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Bongioletti J, Doble M, Purcell A. Conversation and pragmatics in children who are hard-of-hearing: a scoping review. JOURNAL OF DEAF STUDIES AND DEAF EDUCATION 2024:enae011. [PMID: 38757199 DOI: 10.1093/deafed/enae011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 02/05/2024] [Accepted: 02/21/2024] [Indexed: 05/18/2024]
Abstract
Technological and therapeutic advances have allowed many children who are born hard-of-hearing (HoH) to start school with age-appropriate spoken language skills, yet many of these children continue to find everyday conversations challenging. This scoping review maps the evidence related to development of conversation and pragmatic skills in children who are HoH and learning spoken language. The review followed Arksey and O'Malley's methodological framework and the PRISMA Extension for Scoping Reviews guidelines. Quality appraisal, data extraction, and thematic analysis were used to describe the data. Systematic searches identified 36 articles for inclusion. Sample sizes were small and heterogenous. Most studies focused on school-aged children with severe hearing loss or greater. Methodological rigor varied. Thematic analysis revealed two global themes. First, children who are HoH continue to find conversation and pragmatics difficult to master, and second, there are a set of audiological, communication, environmental, and demographic characteristics that are associated with better conversation and pragmatic outcomes, some of which are fixed, whereas others are malleable. Focused attention on designing valid and reliable assessments for conversation and pragmatic skills, and on developing therapeutic approaches targeting early conversation and pragmatic skill development, is needed to reduce the impact conversation and pragmatic differences across the lifespan.
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Affiliation(s)
- Jenna Bongioletti
- Faculty of Medicine and Health, Discipline of Speech Pathology, The University of Sydney, Camperdown, NSW, Australia
| | - Maree Doble
- Faculty of Medicine and Health, Discipline of Speech Pathology, The University of Sydney, Camperdown, NSW, Australia
| | - Alison Purcell
- School of Health Sciences, Speech Pathology, Western Sydney University, Campbelltown, NSW, Australia
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Han Y, Li S, Song Y, Sun J, Yan W, Wang J, Gao X, Li X, Ren C, Zhao Q. Risk factors for infant hearing loss: a meta-analysis. Eur J Pediatr 2024; 183:2401-2409. [PMID: 38456989 DOI: 10.1007/s00431-024-05498-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 02/21/2024] [Accepted: 02/28/2024] [Indexed: 03/09/2024]
Abstract
Hearing loss is a common disability in infants that significantly impacts their cognitive, language, and literacy development. This study aimed to systematically assess the risk factors for the early identification and intervention in infant hearing loss. Databases were searched for meta-analyses of observational studies until November 2023. The quality assessment was performed using the Cochrane risk of bias tool, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to assess the certainty of the evidence. A meta-analysis identified 14 risk factors significantly associated with infant hearing loss. According to the GRADE approach, there were four factors with moderate-certainty evidence (low birth weight(LBW), congenital anomalies, craniofacial anomalies, intracranial hemorrhages), seven factors with low-certainty evidence (ototoxic medications, family history of hearing loss, mechanical ventilation > 5 days, intrauterine infection, admission to neonatal intensive care unit (NICU) > 5 days, mechanical ventilation and asphyxia) and six with extremely-low-certainty evidence (very low birth weight < 1500 g (VLBW), hyperbilirubinemia, sepsis or meningitis, male sex, premature birth, small for gestational age (SGA)). Nevertheless, no significant association was found between infant hearing loss and factors such as small for gestational age (SGA), male sex, and premature birth (P > 0.05). Conclusion: The identification of these 14 interrelated risk factors can prove advantageous in clinical practice, as these findings could guide hearing screening and parental counseling. Furthermore, prospective research could be conducted to develop risk-based scoring systems based on these factors. What is Known: • Infant hearing loss is a worldwide issue. • Risk factors for this condition are debated. What is New: • This is the first meta-analysis to comprehensively evaluate perinatal and postnatal risk factors for hearing loss in infants. • Intracranial hemorrhage, mechanical ventilation, and low birth weight are associated with infant hearing loss. However, no evidence of an association was found between premature birth, being small for gestational age, or male sex and hearing loss.
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Affiliation(s)
- Yiwei Han
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China
| | - Shangbin Li
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China
| | - Yankun Song
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China
| | - Jingfei Sun
- Department of Pediatrics, Zhengding People's Hospital, Shijiazhuang, 050000, China
| | - Weichen Yan
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China
| | - Jie Wang
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China
| | - Xiong Gao
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China
| | - Xueying Li
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China
| | - Changjun Ren
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China.
| | - Qian Zhao
- Department of Pediatrics, First Hospital of Hebei Medical University, Hebei Medical University, Shijiazhuang, 050000, China.
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Nicastri M, Dinçer D'Alessandro H, Giallini I, D'Amico A, Geraci A, Inguscio BMS, Guerzoni L, Cuda D, Vestri A, Fegatelli DA, Mancini P. Emotional abilities in preadolescents and adolescents with long-term cochlear implant use. Int J Pediatr Otorhinolaryngol 2024; 177:111866. [PMID: 38224654 DOI: 10.1016/j.ijporl.2024.111866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 01/10/2024] [Indexed: 01/17/2024]
Abstract
OBJECTIVES Emotional abilities (EAs) are particularly important during preadolescence/adolescence, two challenging periods characterized by significant biological, physical, and cognitive changes. The present study attempted to a holistic EA approach in preadolescents/adolescents with cochlear implants (CI) and typical hearing (TH), considering various aspects such as perception, cognitive facilitation, comprehension, and management of emotions. A secondary aim was to identify significant demographic and audiological factors of EA development. METHODS CI/TH groups were matched for chronological age, nonverbal IQ, gender, economic income, and maternal level of education. Each group consisted of 43 participants (age range 10-18 years). EAs were evaluated by using the multi-trait/method IE-ACCME test. Auditory-linguistic assessments included participants' lexical skills and Matrix performance as well. RESULTS EA performance for perception and cognitive facilitation did not show any statistically significant CI/TH group differences (p > 0.05). Significant CI/TH differences emerged for emotion comprehension and management: CI group performed significantly worse in understanding emotional blends (t = 2.56, p = 0.014) but better in personal emotion management (t = -2.01, p = 0.048). For the CI group, gender showed statistically significant effects on cognitive facilitation in sensations, with males performing better than females (U = 129, p = 0.018). TH preadolescents showed significantly lower scores in understanding emotional changes in comparison to TH adolescents (U = 125.5, p = 0.01). Emotional blends understanding showed a weak negative correlation with Matrix performance (r = - 0.38, p = 0.013) and a moderate positive correlation with lexical skills (r = 0.40, p = 0.008). Relationships management showed various significant correlations: weak negative correlations with age at CI (r = - 0.38, p = 0.011) and Matrix performance (r = - 0.36, p = 0.016) as well as weak positive correlations with nonverbal-IQ (r = 0.38, p = 0.013) and positive moderate correlations with lexical skills (r = 0.49, p < 0.001). CONCLUSION Cochlear implantation seems to show significant positive effects on emotional development in children, allowing them to achieve age appropriate EAs as they grow up and become preadolescents/adolescents. EA assessment in CI users may not only support monitorization of EA trajectory, but also early identification of any EA disorders, so that subjects with low EA profiles could be timely and properly intervened.
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Affiliation(s)
- Maria Nicastri
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
| | - Hilal Dinçer D'Alessandro
- Department of Audiology, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey.
| | - Ilaria Giallini
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
| | - Antonella D'Amico
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy; WeSearch Lab - Laboratory of Behavioral Observation and Research on Human Development, University of Palermo, Palermo, Italy
| | - Alessandro Geraci
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy; WeSearch Lab - Laboratory of Behavioral Observation and Research on Human Development, University of Palermo, Palermo, Italy
| | | | - Letizia Guerzoni
- Department of Otorhinolaryngology, "Guglielmo da Saliceto" Hospital, Piacenza, Italy
| | - Domenico Cuda
- Department of Otorhinolaryngology, "Guglielmo da Saliceto" Hospital, Piacenza, Italy
| | - Annarita Vestri
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Danilo Alunni Fegatelli
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Patrizia Mancini
- Department of Sense Organs, Sapienza University of Rome, Rome, Italy
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Rush O, Werfel KL, Lund E. Lexical-Semantic Organization as Measured by Repeated Word Association in Children Who Are Deaf and Hard of Hearing Who Use Spoken Language. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:3925-3939. [PMID: 37591230 PMCID: PMC10713021 DOI: 10.1044/2023_jslhr-23-00096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 04/12/2023] [Accepted: 06/12/2023] [Indexed: 08/19/2023]
Abstract
PURPOSE This study compares responses of children who are deaf and hard of hearing (DHH) who use spoken language with responses of children who have typical hearing on a repeated word association task to evaluate lexical-semantic organization. METHOD This study included 109 participants in early kindergarten or who had completed first grade. The younger group included 30 children with typical hearing, 22 with hearing aids, and 21 with cochlear implants. The older group included 16 children with typical hearing, nine with hearing aids, and 11 with cochlear implants. Children were asked to give a word associated with 24 stimuli words. Responses were coded according to their relation to the target. RESULTS An analysis of variance revealed that older children, regardless of hearing status, produced more semantically related responses to prompts than younger children. Children in the younger DHH group differed from children with typical hearing in their production of non-semantically related responses: They produced errored responses at higher rates. CONCLUSION This preliminary data may indicate an early deficit in recognition of semantic relations between words for children who are DHH and provides a basis for continued longitudinal study of changes in lexical-semantic organization.
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Affiliation(s)
- Olivia Rush
- Davies School of Communication Sciences and Disorders, Texas Christian University, Fort Worth
| | | | - Emily Lund
- Davies School of Communication Sciences and Disorders, Texas Christian University, Fort Worth
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Carew P, Shepherd DA, Smith L, Howell T, Lin M, Bavin EL, Reilly S, Wake M, Sung V. Spoken Expressive Vocabulary in 2-Year-Old Children with Hearing Loss: A Community Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1223. [PMID: 37508720 PMCID: PMC10377817 DOI: 10.3390/children10071223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 06/30/2023] [Accepted: 07/10/2023] [Indexed: 07/30/2023]
Abstract
Through a cross-sectional community study of 2044 children aged 2 years, we (1) examine the impact of hearing loss on early spoken expressive vocabulary outcomes and (2) investigate how early intervention-related factors impact expressive vocabulary outcomes in children with hearing loss predominantly identified through universal newborn hearing screening. We used validated parent/caregiver-reported checklists from two longitudinal cohorts (302 children with unilateral or bilateral hearing loss, 1742 children without hearing loss) representing the same population in Victoria, Australia. The impact of hearing loss and amplification-related factors on vocabulary was estimated using g-computation and multivariable linear regression. Children with versus without hearing loss had poorer expressive vocabulary scores, with mean scores for bilateral loss 0.5 (mild loss) to 0.9 (profound loss) standard deviations lower and for unilateral loss marginally (0.1 to 0.3 standard deviations) lower. For children with hearing loss, early intervention and amplification by 3 months, rather than by 6 months or older, resulted in higher expressive vocabulary scores. Children with hearing loss demonstrated delayed spoken expressive vocabulary despite whole-state systems of early detection and intervention. Our findings align with calls to achieve a 1-2-3 month timeline for early hearing detection and intervention benchmarks for screening, identification, and intervention.
