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Updated: Jun 2, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Word Learning in Children Following Cochlear Implantation
Derek M Houston1, Allyson K Carter, David B Pisoni
1Assistant professor of otolaryngology-head and neck surgery and is the Philip F. Holton Scholar at the Indiana University School of Medicine in Indianapolis, IN.
Children using cochlear implants (CIs) showed weaker word learning than peers with typical hearing. However, long-term memory for familiar words was similar, suggesting CIs may impact initial learning but not established word retention.
Area of Science:
- Developmental Psychology
- Speech and Hearing Science
- Neuroscience
Background:
- Cochlear implants (CIs) are vital for hearing restoration in children.
- Understanding word-learning in pediatric CI users is crucial for educational and therapeutic interventions.
- Existing research highlights challenges in language acquisition for children with CIs.
Purpose of the Study:
- To develop and validate an experimental procedure for assessing word-learning skills in young children with CIs.
- To compare word-learning abilities (receptive and expressive) between children with CIs and age-matched peers with typical hearing.
- To investigate the retention of newly learned words over a 2-hour delay.
Main Methods:
- Utilized interactive play scenarios to present novel object-name associations to 2- to 5-year-old children.
- Objects (Beanie Babies) and their names were linked to salient perceptual features.
- Word-object knowledge was assessed immediately and after a 2-hour delay.
Main Results:
- Children with CIs demonstrated poorer performance in both immediate and delayed word-object association recall compared to typically hearing children.
- Both groups exhibited word retention for previously known words after the delay.
- Performance differences were observed in both receptive and expressive vocabulary measures.
Conclusions:
- Pediatric CI users may exhibit deficits in phonological processing impacting initial word learning.
- Long-term memory for familiar words in children with CIs appears comparable to that of typically hearing children.
- The developed methodology offers a valuable tool for future research on word learning in pediatric CI populations.
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