United Kingdom National Paediatric Bilateral Project: results of professional rating scales and parent questionnaires
| Autor: | Gerard M. O'Donoghue, S. Patel, M. Daft, J. Harding, Helen Cullington, D. Bele, Mark E. Lutman, V. Salmon, J. Humphries, K. Rajput, N. Hatton, Sarah Cooper, A. Wheeler, K. Millward, Katherine Wilson, Jennifer L. Maggs, T. Sear, Julie Brinton, A. Speers, J. Maddocks |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Parents medicine.medical_specialty Adolescent medicine.medical_treatment Population Audiology Hearing Loss Bilateral 03 medical and health sciences Speech and Hearing 0302 clinical medicine Rating scale Surveys and Questionnaires Cochlear implant Humans Medicine Active listening Postoperative Period Child 030223 otorhinolaryngology education education.field_of_study business.industry Speech Intelligibility Infant Cochlear Implantation United Kingdom Cochlear Implants Treatment Outcome Otorhinolaryngology Quartile Patient Satisfaction Child Preschool Speech Perception Female Observational study Implant business 030217 neurology & neurosurgery |
| Popis: | Objectives: This fourteen-centre project used professional rating scales and parent questionnaires to assess longitudinal outcomes in a large non-selected population of children receiving simultaneous and sequential bilateral cochlear implants. Methods: This was an observational non-randomised service evaluation. Data were collected at four time points: before bilateral cochlear implants or before the sequential implant, one year, two years and three years after. The measures reported are Categories of Auditory Performance II (CAPII), Speech Intelligibility Rating (SIR), Bilateral Listening Skills Profile (BLSP) and Parent Outcome Profile (POP). Results: 1001 children aged from 8 months to almost 18 years were involved, although there were many missing data. In children receiving simultaneous implants after one, two, and three years respectively, median CAP scores were 4, 5, and 6; median SIR were 1, 2, and 3. Three years after receiving simultaneous bilateral cochlear implants, 61% of children were reported to understand conversation without lip-reading and 66% had intelligible speech if the listener concentrated hard. Auditory performance and speech intelligibility were significantly better in female children than males.Parents of children using sequential implants were generally positive about their child’s well-being and behaviour since receiving the second device; those who were less positive about well-being changes also generally reported their children less willing to wear the second device. Conclusion: Data from 78% of paediatric cochlear implant centres in the United Kingdom provide a real-world picture of outcomes of children with bilateral implants in the UK. This large reference data set can be used to identify children in the lower quartile for targeted intervention. |
| Databáze: | OpenAIRE |
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