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Affiliation(s)
- Peter Carew
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
- Department of Audiology and Speech Pathology, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Daisy A Shepherd
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
- Department of Paediatrics, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Libby Smith
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
| | - Tegan Howell
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
| | - Michelle Lin
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
- Department of Audiology and Speech Pathology, The University of Melbourne, Parkville, VIC 3010, Australia
| | - Edith L Bavin
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
- School of Psychology and Public Health, La Trobe University, Bundoora, VIC 3086, Australia
| | - Sheena Reilly
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
- Department of Paediatrics, The University of Melbourne, Parkville, VIC 3010, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD 4222, Australia
| | - Melissa Wake
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
- Department of Paediatrics, The University of Melbourne, Parkville, VIC 3010, Australia
- Liggins Institute, University of Auckland, Auckland 1023, New Zealand
| | - Valerie Sung
- Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC 3052, Australia
- Department of Paediatrics, The University of Melbourne, Parkville, VIC 3010, Australia
- Centre for Community Child Health, Royal Children's Hospital, Parkville, VIC 3052, Australia
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Nicastri M, Lo Castro F, Giallini I, Inguscio BMS, Mariani L, Portanova G, Ruoppolo G, Orlando MP, Dincer D'Alessandro H, Mancini P. Vocal singing skills by cochlear implanted children without formal musical training: Familiar versus unfamiliar songs. Int J Pediatr Otorhinolaryngol 2023; 170:111605. [PMID: 37245390 DOI: 10.1016/j.ijporl.2023.111605] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 05/03/2023] [Accepted: 05/21/2023] [Indexed: 05/30/2023]
Abstract
OBJECTIVES Vocal singing skills in pediatric CI users are not much known due to the limited number of studies. The principal aim of the present study was to evaluate vocal singing skills in Italian pediatric CI users. A further aim was to investigate factors that may significantly influence their performance. METHODS The participants were twenty-two implanted children and twenty-two hearing peers. Their vocal singing skills for familiar ("Happy Birthday to You") and unfamiliar songs ("Baton Twirler" from Pam Pam 2- Tribute to Gordon) were evaluated in relation to their music perception (the Gordon test). Acoustic analysis was performed using Praat and MATLAB software. Nonparametric statistical tests and principal component analysis (PCA) were used to analyze the data. RESULTS Hearing children outperformed implanted peers in both music perception and vocal singing tasks (all measures regarding intonation, vocal range, melody, and memory for the familiar song versus measures regarding intonation and overall melody production for the unfamiliar song). Music perception and vocal singing performances revealed strong correlations. For the familiar and unfamiliar songs, age-appropriate vocal singing was observed in 27.3% versus 45.4% of children, all implanted within 24 months of age. Age at implantation and duration of CI experience were moderately correlated with the total score obtained from the Gordon test. CONCLUSION Implanted children show limited vocal singing skills in comparison to their hearing peers. However, some children implanted within 24 months of age seem to achieve vocal singing skills as good as their hearing peers. Future research could be useful to better understand the role of brain plasticity to implement specific training programs for both music perception and vocal singing.
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Affiliation(s)
- Maria Nicastri
- Department of Sense Organs, Sapienza University, Rome, Italy
| | - Fabio Lo Castro
- CNR-INM-Section of Acoustics and Sensors "O.M.ca Corbino", 00133, Rome, Italy
| | - Ilaria Giallini
- Department of Sense Organs, Sapienza University, Rome, Italy
| | | | - Laura Mariani
- Department of Sense Organs, Sapienza University, Rome, Italy
| | | | | | | | - Hilal Dincer D'Alessandro
- Istanbul University-Cerrahpasa, Faculty of Health Sciences, Department of Audiology, Istanbul, Turkey.
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Lim TZ, Chen PH. Does the duration matter? Effect of cochlear implantation on language development in Mandarin-speaking children with hearing loss. Cochlear Implants Int 2023:1-11. [PMID: 36972402 DOI: 10.1080/14670100.2023.2194052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
Abstract
OBJECTIVE Several studies have shown that cochlear implantation (CI) can influence language development in children with severe-to-profound hearing loss. However, whether the age of implantation and duration of CI use influence language development remains unclear, particularly in Mandarin-speaking children with hearing loss. Therefore, this study investigated the effects of CI-related variables on language development in these children. METHODS The present study recruited 133 Mandarin-speaking children with hearing loss, aged between 36 and 71 months chronologically, from a nonprofit organisation in Taiwan. The Revised Preschool Language Assessment (RPLA) was used to evaluate the children's language performance. RESULTS Children with hearing loss demonstrated delayed language comprehension and oral expression. Among them, 34% achieved age-appropriate language development. The duration of CI use had a significant direct effect on language-related abilities. Conversely, the age of implantation did not have a significant direct effect. Furthermore, the age of initial interventions (auditory-oral) had a significant direct effect only on language comprehension. Compared with the age of implantation, the duration of CI use was a significant mediator of language-related abilities. CONCLUSION In Mandarin-speaking children with late CIs, the duration of CI use is a more effective mediator of language development than the age of implantation.
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Affiliation(s)
- Tang Zhi Lim
- Speech and Hearing Science Research Institute, Children's Hearing Foundation, Taipei, Taiwan
| | - Pei-Hua Chen
- Speech and Hearing Science Research Institute, Children's Hearing Foundation, Taipei, Taiwan
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Usha GP, Alex JSR. Speech assessment tool methods for speech impaired children: a systematic literature review on the state-of-the-art in Speech impairment analysis. MULTIMEDIA TOOLS AND APPLICATIONS 2023; 82:1-38. [PMID: 37362682 PMCID: PMC9986674 DOI: 10.1007/s11042-023-14913-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 12/23/2022] [Accepted: 02/12/2023] [Indexed: 06/28/2023]
Abstract
Speech is a powerful, natural mode of communication that facilitates effective interactions in human societies. However, when fluency or flow of speech is affected or interrupted, it leads to speech impairment. There are several types of speech impairment depending on the speech pattern and range from mild to severe. Childhood apraxia of speech (CAS) is the most common speech disorder in children, with 1 out of 12 children diagnosed globally. Significant advancements in speech assessment tools have been reported to assist speech-language pathologists diagnosis speech impairment. In recent years, speech assessment tools have also gained popularity among pediatricians and teachers who work with preschoolers. Automatic speech tools can be more accurate for detecting speech sound disorders (SSD) than human-based speech assessment methods. This systematic literature review covers 88 studies, including more than 500 children, infants, toddlers, and a few adolescents, (both male and female) (age = 0-17) representing speech impairment from more than 10 countries. It discusses the state-of-the-art speech assessment methods, including tools, techniques, and protocols for speech-impaired children. Additionally, this review summarizes notable outcomes in detecting speech impairments using said assessment methods and discusses various limitations such as universality, reliability, and validity. Finally, we consider the challenges and future directions for speech impairment assessment tool research.
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Affiliation(s)
- Gowri Prasood Usha
- School of Electronics Engineering, Vellore Institute of Technology, Chennai, 600127 India
| | - John Sahaya Rani Alex
- School of Electronics Engineering, Vellore Institute of Technology, Chennai, 600127 India
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Edquist G, Flynn T, Jennische M. Expressive vocabulary of school-age children with mild to moderately severe hearing loss. Int J Pediatr Otorhinolaryngol 2022; 162:111281. [PMID: 36001910 DOI: 10.1016/j.ijporl.2022.111281] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 08/06/2022] [Accepted: 08/11/2022] [Indexed: 10/31/2022]
Abstract
OBJECTIVES The main goal of this study was to describe the expressive vocabulary of school-age children with mild to moderately severe hearing loss (CHL group) and to compare their performance with children with normal hearing (CNH group) of the same age. Another aim was to examine the interaction between nonword repetition and expressive vocabulary size. Furthermore, the interaction between results on vocabulary tests and background factors, such as the age of diagnosis, age of hearing aid fitting, and amount of hearing aid use, was explored. METHOD School-aged children with mild to moderately severe, permanent bilateral hearing loss and children with normal hearing were included in this cross-sectional study. The children participated in assessments of naming pictures, defining words, and repetition of nonwords and sentences. Results of the CHL group and the CNH group were compared. The analysis also included the degree of hearing loss, the age of diagnosis, amount of hearing aid use, and level of parental education. RESULTS The CHL group performed significantly below the CNH group on all measures: picture naming, defining words, nonword repetition, and repetition of sentences. The proportion of words pronounced with correct phonological structure when picture naming was more limited in the CHL group than in the CNH group. There was a significant positive correlation between the amount of hearing aid use and nonword repetition ability in the CHL group. Age of diagnosis and age of hearing aid fitting was not significantly correlated with the outcomes of the vocabulary assessments in this study. CONCLUSION Despite the technological advancement of hearing aids, the expressive vocabulary in school-aged children with mild to moderately severe, permanent bilateral, hearing impairment does not reach the same level as for children with normal hearing, although there is a variation in performance within the group. The variation in the CHL group was not uniquely impacted by either age, degree of hearing loss, or the age of diagnosis. The amount of hearing aid use seems to impact the perception of new words. More studies of expressive vocabulary are needed, because they capture a dimension of word learning that seems particularly sensitive to hearing loss and hearing aid use.
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Affiliation(s)
- Gertrud Edquist
- Department of Public Health and Caring Sciences, Uppsala University, Sweden.
| | - Traci Flynn
- Hearing Australia, University of Newcastle, College of Human and Social Futures, School of Humanities, Creative Industries and Social Sciences, Sydney, Australia
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Farquharson K, Oleson J, McCreery RW, Walker EA. Auditory Experience, Speech Sound Production Growth, and Early Literacy in Children Who Are Hard of Hearing. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2022; 31:2092-2107. [PMID: 36037481 PMCID: PMC9907434 DOI: 10.1044/2022_ajslp-21-00400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 04/20/2022] [Accepted: 05/27/2022] [Indexed: 06/15/2023]
Abstract
PURPOSE Children who are hard of hearing (CHH) are at risk for literacy difficulties. Speech sound production is related to literacy skills in typically hearing children. Speech sound production abilities can also be markedly weak in CHH due to inconsistent access to the speech signal. We longitudinally examined relations between auditory experience, speech sound production abilities, and literacy (i.e., nonword reading and spelling in second grade) in CHH. METHOD Participants included 166 CHH. All participants used hearing aids (HAs). Auditory experience is a weighted measure of the number of hours of daily HA use and the amount of audibility with and without their HAs. Children's speech sound production was tested 2-3 times between the ages of 3 and 9 years. At age 5 years and again in second grade, children were tested on a battery of language and literacy measures. RESULTS Auditory experience was significantly correlated with speech sound production abilities, but age at HA fitting was not. Speech sound production abilities at age 5 years did not predict nonword reading in second grade but did predict spelling skills in second grade. CONCLUSIONS Our results support the importance of auditory experience and speech sound production for later literacy abilities. Specifically, we found that speech sound production abilities and print knowledge at age 5 years are related to second grade spelling outcomes. Interestingly, we found that morphological knowledge at age 5 years was more predictive of decoding in second grade than was speech sound production. Although there are multiple factors that contribute to literacy success, our results underscore the unique contributions of speech sound production abilities in CHH.
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Affiliation(s)
- Kelly Farquharson
- School of Communication Science and Disorders, Florida State University, Tallahassee
| | - Jacob Oleson
- Department of Biostatistics, University of Iowa, Iowa City
| | - Ryan W. McCreery
- Audibility, Perception, and Cognition Laboratory, Boys Town National Research Hospital, Omaha, NE
| | - Elizabeth A. Walker
- Department of Communication Sciences and Disorders, University of Iowa, Iowa City
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Grey B, Deutchki EK, Lund EA, Werfel KL. Impact of Meeting Early Hearing Detection and Intervention Benchmarks on Spoken Language. JOURNAL OF EARLY INTERVENTION 2022; 44:235-251. [PMID: 36072546 PMCID: PMC9447840 DOI: 10.1177/10538151211025210] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
This study compared preschool spoken language outcomes for children with hearing loss who met Early Hearing Detection and Intervention (EHDI) guidelines to those who did not, as well as to compare outcomes for those who met current EHDI guidelines to those who met earlier benchmarks. Finally, the predictive role of meeting each component of the guidelines was evaluated relative to language outcomes. Children who met the EHDI guidelines had higher language scores than those who did not; however, there was no difference between children who met the current guidelines and those who met the earlier benchmarks. Entering early intervention by six months of age was the only unique predictor of spoken language outcomes. The findings suggest that EHDI programs should target increasing the number of children with hearing loss who meet the current 1-3-6 benchmarks with a particular focus on enrollment in early intervention by six months.
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Doncarli A, Tillaut H, Akkari M, Baladi B, Creutz‐Leroy M, Parodi M, Beltzer N, Goulet V, Regnault N. Main outcomes from the first two years of France's screening programme for neonatal permanent hearing loss through a descriptive study. Acta Paediatr 2022; 111:1907-1913. [PMID: 35642710 DOI: 10.1111/apa.16438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 05/30/2022] [Accepted: 05/31/2022] [Indexed: 11/30/2022]
Abstract
AIM This study aimed to evaluate the implementation of France's neonatal hearing loss screening programme two years after its launch, and to estimate permanent bilateral neonatal hearing loss (PBNHL) prevalence and distribution by severity. METHODS This descriptive study used aggregated regional data on all births in France in 2015-2016. Screening coverage, refusal rate, positive predictive value (PPV), proportion of children with suspected PBNHL, PBNHL prevalence and distribution by severity were calculated. RESULTS 800,000 neonates were eligible for the screening programme per year. Between 2015 and 2016, screening coverage increased (83.3 vs 93.8%; p<0.001), and the refusal rate remained stable (0.1%). In 2016, when considering the additional tests performed several weeks after birth, the proportion of suspected PBNHL neonates decreased (1.4 vs 0.9%) while the PPV increased (4.7 vs 7.6%). In 2015, the estimated prevalence of PBNHL (moderate to profound) was 0.09% (95% CI 0.08-0.10). Among neonates with >=41 decibels deficit, 56.8%, 16.6%, and 26.6% had moderate, severe and profound hearing loss, respectively. CONCLUSION The national target of 90% screening coverage was exceeded. The additional test could be useful to avoid overcrowding in diagnostic structures. Diagnostic data quality must be improved to confirm PBNHL prevalence and distribution by severity.
