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Inconsistent device use in pediatric cochlear implant users: Prevalence and risk factors.

Kathryn B Wiseman1, Andrea D Warner-Czyz1,2

  • 1a Department of Communication Sciences and Disorders, Callier Advanced Hearing Research Center , The University of Texas at Dallas , 1966 Inwood Road, Dallas , TX 75235 , USA.

Cochlear Implants International
|January 5, 2018
PubMed
Summary

Many children with cochlear implants (CIs) do not use their devices full-time, potentially hindering spoken language development. Objective data reveals factors like younger age and additional disabilities are linked to inconsistent CI use.

Keywords:
ChildrenCochlear implantDataloggingDevice useHearing lossPediatricRisk factors

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Area of Science:

  • Pediatric audiology
  • Speech-language pathology
  • Biomedical engineering

Background:

  • Cochlear implants (CIs) offer hearing access for children with severe hearing loss.
  • Inconsistent device use (<8 hours/day) can impede spoken language acquisition.
  • Previous studies may underestimate inconsistent CI use due to reliance on subjective parent reports.

Purpose of the Study:

  • To identify risk factors for inconsistent daily device use in pediatric CI users.
  • To utilize objective datalogging for measuring device usage.
  • To compare objective usage data with demographic, audiologic, and device factors.

Main Methods:

  • Retrospective chart review of 71 pediatric CI users.
  • Objective device usage data collected via datalogging.
  • Statistical analyses included non-parametric correlations, Mann-Whitney U, and Kruskal-Wallis H tests.

Main Results:

  • Children with CIs used devices an average of 7.6 hours/day; 50% used them less than full-time.
  • Poorer device use correlated with younger chronological age, additional disabilities, lower maternal education, younger implantation age, Medicaid use, and smaller dynamic range.
  • Objective datalogging revealed higher prevalence of inconsistent use than previously reported.

Conclusions:

  • Inconsistent cochlear implant use is prevalent in children, potentially more so than previously estimated.
  • Younger age, presence of disabilities, and socioeconomic factors are associated with reduced device usage.
  • Objective datalogging is crucial for accurate assessment and targeted family counseling.