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Updated: Apr 26, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Assessing speech perception in children with cochlear implants using a modified hybrid visual habituation procedure.

Cynthia Core1, Janean W Brown, Michael D Larsen

  • 11Department of Speech and Hearing Science, The George Washington University, Washington, DC, USA; and 2Department of Statistics, The George Washington University, Washington, DC, USA.

Ear and Hearing
|July 30, 2014
PubMed
Summary

This study adapted the Hybrid Visual Habituation procedure to assess speech perception in young cochlear implant users. The adapted method successfully evaluated phonetic and prosodic speech features in children with hearing loss.

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Area of Science:

  • Audiology
  • Speech-Language Pathology
  • Developmental Psychology

Background:

  • Cochlear implants (CIs) are crucial for hearing restoration in deaf children.
  • Assessing speech perception in pre-schoolers with CIs presents unique challenges.
  • Understanding perception of phonetic and prosodic features is vital for language development.

Purpose of the Study:

  • To evaluate an adapted Hybrid Visual Habituation (HVH) procedure for assessing speech perception in young CI users.
  • To determine if HVH can measure perception of specific phonetic (vowel height) and prosodic (lexical stress, intonation) features.
  • To establish a reliable method for evaluating speech feature perception in pre-schoolers with CIs.

Main Methods:

  • Nine pre-lingually deaf children (ages 3;4–5;5) using CIs participated.
  • An adapted HVH procedure was employed to test speech feature perception.
  • Bayesian linear regression analysis was used to interpret the results.

Main Results:

  • Seven out of nine children demonstrated perception of at least one speech feature.
  • The adapted HVH procedure successfully identified perception of phonetic and prosodic elements.
  • Each tested speech feature was perceived by at least one child.

Conclusions:

  • The adapted HVH procedure is a viable tool for assessing speech perception in pre-schoolers with CIs.
  • This method effectively evaluates phonetic and prosodic aspects of speech.
  • The findings support the use of adapted HVH for clinical and research applications in pediatric audiology.