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Affiliation(s)
- A. Doncarli
- Santé publique France, French national public health agency, Non‐Communicable Diseases and Trauma Division Saint‐Maurice France
| | - H. Tillaut
- Santé publique France, French national public health agency, regional office of Brittany Saint‐Maurice France
| | - M. Akkari
- Ear, Nose and Throat &Head and Neck Surgery, University Hospital Gui de Chauliac University of Montpellier France
- Perinatal Network of Occitanie France
| | - B. Baladi
- Perinatal Network of Occitanie France
- Department of Otorhinolaryngology and Head and Neck Surgery Purpan University Hospital Toulouse France
| | | | - M. Parodi
- Pediatric Ear, Nose and Throat & Head and Neck Surgery department, CRMR MALO University Hospital Necker‐Enfants malades AP‐ HP Paris France
| | - N. Beltzer
- Santé publique France, French national public health agency, Non‐Communicable Diseases and Trauma Division Saint‐Maurice France
| | - V. Goulet
- Santé publique France, French national public health agency, Non‐Communicable Diseases and Trauma Division Saint‐Maurice France
| | - N. Regnault
- Santé publique France, French national public health agency, Non‐Communicable Diseases and Trauma Division Saint‐Maurice France
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Davis A, Harrison E, Cowan R. The Feasibility of the Functional Listening Index—Paediatric (FLI-P®) for Young Children with Hearing Loss. J Clin Med 2022; 11:jcm11102764. [PMID: 35628890 PMCID: PMC9143676 DOI: 10.3390/jcm11102764] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 04/30/2022] [Accepted: 05/05/2022] [Indexed: 12/04/2022] Open
Abstract
(1) Background: There is clear evidence supporting the need for individualized early intervention in children with hearing loss. However, relying on hearing thresholds and speech and language test results to guide intervention alone is problematic, particularly in infants and young children. This study aimed to establish the feasibility of a tool to monitor the development of functional listening skills to inform early and ongoing decisions by parents and professionals. (2) Methods: The FLI-P® is a 64-item checklist completed by parents and/or a child’s team. The listening development of 543 children with hearing loss enrolled in an early intervention and cochlear implant program was tracked with the FLI-P over a 6-year period. The scores for individual children were grouped according to hearing loss, device, additional needs, and age at device fitting. (3) Results: Results indicate that the FLI-P is a feasible and viable clinical measure that can be used to identify and track a child’s developing listening skills. Its use across a wide range of children supports its broad application. Children’s individual scores and aggregated group data were consistent with indicated expected differences and variations. Children’s individual scores and aggregated group data indicated expected differences and variations. (4) Conclusions: Information provided by children’s listening scores on the FLI-P can guide and support discussions and intervention decisions and bridge the gap between information from audiological assessments and language measures.
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Affiliation(s)
- Aleisha Davis
- Department of Linguistics, Macquarie University, Sydney 2109, Australia; (E.H.); (R.C.)
- The Shepherd Centre, 146 Burren Street, Sydney 2042, Australia
- Correspondence: ; Tel.: +61-414-692-971
| | - Elisabeth Harrison
- Department of Linguistics, Macquarie University, Sydney 2109, Australia; (E.H.); (R.C.)
| | - Robert Cowan
- Department of Linguistics, Macquarie University, Sydney 2109, Australia; (E.H.); (R.C.)
- Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne 3010, Australia
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14
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Löfkvist U, Nilsson S, Thalén Y, Östlund E, Mared H, Johansson C, Anmyr L, Karltorp E. Gender differences in caregiver's use of spoken language with young children who are hard-of-hearing. Int J Pediatr Otorhinolaryngol 2022; 156:111103. [PMID: 35316756 DOI: 10.1016/j.ijporl.2022.111103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 02/07/2022] [Accepted: 03/10/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE Shared parenting among caregivers of different gender is common in the Swedish society. It is unclear if this includes shared contribution for children's language development. The objective of this cross-sectional study was to explore the natural language environment of children who were hard-of-hearing compared to typically hearing controls. METHODS Seventy-two families with children aged 7-35 months participated; 22 children who were hard-of-hearing (Cochlear implants, n=11; Hearing aids, n=11) and 50 controls with typical hearing. The majority of caregivers had higher education background level, especially in the control group. Families conducted a daylong recording with the Language Environment Analysis technology, when both parents were present at home. An Interpreted Time Segmental analysis was performed to extract information about female versus male caregivers quantitative word use. RESULTS The results showed significant gender differences related to number of adult words, with less male words than female words (p <0.001). Male caregivers of children who were hard-of-hearing contributed with around 27 % of adult words during the recordings while males in the control group contributed with 37 %. There was a larger variation in number of female words in the study group than for controls, especially in mothers of children with cochlear implants. CONCLUSIONS Female caregivers talk significantly more close to young children than male caregivers, and especially in the subgroup of children with cochlear implants. Children who are hard-of-hearing are dependent on a rich language environment, and might be especially vulnerable if male caregivers are less involved as language facilitators. More studies are needed to explore caregiver gender differences, both related to quantitative and qualitative language stimulation.
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Affiliation(s)
- Ulrika Löfkvist
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Department of CLINTEC, Karolinska Institute, Stockholm, Sweden.
| | - Sandra Nilsson
- Assistive Technology Center of Dalarna, Region Dalarna, Sweden; School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
| | - Yvonne Thalén
- County Council of Värmland, Department of Otorhinolaryngology, Central Hospital Karlstad, Karlstad, Sweden
| | - Elisabet Östlund
- Department of ENT, Karolinska University Hospital, Stockholm, Sweden; Karolinska University Hospital, Speech and Language Pathology, Stockholm, Sweden
| | - Hanna Mared
- Karolinska University Hospital, Speech and Language Pathology, Stockholm, Sweden; Department of Hearing & Balance Clinic, Karolinska University Hospital, Stockholm, Sweden
| | - Carina Johansson
- Region Västra Götaland, Habilitation & Health, Hearing Organization, Borås, Sweden
| | - Lena Anmyr
- Department of CLINTEC, Karolinska Institute, Stockholm, Sweden; Department of Social Work in Health, Karolinska University Hospital, Sweden
| | - Eva Karltorp
- Department of CLINTEC, Karolinska Institute, Stockholm, Sweden; Department of ENT, Karolinska University Hospital, Stockholm, Sweden
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15
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Grégoire A, Deggouj N, Dricot L, Decat M, Kupers R. Brain Morphological Modifications in Congenital and Acquired Auditory Deprivation: A Systematic Review and Coordinate-Based Meta-Analysis. Front Neurosci 2022; 16:850245. [PMID: 35418829 PMCID: PMC8995770 DOI: 10.3389/fnins.2022.850245] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Accepted: 03/01/2022] [Indexed: 12/02/2022] Open
Abstract
Neuroplasticity following deafness has been widely demonstrated in both humans and animals, but the anatomical substrate of these changes is not yet clear in human brain. However, it is of high importance since hearing loss is a growing problem due to aging population. Moreover, knowing these brain changes could help to understand some disappointing results with cochlear implant, and therefore could improve hearing rehabilitation. A systematic review and a coordinate-based meta-analysis were realized about the morphological brain changes highlighted by MRI in severe to profound hearing loss, congenital and acquired before or after language onset. 25 papers were included in our review, concerning more than 400 deaf subjects, most of them presenting prelingual deafness. The most consistent finding is a volumetric decrease in gray matter around bilateral auditory cortex. This change was confirmed by the coordinate-based meta-analysis which shows three converging clusters in this region. The visual areas of deaf children is also significantly impacted, with a decrease of the volume of both gray and white matters. Finally, deafness is responsible of a gray matter increase within the cerebellum, especially at the right side. These results are largely discussed and compared with those from deaf animal models and blind humans, which demonstrate for example a much more consistent gray matter decrease along their respective primary sensory pathway. In human deafness, a lot of other factors than deafness could interact on the brain plasticity. One of the most important is the use of sign language and its age of acquisition, which induce among others changes within the hand motor region and the visual cortex. But other confounding factors exist which have been too little considered in the current literature, such as the etiology of the hearing impairment, the speech-reading ability, the hearing aid use, the frequent associated vestibular dysfunction or neurocognitive impairment. Another important weakness highlighted by this review concern the lack of papers about postlingual deafness, whereas it represents most of the deaf population. Further studies are needed to better understand these issues, and finally try to improve deafness rehabilitation.
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Affiliation(s)
- Anaïs Grégoire
- Department of ENT, Cliniques Universitaires Saint-Luc, Brussels, Belgium
- Institute of NeuroScience (IoNS), UCLouvain, Brussels, Belgium
| | - Naïma Deggouj
- Department of ENT, Cliniques Universitaires Saint-Luc, Brussels, Belgium
- Institute of NeuroScience (IoNS), UCLouvain, Brussels, Belgium
| | - Laurence Dricot
- Institute of NeuroScience (IoNS), UCLouvain, Brussels, Belgium
| | - Monique Decat
- Department of ENT, Cliniques Universitaires Saint-Luc, Brussels, Belgium
- Institute of NeuroScience (IoNS), UCLouvain, Brussels, Belgium
| | - Ron Kupers
- Institute of NeuroScience (IoNS), UCLouvain, Brussels, Belgium
- Department of Neuroscience, Panum Institute, University of Copenhagen, Copenhagen, Denmark
- Ecole d’Optométrie, Université de Montréal, Montréal, QC, Canada
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16
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Reid A, Firns S, Tao K, Maywood E, Herbert H, Mulders WAM, Kuthubutheen J, Brennan-Jones C. Early detection of hearing loss for infants in Western Australia: Comparison to international benchmarks. J Paediatr Child Health 2022; 58:422-426. [PMID: 34516698 DOI: 10.1111/jpc.15733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 08/23/2021] [Accepted: 08/25/2021] [Indexed: 11/29/2022]
Abstract
AIM To assess the degree to which timely audiological assessment of congenital hearing loss is achieved at our institution - Perth Children's Hospital, Western Australia, and to review cases which breached this timeframe in order to address barriers to timely assessment. The benchmark used to determine timely assessment is that set out by The Joint Committee on Infant Hearing (JCIH) in which diagnostic audiological testing occurs by three months of age for those who do not pass newborn hearing screening. METHODS A retrospective chart review of infants who underwent diagnostic auditory assessment at Perth Children's Hospital between 2016-2019. A total of 151 children were identified as meeting the inclusion criteria and their medical files were reviewed. Time to first dABR was the time point for whether testing was achieved within the 3 month timeframe. RESULTS Of the 151 children who underwent dABR assessments, 1 was identified as having breached the 90 day time limit (tested on day 91) for which no valid reason for delay could be identified. The timely delivery of dABR assessments in 99.3% of cases within this cohort compares favourably with the literature. CONCLUSIONS Conclusion Timely diagnostic audiological assessment is achievable for children with congenital hearing loss. The reasons for patients breaching this timeframe are explored in the paper along with factors which may help avoid delays.
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Affiliation(s)
- Allison Reid
- Ear, Nose and Throat Department, Perth Children's Hospital, Perth, Western Australia, Australia.,School of Paediatrics, The University of Western Australia, Perth, Western Australia, Australia
| | - Sarah Firns
- Department of Audiology, The University of Western Australia, Perth, Western Australia, Australia
| | - Karina Tao
- Department of Hearing Research, Telethon Kids Institute, Perth, Western Australia, Australia.,Department of Audiology, Perth Children's Hospital, Perth, Western Australia, Australia
| | - Erin Maywood
- Department of Audiology, Perth Children's Hospital, Perth, Western Australia, Australia
| | - Hayley Herbert
- Ear, Nose and Throat Department, Perth Children's Hospital, Perth, Western Australia, Australia
| | - Wilhemina A M Mulders
- Clinical Audiology and Audiological Sciences, School of Human Sciences, The University of Western Australia, Perth, Western Australia, Australia
| | - Jafri Kuthubutheen
- Ear, Nose and Throat Department, Perth Children's Hospital, Perth, Western Australia, Australia.,School of Surgery, The University of Western Australia, Perth, Western Australia, Australia
| | - Christopher Brennan-Jones
- Department of Audiology, Perth Children's Hospital, Perth, Western Australia, Australia.,Department of Ear Health, Telethon Kids Institute, Perth, Western Australia, Australia.,Department of Paediatrics, The University of Western Australia, Medical School, Perth, Western Australia, Australia
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17
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Long GC, Umat C, Din NC. Socio-Emotional Development of Children with Cochlear Implant: A Systematic Review. Malays J Med Sci 2022; 28:10-33. [PMID: 35115884 PMCID: PMC8793967 DOI: 10.21315/mjms2021.28.5.2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 10/26/2020] [Indexed: 11/02/2022] Open
Abstract
Background Attaining socio-emotional competence is challenging for children with hearing impairment. There is wide recognition of children with cochlear implant (CI) indicating significant improvement in their speech and language abilities, however many factors may restrict their chance of having reciprocal social interactions. A significant improvement in speech and language does not automatically affirm the quality of social interactions. This present observation on social-emotional development addressed a more current representative population of children with hearing loss who have benefitted from cochlear implantation. Methods The research conducted a systematic review of selected articles from Scopus and PubMed databases, retrieved through three search-process keywords, namely socio-emotional, children and CI. The inclusion criteria only included journal articles published in English with empirical data from the year 2010-2019. The initial search had identified 189 potential abstracts and after removal of duplicates, only 38 eligible studies met the inclusion criteria. Results Among 38 studies reviewed, 19 studies showed comparable socio-emotional skills with peers in social interaction, empathy, emotion theory of mind and comprehension skills. Conversely, the other 19 studies presented underprivileged results in socio-emotional functioning mainly in identifying facial expression, regulating emotion and emotional cues in the auditory domain. Conclusion This review concluded that the socio-emotional development among children with CI, both at preschool-age and school-age, was not justified due to the heterogeneity in studies across measurement and small sample size. Also, the conclusion recommended extensive cross-referencing, mixed-mode research design, detailed distinguishing of socio-emotional functioning and identification of diverse groups of the population with impaired hearing as an approach to provide empirical evidence on socio-emotional functioning among children with CI in the future.
