The parents as assessors of the quality of life of their cochlear implanted children
Abstract Introduction and objective: Quality of life refers to the hability of an individual to enjoy normal life activities, including aspects of functional capacity and well-being. The concept of quality of life has been increasingly used in the field of health assessments. Only recently have the effects of Cochlear implantation from the perspective of emotional and social development begun to be investigate. To examine the results of health-related quality of life in cochlear implanted children between 11 and 12 years of age and their parents. Method: Observational, transversal descriptive study .24 unilateral or successive bilateral children implanted prelingually between 11 and 12 years of age and their parents. The pediatric quality of life questionnaire Persil ™ (Version 4.0, Spanish for Spain) was used to measure health-related quality of life. It was completed independently by children and parents. Results: The results were analyzed by means of a T -Student test. The outcomes of children and parents at different scales evaluated show that statistically significant results appear on scales of emotional and academic functioning (p < 0.05). When comparing the overall result of the questionnaire with the different scales evaluated, all show statistically significant results (p < 0.05). Discussion: It has been proven the success of a cochlear implant in speech and language field, this leads us calls into question beyond these areas; yield at home, at school and in different social contexts. There are few studies that explain through parental questionnaires expectations and their perception of the quality of life in cochlear implanted in children. Conclusions: The results of the study show that children enjoy the benefits of using a cochlear implant. They report benefits in all areas studied (physical, emotional, social and academic). Parents are reliable reporters about the state of the overall quality of life of their children since their answers were similar to those given by their children.
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Al-Muhaimeed H. Assessment of auditory performance in young children with cochlear implants. Cochlear Implants Int. 2010; 11(Suppl 1):240-3 - https://doi.org/10.1179/146701010X12671177988878 - PMid:21756623
Cappelli M, Daniels T, Durieux-Smith A. Social development of children with hearing impairments who are integrated into general education classrooms. Volta Review 1995;97:197–208
Castro A, Lassaletta L, Bastarrica M, Alfonso M, Prim MP, de Sarriá MJ, Gavilán J. Calidad de vida en pacientes con implante coclear. Acta Otorrinolaringol Esp 2005;55:192-7 - https://doi.org/10.1016/S0001-6519(05)78599-X
Chmiel, R., Sutton, L., Jenkins, H. Quality of life in children with cochlear implants. Annals of Otology,Rhinology and Laryngology Supplement.2000;185:100–3 - https://doi.org/10.1177/0003489400109s1245
Davis JM, Elfenbein J, Schum R, Bentler RA. Effects of mild and moderate hearing impairments on language, educational, and psychosocial behavior of children. J Speech Hear Disord 1986;51:53–62 - https://doi.org/10.1044/jshd.5101.53 - PMid:3945060
Fortunato-Tavares T, Befi-Lopes D, Ferreira Bento R, Furquim de Andrade CR. Children with cochlear implants: communication skills and quality of life. Braz J Otorhinolaryngol. 2011;78(1):15-25 - https://doi.org/10.1590/S1808-86942012000100003
Gordon KA, Papsin BC. Benefits of short interimplant delays in children receiving bilateral cochlear implants. Otol Neurotol, 2009;30:319-331 - https://doi.org/10.1097/MAO.0b013e31819a8f4c - PMid:19318886
Guyatt GH, Feeney DH Patrick, DL. Measuring health related quality of life. Ann Intern Med. 1993; 15;118(8):622-9
Houston D, Pisoni D, Kirk K, Yin E, Miyamoto R. Speech perception skills of deaf infants following cochlear implantation. A first report. Int J Pediatr Otorhinolaryngol. 2003;67:479-95 - https://doi.org/10.1016/S0165-5876(03)00005-3
