Related Experiment Video
Updated: Oct 13, 2025
06:04
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
511
Parenting Stress, Self-Efficacy, and Involvement: Effects on Spoken Language Ability Three Years After Cochlear
Ivette Cejas1, Christine M Mitchell2, David H Barker3,4
1Department of Otolaryngology, University of Miami Ear Institute, Miami, FL.
Summary
Parenting stress negatively impacts spoken language in children with cochlear implants (CI). Increasing parental self-efficacy is key to improving language outcomes for these children.
Area of Science:
- Audiology
- Developmental Psychology
- Speech-Language Pathology
Background:
- Cochlear implantation (CI) is a critical intervention for children with severe-to-profound sensorineural hearing loss.
- Parenting factors significantly influence child development, particularly in communication domains.
- Understanding the interplay between parental stress, self-efficacy, involvement, and child language outcomes is crucial for effective support.
Purpose of the Study:
- To examine the associations among parenting stress, parental self-efficacy, and parental involvement.
- To investigate the relationship of these parenting factors with spoken language outcomes in young children 3 years post-CI.
- To explore the mediating role of parental self-efficacy and involvement in the relationship between parenting stress and child language development.
Main Methods:
- A cross-sectional study was conducted across six university tertiary medical centers.
- One hundred sixty-four young children with bilateral, severe-to-profound sensorineural hearing loss and 3 years of CI experience participated.
- Parenting stress (Family Stress Scale), parental self-efficacy and involvement (Scale of Parental Involvement and Self-Efficacy), and spoken language (Oral and Written Language Scales) were assessed.
Main Results:
- Higher parenting stress was significantly correlated with lower parental self-efficacy (r = -0.45) and involvement (r = -0.32).
- Family stress directly and negatively affected children's spoken language outcomes.
- Parental self-efficacy mediated the negative impact of family stress on spoken language, accounting for 43% of the effect after controlling for maternal education and activation age.
Conclusions:
- Parenting interventions should aim to reduce stressors and enhance parental self-efficacy in families of children with CIs.
- Integrating mental health screening and tailored parenting support within CI clinics can foster parental self-efficacy and involvement.
- Improved parental self-efficacy and involvement can lead to measurable gains in children's spoken language development post-CI.
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