Parents' Perception of Health-Related Quality of Life in Children With Cochlear Implants: The Impact of Language Skills and Hearing

Haukedal, Christiane Lingås; Torkildsen, Janne von Koss; Lyxell, Björn; Wie, Ona Bø

doi:10.1044/2018_jslhr-h-17-0278

Cited by 31 publications

(37 citation statements)

References 79 publications

(95 reference statements)

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“…Children with profound HI who use CI have been reported to have mental health issues more frequently than peers with TH (Hintermair, 2007). Nevertheless, recent findings in a Norwegian study displayed that the mental health of children with CI, aged 5; 0-12; 11 years, was similar to age-matched children with TH (Lingås-Haukedal et al, 2018). Lingås-Haukedal et al (2018) examined health-related quality of life in 186 children with CI, as reported by parents, and they found that about 50% of the children with CI had levels comparable to peers with TH (n = 80).…”

Section: Introductionmentioning

confidence: 94%

“…Nevertheless, recent findings in a Norwegian study displayed that the mental health of children with CI, aged 5; 0-12; 11 years, was similar to age-matched children with TH (Lingås-Haukedal et al, 2018). Lingås-Haukedal et al (2018) examined health-related quality of life in 186 children with CI, as reported by parents, and they found that about 50% of the children with CI had levels comparable to peers with TH (n = 80). The possible influence on mental health in relation to the cause of deafness was not examined in the study by Lingås-Haukedal et al (2018).…”

Section: Introductionmentioning

confidence: 99%

“…Executive functions (EF) are connected to frontal lobe capacity (Kave et al, 2008) and represent underlying, interrelated processing skills, such as working memory, attention, and inhibition/flexibility, which all are important for several functions like communication, social cognition, and learning (Miyake et al, 2000;Diamond, 2013). Children with CI form a heterogeneous population with considerable variation, especially in EF (Figueras et al, 2008;Beer et al, 2014;Kronenberger et al, 2014) but also in the spoken language outcome (Boons et al, 2012;Löfkvist et al, 2012;Walker et al, 2019) and mental health (Hintermair, 2007;Anmyr et al, 2012;Lingås-Haukedal et al, 2018). Poor EF in children with CI may negatively influence pragmatic skills, and especially in subgroups with known comorbid conditions like children with a cCMV infection.…”

Section: Introductionmentioning

confidence: 99%

“…Phonological working memory is one EF ability that has previously been associated with language outcome (Gathercole et al, 2008;Wass, 2009), language learning (Willstedt-Svensson et al, 2004), and social interaction (Lyxell et al, 2008). Better language abilities may have positive effects on mental health (Lingås-Haukedal et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Lingås-Haukedal et al (2018) examined health-related quality of life in 186 children with CI, as reported by parents, and they found that about 50% of the children with CI had levels comparable to peers with TH (n = 80). The possible influence on mental health in relation to the cause of deafness was not examined in the study by Lingås-Haukedal et al (2018).…”

Section: Introductionmentioning

confidence: 99%

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Executive Functions, Pragmatic Skills, and Mental Health in Children With Congenital Cytomegalovirus (CMV) Infection With Cochlear Implants: A Pilot Study