Kirk KI, Miyamoto RT, Lento CL, Ying E, O'Neill T, Fears B. Effects of age at implantation in young children. Ann Otol Rhinol Laryngol. 2002;111:69–73 - https://doi.org/10.1177/00034894021110S515
Kluwin TN, Stewart DA. Cochlear implants for younger children: a preliminary description of the parental decision process and outcomes. Am Ann Deaf. 2000;145(1):26-32 - https://doi.org/10.1353/aad.2012.0247
Knutson JF, Boyd RC, Reid JB, Mayne T, Fetrow R. Observational assessments of the interaction of implant recipients with family and peers: Preliminary findings. Otolaryngol Head Neck Surg 1997;117:196–207 - https://doi.org/10.1016/S0194-5998(97)70174-8
Lin F, Niparko J. Measuring health-related quality of life afterpediatric cochlear implantation: A systematic review. Int J Pediatr Otorhinolaryngol. 2006; 70: 1695-1706 - https://doi.org/10.1016/j.ijporl.2006.05.009 - PMid:16806501
Loy B, Andrea D. Warner-Czyz, Liyue Tong, Emily A. Tobey, Peter S. Roland, The children speak: An examination of the quality of life ofpediatric cochlear implant users. Otolaryngol Head Neck Surg. 2010; 142(2): 247–53 - https://doi.org/10.1016/j.otohns.2009.10.045 - PMid:20115983 PMCid:PMC2852181
Manrique M, Cervera-Paz FJ, Huarte A, Molina M. Advantages of cochlear implantation in prelingual deaf children before 2 years of age when compared with later implantation. Laryngoscope. 2004;114(8):1462-9 - https://doi.org/10.1097/00005537-200408000-00027 - PMid:15280727
Marschark M. Origins and interactions in the social, cognitive, and language development of deaf children. In: Marschark M, Clark D (Eds.). Psychological Perspectiveson Deafness, Lawrence Erlbaum Associates. New Jersey: Hillsdale; 1993
Robbins AM, Osberger AJ, Miyamoto RT, Kessler KS. Language development in young children with cochlear implants. Adv Otorhinolaryngol. 1995;50:160-6 - https://doi.org/10.1159/000424453
Spilker B, Revicki D. Taxonomy of Quality of Life. In: Quality of Life and Pharmaco economics in Clinical Trials. Spilker B (Ed.). Baltimore: Lippincott Williams & Wilkins; 1996
Spilker B, Revicki D. Taxonomy of Quality of Life. In: Quality of Life and Pharmaco economics in Clinical Trials. Spilker B (Ed.). Baltimore: Lippincott Williams & Wilkins; 1996
Svirsky, M. A., Teoh, S., Neuberger, H. Development of language and speech perception in congenitally, profoundly deaf children as a function of age at cochlear implantation. Audiol Neurootol. 2004;9:224–33 - https://doi.org/10.1159/000078392 - PMid:15205550
Thoutenhoofd E, Archbold S, Gregory S, Lutman ME, Nikolopoulos TP, Sach T. Paediatric cochlear implantation: evaluating outcomes. Elsevier; 2005
Upton P, Lawford J, Eiser C. Parent-child agreement across child health-related quality of life instruments: a review of the literature. Qual Life Res 2008; 17: 895-913 - https://doi.org/10.1007/s11136-008-9350-5 - PMid:18521721
Vidas S, Hassan R, Parnes LS. Real-life performance considerations of four pediatric multi-channel cochlear implant recipients. J Otolaryngol. 1992;21(6):387-93 - PMid:1494178 -
Cappelli M, Daniels T, Durieux-Smith A. Social development of children with hearing impairments who are integrated into general education classrooms. Volta Review 1995;97:197–208
Castro A, Lassaletta L, Bastarrica M, Alfonso M, Prim MP, de Sarriá MJ, Gavilán J. Calidad de vida en pacientes con implante coclear. Acta Otorrinolaringol Esp 2005;55:192-7 - https://doi.org/10.1016/S0001-6519(05)78599-X
Chmiel, R., Sutton, L., Jenkins, H. Quality of life in children with cochlear implants. Annals of Otology,Rhinology and Laryngology Supplement.2000;185:100–3 - https://doi.org/10.1177/0003489400109s1245
Davis JM, Elfenbein J, Schum R, Bentler RA. Effects of mild and moderate hearing impairments on language, educational, and psychosocial behavior of children. J Speech Hear Disord 1986;51:53–62 - https://doi.org/10.1044/jshd.5101.53 - PMid:3945060
Fortunato-Tavares T, Befi-Lopes D, Ferreira Bento R, Furquim de Andrade CR. Children with cochlear implants: communication skills and quality of life. Braz J Otorhinolaryngol. 2011;78(1):15-25 - https://doi.org/10.1590/S1808-86942012000100003