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Affiliation(s)
- Geh Cha Long
- Centre for Rehabilitation & Special Needs Studies, Faculty of Health Science, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Cila Umat
- Centre for Rehabilitation & Special Needs Studies, Faculty of Health Science, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Normah Che Din
- Centre for Rehabilitation & Special Needs Studies, Faculty of Health Science, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
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18
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Wischmann S, Josvassen JL, Schiøth C, Percy-Smith L. History re-written for children with hearing impairment. Int J Pediatr Otorhinolaryngol 2022; 152:110991. [PMID: 34856491 DOI: 10.1016/j.ijporl.2021.110991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 11/03/2021] [Accepted: 11/22/2021] [Indexed: 11/19/2022]
Abstract
UNLABELLED A new generation of children with hearing impairment (HI) has emerged due to introduction of universal neonatal hearing screening, medical-surgical/technical and educational advances in the field of paediatric audiology. AIM The primary aim of the study was to investigate long-term development of language fundamentals of children with HI at school level and analyse associations to several background variables. METHOD AND MATERIAL The project design is prospective, longitudinal and comparative and was conducted over a three-year period with annual testing of core language, expressive language, working memory and pragmatics. Language scores were compared to type of hearing technology, gender, additional disability, diagnosis of HI, level of social well-being and start age of use of hearing technology. A total of 56 children participated (Children with HI N = 47; Children with normal hearing (NH) N = 9). Intervention included early start and full time use of hearing technology and 3 years of Auditory Verbal (AV) guidance at school level. RESULTS Children with HI scored within the norm on all language fundamentals and showed high scores on parental assessments of level of social well-being. No significant association was found between any of the language fundamentals and social well-being. Children with HI and a diagnosed additional disability showed positive progression in terms of language development over the three years. CONCLUSION The new generation of children with HI showed potentials of developing language fundamentals within normal range and thrived in terms of social well-being. Opportunities exist for children to be fully included in their respective local hearing community, if qualitative technical and educational intervention is provided.
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Affiliation(s)
- Signe Wischmann
- Copenhagen Hearing and Balance Center, Ear, Nose and Throat (ENT) and Audiology Clinic, Rigshospitalet, Copenhagen University Hospital, Inge Lehmanns Vej 8, DK-2100, Kobehnhavn O, Denmark.
| | - Jane Lignel Josvassen
- Copenhagen Hearing and Balance Center, Ear, Nose and Throat (ENT) and Audiology Clinic, Rigshospitalet, Copenhagen University Hospital, Inge Lehmanns Vej 8, DK-2100, Kobehnhavn O, Denmark; Decibel, Lyngbyvej 11, 1. sal L. 104, DK-2100, Kobenhavn O, Denmark
| | | | - Lone Percy-Smith
- Copenhagen Hearing and Balance Center, Ear, Nose and Throat (ENT) and Audiology Clinic, Rigshospitalet, Copenhagen University Hospital, Inge Lehmanns Vej 8, DK-2100, Kobehnhavn O, Denmark
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Deng X, Ema S, Mason C, Nash A, Carbone E, Gaffney M. Receipt and Timeliness of Newborn Hearing Screening and Diagnostic Services Among Babies Born in 2017 in 9 States. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2022; 28:E100-E108. [PMID: 32956290 PMCID: PMC8436596 DOI: 10.1097/phh.0000000000001232] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
CONTEXT By providing timely services at all steps along the continuum of the early hearing detection and intervention (EHDI) process, providers may be able to lessen potential adverse effects of late identification of hearing loss on children's language development. OBJECTIVE To examine the timeliness of key events in the EHDI process from birth through diagnosis of hearing loss among different populations. DESIGN Retrospective, cross-sectional. SETTING Data pooled from 9 states' EHDI information systems were used to determine the extent to which timely screening and diagnosis were achieved by 754 613 infants born in calendar year 2017. Enrollment into early intervention for children diagnosed is not examined here due to incomplete data. PARTICIPANTS Nine state EHDI programs were selected to participate in this study for their successful experience in using EHDI-IS to collect detailed child-level data. MAIN OUTCOME MEASURES Age of service, rate of service receipt. RESULTS Median age of newborn hearing screening was 1 day, and median age of hearing loss diagnosis was 68 days. Early completion of newborn hearing screening was associated with maternal education, maternal race/ethnicity, and admission into a neonatal intensive care unit (NICU). Receiving and completing follow-up diagnostic services were associated with maternal education, maternal race/ethnicity, age of screening, and enrollment into the Women, Infants, and Children program. CONCLUSIONS Timely completion of the newborn hearing screening is achieved by most of the population among the participating states. Increased efforts may be considered by state EHDI programs to provide additional follow-up and education to underrepresented racial/ethnic groups, mothers with less education, and NICU infants and their families as these groups appear to be at an increased risk for delayed diagnostic testing for hearing loss.
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Affiliation(s)
- Xidong Deng
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Deng, Nash, and Carbone, Ms Ema, and Mr Gaffney); and College of Education and Human Development, University of Maine, Orono, Maine (Dr Mason). Dr Nash is now with Task Force for Global Health, Decatur, Georgia
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20
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Ferreira MDS, Levy CCADC, Löfkvist U. Home language environment in relation to language outcome in Brazilian toddlers who are hard of hearing and controls with typical hearing - a pilot study including reliability analyses of the LENA recording system. Codas 2022; 35:e20210250. [PMID: 36287421 PMCID: PMC10010425 DOI: 10.1590/2317-1782/20212021250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Accepted: 03/02/2022] [Indexed: 11/06/2022] Open
Abstract
PURPOSE The purpose of this pilot study was to explore the home language environment and language outcome of Brazilian toddlers who were hard of hearing, (HH) and controls with typical hearing (TH), and investigate the reliability of using the LENA recording system within a Brazilian Portuguese context. METHODS Fourteen families participated in the study (seven children who were HH and seven controls with TH. Each family contributed with one all-day recording. A smaller portion of the recordings of the typically hearing toddlers were manually transcribed by two transcribers. An interrater agreement was conducted, and then the human transcript results were compared against the LENA-generated data for three measures: Adult Words (AW), Child Vocalizations (CV) and Conversational Turns (CT). RESULTS Data analyses revealed a moderate to strong interrater agreement for CV and AW. Weak to moderate agreement was found between the LENA estimates and the means of the human counts for CV and AW. Seemingly, LENA overestimated human counts for AW and underestimated numbers of CV. Comparative analysis suggested similarities in the language and listening environment of the two groups (TH vs. HoH). Children's language development was supported by higher numbers of parent-child interactions (CT). CONCLUSION The findings imply that LENA may contribute as an ecologically valid tool in preventive family-centered intervention programs for Brazilian toddlers who are hard of hearing and their families, although further validation studies are needed.
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Affiliation(s)
| | | | - Ulrika Löfkvist
- Department of Special Needs Education, University of Oslo - Oslo, Norway.,Department of CLINTEC, Cochlear Implant Section, Karolinska Institute - Stockholm, Sweden.,Department of Public Health and Caring Sciences, Uppsala University - Uppsala, Sweden
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21
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David C, Tuller L, Schweitzer E, Lescanne E, Bonnet-Brilhault F, Gomot M, Ferré S. Does Phonological Complexity Provide a Good Index of Language Disorder in Children With Cochlear Implants? JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:4271-4286. [PMID: 34726957 DOI: 10.1044/2021_jslhr-20-00642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Purpose Phonological complexity is known to be a good index of developmental language disorder (DLD) in normal-hearing children, who have major difficulties on some complex structures. Some deaf children with cochlear implants (CIs) present a profile that evokes DLD, with persistent linguistic difficulties despite good audiological and environmental conditions. However, teasing apart what is related to auditory deficit or to language disorder remains complex. Method We compared the performance of three groups of school-age children, 33 children with CI, 22 with DLD, and 24 with typical development, on a nonword repetition (NWR) task based on phonological complexity. Children with CI were studied regarding their linguistic profile, categorized in four subgroups ranging from excellent to very poor performance. Influence of syllable length and phonological structures on the results of all the children were explored. Results The NWR task correctly distinguished children with DLD from typically developing children, and also children with CI with the poorest linguistic performance from other children with CI. However, most complex phonological structures did not reliably identify children with CI displaying a profile similar to that of children with DLD because these structures were difficult for all of the children with CI. The simplest phonological structures were better at detecting persistent language difficulties in children with CI, as they were challenging only for the children with the poorest language outcomes. Conclusions The most complex phonological structures are not good indices of language disorder in children with CI. Phonological complexity represents a gradient of difficulty that affects normal-hearing and deaf children differently.
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Affiliation(s)
- Céline David
- UMR 1253, iBrain, Université de Tours, Inserm, France
| | | | | | | | - Frédérique Bonnet-Brilhault
- UMR 1253, iBrain, Université de Tours, Inserm, France
- Centre Universitaire de Pédopsychiatrie, CHRU de Tours, France
| | - Marie Gomot
- UMR 1253, iBrain, Université de Tours, Inserm, France
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22
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Identifying the Factors that Affect Consistent Hearing Aid Use in Young Children With Early Identified Hearing Loss: A Scoping Review. Ear Hear 2021; 43:733-740. [PMID: 34643596 DOI: 10.1097/aud.0000000000001139] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES This study is a scoping review examining factors that affect consistent hearing aid use in young children with early identified hearing loss (HL). DESIGN Online databases were used to identify journal articles published between 2009 and 2019, yielding over 1800 citations. The citations were uploaded into an online software product called Covidence that enables scoping/systematic review management. After duplicates were removed, 857 articles were screened by abstract and title name, 93 of which were put through for full-text screening. Twenty-five articles met predetermined inclusion and exclusion criteria. Appraisal tools were utilized to establish the quality of the studies included. Numerical summaries were used to synthesize and describe the data set. Thematic analysis was utilized to identify global and subthemes within the data set. RESULTS Numerical summaries revealed that over half of the studies in the data set used a quantitative design. Thematic analysis of the data identified four global themes namely, "each child is an individual," "parents are key," "parents require support," and "professionals make a difference." Each global theme was further divided into subthemes, most of which centered around the parents of children with HL. Each subtheme was categorized as a malleable or a fixed factor that impacts on hearing aid use in young children with HL. CONCLUSION This scoping review identified malleable and fixed factors that impact on hearing aid use in young children with HL. These factors centered around the individual characteristics of children with HL, the key responsibility their parents have, and the important contribution that professionals can make. Irrespective of whether factors are malleable or fixed, parents and professionals working with children with HL can have a positive impact on hearing aid use. This is likely to have a flow on, positive impact on their overall communication and learning outcomes.
