Perceived improvements and challenges following sequential bilateral cochlear implantation in children and adults

Mary Pat Moeller, Lisa J. Stille, Michelle L. Hughes, Rodney P. Lusk

Research output: Contribution to journalArticle

Abstract

Objective: Semi-structured interviews were conducted with sequentially implanted bilateral cochlear-implant (biCI) recipients to examine functional aspects of communication that are affected by listening with one versus two CIs. Design: Participants were 15 adult biCI recipients and parents of 30 children (categorized into three groups by age) with biCIs. All CI users had sequential placement of biCIs with at least six months’ experience with the first CI before activation of the second device, and at least three months’ experience with both CIs prior to the interview. The parent/paediatric and adult interviews were all conducted by the same examiner. Electronic transcripts of the interview responses were coded for perceived changes or lack thereof in 23 behaviours following biCI. Extent of reported benefit was quantified for each subject within and across these behaviours and at the group level as a function of age. Results: Most adults and parents of children reported multiple functional changes following biCI use, and changes often translated to enhanced social communication. Nearly all participants were consistent users of biCIs, and were satisfied with their perceived gains in communicating in everyday settings. Most reported ongoing challenges listening in noisy settings. Although many reports on children paralleled those of adults, developmental differences were apparent. Thirteen percent of adults and twenty percent of parents of children in each of the respective groups reported low levels of change. Conclusions: Results suggest that many biCI users experience meaningful functional benefits that may be underestimated by traditional outcome measures. We suggest the need to expand measurement approaches to better quantify the nature of these benefits.

Original languageEnglish (US)
Pages (from-to)72-87
Number of pages16
JournalCochlear Implants International
Volume19
Issue number2
DOIs
StatePublished - Mar 4 2018

Fingerprint

Cochlear Implantation
Cochlear Implants
Interviews
Parents
Communication
Age Groups
Outcome Assessment (Health Care)
Pediatrics
Equipment and Supplies

Keywords

  • Adults
  • Benefit
  • Bilateral
  • Children
  • Cochlear implants
  • Functional outcomes
  • Perceived
  • Sequential

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing

Cite this

Perceived improvements and challenges following sequential bilateral cochlear implantation in children and adults. / Moeller, Mary Pat; Stille, Lisa J.; Hughes, Michelle L.; Lusk, Rodney P.

In: Cochlear Implants International, Vol. 19, No. 2, 04.03.2018, p. 72-87.

Research output: Contribution to journalArticle

@article{e4a6f0715c7e405dbd11c3ae66c533d8,
title = "Perceived improvements and challenges following sequential bilateral cochlear implantation in children and adults",
abstract = "Objective: Semi-structured interviews were conducted with sequentially implanted bilateral cochlear-implant (biCI) recipients to examine functional aspects of communication that are affected by listening with one versus two CIs. Design: Participants were 15 adult biCI recipients and parents of 30 children (categorized into three groups by age) with biCIs. All CI users had sequential placement of biCIs with at least six months’ experience with the first CI before activation of the second device, and at least three months’ experience with both CIs prior to the interview. The parent/paediatric and adult interviews were all conducted by the same examiner. Electronic transcripts of the interview responses were coded for perceived changes or lack thereof in 23 behaviours following biCI. Extent of reported benefit was quantified for each subject within and across these behaviours and at the group level as a function of age. Results: Most adults and parents of children reported multiple functional changes following biCI use, and changes often translated to enhanced social communication. Nearly all participants were consistent users of biCIs, and were satisfied with their perceived gains in communicating in everyday settings. Most reported ongoing challenges listening in noisy settings. Although many reports on children paralleled those of adults, developmental differences were apparent. Thirteen percent of adults and twenty percent of parents of children in each of the respective groups reported low levels of change. Conclusions: Results suggest that many biCI users experience meaningful functional benefits that may be underestimated by traditional outcome measures. We suggest the need to expand measurement approaches to better quantify the nature of these benefits.",
keywords = "Adults, Benefit, Bilateral, Children, Cochlear implants, Functional outcomes, Perceived, Sequential",
author = "Moeller, {Mary Pat} and Stille, {Lisa J.} and Hughes, {Michelle L.} and Lusk, {Rodney P.}",
year = "2018",
month = "3",
day = "4",
doi = "10.1080/14670100.2017.1414021",
language = "English (US)",
volume = "19",
pages = "72--87",
journal = "Cochlear Implants International",
issn = "1467-0100",
publisher = "Maney Publishing",
number = "2",

