A Scoping Review of Assessment Tools and Factors Influencing Spoken Language Development Among Pediatric Cochlear Implant Users

Deepashini Harithasan, C. Umat
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Abstract

The spoken language development strongly depends on the normally functioning auditory system. For children with severe or profound hearing loss, cochlear implant has become the best solution in improving and promoting spoken language, quality of life, self-esteem and social well-being. Standardized self-report questionnaires are considered as the most widely used and low-cost approach to measure spoken language development among children. We aimed to provide an overview of the questionnaires available for assessing the spoken language development among children with cochlear implant. In addition, factors that may influence the development of good spoken language were also reviewed. A literature search from January 2010 to December 2020 making use of the Science Direct and PubMed databases was conducted. Medical Subject Headings (MeSH) and other key words for the search were (communication OR language) AND cochlear implant AND (children OR pediatric) AND (questionnaire OR survey). Research articles that were identified in the database using the keywords were refined by year. Only original articles were selected. Articles that quoted all the selected key words in the title and abstract; and written in English with full text were included in the review. Twelve instruments were utilized in the methodology of the 10 articles. Only one instrument was specific for spoken language assessment of children with cochlear implant. The age at which a child received an implant, good rehabilitation program and active involvement of parents was found to influence development of good spoken language skills among the cochlear implanted children. Cochlear implants provide deaf children with the opportunity to develop spoken language skills. Longer use of a cochlear implant dramatically affects the amount of spoken language. Rather, it was cochlear implantation at a younger age that served to assists spoken language competence. Keywords: Cochlear implant; communication; factors; spoken language; questionnaire; children
影响儿童人工耳蜗使用者口语发展的评估工具和因素的范围综述
口语的发展很大程度上依赖于听觉系统的正常运作。对于重度或重度听力损失儿童,人工耳蜗已成为改善和促进口语、生活质量、自尊和社会福祉的最佳解决方案。标准化的自我报告问卷被认为是衡量儿童口语发展的最广泛使用和低成本的方法。我们的目的是为评估人工耳蜗儿童口语发展的问卷提供一个概述。此外,还对影响良好口语发展的因素进行了综述。利用Science Direct和PubMed数据库检索2010年1月至2020年12月的文献。医学主题词(MeSH)和其他搜索关键词为(沟通或语言)、人工耳蜗、(儿童或儿科)和(问卷或调查)。使用关键词在数据库中识别的研究文章按年进行细化。只有原创文章被选中。在标题和摘要中引用所有选定关键词的文章;并以英文撰写,并附有全文。在10篇文章的方法中使用了12种工具。只有一种仪器可用于人工耳蜗儿童的口语评估。儿童接受人工耳蜗的年龄、良好的康复计划和父母的积极参与影响了植入人工耳蜗儿童良好口语技能的发展。人工耳蜗为失聪儿童提供了发展口语技能的机会。长时间使用人工耳蜗会显著影响口语量。更确切地说,在年轻时植入人工耳蜗有助于提高口语能力。关键词:人工耳蜗;沟通;因素;口语;问卷调查;孩子们
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12 weeks
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