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Updated: Jul 14, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Classroom performance and language development of CI students placed in mainstream elementary school
Godelieve W J A Damen1, Margreet C Langereis, Ad F M Snik
1Department of Otorhinolaryngology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. g.damen@kno.umcn.nl
Classroom performance in children with cochlear implants (CI) varies significantly. However, both the Assessment of Mainstream Performance (AMP) and SIFTER tools reliably predict language development, aiding in monitoring linguistic function.
Area of Science:
- Audiology and Speech-Language Pathology
- Pediatric Education
- Rehabilitation Medicine
Background:
- Mainstream education presents unique challenges for children with cochlear implants (CI).
- Assessing classroom performance and language development is crucial for these students.
- Standardized instruments are needed to evaluate the effectiveness of CI in educational settings.
Purpose of the Study:
- To investigate the relationship between classroom performance and language development in CI students.
- To analyze the structural validity and reliability of the Assessment of Mainstream Performance (AMP) and Screening Instrument For Targeting Educational Risk (SIFTER) instruments.
Main Methods:
- Cross-sectional study involving 26 elementary school students with CI.
- Classroom performance and language development were assessed using the AMP, SIFTER, Reynell, and Schlichting tests.
- Reliability and factor analyses were conducted on the AMP and SIFTER instruments.
Main Results:
- The AMP and SIFTER instruments demonstrated good reliability (Cronbach alpha >0.6).
- Factor analyses supported the expected structure for the AMP instrument.
- Significant correlations were found between questionnaire-based classroom performance and language test results, indicating predictive capacity for language development.
Conclusions:
- Classroom performance of CI students in mainstream settings is variable.
- The AMP and SIFTER questionnaires are reliable tools for measuring classroom performance.
- These instruments effectively predict language development, with the AMP showing potential for monitoring linguistic functioning.
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