17th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 18-20, 2018 • Denver, CO
| Validation of the RCHSD Children’s Implant Profile (ChIP) Score: Improving Outcomes of Pediatric Cochlear Implant Candidates
Validation of the RCHSD Children’s Implant Profile (ChIP) Score: Improving Outcomes of Pediatric Cochlear Implant Candidates
Determining candidacy for a CI in the pediatric population is a complex and subjective process. Creation of standard and objective prognostic information would be useful, not only to support decisions about CI in a particular child, but also to help counsel the family about the expectations of possible outcomes and to plan for post-CI services.
The RCHSD Cochlear Implant Team uses a modified Children’s Implant Profile (ChIP) to determine CI candidacy. The team includes audiologists, speech and language pathologists, physicians (pediatric otolaryngologists), developmental psychologists, and an educational liaison.
The objective of the study was to evaluate the effectiveness of the RCHSD ChIP score by determining a correlation with the communication outcomes after cochlear implantation, evaluating the effectiveness of the ChIP score used to improve family expectations with the surgery, and to determine the best educational setting for the child.
39 Pediatric Patients from Rady Children’s Hospital Cochlear Implant Program who were evaluated using the RCHSD ChIP tool and had been implanted for 3 years or more were asked to participate in the study. The teacher/educator was asked to complete a questionnaire, based on the AuSpLan (to assess mode of communication and skill level) and the SIFTER (to evaluate the academic placement of children with hearing loss).
The analysis of the RCHSD ChIP score reveals that the results correlate well with the post-operative receptive spoken vocabulary, age appropriate spoken language, and parent expectations.
- What is the RCHSD CHiP tool and how it can be used to predict outcomes for CI Candidates
- What are the benefits of a team approach for determining CI Candidacy
- How the use of an objective tool can be used to to help counsel the family about the expectations of possible outcomes and to plan for post-CI services.
Presentation:
15805_8076RosabelAgbayani.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Daniela Carvalho
(), Rady Children's Hospital San Diego, dcarvalho@rchsd.org;
Dr. Daniela Carvalho is a pediatric otolaryngologist with expertise in pediatric otology (ear surgery). She is currently chief of the otolaryngology section at Rady Children's Hospital-San Diego, the director of the hearing and Cochlear Implant Program at Rady Children's (since 2003) and a professor in the Department of Surgery at UC San Diego School of Medicine.She was the first surgeon in San Diego to do BAHA surgery in pediatric patients and also to do surgery for the sophono device.
Her current research includes the impact of bilinguism in pediatric cochlear implant patients, the evaluation process of pediatric cochlear implantation and endoscopic otologic surgery.
Dr. Carvalho is very active in several national and international otolaryngology societies. In addition to English, she is fluent in Portuguese and Spanish, and also speaks German and French. She has published extensively in pediatric otolaryngology and is frequently invited to speak at otolaryngology conferences both here and abroad.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Rosabel Agbayani
(), Rady Children's Hospital San Diego, Rnagbayani@gmail.com;
Rosabel Agbayani, MPH is a Pediatric Clinical Researcher at Rady Children's Hospital San Diego. She earned a Bachelor of Arts in Human Development from CSU San Marcos, a Bachelor of Science in Communicative Disorders and Deaf Education from Utah State University, and a Masters in Public Health from National University. She is a parent of a child who is Hard of Hearing and the current president of California Hands & Voices.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
No relevant nonfinancial relationship exist.
Heather Rose
(), Rady Children's Hospital San Diego, hrose@rchsd.org;
Heather Rose has been a speech-language pathologist since 1991 and a certified auditory-verbal therapist since 1995. She joined the Cochlear Implant team in 2011 and is its clinical coordinator. She received her bachelor’s in communicative disorders in 1989 and her master’s in speech pathology in 1991 from the University of Akron, Ohio. Heather holds a certificate of clinical competence from the American Speech-Language-Hearing Association and is licensed in the state of California to practice speech-language pathology.
ASHA DISCLOSURE:
Financial -
Nonfinancial -