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Matiz LA, Leong S, Peretz PJ, Kuhlmey M, Bernstein SA, Oliver MA, Medina K, Lalwani AK. Integrating community health workers into a community hearing health collaborative to understand the social determinants of health in children with hearing loss. Disabil Health J 2021; 15:101181. [PMID: 34412985 DOI: 10.1016/j.dhjo.2021.101181] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 08/03/2021] [Accepted: 08/05/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Children with hearing loss (HL) require coordination of care to navigate medical and social services. Strong evidence supports the role of community health workers (CHWs) to identify and address social barriers. OBJECTIVE The goal of this study was to evaluate the impact of integrating CHWs into the medical teams of children with HL and identify the social needs associated with their caregivers at a large urban hospital center. METHODS A retrospective chart review was conducted for 30 children with HL whose caregivers enrolled in a CHW program between August 1, 2017 and December 31, 2019. Baseline demographic data were collected, including social circumstances such as food and housing insecurity, status of social security supplemental income (SSI), and need for referral to early intervention (EI) or preschool/school services. Caregivers were assessed for confidence in self-management; baseline distress level was measured via a distress thermometer. RESULTS Of the 30 charts reviewed, 93% demonstrated social needs including food insecurity (24%) and educational service needs (45%). Eighty-seven percent of caregivers reported a sense of control over the child's condition, yet 73% reported a stress level of four or greater on the distress thermometer scale. At 3 months follow-up, 70% of patients completed referrals; a significant number of patients had obtained hearing aids and cochlear implants compared to baseline (p = 0.017). CONCLUSIONS Caregivers of children with HL face multiple social obstacles, including difficulties connecting to educational and financial resources. CHWs are instrumental in identifying social needs and connecting caregivers to services.
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Affiliation(s)
- Luz Adriana Matiz
- Department of Pediatrics, Division of Child and Adolescent Health, Columbia University Irving Medical Center, 622 West 168th Street - VC417, New York, NY, 10032, USA.
| | - Stephen Leong
- Vagelos College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY, 10032, USA.
| | - Patricia J Peretz
- Ambulatory Care Network, Division of Community and Population Health, NewYork Presbyterian, 601 West 168th Street, New York, NY, 10032, USA.
| | - Megan Kuhlmey
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, 180 Fort Washington Avenue, New York, NY, 10032, USA.
| | - Stacey A Bernstein
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, 180 Fort Washington Avenue, New York, NY, 10032, USA.
| | - Melissa A Oliver
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, 180 Fort Washington Avenue, New York, NY, 10032, USA.
| | - Kristy Medina
- Ambulatory Care Network, Division of Community and Population Health, NewYork Presbyterian, 601 West 168th Street, New York, NY, 10032, USA.
| | - Anil K Lalwani
- Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, 180 Fort Washington Avenue, New York, NY, 10032, USA.
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Werfel KL, Bassard SD, Squires C. Nonverbal Intelligence Predicts Performance of Preschool Children With Hearing Loss on Norm-Referenced Language Measures But Not Language Sample Analysis. Ear Hear 2021; 41:1764-1771. [PMID: 33136649 PMCID: PMC8611815 DOI: 10.1097/aud.0000000000000897] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The purpose of this study was to explore the effects of nonverbal intelligence on spoken language performance in children with hearing loss who use amplification and spoken language. Specifically, we compared language performance measured by norm-referenced measures compared with spontaneous language sample measures. DESIGN Nonverbal intelligence and spoken language skills were analyzed using norm-referenced nonverbal intelligence and language assessments and language sample analyses in 92 children ages 3 to 6 who varied by hearing and nonverbal intelligence status. All children had nonverbal intelligence within the average or above-average range. RESULTS Regression analyses revealed that, after controlling for maternal education and hearing status, nonverbal intelligence contributed unique variance to norm-referenced language measures but not spontaneous language measures. CONCLUSIONS Performance on norm-referenced language measures is influenced by nonverbal intelligence, whereas functional language use measured by spontaneous language samples is not. These findings suggest that spontaneous language measures may contribute additional value to language assessment batteries that are independent of nonverbal intelligence.
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Affiliation(s)
- Krystal L Werfel
- Department of Communication Sciences and Disorders, University of South Carolina, Columbia, South Carolina, USA
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Spoken Language Skills in Children With Bilateral Hearing Aids or Bilateral Cochlear Implants at the Age of Three Years. Ear Hear 2021; 43:220-233. [PMID: 34260435 PMCID: PMC8694252 DOI: 10.1097/aud.0000000000001092] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Early hearing aid (HA) fitting and cochlear implants (CIs) aim to reduce the effects of hearing loss (HL) on spoken language development. The goals of this study were (1) to examine spoken language skills of children with bilateral HAs and children with bilateral CIs; (2) to compare their language skills to the age-norms of peers with normal hearing (NH); and (3) to investigate factors associated with spoken language outcomes.
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Benchetrit L, Jabbour N, Appachi S, Liu YC, Cohen MS, Anne S. Cochlear Implantation in Pediatric Patients With Enlarged Vestibular Aqueduct: A Systematic Review. Laryngoscope 2021; 132:1459-1472. [PMID: 34233033 DOI: 10.1002/lary.29742] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 06/22/2021] [Accepted: 06/26/2021] [Indexed: 11/07/2022]
Abstract
OBJECTIVE(S) To describe cochlear implantation (CI) outcomes, with speech perception, auditory, language, and parent-reported auditory and speech behaviors, in children with an enlarged vestibular aqueduct (EVA) and incomplete partition type 2 (IP-II) and compare to control children without inner ear malformations (IEMs) and to determine cerebrospinal fluid gusher rates and effect on outcomes. STUDY DESIGN Systematic review and meta-analysis. METHODS MEDLINE, Embase, Cochrane, and CINAHL databases were searched from inception to February 2020. Studies reporting relevant outcomes in children with EVA or EVA + IP-II and controls without IEMs undergoing CI were included. Mean differences in speech perception, auditory, and language scores between cases and controls were meta-analyzed. Gusher rates were determined by proportion meta-analyses. RESULTS Of 214 identified articles, 42 met inclusion criteria, evaluating 775 cases and 2,191 controls. Of -cases, 578 (74.6%) had EVA and 197 (25.4%) had EVA + IP-II. Cases showed a significant improvement in speech perception, auditory and language performance, comparable to controls. Parent-reported auditory and speech production behaviors outcomes were positive among cases and comparable to controls. Pooled gusher proportions in EVA and EVA + IP-II cases were 27.7% (95% CI: 17.6-39.1) and 48.6% (95% CI: 28.6-69.0), respectively, with a proportion difference of 20.9% (95% CI: 11.0-30.1). Gusher occurrence did not impact speech perception or language outcomes. CONCLUSION Outcomes in children with EVA or EVA + IP-II undergoing CI are favorable and largely comparable to outcomes in children with hearing loss undergoing CI without IEMs. Intraoperative gusher is more prevalent among children with EVA + IP-II as compared to iEVA. Gusher does not influence speech perception and language development outcomes. LEVEL OF EVIDENCE NA Laryngoscope, 2021.
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Affiliation(s)
- Liliya Benchetrit
- Department of Otolaryngology-Head and Neck Surgery, Boston University Medical Center, Boston, Massachusetts, U.S.A
| | | | - Swathi Appachi
- Cleveland Clinic, Head and Neck Institute, Cleveland, Ohio, U.S.A
| | - Yi-Chun Liu
- Texas Children's Hospital, Division of Pediatric Otolaryngology, Houston, Texas, U.S.A
| | - Michael S Cohen
- Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, U.S.A
| | - Samantha Anne
- Cleveland Clinic, Head and Neck Institute, Cleveland, Ohio, U.S.A
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Percy-Smith L, Wischmann S, Josvassen JL, Schiøth C, Cayé-Thomasen P. Language Development for the New Generation of Children with Hearing Impairment. J Clin Med 2021; 10:2350. [PMID: 34071954 PMCID: PMC8198254 DOI: 10.3390/jcm10112350] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 05/25/2021] [Accepted: 05/26/2021] [Indexed: 11/17/2022] Open
Abstract
A new generation of children with hearing impairment (HI) has emerged due to the introduction of universal neonatal hearing screening, medical-surgical/technical and educational advances. AIM Investigation of long-term development of vocabulary and social well-being of children with HI, including children with HI and additional disability. METHOD AND MATERIAL The project design was prospective, longitudinal, and comparative. Level of receptive vocabulary was compared to children with normal hearing, type of hearing technology, gender, additional disability, diagnosis of HI, level of social well-being, and start age for use of hearing technology. A total of 231 children participated. Intervention included early start of hearing technology and three years of auditory-verbal therapy (AVT) at the preschool level, followed by 3 years of AV guidance at the school level. RESULTS Children with HI scored within the norm for receptive vocabulary but were outperformed by the control group. Children with HI and a diagnosed additional disability scored lower than children without additional disability, in terms of parental assessments of social well-being. Children with additional disabilities showed positive progression in terms of receptive vocabulary development. CONCLUSIONS New generations with HI possess the potential to succeed academically in accordance with individual abilities and become active participants in the working market.
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Affiliation(s)
- Lone Percy-Smith
- Copenhagen Hearing and Balance Center, Ear, Nose and Throat (ENT) and Audiology Clinic, Rigshospitalet, Copenhagen University Hospital, DK-2100 Copenhagen, Denmark;
- Patient Organisation, Decibel, DK-2100 Copenhagen, Denmark; (S.W.); (J.L.J.); (C.S.)
| | - Signe Wischmann
- Patient Organisation, Decibel, DK-2100 Copenhagen, Denmark; (S.W.); (J.L.J.); (C.S.)
| | - Jane Lignel Josvassen
- Patient Organisation, Decibel, DK-2100 Copenhagen, Denmark; (S.W.); (J.L.J.); (C.S.)
| | - Christina Schiøth
- Patient Organisation, Decibel, DK-2100 Copenhagen, Denmark; (S.W.); (J.L.J.); (C.S.)
| | - Per Cayé-Thomasen
- Copenhagen Hearing and Balance Center, Ear, Nose and Throat (ENT) and Audiology Clinic, Rigshospitalet, Copenhagen University Hospital, DK-2100 Copenhagen, Denmark;
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Denoyelle F, Rouillon I, Alvin F, Parodi M, Couloigner V, Loundon N, Garabédian N. [Neonatal hearing screening]. Med Sci (Paris) 2021; 37:519-527. [PMID: 34003098 DOI: 10.1051/medsci/2021064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Neonatal hearing screening has been developped in a large number of countries. The rational to build such nationwide programs is robust. The prevalence of hearing impairment of various etiologies is high (1/1,000), diagnosis of hearing impairment in infants is uneasy and is made most of the time after the age of 18 months when treatment is less efficient and, last, appropriate test to screen for hearing impairment are available: Otoacoustic Emission and Auditory Evoked Potential. In France the screening is organised at the regional level. The organization of such a program is complexe. Midwifes and nurses should be trained to informed the parents and to perform the test. If the test is abnormal the infant will be oriented to a specialzed department of pediatrics for appropriate diagnosis and treatment.
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Affiliation(s)
- Françoise Denoyelle
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75015 Paris, France
| | - Isabelle Rouillon
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75015 Paris, France
| | - Fiona Alvin
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75015 Paris, France
| | - Marine Parodi
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75015 Paris, France
| | - Vincent Couloigner
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75015 Paris, France
| | - Natalie Loundon
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75015 Paris, France
| | - Noël Garabédian
- Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Hôpital Necker-Enfants malades, 149 rue de Sèvres, 75015 Paris, France
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Booysen S, le Roux T, Masenge A, Swanepoel DW. Predictors of hearing technology use in children. Int J Audiol 2021; 61:336-343. [PMID: 33983867 DOI: 10.1080/14992027.2021.1913521] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To identify and describe predictors of daily hearing technology (HT) use in children. DESIGN Retrospective review of clinical records. Multiple regression analyses were performed to identify predictors. STUDY SAMPLE The sample included 505 children (<11 years of age) using hearing aids (HAs), cochlear implants (CIs), and bone conduction hearing devices (BCHDs). RESULTS Average HT use was 9.4 h a day. Bivariate analyses yielded 31 potential predictors from the 42 variables included. The general linear model (p < 0.01, R2 = 0.605) identified 10 interacting factors that significantly associated with increased HT use. Intrinsic predictors of increased HT use included older chronological age, more severe degrees of hearing loss and older ages at diagnosis and initial HA fitting. Extrinsic predictors included the child's ability to independently use HT, at least one CI as part of the HT fitting, coordinated onsite audiological management, self-procured batteries, auditory-oral communication mode and regular caregiver intervention attendance. CONCLUSIONS Average HT use was high, approximating hearing hours of peers with normal hearing. CI recipients demonstrated higher HT use compared to children using other HT. The newly identified factors can predict and increase HT use in children while contributing to evidence-based intervention services that promote optimal auditory-based outcomes.
