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Updated: Jun 27, 2026
06:04
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Children with cochlear implants: the communication journey.
Alexandra Wheeler1, Sue M Archbold, Tim Hardie
1Ear Foundation, Nottingham, UK. alex@earfoundation.org.uk
Cochlear Implants International
|November 26, 2008
Summary
Parents of profoundly deaf children undergoing cochlear implantation (CI) choose communication methods that work best, aiming for oral communication skills. This journey involves adapting strategies as the child develops.
Area of Science:
- Audiology
- Pediatric Medicine
- Speech-Language Pathology
Background:
- Cochlear implantation (CI) offers profound hearing access for deaf children.
- Research often focuses on communication modes post-CI, not parental choices.
- Parental decision-making regarding communication strategies remains under-explored.
Purpose of the Study:
- To investigate parental experiences and choices in communication modes before and after cochlear implantation.
- To understand the evolving communication strategies employed by families with deaf children who received CI.
Main Methods:
- Qualitative study involving in-depth interviews with 12 families.
- Longitudinal analysis of parental communication choices across child development stages.
Main Results:
- Parents select the most effective communication methods for their child.
- The ultimate parental goal remains the development of oral communication skills.
- Communication approaches are adapted dynamically throughout the child's developmental journey.
Conclusions:
- Parental choice in communication mode is adaptive and goal-oriented.
- The pursuit of oral communication skills is a primary driver for parents of children with CI.
- Effective communication strategies evolve with the child's development and CI experience.
Related Concept Videos
01:15Auditory Pathway
Auditory pathways constitute the complex neural circuits responsible for transmitting and interpreting auditory information from the peripheral auditory system to the brain. Sound waves are initially captured by the outer ear, funneled through the ear canal, and reach the tympanic membrane (eardrum). These vibrations are transmitted via the middle ear's ossicles to the inner ear's cochlea.
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking the...
01:31Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
01:13The Cochlea
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
01:30Therapeutic Communication
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
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01:21Barriers to Effective Communication II
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Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
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Semantic barriers:
As a result of their tendency to use...
01:28Communication
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Within...
Within...