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Updated: Aug 6, 2026
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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Classroom performance of children with cochlear implants in mainstream education
Godelieve W J A Damen1, Marilène H L van den Oever-Goltstein, Margreet C Langereis
1Dept of Otorhinolaryngology, Radboud University Nijmegen Medical Center, Philips van Leydenlaan 15, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
The Annals of Otology, Rhinology, and Laryngology
|August 12, 2006
Summary
Children with cochlear implants (CI) showed promising classroom performance but scored lower than hearing peers. Early implantation and shorter deafness duration positively impacted outcomes for CI users.
Area of Science:
- Pediatric audiology
- Educational psychology
- Rehabilitative medicine
Background:
- Mainstream education presents unique challenges for children with cochlear implants (CI).
- Understanding the academic and social integration of CI users is crucial for optimizing support.
Purpose of the Study:
- To compare the classroom performance of children with CIs to their normal-hearing peers in mainstream settings.
- To identify factors influencing the educational outcomes of CI recipients.
Main Methods:
- Thirty-two children with CIs and 37 normal-hearing children participated.
- Teachers completed the Assessment of Mainstream Performance (AMP) and Screening Instrument for Targeting Educational Risk (SIFTER) questionnaires.
- Audiological assessments included Fletcher index and open-set speech perception.
Main Results:
- CI children scored above average on the AMP and adequately on most SIFTER domains, except communication.
- While class rankings were similar, normal-hearing peers generally outperformed CI users.
- Negative correlations were found between CI performance, duration of deafness, and age at implantation.
Conclusions:
- CI recipients demonstrate encouraging academic progress but generally score lower than their hearing peers.
- Age at implantation and duration of deafness are key predictors of educational success for children with CIs.