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Affiliation(s)
- Surida Booysen
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Talita le Roux
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Andries Masenge
- Department of Statistics, University of Pretoria, Pretoria, South Africa
| | - De Wet Swanepoel
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.,Ear Science Institute Australia, Subiaco, Australia
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Soleimani M, Rouhbakhsh N, Rahbar N. Towards early intervention of hearing instruments using cortical auditory evoked potentials (CAEPs): A systematic review. Int J Pediatr Otorhinolaryngol 2021; 144:110698. [PMID: 33839460 DOI: 10.1016/j.ijporl.2021.110698] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 02/14/2021] [Accepted: 03/24/2021] [Indexed: 10/21/2022]
Abstract
As a result of newborn hearing screening, hearing aids are usually prescribed and fitted by 2-3 months of age. However, the assessment data used for prescribing hearing aids in infants and toddlers are limited in quality and quantity. There is great interest in finding appropriate physiological measures that can be help to facilitate and improve the management process of hearing impaired children. It seems that cortical auditory evoked potentials (CAEPs) can provide information before it is possible to obtain reliable information from behavioral assessment procedures. This article will review the studies conducted in this area during the past15 years to determine the advantages, disadvantages and future research areas of CAEPs as an objective method in the management of hearing impaired children.
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Affiliation(s)
- Marjan Soleimani
- Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
| | - Nematollah Rouhbakhsh
- Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
| | - Nariman Rahbar
- Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
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Binos P, Nirgianaki E, Psillas G. How Effective Is Auditory-Verbal Therapy (AVT) for Building Language Development of Children with Cochlear Implants? A Systematic Review. Life (Basel) 2021; 11:life11030239. [PMID: 33805711 PMCID: PMC7998424 DOI: 10.3390/life11030239] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 03/08/2021] [Accepted: 03/11/2021] [Indexed: 11/16/2022] Open
Abstract
This systematic review sheds light on the effectiveness of auditory–verbal therapy (AVT) outcomes in children with cochlear implants (CIs). The presented outcome is based on research findings from the last 10 years. The systematic review was designed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Critical Appraisal of Treatment Evidence (CATE) checklist. Specific keywords were chosen based on the research question and searched on the PubMed database. All searched papers were analysed based on specific exclusion criteria and classified into four evidence levels. The results revealed that children who participated in AV therapy can achieve linguistic skills at the same level as their hearing peers. Voice quality seemed positively affected, placing young children with CIs in the normal range for receptive vocabulary development. In contrast, reading skills seemed less benefited. AV therapy seems to contribute to integration into mainstream society. Despite the recorded speech and language improvements of young children with CIs, the aim of AV therapy is still not fulfilled. AV therapy can be seen as the best clinical practice for young children with CIs till now, but the lack of well-controlled studies is undermining.
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Affiliation(s)
- Paris Binos
- Department of Rehabilitation Sciences, Cyprus University of Technology, 3036 Limassol, Cyprus
- Correspondence: ; Tel.: +357-2500-2371
| | - Elina Nirgianaki
- Department of Speech & Language Therapy, University of Peloponnese, 22131 Tripoli, Greece;
| | - George Psillas
- 1st Academic ENT Department, AHEPA Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece;
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Li Y, Yang Y, Zhang W, Sun J, Liu B, Chen M, Liu W, Liu S, Wang X, Li S, Zhang J, Ni X. Developmental performance between pediatric cochlear implantation candidates with and without large vestibular aqueduct syndrome. Acta Otolaryngol 2021; 141:250-255. [PMID: 33502272 DOI: 10.1080/00016489.2020.1862909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND We are inclined to pay special care and attention to children with large vestibular aqueduct syndrome (LVAS). However, it is not clear whether children with LVAS have more developmental delays than children without LVAS. OBJECTIVES To compare the developmental performance between pediatric cochlear implantation (CI) candidates with and without LVAS. MATERIALS AND METHODS Medical records of pediatric CI candidates were reviewed. Through propensity score matching analysis, 70 children with LVAS and 70 gender-, age-, and auditory-matched children were recruited as the LVAS and non-LVAS group, respectively. Developmental performances were compared between the two groups. RESULTS Compared with normal developmental metrics, both LVAS and non-LVAS groups had developmental delay in multiple domains (both p < .001). Although some differences in motor developments between children with LVAS and without LVAS, they demonstrated overall equal developmental levels in both verbal and nonverbal aspects (all p > .05). Age of intervention was the primary risk factor for developmental performance of LVAS children (β < 0, p < .05) with an obvious delay starting at 1 year of age. CONCLUSION Pediatric CI candidates with LVAS had both verbal and nonverbal developmental delays. However, they exhibited similar overall developmental performances to those without LVAS.
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Affiliation(s)
- Yanhong Li
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Yang Yang
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Wanxia Zhang
- Department of Health Care, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
| | - Jihang Sun
- Department of Radiology, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Beijing, China
| | - Bing Liu
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Min Chen
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Wei Liu
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Shanshan Liu
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Xiaoxu Wang
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Shilan Li
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Jie Zhang
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Xin Ni
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children′s Hospital, National Center for Children′s Health, Capital Medical University, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
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Developmental outcomes of young deaf children and the self-perceived parental role of their hearing mothers. Int J Pediatr Otorhinolaryngol 2021; 141:110517. [PMID: 33268012 DOI: 10.1016/j.ijporl.2020.110517] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 11/20/2020] [Accepted: 11/20/2020] [Indexed: 11/21/2022]
Abstract
BACKGROUND There is little research into the relationship between a deaf child's developmental outcomes and their mother's self-perceived parental role. The aim of this study was to find out whether the different levels of global psychomotor development in young deaf children who had a cochlear implant (CI), or were candidates for a CI, were related to particular family factors: the self-perceived parental role and the family quality of life (FQoL) as gauged by their hearing mothers, as well as the child's sociodemographic and deafness-related factors and the sociodemographic characteristics of the mothers. METHODS The study was conducted on a group of 64 children with bilateral severe or profound sensorineural hearing loss (SNHL) who were CI users (36 children) or qualified for cochlear implantation (28 children) and their hearing mothers. The age of the children ranged from 6.5 to 47 months (M = 23.6; SD = 10.1), among whom 55% were girls (n = 35). The mothers of the children were aged 24-48 years (M = 32.7; SD = 5.3). Information was collected via the Children Development Scale (CDS), the Self-Perception of Parental Role (S-PPR), the Family Quality of Life Survey (FQOLS-2006), and an additional information questionnaire which included questions about sociodemographic variables of the child and the mother, as well as questions related to deafness, the CI, and the child's rehabilitation. RESULTS Based on results of the CDS, the deaf children were divided into two groups: those who had a low level of global psychomotor development (Low global psychomotor development subgroup - LGPD) and others with medium or high scores (Medium/high global psychomotor development subgroup - MHGPD). The mothers of deaf children in the LGPD group assessed their investment in motherhood lower than did mothers from the MHGPD group. The mothers of the LGPD group rated their satisfaction with the child's rehabilitation lower than did mothers from the MHGPD group. The two subgroups did not differ in FQOLS-2006 domains except for community interactions, which were significantly higher in the MHGPD families. CONCLUSIONS Among the determinants of the global psychomotor development of a young deaf child, the most important ones relate to the use of a CI, but maternal investment in parenting is also important. Community interactions of the family with a deaf child are also crucial, as they create a framework for social network and support for the deaf child's optimal development. Any psychological diagnosis should include, apart from psychomotor development of the deaf child, an assessment of how the mother is coping with their parenting. Mothers of deaf children, especially those with LPGD, need additional support in parenting.
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Li Y, Zhang W, Yang Y, Liu B, Chen M, Liu W, Li B, Zhou Y, Zhang J, Ni X. Developmental performance among pediatric candidates for cochlear implantation. Acta Otolaryngol 2021; 141:66-72. [PMID: 33063574 DOI: 10.1080/00016489.2020.1821914] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Developmental evaluation of deaf children before cochlear implantation (CI) has not been given enough attention. OBJECTIVES This study was designed to evaluate the comprehensive developmental performance of deaf children who are CI candidates. MATERIALS AND METHODS The medical records of pediatric candidates for CI were reviewed. Five hundred children (287 boys; median age: 21.00 months; range: 6-72 months) with a diagnosis of severe-to-profound hearing loss were included. Preoperative developmental evaluation, including gross motor, fine motor, adaptability, language and social skill were retrieved. Comprehensive developmental performances including verbal and nonverbal skill were assessed. Multivariate linear regression analysis was used to analyze the related developmental factors. RESULTS Compared with normal developmental metrics, deaf children had developmental delay (p < .001), which occurred in not only the verbal but also nonverbal skill (all p < .05). Of the 500 deaf children, 50 (10%) had normal performance; the majority (51.6%) had mild neurological dysfunction. Of all the sub-developments, language developed worst (normal rate: 4.2%) and gross motor developed best (normal rate: 42%). Age of intervention was a risk factor for the developmental level of deaf children (β = -0.340, p < .05). CONCLUSIONS Pediatric candidates for CI had both verbal and nonverbal developmental delay. Age of intervention was a risk factor for the developmental level. SIGNIFICANCE Comprehensive developmental evaluation of deaf children before cochlear implantation (CI) should be paid enough attention. Early intervention for improving hearing was of significance.
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Affiliation(s)
- Yanhong Li
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Wanxia Zhang
- Department of Health Care, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
| | - Yang Yang
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Bing Liu
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Min Chen
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Wei Liu
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Bei Li
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Yi Zhou
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Jie Zhang
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
| | - Xin Ni
- Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China
- Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, Beijing Pediatric Research Institute, Beijing, China
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Hyland A, Arnott WL, Rushbrooke E, Cheadle S. Outcomes for School-Aged Children with Aural Atresia. JOURNAL OF DEAF STUDIES AND DEAF EDUCATION 2020; 25:411-420. [PMID: 32432679 DOI: 10.1093/deafed/enaa008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2019] [Revised: 02/11/2020] [Accepted: 02/19/2020] [Indexed: 06/11/2023]
Abstract
This study compared the language, reading, classroom, and quality of life outcomes of primary school-aged children with aural atresia (AA) to matched controls. Participants included 10 children with AA (eight unilateral) and 10 children with typical hearing matched by chronological and mental age. All children with AA had been fitted with an amplification device. Outcome measures included standardized tests of language, reading, and functional communication questionnaires of children's classroom performance and hearing quality of life. The children with AA recorded significantly reduced hearing quality of life. The two groups did not differ on any other measures. The present preliminary findings suggest that children with AA who receive early amplification have similar language, communication, reading, and classroom outcomes as their typically hearing peers. Despite these promising outcomes, however, the children's quality of life is significantly reduced. Further research is needed to further elucidate these findings.
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Affiliation(s)
- Anna Hyland
- Hear and Say, Brisbane, Queensland, Australia
| | - Wendy L Arnott
- Hear and Say, Brisbane, Queensland, Australia
- University of Queensland, Brisbane, Queensland, Australia
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St John M, Columbus G, Brignell A, Carew P, Skeat J, Reilly S, Morgan AT. Predicting speech-sound disorder outcomes in school-age children with hearing loss: The VicCHILD experience. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2020; 55:537-546. [PMID: 32374456 DOI: 10.1111/1460-6984.12536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 03/09/2020] [Accepted: 03/14/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Congenital hearing loss is the most common birth anomaly, typically influencing speech and language development, with potential for later academic, social and employment impacts. Yet, surprisingly, the nuances of how speech is affected have not been well examined with regards to the subtypes of speech-sound disorder (SSD). Nor have the predictors of speech outcome been investigated within a sizeable population cohort. AIMS (1) To describe the subtypes and prevalence of SSD in children with hearing loss. (2) To determine which characteristics of hearing loss predict the presence of SSD. METHODS & PROCEDURES A total of 90 children (5-12 years of age) with permanent hearing loss were recruited from an Australian population cohort. Children completed a standardized speech assessment to determine the presence and subtype of SSD. Logistic regression was used to determine the predictors of speech outcome. Demographic, developmental and hearing-related predictors were examined. OUTCOMES & RESULTS The prevalence of speech disorder overall was 58%, with the most common subtype being phonological delay in 49% of the sample. Factors most predictive of speech disorder were being male, younger and a bimodal user (i.e., using both a hearing aid and a cochlear implant). CONCLUSIONS & IMPLICATIONS This is the first study, in a sizeable cohort, to describe the prevalence and predictive factors for SSD associated with hearing loss. Clinically, it could be beneficial to implement earlier targeted phonological interventions for children with hearing loss. What this paper adds What is already known on this subject Speech issues are common in children with hearing loss; however, the breakdown of subtypes of SSD (e.g., articulation versus phonological disorder) have not been previously described in a population cohort. This distinction is relevant, as each subtype calls for specific targeted intervention. Studies examining factors predictive of speech outcomes, across a range of hearing levels, are also lacking in a population cohort. What this paper adds to existing knowledge Data suggest the most common type of SSD in children with hearing loss is phonological delay. Males, younger children, and bimodal users were at greater risk of having a subtype of SSD. What are the potential or actual clinical implications of this work? The results are clinically pertinent as the speech diagnosis determines the targeted treatment. Phonological delay is responsive to treatment, and early targeted intervention may improve prognosis for speech outcomes for children with hearing loss.
