Method
Search Procedures The following search procedures were used to locate the studies that met the inclusion criteria; however, applicable studies may have potentially been overlooked. Electronic searches of various databases included Cochrane Library, Academic Search Premier, Google Scholar, CINAHL, CREDO reference, LexisNexis, and ASHA. The keywords used were aural rehabilitation, cochlear implants, language development, phonological awareness, phonemic awareness, literacy, hearing loss, and deaf.
Inclusion Criteria A comprehensive search was used to locate the studies meeting the selected criteria: (a) the studies involved children using CIs (b) the studies involved children ages 2 to 16 years old, (c) the studies used children with
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Although the studies did not specifically aim at the same aspects of PA, the studies did conclude that CI usage has some effect on the development of PA skills.
Limitations
One of the main limitations of this study was that only one of the four studies was longitudinal. Tye-Murray (2015) explains that HL can have long-lasting effects and three of the included studies only occurred during a short time period. The second limitation was that the studies did not measure PA with the same assessment tools, which could jeopardize the data and overall AR when working with this population.
Future Directions The purpose of this systematic review was to determine the impacts CI usage has on the PA skills of children with HL. The research included in this study provided substantial information to answer this research question but identified the need for further research. Three of the four studies were short-term, and to indicate the long-term benefits of CI usage, more research needs to be conducted on the continuing effects that CI usage has on PA skills. Although only one study explored the impacts of age of implantation, a critical age needs to be identified for greatest benefits. Finally, all four of the studies concluded that PA skills can be developed by CWHL, but the research did not provide a definite AR therapy. Research needs to explore the most beneficial AR intervention to provide CWHL the opportunity for greatest
Kleinman’s questions are more applicable to deaf people in general who are more in favor of and interested in improving their hearing through hearing aids, cochlear implant, and/or speech therapy. Therefore, they would be more likely to answer his questions even though they do contain the term sickness as these people are more to likely view deafness as a disability compared to people who strictly identify themselves as a part of Deaf culture. Also, Kleinman’s questions can be especially applicable for hearing parents with deaf children who want to raise them as hearing children. According to the ninety percent rule, ninety-percent of deaf children have hearing parents and ninety-percent of hearing children have deaf parents (Sparrow 141). Since hearing parents want to raise their children in the hearing culture, it is ideal for them to be able to utilize Kleinman’s eight questions as a means of providing a way for their deaf children to improve their hearing through hearing aids, cochlear implants, and/or speech
Most doctors recommend that children with cochlear implant only use spoken language as a method of communication so they can maximize the benefits from the cochlear implant. However, the popular method of communication for children with cochlear implants is total communication which is the integration of oral communication and ASL. Although Heather Artinian was fluent in ASL before she received her cochlear implant, she was able to communicate with hearing and deaf people through both ASL and spoken language after years of intensive speech therapy (Aronson, Sound and Fury: Six Years Later). When cochlear implant users take it off, they cannot hear any sounds so they are technically still deaf. Even though they are able to hear sounds, cochlear implant recipients will not be able to identify themselves as hearing individuals. When they bridge the gap between the deaf and hearing world, they can still be a part of both cultures without defining themselves as a part of only one culture (TedX: The Heather World). Therefore, the cochlear implant can be a great device for deaf people who want to stay in the Deaf community but still be able to take advantage of additional opportunities in the hearing
Many studies, including many of this authors’ own (underlined), were cited in relation to and support of this study; studies showing— that children as young as 16 to 24 months of
In today’s society there is an ongoing debate of weather children who are deaf should receive cochlear implants. A cochlear implant is a device that takes sound wave and changes the waves into electrical activity for the brain to interpret. Wire called electrodes are surgically implanted into the cochlear nerve which receives a signal from the microphone attached to the transmitter and speech processor. The microphone captures the sound from the environment and the speech processor filters the noise versus speech. Then the transmitter sends an electrical signal through the electrodes to stimulate the cochlear nerve. Every person has a different thought depending on their experiences in their life whether deaf children should receive cochlear
This article "I Have a Child With a Cochlear Implant in My Preschool Classroom. Now, What?" by Carrie A. Davenport and Sheila R. Albert-Morgan dealt with the issue of exploring the fact that although cochlear implant technology is progressing rapidly through the years, there is however still a lack of capacity at the school level. This article also provides awareness of what individualized education program (IEP) teams can practice while raising the learning skills of a deaf child who uses cochlear implants. The main focus of this article is to help teachers provide the best education for children who are deaf and use cochlear implants while in classrooms, by implementing ways teachers can provide the appropriate accommodations to their students,
This paper covers many of the topics about Cochlear Implants, and when a child should get one and at what age .If hearing loss occurs early on in childhood or later on in life. Can Cochlear Implant drastically impact a person's ability to communicate? What are the many benefits of cochlear Implants for children? Although the exact ones will vary depending on the child? Introduction
Study Design: This is a randomized controlled trial. The blinding of this study was conducted by blinded independent assessors. The clinicians involved in this study did not know the hypothesis of the study, but they did know that two treatments were being compared. However, they could not know which children were receiving which treatments.
