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Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants.
Int J Audiol. 2018 05; 57(sup2):S55-S69.IJ

Abstract

OBJECTIVE

This study investigated the factors influencing 5-year language, speech and everyday functioning of children with congenital hearing loss.

DESIGN

Standardised tests including PLS-4, PPVT-4 and DEAP were directly administered to children. Parent reports on language (CDI) and everyday functioning (PEACH) were collected. Regression analyses were conducted to examine the influence of a range of demographic variables on outcomes.

STUDY SAMPLE

Participants were 339 children enrolled in the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study.

RESULTS

Children's average receptive and expressive language scores were approximately 1 SD below the mean of typically developing children, and scores on speech production and everyday functioning were more than 1 SD below. Regression models accounted for 70-23% of variance in scores across different tests. Earlier CI switch-on and higher non-verbal ability were associated with better outcomes in most domains. Earlier HA fitting and use of oral communication were associated with better outcomes on directly administered language assessments. Severity of hearing loss and maternal education influenced outcomes of children with HAs. The presence of additional disabilities affected outcomes of children with CIs.

CONCLUSIONS

The findings provide strong evidence for the benefits of early HA fitting and early CI for improving children's outcomes.

Authors+Show Affiliations

a Department of Linguistics and Centre for Cognition and its Disorders , Macquarie University , Sydney , Australia.b National Acoustic Laboratories , Sydney , Australia , and. c The Hearing CRC , Melbourne , Australia.b National Acoustic Laboratories , Sydney , Australia , and. c The Hearing CRC , Melbourne , Australia.b National Acoustic Laboratories , Sydney , Australia , and. c The Hearing CRC , Melbourne , Australia.b National Acoustic Laboratories , Sydney , Australia , and. c The Hearing CRC , Melbourne , Australia.b National Acoustic Laboratories , Sydney , Australia , and. c The Hearing CRC , Melbourne , Australia.b National Acoustic Laboratories , Sydney , Australia , and. c The Hearing CRC , Melbourne , Australia.b National Acoustic Laboratories , Sydney , Australia , and. c The Hearing CRC , Melbourne , Australia.b National Acoustic Laboratories , Sydney , Australia , and. c The Hearing CRC , Melbourne , Australia.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

28899200

Citation

Cupples, Linda, et al. "Spoken Language and Everyday Functioning in 5-year-old Children Using Hearing Aids or Cochlear Implants." International Journal of Audiology, vol. 57, no. sup2, 2018, pp. S55-S69.
Cupples L, Ching TY, Button L, et al. Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants. Int J Audiol. 2018;57(sup2):S55-S69.
Cupples, L., Ching, T. Y., Button, L., Seeto, M., Zhang, V., Whitfield, J., Gunnourie, M., Martin, L., & Marnane, V. (2018). Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants. International Journal of Audiology, 57(sup2), S55-S69. https://doi.org/10.1080/14992027.2017.1370140
Cupples L, et al. Spoken Language and Everyday Functioning in 5-year-old Children Using Hearing Aids or Cochlear Implants. Int J Audiol. 2018;57(sup2):S55-S69. PubMed PMID: 28899200.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants. AU - Cupples,Linda, AU - Ching,Teresa Yc, AU - Button,Laura, AU - Seeto,Mark, AU - Zhang,Vicky, AU - Whitfield,Jessica, AU - Gunnourie,Miriam, AU - Martin,Louise, AU - Marnane,Vivienne, Y1 - 2017/09/12/ PY - 2017/9/14/pubmed PY - 2019/9/19/medline PY - 2017/9/14/entrez KW - Children KW - cochlear implants KW - early intervention KW - everyday functioning KW - hearing aids KW - hearing loss KW - language and speech KW - predictors of outcomes SP - S55 EP - S69 JF - International journal of audiology JO - Int J Audiol VL - 57 IS - sup2 N2 - OBJECTIVE: This study investigated the factors influencing 5-year language, speech and everyday functioning of children with congenital hearing loss. DESIGN: Standardised tests including PLS-4, PPVT-4 and DEAP were directly administered to children. Parent reports on language (CDI) and everyday functioning (PEACH) were collected. Regression analyses were conducted to examine the influence of a range of demographic variables on outcomes. STUDY SAMPLE: Participants were 339 children enrolled in the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study. RESULTS: Children's average receptive and expressive language scores were approximately 1 SD below the mean of typically developing children, and scores on speech production and everyday functioning were more than 1 SD below. Regression models accounted for 70-23% of variance in scores across different tests. Earlier CI switch-on and higher non-verbal ability were associated with better outcomes in most domains. Earlier HA fitting and use of oral communication were associated with better outcomes on directly administered language assessments. Severity of hearing loss and maternal education influenced outcomes of children with HAs. The presence of additional disabilities affected outcomes of children with CIs. CONCLUSIONS: The findings provide strong evidence for the benefits of early HA fitting and early CI for improving children's outcomes. SN - 1708-8186 UR - https://www.unboundmedicine.com/medline/citation/28899200/Spoken_language_and_everyday_functioning_in_5_year_old_children_using_hearing_aids_or_cochlear_implants_ L2 - http://www.tandfonline.com/doi/full/10.1080/14992027.2017.1370140 DB - PRIME DP - Unbound Medicine ER -