et al. 2020

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Congenital cytomegalovirus (cCMV) infection is the most common cause of progressive hearing impairment. In our previous study around 90% of children with a cCMV infection and CI had severely damaged balance functions (Karltorp et al., 2014). Around 20% had vision impairment, 15% were diagnosed with Autism-Spectrum-Disorder, and 20% with ADHD. One clinical observation was that children with cCMV infection had problems with executive functioning (EF), while controls with a genetic cause of deafness (Connexin 26 mutations; Cx26) did not have similar difficulties. A follow-up study was therefore initiated with the main objective to examine EF and pragmatic skills in relation to mental health in children with a cCMV infection and to draw a comparison with matched controls with Cx26 mutations (age, sex, hearing, non-verbal cognitive ability, vocabulary, and socioeconomic status level). Ten children with a cCMV infection and CI (4.8-12:9 years) and seven children with CI (4:8-12:8 years) participated in the study, which had a multidisciplinary approach. Executive functioning was assessed both with formal tests targeting working memory and attention, parent and teacher questionnaires, and a systematic observation by a blinded psychologist during one test situation. Pragmatics and mental health were investigated with parent and teacher reports. In addition, the early language outcome was considered in non-parametric correlation analyses examining the possible relationships between later EF skills, pragmatics, and mental health. Children with cCMV had a statistically significant worse pragmatic outcome and phonological working memory than controls despite their groups having similar non-verbal cognitive ability and vocabulary. However, there were no statistical differences between the groups regarding their EF skills in everyday settings and mental health. There were associations between early language outcomes and later EF skills and pragmatics in the whole sample. Conclusion: Children with a cCMV infection are at risk of developing learning difficulties in school due to difficulties with phonological working memory and pragmatic skills in social interactions.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Executive Functions, Pragmatic Skills, and Mental Health in Children With Congenital Cytomegalovirus (CMV) Infection With Cochlear Implants: A Pilot Study

et al. 2020

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Validation of a Parent Proxy Quality‐of‐Life Measure for Young Children With Hearing Loss

Jeffe

Kenna

et al. 2020

The Laryngoscope

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Objectives No hearing‐related quality of life (QL) questionnaire currently exists for children < 7 years. This study aimed to develop and evaluate the construct validity and reliability of a new parent‐proxy Preschool Hearing Environments and Reflection on Quality of Life (HEAR‐QL) questionnaire. Methods Parents of children 2 to 6 years old with any hearing loss (HL) were recruited from multiple sites. To evaluate the new measure's construct validity, participants completed a 70‐item preschool HEAR‐QL and validated questionnaires measuring hearing and communication functioning (Parents' Evaluation of Aural/Oral Performance of Children), generic pediatric QL (Pediatric Quality of Life Inventory Parent Report, PedsQL), family functioning (PedsQL Family Impact Module), and parent well‐being (Patient Reported Outcomes Measurement Information System Adult Global Report). Participants completed the preschool HEAR‐QL 2 weeks later to measure test–retest reliability. Exploratory principal components analysis was used to reduce the number of items and determine the underlying HEAR‐QL factor structure. Analysis of variance examined HEAR‐QL differences by HL. Results Among 205 parents, 144 had children with bilateral HL, 50 had children with unilateral HL, 10 had children with normal hearing (NH), and one child's hearing status was unspecified. The 70‐item questionnaire was reduced to 23 items with five underlying factors: Behavior and Attention, Hearing Environments, New Social Situations, Social Interactions, and Communication. Cronbach's alpha for each factor ranged from 0.80 to 0.91. Test–retest reliability was 0.93. Moderate‐to‐strong correlations (r > .300) were observed between each Preschool HEAR‐QL factor and previously validated measures. Hearing Environments scores differed significantly between children with NH and any HL. Conclusion Preschool HEAR‐QL correlations with other measures supported its construct validity. Discriminant validity testing requires a larger sample of children with NH. Level of Evidence NA Laryngoscope, 131:663–670, 2021

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Long-term auditory processing outcomes in early implanted young adults with cochlear implants: The mismatch negativity vs. P300 response

Abrahamse

Beynon

Piai

2021

Clinical Neurophysiology

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Parents' Perception of Health-Related Quality of Life in Children With Cochlear Implants: The Impact of Language Skills and Hearing

Abstract: The findings suggest that the social and school situation is not yet resolved satisfactorily for children with CIs. Habilitation focusing on spoken language skills and better sound environment may improve social interactions with peers and overall school functioning.

Cited by 31 publications

References 79 publications

Executive Functions, Pragmatic Skills, and Mental Health in Children With Congenital Cytomegalovirus (CMV) Infection With Cochlear Implants: A Pilot Study

Executive Functions, Pragmatic Skills, and Mental Health in Children With Congenital Cytomegalovirus (CMV) Infection With Cochlear Implants: A Pilot Study

Validation of a Parent Proxy Quality‐of‐Life Measure for Young Children With Hearing Loss

Long-term auditory processing outcomes in early implanted young adults with cochlear implants: The mismatch negativity vs. P300 response

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