TY - JOUR
T1 - Auditory verbal habilitation is associated with improved outcome for children with cochlear implant
AU - Percy-Smith, Lone
AU - Tønning, Tenna Lindbjerg
AU - Josvassen, Jane Lignel
AU - Mikkelsen, Jeanette Hølledig
AU - Nissen, Lena
AU - Dieleman, Eveline
AU - Hallstrøm, Maria
AU - Cayé-Thomasen, Per
PY - 2018/1/2
Y1 - 2018/1/2
N2 - OBJECTIVES: To study the impact of (re)habilitation strategy on speech-language outcomes for early, cochlear implanted children enrolled in different intervention programmes post implant.METHODS: Data relate to a total of 130 children representing two pediatric cohorts consisting of 94 and 36 subjects, respectively. The two cohorts had different speech and language intervention following cochlear implantation, i.e. standard habilitation vs. auditory verbal (AV) intervention. Three tests of speech and language were applied covering language areas of receptive and productive vocabulary and language understanding.RESULTS: Children in AV intervention outperformed children in standard habilitation on all three tests of speech and language. When effect of intervention was adjusted with other covariates children in AV intervention still had higher odds at performing at age equivalent speech and language levels.CONCLUSION: Compared to standard intervention, AV intervention is associated with improved outcome for children with CI. Based on this finding, we recommend that all children with HI should be offered this intervention and it is, therefore, highly relevant when National boards of Health and Social Affairs recommend basing the habilitation on principles from AV practice. It should be noted, that a minority of children use spoken language with sign support. For this group it is, however, still important that educational services provide auditory skills training.
AB - OBJECTIVES: To study the impact of (re)habilitation strategy on speech-language outcomes for early, cochlear implanted children enrolled in different intervention programmes post implant.METHODS: Data relate to a total of 130 children representing two pediatric cohorts consisting of 94 and 36 subjects, respectively. The two cohorts had different speech and language intervention following cochlear implantation, i.e. standard habilitation vs. auditory verbal (AV) intervention. Three tests of speech and language were applied covering language areas of receptive and productive vocabulary and language understanding.RESULTS: Children in AV intervention outperformed children in standard habilitation on all three tests of speech and language. When effect of intervention was adjusted with other covariates children in AV intervention still had higher odds at performing at age equivalent speech and language levels.CONCLUSION: Compared to standard intervention, AV intervention is associated with improved outcome for children with CI. Based on this finding, we recommend that all children with HI should be offered this intervention and it is, therefore, highly relevant when National boards of Health and Social Affairs recommend basing the habilitation on principles from AV practice. It should be noted, that a minority of children use spoken language with sign support. For this group it is, however, still important that educational services provide auditory skills training.
KW - Child Language
KW - Child, Preschool
KW - Cochlear Implantation/rehabilitation
KW - Cochlear Implants
KW - Female
KW - Hearing Loss/physiopathology
KW - Humans
KW - Language Tests
KW - Language Therapy/methods
KW - Male
KW - Postoperative Period
KW - Retrospective Studies
KW - Speech/physiology
KW - Speech Perception
KW - Speech Therapy/methods
KW - Treatment Outcome
KW - Vocabulary
U2 - 10.1080/14670100.2017.1389020
DO - 10.1080/14670100.2017.1389020
M3 - Journal article
C2 - 29058555
SN - 1467-0100
VL - 19
SP - 38
EP - 45
JO - Cochlear Implants International
JF - Cochlear Implants International
IS - 1
ER -