Cynthia R Hunter1, William G Kronenberger1,2,3, Irina Castellanos4, David B Pisoni1,2. 1. Speech Research Laboratory, Department of Psychological and Brain Sciences, Indiana University, Bloomington. 2. Riley Child and Adolescent Psychiatry Clinic, Department of Psychiatry, Indiana University School of Medicine, Indianapolis. 3. DeVault Otologic Research Laboratory, Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis. 4. Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus.
Abstract
Purpose: We sought to determine whether speech perception and language skills measured early after cochlear implantation in children who are deaf, and early postimplant growth in speech perception and language skills, predict long-term speech perception, language, and neurocognitive outcomes. Method: Thirty-six long-term users of cochlear implants, implanted at an average age of 3.4 years, completed measures of speech perception, language, and executive functioning an average of 14.4 years postimplantation. Speech perception and language skills measured in the 1st and 2nd years postimplantation and open-set word recognition measured in the 3rd and 4th years postimplantation were obtained from a research database in order to assess predictive relations with long-term outcomes. Results: Speech perception and language skills at 6 and 18 months postimplantation were correlated with long-term outcomes for language, verbal working memory, and parent-reported executive functioning. Open-set word recognition was correlated with early speech perception and language skills and long-term speech perception and language outcomes. Hierarchical regressions showed that early speech perception and language skills at 6 months postimplantation and growth in these skills from 6 to 18 months both accounted for substantial variance in long-term outcomes for language and verbal working memory that was not explained by conventional demographic and hearing factors. Conclusion: Speech perception and language skills measured very early postimplantation, and early postimplant growth in speech perception and language, may be clinically relevant markers of long-term language and neurocognitive outcomes in users of cochlear implants. Supplemental materials: https://doi.org/10.23641/asha.5216200.
Purpose: We sought to determine whether speech perception and language skills measured early after cochlear implantation in children who are deaf, and early postimplant growth in speech perception and language skills, predict long-term speech perception, language, and neurocognitive outcomes. Method: Thirty-six long-term users of cochlear implants, implanted at an average age of 3.4 years, completed measures of speech perception, language, and executive functioning an average of 14.4 years postimplantation. Speech perception and language skills measured in the 1st and 2nd years postimplantation and open-set word recognition measured in the 3rd and 4th years postimplantation were obtained from a research database in order to assess predictive relations with long-term outcomes. Results: Speech perception and language skills at 6 and 18 months postimplantation were correlated with long-term outcomes for language, verbal working memory, and parent-reported executive functioning. Open-set word recognition was correlated with early speech perception and language skills and long-term speech perception and language outcomes. Hierarchical regressions showed that early speech perception and language skills at 6 months postimplantation and growth in these skills from 6 to 18 months both accounted for substantial variance in long-term outcomes for language and verbal working memory that was not explained by conventional demographic and hearing factors. Conclusion: Speech perception and language skills measured very early postimplantation, and early postimplant growth in speech perception and language, may be clinically relevant markers of long-term language and neurocognitive outcomes in users of cochlear implants. Supplemental materials: https://doi.org/10.23641/asha.5216200.
Authors: Jessica Beer; William G Kronenberger; Irina Castellanos; Bethany G Colson; Shirley C Henning; David B Pisoni Journal: J Speech Lang Hear Res Date: 2014-08 Impact factor: 2.297
Authors: P J Blamey; J Z Sarant; L E Paatsch; J G Barry; C P Bow; R J Wales; M Wright; C Psarros; K Rattigan; R Tooher Journal: J Speech Lang Hear Res Date: 2001-04 Impact factor: 2.297
Authors: William G Kronenberger; Jessica Beer; Irina Castellanos; David B Pisoni; Richard T Miyamoto Journal: JAMA Otolaryngol Head Neck Surg Date: 2014-07 Impact factor: 6.223
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