Auditory verbal habilitation is associated with improved outcome for children with cochlear implant

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 -