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Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
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Vocal Turn-Taking Between Mothers and Their Children With Cochlear Implants.

Maria V Kondaurova1, Nicholas A Smith2, Qi Zheng3

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Vocal turn-taking in children with cochlear implants (CI) improved over the first year. Early interactions showed more simultaneous speech and longer pauses in CI dyads, highlighting the impact of hearing status on communication timing.

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Area of Science:

  • Speech-language pathology
  • Developmental psychology
  • Audiology

Background:

  • Vocal turn-taking is crucial for early communication development.
  • Cochlear implants (CI) aim to restore hearing but may impact communication dynamics.
  • Understanding mother-child interaction patterns post-CI is vital for intervention.

Purpose of the Study:

  • To compare vocal turn-taking and its temporal structure in children with CI and normal hearing (NH) children.
  • To examine changes in these interaction patterns during the first year after CI.
  • To investigate the influence of CI on dyadic communication timing.

Main Methods:

  • Longitudinal study comparing 12 children with CI and 12 NH children.
  • Recorded spontaneous mother-child play sessions at 3 and 9 months post-CI.
  • Coded vocalizations, speech overlap, and pauses to analyze turn-taking dynamics.

Main Results:

  • Children with CI showed less turn-taking initially but improved over time.
  • CI dyads exhibited more simultaneous speech and longer pauses early on.
  • CI infants, unlike NH infants, had longer between-speaker pauses than within-speaker pauses.

Conclusions:

  • Child hearing status and CI intervention significantly affect vocal turn-taking and timing.
  • Mother-infant communication coordination is sensitive to hearing experience.
  • CI positively influences dyadic interaction patterns over the first year.