19th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 8-10, 2020 • Kansas City, MO
3/10/2020 | 2:15 PM - 2:45 PM | Hearing Hours Percentage or Age at Cochlear Implantation: Which is More Predictive of Spoken Language Outcomes | Chicago C
Hearing Hours Percentage or Age at Cochlear Implantation: Which is More Predictive of Spoken Language Outcomes
As technology continues to improve, and age of cochlear implantation continues to lower, The Children's Cochlear Implant Center at UNC conducted a retrospective study looking at age of cochlear implant compared to wear time of cochlear implant and the impact these factors have on receptive and expressive language outcomes one year post implantation. As first discussed at the EHDI meeting in 2019, we saw the distinct correlation between wear time and language outcomes. Since that time we have delved even deeper into wear time and found a way to assess wear time that equates to even greater correlations to spoken language outcomes.
Children included in this analysis were congenitally deaf and received their first implant at The University of North Carolina – Chapel Hill. 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 > 8 hours per day on average was recorded as the date of full time use and then also a date of when the child reached a wear time of 80%, as their hearing hours percentage, were obtained. 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 impact that the EHDI 1, 3, 6 guidelines have had are immense. The impact of earlier implantation is well documented. Is the quest for best outcomes complete? Or is it ongoing?
Wear time and its distinct correlation to outcomes is immense and the next focal point for the continued success for children with hearing loss whose parents have chosen spoken language.
- The learner will be able to understand the impact of hearing hours percentages 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 understand the difference between hours of CI wear per day and hearing hours percentages.
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Presenters/Authors
Lisa Park
(), 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 -
• Receives Grants for Independent contractor from MED-EL.
Nonfinancial -
No relevant nonfinancial relationship exist.
Erin Thompson
(), 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 -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.