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Affiliation(s)
- Miya St John
- Murdoch Children's Research Institute, Parkville, Melbourne, VIC, Australia
- University of Melbourne, Parkville, Melbourne, VIC, Australia
| | - Georgie Columbus
- Murdoch Children's Research Institute, Parkville, Melbourne, VIC, Australia
| | - Amanda Brignell
- Murdoch Children's Research Institute, Parkville, Melbourne, VIC, Australia
- University of Melbourne, Parkville, Melbourne, VIC, Australia
| | - Peter Carew
- Murdoch Children's Research Institute, Parkville, Melbourne, VIC, Australia
- Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia
| | - Jemma Skeat
- University of Melbourne, Parkville, Melbourne, VIC, Australia
| | - Sheena Reilly
- Murdoch Children's Research Institute, Parkville, Melbourne, VIC, Australia
- Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia
| | - Angela T Morgan
- Murdoch Children's Research Institute, Parkville, Melbourne, VIC, Australia
- University of Melbourne, Parkville, Melbourne, VIC, Australia
- Royal Children's Hospital, Parkville, Melbourne, VIC, Australia
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Arjunan A, Bellerose H, Torres R, Ben-Shachar R, Hoffman JD, Angle B, Slotnick RN, Simpson BN, Lewis AM, Magoulas PL, Bontempo K, Schulze J, Tarpinian J, Bucher JA, Dineen R, Goetsch A, Lazarin GA, Johansen Taber K. Evaluation and classification of severity for 176 genes on an expanded carrier screening panel. Prenat Diagn 2020; 40:1246-1257. [PMID: 32474937 PMCID: PMC7540025 DOI: 10.1002/pd.5762] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 05/20/2020] [Accepted: 05/22/2020] [Indexed: 02/06/2023]
Abstract
Background Disease severity is important when considering genes for inclusion on reproductive expanded carrier screening (ECS) panels. We applied a validated and previously published algorithm that classifies diseases into four severity categories (mild, moderate, severe, and profound) to 176 genes screened by ECS. Disease traits defining severity categories in the algorithm were then mapped to four severity‐related ECS panel design criteria cited by the American College of Obstetricians and Gynecologists (ACOG). Methods Eight genetic counselors (GCs) and four medical geneticists (MDs) applied the severity algorithm to subsets of 176 genes. MDs and GCs then determined by group consensus how each of these disease traits mapped to ACOG severity criteria, enabling determination of the number of ACOG severity criteria met by each gene. Results Upon consensus GC and MD application of the severity algorithm, 68 (39%) genes were classified as profound, 71 (40%) as severe, 36 (20%) as moderate, and one (1%) as mild. After mapping of disease traits to ACOG severity criteria, 170 out of 176 genes (96.6%) were found to meet at least one of the four criteria, 129 genes (73.3%) met at least two, 73 genes (41.5%) met at least three, and 17 genes (9.7%) met all four. Conclusion This study classified the severity of a large set of Mendelian genes by collaborative clinical expert application of a trait‐based algorithm. Further, it operationalized difficult to interpret ACOG severity criteria via mapping of disease traits, thereby promoting consistency of ACOG criteria interpretation.
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Affiliation(s)
- Aishwarya Arjunan
- Division of Medical Affairs, Myriad Women's Health, South San Francisco, CA, USA
| | - Holly Bellerose
- Division of Medical Affairs, Myriad Women's Health, South San Francisco, CA, USA
| | - Raul Torres
- Division of Medical Affairs, Myriad Women's Health, South San Francisco, CA, USA
| | - Rotem Ben-Shachar
- Division of Medical Affairs, Myriad Women's Health, South San Francisco, CA, USA
| | - Jodi D Hoffman
- Department of Pediatric Genetics, Boston University School of Medicine, Boston, MA, USA
| | - Brad Angle
- Division of Genetics, Advocate Children's Hospital, Park Ridge, IL, USA
| | | | - Brittany N Simpson
- Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Andrea M Lewis
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.,Department of Molecular and Human Genetics, Texas Children's Hospital, Houston, TX, USA
| | - Pilar L Magoulas
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.,Department of Molecular and Human Genetics, Texas Children's Hospital, Houston, TX, USA
| | - Kelly Bontempo
- Division of Genetics, Advocate Children's Hospital, Park Ridge, IL, USA
| | - Jeanine Schulze
- Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Jennifer Tarpinian
- Individualized Medical Genetics Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Jessica A Bucher
- Division of Genetics, Advocate Children's Hospital, Park Ridge, IL, USA
| | - Richard Dineen
- Department of Clinical Genetics and Genomics, Rush University Medical Center, Chicago, IL, USA
| | - Allison Goetsch
- Division of Genetics, Birth Defects & Metabolism, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.,Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Gabriel A Lazarin
- Division of Medical Affairs, Myriad Women's Health, South San Francisco, CA, USA
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Mey K, Percy-Smith L, Hallstrøm M, Sandvej M, Cayé-Thomasen P. Receptive language acquisition in a pediatric population with Pendred syndrome and non-syndromic enlarged vestibular aqueduct. Acta Otolaryngol 2020; 140:46-50. [PMID: 31762351 DOI: 10.1080/00016489.2019.1689293] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Background: Children with Pendred syndrome (PS) and non-syndromic enlarged vestibular aqueduct (NSEVA) represent a group of pre-lingual hearing-impaired individuals with rehabilitation challenges.Objective: To evaluate receptive language capabilities in a pediatric cohort with PS and NSEVA.Materials and methods: Twenty-four (24) children diagnosed with either PS or NSEVA, were examined using the Peabody Picture Vocabulary Test (PPVT) and compared to a cohort of 55 Danish children with normal hearing, as well as to a mixed group of 29 children with hearing impairment of congenital and hereditary non-syndromal type. In addition, test results were compared to normative data (PPVT-4 US standard scores).Results: PS/NSEVA children's PPVT-4 test scores fall within the normative data for the PPVT-4 (US) but proved to be significantly lower statistically, when compared to Danish children with normal hearing (p<.0001) or to children with mixed non-syndromic hereditary hearing impairment (p=.006). Implantation age was significantly later for the PS/NSEVA group (median = 43 months), compared to the mixed non-syndromic hereditary congenial hearing impairment group (median = 11 months).Conclusions and significance: Children with PS/NSEVA perform below age equivalent for receptive vocabulary outcome when compared to both children with normal hearing, and children with non-syndromic mixed hereditary congenital hearing impairment who receive cochlear implants earlier.
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Affiliation(s)
- Kristianna Mey
- Department of Oto-Rhino-Laryngology, Head and Neck Surgery and Audiology, Rigshospitalet/Gentofte Hospital, Copenhagen University Hospital, Copenhagen, Denmark
| | - Lone Percy-Smith
- East Danish Cochlear Implant Centre and Department of Oto-Rhino-Laryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital Rigshospitalet/Gentofte Hospital, Copenhagen, Denmark
- Patient Organisation Decibel, Hellerup, Denmark
| | | | - Matilde Sandvej
- East Danish Cochlear Implant Centre and Department of Oto-Rhino-Laryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital Rigshospitalet/Gentofte Hospital, Copenhagen, Denmark
| | - Per Cayé-Thomasen
- Department of Oto-Rhino-Laryngology, Head and Neck Surgery and Audiology, Rigshospitalet/Gentofte Hospital, Copenhagen University Hospital, Copenhagen, Denmark
- Faculty of Health and Medical Sciences, Copenhagen University, Copenhagen, Denmark
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Byatt TJ, Dally K, Duncan J. Systematic Review of Literature: Social Capital and Adolescents who are Deaf or Hard of Hearing. JOURNAL OF DEAF STUDIES AND DEAF EDUCATION 2019; 24:319-332. [PMID: 31185075 DOI: 10.1093/deafed/enz020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 04/16/2019] [Accepted: 04/24/2019] [Indexed: 06/09/2023]
Abstract
Outcomes have improved for adolescents who are deaf or hard of hearing (DHH) in recent years in areas such as language and speech; however, outcomes such as pragmatic and psychosocial development are still not equal to adolescents with typical hearing. This systematic review of literature explored recent research as it pertains to social capital and adolescents who are DHH. The inclusion criteria were extended to include other populations who are DHH and adolescents with other disabilities to identify future research directions. Themes identified in the reviewed literature viewed through social capital theory included psychosocial outcomes; the importance of language; the benefit of online social networking sites; the role of the family; the role of the school; inclusion and identity; role models; and post-school transition. Results demonstrated that social capital is an area with much promise as it relates to buffering outcomes for adolescents who are DHH. More empirical evidence is required in the form of quantitative research using validated social capital instruments and qualitative research that gives a voice to adolescents who are DHH. The role of social capital in facilitating inclusion, identity, and friendships, were identified as possible future research directions.
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Kanji A, Khoza-Shangase K. Risk factors for hearing impairment in neonates in South Africa: scoping the context for newborn hearing screening planning. J Matern Fetal Neonatal Med 2019; 34:2107-2116. [PMID: 31434520 DOI: 10.1080/14767058.2019.1658732] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
PURPOSE The current study aimed to describe the medical case history factors in a group of neonates admitted to high care and Kangaroo Mother Care wards at two hospitals in Gauteng, South Africa and to explore the relationship between specific case history factors and audiological outcomes. METHODS This study was part of a bigger study titled "Early detection of hearing loss: exploring risk-based hearing screening within a developing country context" where all case history data were recorded from participant medical files at the time of an initial hearing screening, through the use of a case history form that was developed for this study. Results were analyzed using descriptive statistics. The relationship between case history factors and audiological outcomes was analyzed using Fisher's exact test. RESULTS Findings revealed that, of all the case history data, preterm birth (95.7%), exposure to ototoxic medication (87.7%), neonatal jaundice (NNJ) (80.6%), and birthweight below 1500 g (66.7%) were the most frequently occurring case history factors in this South African sample. No statistically significant association was found between these frequently occurring case history factors and the repeat hearing screening outcomes in this sample. CONCLUSIONS Risk factors for hearing impairment cannot be viewed in isolation but should be considered in relation to their interaction with multiple other risk factors. Contextually understanding the profile of high risk has implications for medical intervention, as well as for the field of Audiology where planning for early identification and intervention services for hearing impairment is vital. Such contextually relevant evidence allows for a snap shot of how this population presents, what their needs and requirements are, and their possible future requirements; hence, raising important planning implications for the department of health and for targeted newborn hearing screening as well as early childhood intervention within the South African context.
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Affiliation(s)
- Amisha Kanji
- Department of Speech Pathology and Audiology, University of the Witwatersrand, Johannesburg, South Africa
| | - Katijah Khoza-Shangase
- Department of Speech Pathology and Audiology, University of the Witwatersrand, Johannesburg, South Africa
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LeClair KL, Saunders JE. Meeting the educational needs of children with hearing loss. Bull World Health Organ 2019; 97:722-724. [PMID: 31656339 PMCID: PMC6796661 DOI: 10.2471/blt.18.227561] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Revised: 03/27/2019] [Accepted: 04/01/2019] [Indexed: 11/27/2022] Open
Affiliation(s)
- Karissa L LeClair
- Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, United States of America (USA)
| | - James E Saunders
- Department of Otolaryngology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, New Hampshire 03756, USA
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Vos B, Noll D, Pigeon M, Bagatto M, Fitzpatrick EM. Risk factors for hearing loss in children: a systematic literature review and meta-analysis protocol. Syst Rev 2019; 8:172. [PMID: 31315672 PMCID: PMC6637473 DOI: 10.1186/s13643-019-1073-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Accepted: 06/17/2019] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Hearing loss in newborns and children is a public health concern, due to high prevalence and negative effects on their development. Early detection and intervention of childhood hearing loss may mitigate these negative effects. Population-based newborn hearing screening programs have been established worldwide to identify children at risk for congenital hearing loss and to follow children at risk for late onset or progressive hearing loss. This article presents the protocol for a systematic review that aims to review the risk factors associated with permanent hearing loss in children, including congenital, early, or late onset. Risk factors associated with progressive hearing loss will be investigated as a secondary aim. METHODS Scientific literature from the following databases will be investigated: MEDLINE, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R), Embase, and CINAHL. The primary outcome is a permanent bilateral or unilateral hearing loss with congenital onset or onset during childhood (birth to 18 years). The secondary outcome is progressive hearing loss. Studies must report data on risk factors associated with permanent hearing loss; risk factors may be present at birth or later and result in immediate or delayed hearing loss. Randomized controlled trials, quasi-experimental studies, nonrandomized comparative and non-comparative studies, and case series will be included. The risk of bias will be assessed using the Qualitative Assessment Tool for Quantitative Studies (McMaster University). If aggregation of data is possible for a subsection of studies, we will pool data using meta-analysis techniques. If aggregation of data is not possible, a qualitative synthesis will be presented. We will assess the quality and strength of the overall body of evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The systematic review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. DISCUSSION The resulting information will inform the update of a provincial audiological surveillance protocol for the Ontario Infant Hearing Program and will be applicable to early hearing detection and intervention (EHDI) programs worldwide. SYSTEMATIC REVIEW REGISTRATION We have registered the protocol in the International Prospective Register of Systematic Reviews (PROSPERO), registration number CRD42018104121.
