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Brief Assessment of Parental Perception (BAPP): Development and validation of a new measure for assessing paediatric
V Samuel1, C Gamble2, H Cullington2
1a South Wales Doctoral Programme in Clinical Psychology, School of Psychology, Cardiff University , UK .
Insights
Bilateral cochlear implants significantly improve quality of life for deaf children. While both simultaneous and sequential implantation methods show benefits, sequential implantation may initially present challenges with device wear.
Area of Science:
- Audiology
- Pediatric Otolaryngology
- Rehabilitation Medicine
Background:
- Current guidelines advocate for bilateral cochlear implantation in children.
- This has led to a group of children receiving sequential (second) implants after an initial unilateral one.
- Understanding satisfaction and quality of life in these children is crucial.
Purpose of the Study:
- To explore parental satisfaction and quality of life in children undergoing simultaneous versus sequential bilateral cochlear implantation.
- To validate a new measure, the Brief Assessment of Parental Perception (BAPP), for assessing outcomes in pediatric bilateral cochlear implantation.
Main Methods:
- Development and preliminary validation of the Brief Assessment of Parental Perception (BAPP) measure.
- Parents of 410 children from 14 UK centers completed the BAPP annually for up to three years post-implantation.
- Analysis focused on satisfaction, quality of life, and device wear patterns.
Main Results:
- The BAPP demonstrated good validity and internal consistency.
- High levels of parental satisfaction and reported improvements in quality of life were observed.
- Children receiving sequential implants showed less willingness to wear their second device in the initial two years compared to those with simultaneous implants.
Conclusions:
- Both simultaneous and sequential bilateral cochlear implantation positively impact the quality of life for deaf children.
- While overall satisfaction is high, sequential implantation may require strategies to encourage consistent wear of the second device.
Objective:
In contrast to previous clinical practice, current guidelines recommend bilateral cochlear implantation in children, resulting in a cohort of children who initially received one implant, but have subsequently had a second, contralateral implant. This study aimed to explore satisfaction and quality of life in children implanted simultaneously or sequentially.
Design:
A novel measure of satisfaction and quality of life following paediatric bilateral cochlear implantation (the Brief Assessment of Parental Perception; BAPP) was developed and preliminary validation undertaken as part of a large, national project of bilateral implantation. Children's parents completed the measure yearly for up to three years following implantation.
Study Sample:
Children from 14 UK implant centres were recruited into the study; data were available for 410 children one year post-implantation.
Results:
The BAPP was found to have good face and convergent validity, and internal consistency. Results indicated very high levels of satisfaction with the devices, and improvements in quality of life. However there was evidence that children implanted sequentially were less willing to wear their second implant in the first two years than those children receiving simultaneous implants.
Conclusion:
Simultaneous and sequential cochlear implants have a positive impact on the quality of life of deaf children.
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