2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
3/05/2019 | 4:20 PM - 4:45 PM | Spoken Language Outcomes: Age at Implantation vs Age at Full Time Use | Narita A/B
Spoken Language Outcomes: Age at Implantation vs Age at Full Time Use
The greatest challenge for children who are deaf or hard of hearing is the ability to acquire age appropriate language to communicate. As services and technology continue to improve, we see greater potential for and improved outcomes in a child’s ability to overcome this challenge. When JCIH recommendations of 1-3-6 are met, children who are deaf or hard of hearing have the potential to be caught up to their hearing peers in speech and language by age 3.
Based on these JCIH recommendations, along with current research (Ching et al, 2015; Wang, 2017; Ching et al 2017) indicating 4 factors that impact outcomes 1) age of amplification, 2) cognition 3) maternal education and 4) socioeconomic status; we know age at amplification is a critical piece to a child’s success. The Children’s Cochlear Implant Center at UNC also knows that once a child receives a cochlear implant, device use and device retention need continued focus. (Easwar, V. 2016.).
This presentation will examine age of cochlear implantation versus age at full time use of cochlear implant on receptive and expressive language outcomes, one year post implantation. All children included in this retrospective analysis were congenitally deaf and received their first implant at UNC. To be included, they needed to have otherwise typical development, not exhibit cochlear nerve deficiency or major inner ear malformations, have a language test point at one year post implantation, and to have started cochlear implant use with a processor that supported data logging. The point where device lock reached > 7 hours per day on average was recorded as the date of full time use. A series of regression analyses were run to test the influence of age at implantation and age at full time use on receptive and expressive language outcomes.
- The learner will be able to understand the impact of full time device use on receptive and expressive language outcomes, one year post cochlear implantation.
- The learner will be able to understand the impact on age of implantation on receptive and expressive language outcomes, one year post cochlear implantation.
- The learner will be able to brainstorm ways to increase device use and device retention to improve wear time and meet full time use standards.
Presentation:
18878_10417ErinThompson.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Erin Thompson
(Primary Presenter,Author), The Children's Cochlear Implant Center at UNC, erin.thompson@unchealth.unc.edu;
Erin Thompson, M.S., CCC-SLP, LSLS Cert AVT, has worked at the Children's Cochlear Implant Center at UNC since July 2004. She earned her Bachelors from Appalachian State University and her Master’s Degree from UNC-Chapel Hill. She completed her clinical fellowship year with Pediatric Speech and Language Services out of Greensboro. Erin conducts parent participation sessions in person as well as through the UNC REACH tele-therapy program. Erin also conducts speech and language evaluations for the cochlear implant team. She works with graduate level students and coaches other Speech-Language Pathologists and Teachers of the Hearing Impaired through the LSL Junction at UNC, and collaborates with the Department of Public Instruction to advance skills of school based professionals across North Carolina. Erin is also a member of the Global Foundation for Children with Hearing Loss and has traveled to Vietnam and Mongolia to help provide coaching and training abroad.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
AAA DISCLOSURE:
Financial -
Nonfinancial -
Lisa Park
(Author), University of North Carolina at Chapel Hill, lisa_park@med.unc.edu;
Dr. Park is a research audiologist and Assistant Professor in the Department of Otolaryngology/Head and Neck Surgery at the University of North Carolina at Chapel Hill. She received her AuD from the University of Florida and her master’s degree from Washington University in St. Louis. Her clinical research focuses on expanding cochlear implant indications for children who are deaf and hard of hearing. She investigates optimal programming for children who are considered non-traditional pediatric cochlear implant recipients, and associated outcomes on measures of speech perception, spatial hearing, and quality of life.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
AAA DISCLOSURE:
Financial -
Nonfinancial -