PURPOSE: To examine the impact of cochlear implant (CI) intervention on health-related quality of life (HRQOL) assessed by both self- and parent-reported measures. METHODS: In this national study of children implanted between ages 6 months and 5 years, HRQOL of 129 children 6-year post-CI was compared to 62 internal study (NH1) and 185 external (NH2) samples of hearing children frequency-matched to the CI group on sociodemographic variables. HRQOL ratings of children and their parents in each group, measured using the Child Health and Illness Profile-Child Edition, were compared, and their associations with the Family Stress Scale were investigated. RESULTS: CI children reported overall and domain-specific HRQOL that was comparable to both NH1 and NH2 peers. CI parents reported worse child scores than NH1 parents in Achievement, Resilience, and Global score (p's < 0.01) but similar or better scores than socioeconomically comparable NH2 parents. Higher family stress was negatively associated with all parent-reported HRQOL outcomes (p's < 0.01). Parent-child correlations in HRQOL global scores trended higher in CI recipients (r = 0.50) than NH1 (r = 0.42) and NH2 (r = 0.35) controls. CONCLUSIONS: CI recipients report HRQOL comparable to NH peers. These results, from both child and parent perspective, lend support to the effectiveness of CI intervention in mitigating the impact of early childhood deafness. Family stress was associated with worse HRQOL, underscoring a potential therapeutic target. Parent-child agreement in HRQOL scores was higher for CI families than NH families, which may reflect higher caregiver insight and involvement related to the CI intervention.
PURPOSE: To examine the impact of cochlear implant (CI) intervention on health-related quality of life (HRQOL) assessed by both self- and parent-reported measures. METHODS: In this national study of children implanted between ages 6 months and 5 years, HRQOL of 129 children 6-year post-CI was compared to 62 internal study (NH1) and 185 external (NH2) samples of hearing children frequency-matched to the CI group on sociodemographic variables. HRQOL ratings of children and their parents in each group, measured using the Child Health and Illness Profile-Child Edition, were compared, and their associations with the Family Stress Scale were investigated. RESULTS: CI children reported overall and domain-specific HRQOL that was comparable to both NH1 and NH2 peers. CI parents reported worse child scores than NH1 parents in Achievement, Resilience, and Global score (p's < 0.01) but similar or better scores than socioeconomically comparable NH2 parents. Higher family stress was negatively associated with all parent-reported HRQOL outcomes (p's < 0.01). Parent-child correlations in HRQOL global scores trended higher in CI recipients (r = 0.50) than NH1 (r = 0.42) and NH2 (r = 0.35) controls. CONCLUSIONS: CI recipients report HRQOL comparable to NH peers. These results, from both child and parent perspective, lend support to the effectiveness of CI intervention in mitigating the impact of early childhood deafness. Family stress was associated with worse HRQOL, underscoring a potential therapeutic target. Parent-child agreement in HRQOL scores was higher for CI families than NH families, which may reflect higher caregiver insight and involvement related to the CI intervention.
Authors: Andrea D Warner-Czyz; Betty Loy; Emily A Tobey; Paul Nakonezny; Peter S Roland Journal: Int J Pediatr Otorhinolaryngol Date: 2010-11-11 Impact factor: 1.675
Authors: Paul J Govaerts; Carina De Beukelaer; Kristin Daemers; Geert De Ceulaer; Marjan Yperman; Thomas Somers; Isabelle Schatteman; F Erwin Offeciers Journal: Otol Neurotol Date: 2002-11 Impact factor: 2.311
Authors: Arlene C Gerson; Alicia Wentz; Allison G Abraham; Susan R Mendley; Stephen R Hooper; Robert W Butler; Debbie S Gipson; Marc B Lande; Shlomo Shinnar; Marva M Moxey-Mims; Bradley A Warady; Susan L Furth Journal: Pediatrics Date: 2010-01-18 Impact factor: 7.124
Authors: Anne W Riley; Christopher B Forrest; Barbara Starfield; George W Rebok; Judith A Robertson; Bert F Green Journal: Med Care Date: 2004-03 Impact factor: 2.983
Authors: Louis S Matza; Anne M Rentz; Kristina Secnik; Andrine R Swensen; Dennis A Revicki; David Michelson; Thomas Spencer; Jeffrey H Newcorn; Christopher J Kratochvil Journal: J Dev Behav Pediatr Date: 2004-06 Impact factor: 2.225
Authors: Nancy E Fink; Nae-Yuh Wang; Jiovani Visaya; John K Niparko; Alexandra Quittner; Laurie S Eisenberg; Emily A Tobey Journal: Cochlear Implants Int Date: 2007-06
Authors: Caitlin E Fiorillo; Vania Rashidi; Philip M Westgate; Julie A Jacobs; Matthew L Bush; Christina R Studts Journal: Otol Neurotol Date: 2017-12 Impact factor: 2.311
Authors: Ivette Cejas; Christine M Mitchell; David H Barker; Christina Sarangoulis; Laurie S Eisenberg; Alexandra L Quittner Journal: Otol Neurotol Date: 2021-12-01 Impact factor: 2.311
Authors: Ivette Cejas; Jennifer Coto; Christina Sarangoulis; Chrisanda M Sanchez; Alexandra L Quittner Journal: Ear Hear Date: 2021 July/Aug Impact factor: 3.562