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Affiliation(s)
- Bénédicte Vos
- Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, Ontario K1H 8M5 Canada
- Child Hearing Laboratory, CHEO Research Institute, 401 Smyth Road, Ottawa, Ontario K1H 8L1 Canada
- School of Public Health, Université libre de Bruxelles (ULB), Route de Lennik 808 CP 598, 1070 Brussels, Belgium
| | - Dorie Noll
- Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, Ontario K1H 8M5 Canada
- Child Hearing Laboratory, CHEO Research Institute, 401 Smyth Road, Ottawa, Ontario K1H 8L1 Canada
| | - Marie Pigeon
- Audiology Department, CHEO, 401 Smyth Road, Ottawa, Ontario K1H 8L1 Canada
| | - Marlene Bagatto
- School of Communication Sciences and Disorders and the National Centre for Audiology, Western University, 1201 Western Road, London, Ontario N6G 1H1 Canada
| | - Elizabeth M. Fitzpatrick
- Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, Ontario K1H 8M5 Canada
- Child Hearing Laboratory, CHEO Research Institute, 401 Smyth Road, Ottawa, Ontario K1H 8L1 Canada
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Boerrigter M, Vermeulen A, Marres H, Mylanus E, Langereis M. Frequencies of Behavioral Problems Reported by Parents and Teachers of Hearing-Impaired Children With Cochlear Implants. Front Psychol 2019; 10:1591. [PMID: 31379656 PMCID: PMC6646424 DOI: 10.3389/fpsyg.2019.01591] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Accepted: 06/25/2019] [Indexed: 11/13/2022] Open
Abstract
Background: Internalizing and externalizing behavioral problems were frequently reported in profoundly hearing-impaired (HI) children with hearing aids. Due to the positive effect of cochlear implants (CIs) on hearing and language development, a positive effect on behavioral problems was expected. However, there is no consensus about the frequency of behavioral problems in CI children, and studies are often based on one informant with the risk of missing behavioral problems in other contexts. Aims: The first aim of this study was to investigate the frequency of behavioral problems in children with CIs as compared to a hearing normative sample. The second aim was to measure the agreement between the parents' and teachers' rates on the behavioral problem scales. And the third aim was to investigate the relation between speech perception, language skills and the frequencies of reported behavioral problems. Methods: Of 71 CI children, 51% were girls and 49% were boys, and the mean age was 8.6 (SD = 3.3). Behavior was reported by parents using the Child Behavior Checklist (CBCL) and by teachers using the Teacher Report Form (TRF). Frequencies of behavioral problems of CI children (6-16 years) were compared to a normative sample with the chi square test. Parent-teacher agreement was measured with the intraclass correlation coefficient (ICC 2,1). Next CI children were divided into four ability level categories regarding speech perception and language skills. Frequencies of behavioral problems were compared between the categories with the chi square test. Results: Parents and teachers of CI children reported similar frequencies of behavioral problems to the normative sample. Fair to low parent-teacher agreements were found on the behavioral problem scales. A significantly higher frequency of behavioral problems was reported in children with low speech perception and receptive vocabulary at school. Conclusion: Parents and teachers report similar frequencies of behavioral problems children with CIs compared to a hearing normative sample. Children with lower speech perception and language levels are more at risk of developing behavioral problems at school. Adequate speech perception and language levels are found to be protective factors for the development of behavior.
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Affiliation(s)
- Merle Boerrigter
- Department of Otorhinolaryngology, Radboud University Medical Center, Nijmegen, Netherlands.,Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands
| | - Anneke Vermeulen
- Department of Otorhinolaryngology, Radboud University Medical Center, Nijmegen, Netherlands.,Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands
| | - Henri Marres
- Department of Otorhinolaryngology, Radboud University Medical Center, Nijmegen, Netherlands.,Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands
| | - Emmanuel Mylanus
- Department of Otorhinolaryngology, Radboud University Medical Center, Nijmegen, Netherlands.,Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands
| | - Margreet Langereis
- Department of Otorhinolaryngology, Radboud University Medical Center, Nijmegen, Netherlands.,Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands
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Benítez-Barrera CR, Thompson EC, Angley GP, Woynaroski T, Tharpe AM. Remote Microphone System Use at Home: Impact on Child-Directed Speech. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2019; 62:2002-2008. [PMID: 31112670 PMCID: PMC6808370 DOI: 10.1044/2019_jslhr-h-18-0325] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2018] [Revised: 10/21/2018] [Accepted: 01/02/2019] [Indexed: 06/09/2023]
Abstract
Purpose The impact of home use of a remote microphone system (RMS) on the caregiver production of, and child access to, child-directed speech (CDS) in families with a young child with hearing loss was investigated. Method We drew upon extant data that were collected via Language ENvironment Analysis (LENA) recorders used with 9 families during 2 consecutive weekends (RMS weekend and no-RMS weekend). Audio recordings of primary caregivers and their children with hearing loss obtained while wearing and not wearing an RMS were manually coded to estimate the amount of CDS produced. The proportion of CDS that was likely accessible to children with hearing loss under both conditions was determined. Results Caregivers produced the same amount of CDS when using and when not using the RMS. However, it was concluded that children with hearing loss, on average, could potentially access 12% more CDS if caregivers used an RMS because of their distance from their children when talking to them. Conclusion Given our understanding of typical child language development, findings from this investigation suggest that children with hearing loss could receive auditory, speech, and language benefits from the use of an RMS in the home environment.
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Affiliation(s)
| | - Emily C. Thompson
- Department of Hearing and Speech Sciences, Vanderbilt University School of Medicine, Nashville, TN
| | - Gina P. Angley
- Department of Hearing and Speech Sciences, Vanderbilt University School of Medicine, Nashville, TN
| | - Tiffany Woynaroski
- Department of Hearing and Speech Sciences, Vanderbilt University School of Medicine, Nashville, TN
| | - Anne Marie Tharpe
- Department of Hearing and Speech Sciences, Vanderbilt University School of Medicine, Nashville, TN
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Sahli AS. Developments of children with hearing loss according to the age of diagnosis, amplification, and training in the early childhood period. Eur Arch Otorhinolaryngol 2019; 276:2457-2463. [DOI: 10.1007/s00405-019-05501-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Accepted: 06/03/2019] [Indexed: 10/26/2022]
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Audiological evaluation of infants using mother's voice. Int J Pediatr Otorhinolaryngol 2019; 121:81-87. [PMID: 30877980 DOI: 10.1016/j.ijporl.2019.03.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 03/05/2019] [Accepted: 03/06/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVES Hearing loss is a serious problem in infants and children because it may interfere with the development of typical speech, verbal language, and auditory and communication skills. By measuring hearing ability (thresholds) as early as possible, even as early as during infancy, effective treatment can be administered. These treatments may significantly reduce the handicap associated with hearing loss. However, at times during behavioral auditory tests, observers cannot determine whether or not an accurate threshold was obtained. To support the use of infant audiometry for accurate diagnosis, audiologic behavioral responses may be obtained by selecting stimuli that interest infants, e.g., their mothers' voices. METHODS We evaluated 30 infants who were presented to our hospital for behavioral auditory assessment in 2016. The infants' ages ranged from 4 months to 3 years and 6 months. The mean age was 1 year and 10 months ±10 months (±standard deviation). The infants' hearing thresholds for their mothers' voices and warble tones at 250-4000 Hz were measured. Auditory brainstem response (ABR) had already been evaluated in 24 infants. Relationships between mother's voice and warble tone or ABR thresholds as well as responses to the initial stimuli and stimuli at the threshold were investigated. These responses were classified into four grades (no response, uncertain response, possible positive response, and positive response), and the response to mother's voice and warble tone were subsequently compared. RESULTS Mother's voice thresholds significantly correlated with all warble tone thresholds. In the relationship between the mother's voice threshold and average hearing levels of 500, 1000, and 2000 Hz, two infants were outliers. In these infants, the average hearing levels were relatively higher than the mother's voice thresholds. Judging from their ABR thresholds, the mother's voice thresholds were valid and the average hearing levels were worse than their original assessed hearing ability. The responses to mothers' voices were more distinct than those to warble tones, both for initial stimuli presentation and the determined threshold. CONCLUSIONS Audiologic behavioral responses to mothers' voices were clearer than those for warble tones. Evaluations that use the mother's voice threshold are useful for estimating hearing levels in infants.
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Maluleke NP, Khoza-Shangase K, Kanji A. Communication and school readiness abilities of children with hearing impairment in South Africa: A retrospective review of early intervention preschool records. SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS 2019; 66:e1-e7. [PMID: 30843413 PMCID: PMC6407442 DOI: 10.4102/sajcd.v66i1.604] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 10/21/2018] [Accepted: 10/28/2018] [Indexed: 12/03/2022] Open
Abstract
Background The national prevalence of hearing impairment in South Africa is estimated to be four to six in every 1000 live births in the public health care sector. An undetected hearing impairment in childhood can lead to delayed speech and language development as well as put the child at risk of not achieving the necessary school readiness abilities that will enable them to achieve academic success. However, through early hearing detection and intervention services, children with hearing impairment can develop communication and school readiness abilities on par with children with normal hearing. Objective The aim of the study was to describe communication and school readiness abilities of children who were identified with hearing impairment and enrolled in early intervention (EI) preschools in Gauteng. Methods Within a descriptive research study design, a retrospective record review was conducted on files of eight children, ranging in age from 9 years and 7 months to 12 years and 7 months, identified with a hearing impairment and enrolled in EI preschools in Gauteng, South Africa. Descriptive statistics were used to analyse the data, using frequency distribution and measures of central tendency. Results Current findings revealed that children with hearing impairment who were enrolled in EI preschools in Gauteng were identified late. This consequently led to delayed ages at initiation of EI services when compared to international benchmarks and the Health Professions Council of South Africa’s (HPCSA) guidelines of 2018. Consequently, participants presented with below average communication and school readiness abilities, which are characteristic of hearing impairment that is identified late. Conclusions Transference of current contextually relevant research findings into practice by both the Department of Health and the Department of Basic Education forms part of future directions from this study. This conversion of research findings into service delivery must be conducted in a systematic manner at all levels in these two sectors to facilitate achievement of Early Hearing Detection and Intervention (EHDI), resulting in better communication and school readiness outcomes.
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Affiliation(s)
- Ntsako P Maluleke
- Department of Speech Pathology and Audiology, School of Health Care Sciences, Sefako Makgatho Health Sciences University.
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Bell N, Angwin AJ, Wilson WJ, Arnott WL. Reading Development in Children With Cochlear Implants Who Communicate via Spoken Language: A Psycholinguistic Investigation. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2019; 62:456-469. [PMID: 30950686 DOI: 10.1044/2018_jslhr-h-17-0469] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Purpose This study sought to comprehensively examine the reading skills and subskills of children with cochlear implants (CIs) and gain insight into the processes underlying their early reading development. Method Fourteen 6- to 9-year-old children with CIs were assessed on a range of reading and spoken language measures. Their performances were compared to a control group of 31 children with normal hearing (NH) of the same chronological and mental age. Group differences were examined using t tests and regression modeling. Results Children with CIs performed significantly worse than children with NH on reading accuracy, phonological processing, and spoken language tasks. The predominant predictor of reading comprehension was word reading accuracy for the CI group and listening comprehension for the NH group. Word reading profiles were similar across groups, with orthographic and phonological processing skills both contributing significant variance. Conclusions Children with CIs demonstrated more early reading difficulties than their peers with NH. As predicted by the Simple View of Reading model, successful reading comprehension for all children related to skills in listening comprehension and word recognition. The CI group's increased reliance on word reading accuracy when comprehending written text may stem from reduced word recognition automaticity. Despite showing reduced reading accuracy, children with CIs appeared to draw on orthographic and phonological skills to a similar degree as children with NH when reading words in isolation.
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Affiliation(s)
- Nicola Bell
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Anthony J Angwin
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Wayne J Wilson
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Wendy L Arnott
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- Research and Innovation, Hear and Say, Brisbane, Queensland, Australia
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Language Outcomes Improved Through Early Hearing Detection and Earlier Cochlear Implantation. Otol Neurotol 2018; 39:1256-1263. [DOI: 10.1097/mao.0000000000001976] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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