de comunicação oral em um grupo de crianças e adolescentes usuários de implante coclear e estabelecer relações com fatores que interferem na reabilitação auditiva. Métodos: participaram deste estudo 13 crianças ou adolescentes com deficiência auditiva sensorioneural profunda bilateral. Foram aplicados procedimentos padronizados para verificar: o comportamento auditivo e de comunicação oral dos participantes e estabelecidas relações com a idade da criança no período do diagnóstico; o intervalo entre o diagnóstico e a intervenção, época de ativação do implante coclear; a idade auditiva e o período de reabilitação auditiva. Resultados: foram encontrados dados estatisticamente significantes ao correlacionar o intervalo entre o diagnóstico e a intervenção com os escores dos procedimentos de avaliação da comunicação oral. Conclusão: houve impacto significante no desenvolvimento da comunicação oral quando analisado o período transcorrido entre o diagnóstico e a intervenção, de tal forma que quanto mais rápida a intervenção, melhores os resultados. Foi evidente também que quanto mais precoce o início da utilização do implante coclear, maior idade auditiva e maior o período de reabilitação, melhores foram os escores nos procedimentos que avaliaram desenvolvimento auditivo e verbal.

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Section: Discussionmentioning

confidence: 99%

“…For this to happen, the audiologist should lead the child and his family, providing this development through the integration between auditory and oral communication skills 24,25 .…”

Section: Introductionmentioning

confidence: 99%

Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

2017

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“…For most parents, decision making is a difficult and stressful process due to the complexity to determine whether what they believe to be the best for their child actually is. After all, this decision is loaded with influences from parental preferences, linked with their values, beliefs, practical considerations and resource availability ( 6 , 13 - 14 ) . In addition, they need to decide without any guarantees about the level of benefit their children will receive ( 6 ) .…”

Section: Introductionmentioning

confidence: 99%

“…Different aspects have influenced the parents' decision-making process on their child's implant ( 5 , 7 , 14 - 15 ) : quality, quantity and range of information received; preliminary knowledge about CI and deafness; preference and expectations about oral and/or sign language development; bioethical aspects (child's opinion, deaf identity and culture, social representation of impairment); preservation of residual hearing due to the expected development of new technologies ( 5 , 7 ) ; daily activity constraints and low effectiveness of CI in some cases ( 7 ) ; care and financial costs of the device and post-implant (re)habilitation ( 5 ) . The most difficult aspect for parental decision making is the fear of the risks involved in the surgical procedure and possible complications, factors that cause stress, anxiety, fear, insecurity and anguish in the parents ( 16 - 18 ) .…”

Section: Introductionmentioning

confidence: 99%

Cochlear Implant: the complexity involved in the decision making process by the family

Vieira¹,

Bevilacqua

Ferreira

et al. 2014

Rev. Latino-Am. Enfermagem

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Objectiveto understand the meanings the family attributes to the phases of the decision-making process on a cochlear implant for their child. Methodqualitative research, using Symbolic Interactionism and Grounded Theory as the theoretical and methodological frameworks, respectively. Data collection instrument: semistructured interview. Nine families participated in the study (32 participants). Resultsknowledge deficit, difficulties to contextualize benefits and risks and fear are some factors that make this process difficult. Experiences deriving from interactions with health professionals, other cochlear implant users and their relatives strengthen decision making in favor of the implant. Conclusiondeciding on whether or not to have the implant involves a complex process, in which the family needs to weigh gains and losses, experience feelings of accountability and guilt, besides overcoming the risk aversion. Hence, this demands cautious preparation and knowledge from the professionals involved in this intervention.

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“…[ 5 6 ] In China, children with hearing loss typically enter rehabilitative training at around age of 2, and these groups of children have been widely studied in their speech and language development. For children under 2 years old, while they are not yet eligible for institution-based training, home-based intervention becomes a crucial component in early intervention,[ 7 8 ] data on early auditory and speech development in home-based intervention of infants and toddlers with hearing loss younger than 2 years are still spare.…”

Section: Introductionmentioning

confidence: 99%

Home-based Early Intervention on Auditory and Speech Development in Mandarin-speaking Deaf Infants and Toddlers with Chronological Aged 7–24 Months

Yang

Liu

et al. 2015

Chinese Medical Journal

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Background:Early auditory and speech development in home-based early intervention of infants and toddlers with hearing loss younger than 2 years are still spare in China. This study aimed to observe the development of auditory and speech in deaf infants and toddlers who were fitted with hearing aids and/or received cochlear implantation between the chronological ages of 7–24 months, and analyze the effect of chronological age and recovery time on auditory and speech development in the course of home-based early intervention.Methods:This longitudinal study included 55 hearing impaired children with severe and profound binaural deafness, who were divided into Group A (7–12 months), Group B (13–18 months) and Group C (19–24 months) based on the chronological age. Categories auditory performance (CAP) and speech intelligibility rating scale (SIR) were used to evaluate auditory and speech development at baseline and 3, 6, 9, 12, 18, and 24 months of habilitation. Descriptive statistics were used to describe demographic features and were analyzed by repeated measures analysis of variance.Results:With 24 months of hearing intervention, 78% of the patients were able to understand common phrases and conversation without lip-reading, 96% of the patients were intelligible to a listener. In three groups, children showed the rapid growth of trend features in each period of habilitation. CAP and SIR scores have developed rapidly within 24 months after fitted auxiliary device in Group A, which performed much better auditory and speech abilities than Group B (P < 0.05) and Group C (P < 0.05). Group B achieved better results than Group C, whereas no significant differences were observed between Group B and Group C (P > 0.05).Conclusions:The data suggested the early hearing intervention and home-based habilitation benefit auditory and speech development. Chronological age and recovery time may be major factors for aural verbal outcomes in hearing impaired children. The development of auditory and speech in hearing impaired children may be relatively crucial in the first year's habilitation after fitted with the auxiliary device.

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Fatores que influenciam na participação dos pais de crianças usuárias de implante coclear na (re)habilitação oral: revisão sistemática

Abstract: The engagement of parents in the rehabilitation process of children with CI depends on several distinct influential factors which audiologists should understand and consider when elaborating a rehabilitation program.

Cited by 6 publications

References 20 publications

Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

Cochlear Implant: the complexity involved in the decision making process by the family

Home-based Early Intervention on Auditory and Speech Development in Mandarin-speaking Deaf Infants and Toddlers with Chronological Aged 7–24 Months

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