[Auditory functioning with cochlear implants of bimodal amplification]

The main function of a cochlear implant is to optimise the auditory and communicative abilities of individuals with hearing loss. The use of a hearing aid in the non-implanted ear further optimises binaural hearing, which leads to improved sound localization, speech discrimination in noise and quiet surroundings, and refined sound quality. The goal of the study was to determine the experiences of young adults with cochlear implants regarding bimodal amplification. Considering that all age groups are implanted with cochlear implants and that binaural amplification is beneficial to all age groups, it is important that information on young adults also be included. This study addressed bimodal amplification in terms of auditory, communicative, and cosmetic aspects, and handling and care of apparatus. A qualitative, descriptive research design was employed, and questionnaires were completed by five clients who are part of the Pretoria Cochlear Implant Program. Three of the participants took part in the focus group discussion in support of the results taken from the completed questionnaires. The results of the study indicate that the participants experience bimodal amplification positively, especially in terms of auditory and everyday communicative functioning. The participants largely perceived cosmetic aspects, handling and care of apparatus negatively. The outcomes of the study can be used by audiologists in order to adequately inform and counsel candidates regarding bimodal amplification. Potential barriers can also be addressed appropriately.