-
[show abstract]
[hide abstract]
ABSTRACT: Objective To compare cognitive performance between children with cochlear implants (CI) and normal-hearing peers; provide information about correlations between cognitive performance, basic academic achievement, and medical/audiological and social background variables; and assess the predictor quality of these variables for cognition. Study Design Cross-sectional study with comparison group, diagnostic test assessment. Setting Data were collected in the authors' clinic (children with CI) and in Austrian schools (normal-hearing children). Subjects and Methods Forty children with CI (of the initial 65 children eligible for this study), aged 7 to 11 years, and 40 normal-hearing children, matched by age and sex, were tested with (a) the Culture Fair Intelligence Test (CFIT); (b) the Number Sequences subtest of the Heidelberger Rechentest 1-4 (HRT); (c) Comprehension, (d) Coding, (e) Digit Span, and (f) Vocabulary subtests of HAWIK III (German WISC III); (g) the Corsi Block Tapping Test; (h) the Arithmetic Operations subtests of the HRT; and (i) Salzburger Lese-Screening (SLS, reading). In addition, medical, audiological, social, and educational data from children with CI were collected. Results The children with CI equaled normal-hearing children in (a), (d), (e), (g), (h), and (i) and performed significantly worse in (b), (c) and (f). Background variables correlate significantly with cognitive skills and academic achievement. Medical/audiological variables explain 44.3% of the variance in CFT1 (CFIT, younger children). Social variables explain 55% of CFT1 and 24.5% of the Corsi test. Conclusions This study augments the knowledge about cognitive skills and academic skills of children with CI. Cognitive performance is dependent on the early feasibility to hear and the social/educational background of the family.
Otolaryngology Head and Neck Surgery 05/2012; 147(4):763-72. · 1.72 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: To measure the mental health status of deaf adolescents with cochlear implants (CI). STUDY SAMPLE AND DESIGN: We used the "Strengths and Difficulties Questionnaire" (SDQ) to assess the mental health problems of 32 adolescents with CI (mean age 15.0 years) and 212 normal hearing peers (mean age 15.0 years).
Parent and teacher ratings for the CI subjects (ES emotional symptoms, HA inattention-hyperactivity, CP conduct-problems and PBS pro-social behavior) did not differ significantly from the results of normal hearing peers. However, teachers rated significantly more cases as having peer problems (PP) and more cases as having very high (clinical) total difficulty scores (TDS) in the CI group. The SDQ results of the CI users correlated significantly with poor results in auditory performance and special school education. The age at CI implantation was not found to be a correlated with emotional, behavioral and social problems.
Our findings indicate that the mental health of deaf adolescents with CI is comparable to that of normal hearing peers.
International journal of audiology 03/2011; 50(3):146-54. · 1.34 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: We want to provide new qualitative and quantitative data on the long-term impact of cochlear implantation (CI) on educational placement, vocational outcomes and employment status of hearing-impaired adolescents and young adults.
52 cochlear implant users (age: 12-21 years) and a control group of 155 normal-hearing peers participated in structured interviews on their educational level, achievement, satisfaction with their vocational placement and correspondence between career aspiration and actual occupation.
The educational level of CI-using pupils did not differ from the Austrian population. More than 80% of school-aged children attended mainstream schools. The educational level was positively correlated to the educational level of the father and performance on numbers in an auditory speech test. Nevertheless, parents of pupils with cochlear implants rated the future career chances of their children significantly less optimistic than parents of normal-hearing peers. More than 60% of secondary post-graduates (alumni) completed their education in mainstream schools, two studied at university. 12 out of 13 participants, who required work, were employed, 75% of them with regular contracts. Although all CI-users reported high satisfaction with their work, the correspondence between career aspiration and actual occupation was significantly lower for CI-users compared to normal-hearing peers.
The majority of CI-users in our study group was well integrated into the hearing world, concerning their schooling and post-graduate development. However their career perspectives are still not satisfying.
International Journal of Pediatric Otorhinolaryngology 09/2008; 72(9):1393-403. · 1.17 Impact Factor
-
Maria Huber
International Journal of Pediatric Otorhinolaryngology 05/2007; 71(4):674-6; author reply 677. · 1.17 Impact Factor
-
Maria Huber
[show abstract]
[hide abstract]
ABSTRACT: As shown by many studies, deaf children benefit considerably by cochlear implants (CI), concerning oral language and integration in mainstream schools. This had lead to the general view of a good quality of life of these children. Unfortunately so far nearly no studies on quality of life, and specially no studies on health-related quality of life (HRQoL) of children with cochlear implants, have been published. The present study with the objective for first, initial information on health-related quality of life of Austrian pupils with cochlear implants is a first step to fill this gap.
Forty-four Austrian pupils, out of 65 candidates, age 8-16, with a hearing experience of at least 3 years with implants, and their parents were surveyed in the CI Center, Salzburg (cross sectional study). Basic medical and audiological data were available for all pupils. Because of reading comprehension difficulties 15 pupils were excluded. Parents and children were surveyed with the KINDLr, a generic instrument for health-related quality of life of children and adolescents. Main outcome measures were the HRQoL-total scores (mean, transformed to 100, standard deviation). In addition, 95% confidence intervals, effect sizes, t scores (one- and two-sided t-tests), rank order correlations and coefficients of determination were calculated.
The HRQoL-total score of the children with CI (n=18), age 8-12 was below the standard for hearing children (P<0.001). It differed from the total score of the parent rating (P<0.0001). The difference between the parent ratings of non-excluded and of excluded children (n=12) was not significant. The total score of the adolescents (n=11), age 13-16 was within the norm, with no significant difference between adolescent and parents. The total scores correlate with parent-child agreement in the ratings, with outcomes of audiological speech tests, length of time of deafness, and age at implantation.
Children with CI experience a lower health-related quality of life, compared to hearing children, with a low parent-child agreement. The findings of this study point to a normal subjective health of adolescents with CI.
International Journal of Pediatric Otorhinolaryngology 08/2005; 69(8):1089-101. · 1.17 Impact Factor
