Parent reported barriers and facilitators towards cochlear implantation – A systematic review

Ravi, Rohit; Gunjawate, Dhanshree R.

doi:10.1016/j.ijporl.2020.110163

Cited by 7 publications

(2 citation statements)

References 29 publications

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“…Niparko et al 2010;Jeddi et al 2012;Wu et al 2015;Dettman et al 2016a;Sharma et al 2017). In addition, access to a support system (e.g., connection with other families with children with CIs, support groups) influences outcomes such that families with stronger support systems better navigate their child's hearing healthcare and have lower parental stress (Kluwin & Stewart 2000;Zaidman-Zait et al 2016;Haddad et al 2019;Ravi & Gunjawate 2020). A family's financial and support resources do not negate the decision to implant, but they might highlight the need for additional support and resources from professionals.…”

Section: Demographics/lifestylementioning

confidence: 99%

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

et al. 2022

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This article summarizes the available evidence on pediatric cochlear implantation to provide current guidelines for clinical protocols and candidacy recommendations in the United States. Candidacy determination involves specification of audiologic and medical criteria per guidelines of the Food and Drug Administration. However, recommendations for a cochlear implant evaluation also should maintain flexibility and consider a child’s skill progression (i.e., month-for-month progress in speech, language, and auditory development) and quality of life with appropriately fit hearing aids. Moreover, evidence supports medical and clinical decisions based on other factors, including (a) ear-specific performance, which affords inclusion of children with asymmetric hearing loss and single-sided deafness as implant candidates; (b) ear-specific residual hearing, which influences surgical technique and device selection to optimize hearing; and (c) early intervention to minimize negative long-term effects on communication and quality of life related to delayed identification of implant candidacy, later age at implantation, and/or limited commitment to an audiologic rehabilitation program. These evidence-based guidelines for current clinical protocols in determining pediatric cochlear implant candidacy encourage a team-based approach focused on the whole child and the family system.

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Section: Demographics/lifestylementioning

confidence: 99%

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

et al. 2022

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“…There are various barriers reported in literature which can hamper the CI process. Ravi et al [6] reported various parent reported barriers to CI which included child related, financial constraints, device/surgery related, time constraints, social issues, and service delivery. The professional related barrier includes lack of knowledge, training and familiarity, limited discussion of CIs with patient & further the referral process [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Beliefs, and Practices Towards Cochlear Implantations Among Otorhinolaryngologists in India

Ravi

Gunjawate

Bhandarkar

et al. 2023

Indian J Otolaryngol Head Neck Surg

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The outcome of the cochlear implant is dependent highly on the knowledge, belief and practice of cochlear implant in otolaryngologists who are among the important team members. The study explored the knowledge, beliefs, and practices towards cochlear implantations among otorhinolaryngologists in India. An online cross-sectional survey study was carried out using convenient sampling among otorhinolaryngologists in India. Phase-I involved developing and validating of a questionnaire to study the knowledge, beliefs, and practices towards cochlear implants among otorhinolaryngologists in India while phase II involved administration of the questionnaire and analysis. Data collection was conducted using Google Forms. A total of 106 otorhinolaryngologists participated across 24–65 years of age and with experience ranging from 1 to 42 years. The participating otorhinolaryngologists reported having good knowledge about the candidacy for a cochlear implant but having limited knowledge of the recent developments and governmental schemes. The otorhinolaryngologists displayed positive beliefs regarding cochlear implantation. Most recommended a battery of tests to determine the candidacy and gave a lot of importance to rehabilitation (96.2%) and surgery for implantation (83%). The respondents also practiced giving importance to a team approach involving multiple team members. High costs and financial burden emerged to be the major challenges for cochlear implantation in India. The findings of the survey indicate an overall positive belief and practices towards cochlear implantation by otorhinolaryngologists in India. However, there is a need to spread more awareness among them about the recent advances and schemes that would further improve their service delivery.

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Sociodemographic Disparities in Pediatric Cochlear Implantation Access and Use: A Systematic Review

et al. 2021

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Objectives: Pediatric cochlear implantation (CI) is a multistep process, which exposes a healthcare system's potential weaknesses in ability to deliver timely care to deaf children. The current systematic review aims to determine the sociodemographic disparities that predict pediatric CI access and use among CI candidates and recipients across the world. We hypothesize that sociodemographic factors independently influence CI access and use within a given country.Study Design: Systematic review. Methods: A qualitative systematic review of PubMed, Scopus, Web of Science, and Embase databases was conducted for studies investigating the association of sociodemographic factors such as race, income, or insurance status with measures of pediatric CI access, such as age at CI or CI rate.Results: Out of 807 unique abstracts initially retrieved, 39 papers were included in the final qualitative systematic review. Twenty-seven thousand seven hundred and fifty-one CI-candidate children (6,623 CI recipients) were studied in 14 countries, with 21 studies conducted in the United States of America, published within the years of 1993 to 2020.Conclusion: Some measures of CI access, such as age at CI and rates of CI, are consistently reported in the CI disparities literature while others such as access to rehabilitation services, willingness to undergo CI, and daily CI use are rarely measured. There are persistently reported disparities in a few key measures of CI access in a few populations, while there are some populations with a paucity of data. Future studies should delineate the nuances in the mechanisms of disparities by conducting multivariable analysis of representative sample data.

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Parent reported barriers and facilitators towards cochlear implantation – A systematic review

Cited by 7 publications

References 29 publications

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

Knowledge, Beliefs, and Practices Towards Cochlear Implantations Among Otorhinolaryngologists in India

Sociodemographic Disparities in Pediatric Cochlear Implantation Access and Use: A Systematic Review

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