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Narrative abilities in early implanted children.

Alessandra Murri1, Domenico Cuda1, Letizia Guerzoni1

  • 1Department of Otorhinolaryngology, Guglielmo da Saliceto Hospital (a.m., d.c., l.g.), Piacenza, Italy.

The Laryngoscope
|December 17, 2014
PubMed
Summary
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Early cochlear implantation in children with hearing loss can lead to near-normal oral narrative skills. Maternal education significantly impacts sentence length and narrative complexity, highlighting the role of the sociocultural context.

Area of Science:

  • Pediatric audiology
  • Speech-language pathology
  • Developmental psychology

Background:

  • Children with congenital, bilateral severe-to-profound sensorineural hearing loss often face challenges in developing oral narrative skills.
  • Early cochlear implantation (CI) is a key intervention for improving auditory and language development in these children.
  • Understanding factors influencing narrative development post-CI is crucial for optimizing language outcomes.

Purpose of the Study:

  • To determine the impact of age at cochlear implant activation on oral narrative ability in children implanted before 2.5 years of age.
  • To explore the influence of other variables, including gender, parental education, and stimulation modality, on narrative skills.

Main Methods:

  • Retrospective nonrandomized group study involving 30 children with severe-to-profound sensorineural hearing loss.
Keywords:
Narrative abilityRenfrew Bus Storycochlear implantlanguage development

Related Experiment Videos

  • Mean age at cochlear implant activation was 14.7 months.
  • Oral narrative skills were assessed using the Renfrew Bus Story at a mean chronological age of 63 months.

    • Main Results:

    • A significant negative linear effect of age at cochlear implant activation on all narrative outcomes was observed.
    • Maternal education level positively influenced sentence length and narrative complexity.
    • Paternal education showed a weak influence on sentence length; gender, age at diagnosis, and stimulation modality were not correlated with narrative outcomes.

    Conclusions:

    • Children receiving early cochlear implantation can achieve oral narrative skills comparable to their normal-hearing peers.
    • Sociocultural factors, particularly maternal and paternal educational levels, are positively associated with the development of oral narrative skills in children with CI.