Before the panel discussion, I never took the time to think about how much time and consideration a parent must go through when deciding whether or not they should implant their child with cochlear implants. After watching Sound and Fury, I learned the importance of the Deaf community and their culture and that cochlear implants are not always seen as a good thing. Hearing from the perspective of our guests, and seeing this decision from the eyes of audiologists/teachers of the Deaf, I see that cochlear implantation is anything but an easy decision.
The specific inclusion criteria for program enrollment included (a) offenders who reported for Level 2 or 3 probation, (b) had a recommendation or mandate for substance abuse screening in their sentencing order or had a substance abuse screen ordered by the PO at intake, (c) had a probation duration of 6 months or longer, (d) were age 18 years or older, (e) spoke English, and (f) failed their initial urinalysis. Exclusion criteria were (a) diagnosed current and known DSM-IV-R psychotic disorder, (b) current conviction for sex offense (specialized caseload), (c) evidence of neuropsychological dysfunction, (d) life expectancy of less than 6 months, and (e) probation or parole requirements that prevented protocol participation. The final sample
Bilateral and unilateral cochlear implantation are popular mode of assistance to those with severe to profound hearing impairments. The research on the effects of bilateral and unilateral cochlear implants continues to grow. However, the effect of bilateral cochlear implants versus unilateral cochlear implants on speech perception has been researched under limited criteria, such as in the presence of quiet only. There is minimal current research regarding the effects of bilateral and unilateral cochlear implants on speech perception in the presence of noise. This study represents quasi-experimental research that compares the effects of bilateral cochlear implants to unilateral cochlear implants on speech perception in the presence of noise. The hypothesis was that bilateral cochlear implants would be more effective compared to unilateral cochlear implants in regards to speech perception in noise. Forty young adults participated in this study. Twenty subjects were bilateral cochlear implant users (CI-CI) and the other 20 subjects were unilateral cochlear implant users (CI-Only). Both groups were administered two speech perception in noise tests to determine the efficacy of having two cochlear implants versus one. The results of this study indicated that bilateral cochlear implants were more effective in comparison to unilateral cochlear implants in regards to speech perception in noise. Therefore, the results supported the hypothesis that bilateral
The study was published in the Journal of Pediatrics, and researchers from the medical branch of
Being able to hear and listen is an important part of communicating, recreation, socialization, education, work, and life itself. For individuals who are profoundly deaf or severely hard of hearing don’t have the same experience. However, there is a therapy known as Auditory Verbal Therapy which provides a chance for an individual be able to hear again and live a normal life. The Auditory Verbal Therapy is a specialized therapy that was designed to teach children and adults the use of hearing that is provided by a cochlear implant to understand speech and be able to learn to talk.
Nearly 5,000 Deaf infants are born each year, showing to be two in 1000 children, with eight in 1,000 likely to turn deaf within a few years)(Helfand, 2002, Para #5) Whenever this happens, parents are faced with a decision; keep their children as deaf or work to take measures to counteract their deafness. Within that lies another decision; what form of communication to use when speaking with your child. In my own case, I would rather provide my child with hearing aids until they were at a reasonable age to decide whether they wanted a cochlear implant or remain with hearing aids. For the purpose of efficiency later on in the child's life, I would want to teach my child both oral speech and ASL.
My second claim is that the hearing family or-or hard of hearing have to make sure that their deaf child who is between 3 to five years should know minimum the basics of the sign language before doing the cochlear implants surgery. A first reason why it is important that the family should to do the cochlear implants to their deaf child after he/she learns to use the sign language is that sign language will give the family a chance to understand and accept the Deaf community. According to the American Speech-Language-Hearing Association(ASHA), a national professional, international scientific, and credentialing association, states that since one of the most important methods after the cochlear implant surgery is to follow it up with numbers of rehabilitation services and pronunciation practicing, the child at this point should know the foundation of the sign language (ASHA). Knowing some of the sign languages will allow the deaf child and the pronunciation coach to communicate easily. The deaf children who have difficulties in understanding speech, but using sign language before planting, it can significantly improve their communication skills. Teaching the deaf child the sign language before the surgery can help him/her to use it as another communication method that supports the spoken language as well, hence, they will be understood much easier.
Sounds good, Morgan. But, what is your inclusion and exclusion criteria for your sample? I was just wondering if other medical conditions were considered. Non-compliance is a commonn finding in primary care, but trying to manage a patient's blood pressure in the presence of hyperlipidemia, diabetes, and obesity is challenging. Good luck, and I am looking forward to hearing more.