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Updated: Jun 16, 2026

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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Development of an Orff music-based intervention program based on the PERMA model for children with cochlear implants:
Yujing Huang1, Xiuqin Li1, Wenxin Rao1
1School of Nursing, Anhui Medical University, Hefei, Anhui, China.
BMC Pediatrics
|June 14, 2026
Summary
A new PERMA-based Orff music intervention significantly improved auditory, speech, and psychosocial outcomes for children with cochlear implants, demonstrating feasibility for rehabilitation.
Area of Science:
- Pediatric Rehabilitation
- Music Therapy
- Positive Psychology
Background:
- Children with cochlear implants often require comprehensive rehabilitation.
- The PERMA model (Positive Emotion, Engagement, Relationships, Meaning, Accomplishment) offers a framework for well-being.
- Orff music therapy utilizes rhythm, melody, and movement for therapeutic benefits.
Purpose of the Study:
- To develop a PERMA-based Orff music intervention program.
- To evaluate the preliminary effectiveness of this intervention in children with cochlear implants.
Main Methods:
- Program development involved literature review and the Delphi method with 15 experts.
- A quasi-experimental study assessed 15 children with cochlear implants over 3 months.
- Auditory, speech, and psychosocial indicators were measured pre- and post-intervention.
Main Results:
- Expert consensus was high, leading to a defined intervention framework.
- Significant improvements (p < 0.05) were observed in all auditory, speech, and psychosocial outcomes.
- The intervention demonstrated good acceptability and feasibility.
Conclusions:
- The PERMA-based Orff music intervention shows preliminary effectiveness for children with cochlear implants.
- This approach offers a valuable reference for pediatric rehabilitation strategies.
- Findings provide data for future randomized controlled trials.
