2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
| The Impact of Full Time Use in Pediatric Cochlear Implant Users
The Impact of Full Time Use in Pediatric Cochlear Implant Users
Datalogging is an objective measure used to quantify speech processor use in cochlear implant recipients. Literature review shows that there is no single definition of full time device use and not accounting for age in wear time recommendations. Recent research has introduced the Hearing Hour Percentage as a datalogging metric, which accounts for the child's age and sleep/wake time as a child ages. This research reveals a correlation between HHP and early receptive language outcomes. HHP was also found to be a better predictor of language outcomes than age of implantation. After introducing this new datalogging metric, the purpose of this study is to determine the necessary HHP required for the acquisition of normal spoken language.
Retrospective chart review of 40 children implanted at age two or younger was examined. A cumulative HHP was calculated to account for total device use from cochlear implant activation to speech and language activation at age 3 years.
Multiple regression analysis revealed that cumulative HHP was a predictor of both expressive and receptive spoken language scores at age 3, after accounting for age at implantation. Equations were calculated to reveal the requisite HHP to obtain typical spoken language scores. Recommendations will be made for pediatric device use and further discussion about how to integrate this new metric into patient counseling.
- Calculate the hearing hour percentage for pediatric cochlear implant users
- Contrast the differences between datalogging and hearing hour percentage
- Integrate the hearing hour percentage into clinical counseling
Presentation:
23278_13471ErikaGagnon.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Erika Gagnon
(Primary Presenter,Co-Author), Children's Cochlear Implant Center at UNC, erika.gagnon@unchealth.unc.edu;
Dr. Erika Gagnon earned her Doctorate at the University of North Carolina at Chapel Hill. She is a
pediatric cochlear implant audiologist at the Children's Cochlear Implant Center at UNC.
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Lisa Park
(Co-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.
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Hannah Eskridge
(Co-Author), University of North Carolina, hannah.eskridge@unchealth.unc.edu;
Hannah Eskridge, MSP, CCC-SLP, LSLS Cert AVT, is an Associate Professor in the Department of Otolaryngology/ Head and Neck Surgery at the University of North Carolina-Chapel Hill and the Clinical Director of the Children’s Cochlear Implant Center at UNC. She has been working with children who are deaf or hard of hearing and their families for over 20 years. Her primary interests are increasing access to hearing healthcare for children and the use of strengths based coaching with both professionals and parents in the areas of listening and spoken language development.
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