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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
Parents' views on changing communication after cochlear implantation.
Linda M Watson1, Tim Hardie, Sue M Archbold
1School of Education, University of Birmingham, B15 2TT, UK. l.m.watson@bham.ac.uk
Most children with cochlear implants shifted to spoken language communication. Parents sought effective communication methods, with changes often child-led due to improved hearing, though signed communication remained valued.
Area of Science:
- Pediatric audiology
- Deaf education
- Communication sciences
Background:
- Cochlear implantation is a significant intervention for children with hearing loss.
- Understanding post-implantation communication strategies is crucial for long-term outcomes.
- Parental perspectives on communication modality are vital for child development.
Purpose of the Study:
- To investigate changes in communication approaches used by families after pediatric cochlear implantation.
- To identify factors influencing the shift in communication modalities.
- To understand parental preferences for communication methods.
Main Methods:
- A questionnaire was sent to families of 288 children who received cochlear implants at least 5 years prior.
- 142 families responded, detailing changes in communication strategies.
- Parental responses to statements about communication effectiveness were analyzed.
Main Results:
- 119 out of 142 families reported a change in communication approach post-implantation.
- 113 families shifted towards spoken language, while 6 adopted signed communication.
- Parental feedback indicated a desire for the most effective and future-useful communication methods for their child.
Conclusions:
- Pediatric cochlear implantation often leads to a family-wide shift towards spoken language communication.
- This change appears to be primarily driven by the child's improved auditory perception.
- Parents value spoken language gains while also recognizing the contribution of signed communication.
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