Gordon KA, Papsin BC. Benefits of short interimplant delays in children receiving bilateral cochlear implants. Otol Neurotol, 2009;30:319-331 - https://doi.org/10.1097/MAO.0b013e31819a8f4c - PMid:19318886
Guyatt GH, Feeney DH Patrick, DL. Measuring health related quality of life. Ann Intern Med. 1993; 15;118(8):622-9
Houston D, Pisoni D, Kirk K, Yin E, Miyamoto R. Speech perception skills of deaf infants following cochlear implantation. A first report. Int J Pediatr Otorhinolaryngol. 2003;67:479-95 - https://doi.org/10.1016/S0165-5876(03)00005-3
Kirk KI, Miyamoto RT, Lento CL, Ying E, O'Neill T, Fears B. Effects of age at implantation in young children. Ann Otol Rhinol Laryngol. 2002;111:69–73 - https://doi.org/10.1177/00034894021110S515
Kluwin TN, Stewart DA. Cochlear implants for younger children: a preliminary description of the parental decision process and outcomes. Am Ann Deaf. 2000;145(1):26-32 - https://doi.org/10.1353/aad.2012.0247
Knutson JF, Boyd RC, Reid JB, Mayne T, Fetrow R. Observational assessments of the interaction of implant recipients with family and peers: Preliminary findings. Otolaryngol Head Neck Surg 1997;117:196–207 - https://doi.org/10.1016/S0194-5998(97)70174-8
Lin F, Niparko J. Measuring health-related quality of life afterpediatric cochlear implantation: A systematic review. Int J Pediatr Otorhinolaryngol. 2006; 70: 1695-1706 - https://doi.org/10.1016/j.ijporl.2006.05.009 - PMid:16806501
Loy B, Andrea D. Warner-Czyz, Liyue Tong, Emily A. Tobey, Peter S. Roland, The children speak: An examination of the quality of life ofpediatric cochlear implant users. Otolaryngol Head Neck Surg. 2010; 142(2): 247–53 - https://doi.org/10.1016/j.otohns.2009.10.045 - PMid:20115983 PMCid:PMC2852181
Manrique M, Cervera-Paz FJ, Huarte A, Molina M. Advantages of cochlear implantation in prelingual deaf children before 2 years of age when compared with later implantation. Laryngoscope. 2004;114(8):1462-9 - https://doi.org/10.1097/00005537-200408000-00027 - PMid:15280727
Marschark M. Origins and interactions in the social, cognitive, and language development of deaf children. In: Marschark M, Clark D (Eds.). Psychological Perspectiveson Deafness, Lawrence Erlbaum Associates. New Jersey: Hillsdale; 1993
Robbins AM, Osberger AJ, Miyamoto RT, Kessler KS. Language development in young children with cochlear implants. Adv Otorhinolaryngol. 1995;50:160-6 - https://doi.org/10.1159/000424453
Spilker B, Revicki D. Taxonomy of Quality of Life. In: Quality of Life and Pharmaco economics in Clinical Trials. Spilker B (Ed.). Baltimore: Lippincott Williams & Wilkins; 1996
Spilker B, Revicki D. Taxonomy of Quality of Life. In: Quality of Life and Pharmaco economics in Clinical Trials. Spilker B (Ed.). Baltimore: Lippincott Williams & Wilkins; 1996
Svirsky, M. A., Teoh, S., Neuberger, H. Development of language and speech perception in congenitally, profoundly deaf children as a function of age at cochlear implantation. Audiol Neurootol. 2004;9:224–33 - https://doi.org/10.1159/000078392 - PMid:15205550
Thoutenhoofd E, Archbold S, Gregory S, Lutman ME, Nikolopoulos TP, Sach T. Paediatric cochlear implantation: evaluating outcomes. Elsevier; 2005
Upton P, Lawford J, Eiser C. Parent-child agreement across child health-related quality of life instruments: a review of the literature. Qual Life Res 2008; 17: 895-913 - https://doi.org/10.1007/s11136-008-9350-5 - PMid:18521721
Vidas S, Hassan R, Parnes LS. Real-life performance considerations of four pediatric multi-channel cochlear implant recipients. J Otolaryngol. 1992;21(6):387-93 - PMid:1494178 -
Borkoski-Barreiro, S. A., Falcón-González, J. C., Torres-García De Celís, M., Chicharro-Soria, I., & Ramos-Macías, Ángel. (2017). The parents as assessors of the quality of life of their cochlear implanted children. Revista ORL, 8(2), 105–110. https://doi.org/10.14201/orl.15215
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