}

TY - JOUR

T1 - Perceived improvements and challenges following sequential bilateral cochlear implantation in children and adults

AU - Moeller, Mary Pat

AU - Stille, Lisa J.

AU - Hughes, Michelle L.

AU - Lusk, Rodney P.

PY - 2018/3/4

Y1 - 2018/3/4

N2 - Objective: Semi-structured interviews were conducted with sequentially implanted bilateral cochlear-implant (biCI) recipients to examine functional aspects of communication that are affected by listening with one versus two CIs. Design: Participants were 15 adult biCI recipients and parents of 30 children (categorized into three groups by age) with biCIs. All CI users had sequential placement of biCIs with at least six months’ experience with the first CI before activation of the second device, and at least three months’ experience with both CIs prior to the interview. The parent/paediatric and adult interviews were all conducted by the same examiner. Electronic transcripts of the interview responses were coded for perceived changes or lack thereof in 23 behaviours following biCI. Extent of reported benefit was quantified for each subject within and across these behaviours and at the group level as a function of age. Results: Most adults and parents of children reported multiple functional changes following biCI use, and changes often translated to enhanced social communication. Nearly all participants were consistent users of biCIs, and were satisfied with their perceived gains in communicating in everyday settings. Most reported ongoing challenges listening in noisy settings. Although many reports on children paralleled those of adults, developmental differences were apparent. Thirteen percent of adults and twenty percent of parents of children in each of the respective groups reported low levels of change. Conclusions: Results suggest that many biCI users experience meaningful functional benefits that may be underestimated by traditional outcome measures. We suggest the need to expand measurement approaches to better quantify the nature of these benefits.

AB - Objective: Semi-structured interviews were conducted with sequentially implanted bilateral cochlear-implant (biCI) recipients to examine functional aspects of communication that are affected by listening with one versus two CIs. Design: Participants were 15 adult biCI recipients and parents of 30 children (categorized into three groups by age) with biCIs. All CI users had sequential placement of biCIs with at least six months’ experience with the first CI before activation of the second device, and at least three months’ experience with both CIs prior to the interview. The parent/paediatric and adult interviews were all conducted by the same examiner. Electronic transcripts of the interview responses were coded for perceived changes or lack thereof in 23 behaviours following biCI. Extent of reported benefit was quantified for each subject within and across these behaviours and at the group level as a function of age. Results: Most adults and parents of children reported multiple functional changes following biCI use, and changes often translated to enhanced social communication. Nearly all participants were consistent users of biCIs, and were satisfied with their perceived gains in communicating in everyday settings. Most reported ongoing challenges listening in noisy settings. Although many reports on children paralleled those of adults, developmental differences were apparent. Thirteen percent of adults and twenty percent of parents of children in each of the respective groups reported low levels of change. Conclusions: Results suggest that many biCI users experience meaningful functional benefits that may be underestimated by traditional outcome measures. We suggest the need to expand measurement approaches to better quantify the nature of these benefits.

KW - Adults

KW - Benefit

KW - Bilateral

KW - Children

KW - Cochlear implants

KW - Functional outcomes

KW - Perceived

KW - Sequential

UR - http://www.scopus.com/inward/record.url?scp=85039863843&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85039863843&partnerID=8YFLogxK

U2 - 10.1080/14670100.2017.1414021

DO - 10.1080/14670100.2017.1414021

M3 - Article

C2 - 29291687

AN - SCOPUS:85039863843

VL - 19

SP - 72

EP - 87

JO - Cochlear Implants International

JF - Cochlear Implants International

SN - 1467-0100

IS - 2

ER -