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Updated: Jun 27, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Language Learning Activities in Educational Settings Incrementally Predict Language Ability Beyond Daily Conversation
Meilin He1, Chie Obuchi2, Inho Chung2
1Doctoral Program in Disability Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki 305-8572, Japan.
Language learning activities significantly boost language skills in preschoolers with cochlear implants (CIs). Fostering auditory skills alongside these activities is crucial for effective educational rehabilitation in CI users.
Area of Science:
- Pediatric audiology
- Developmental psychology
- Speech-language pathology
Background:
- Preschoolers with cochlear implants (CIs) face unique challenges in language development compared to normal-hearing (NH) peers.
- Understanding predictive factors for language ability is crucial for targeted educational interventions.
Purpose of the Study:
- To investigate how different language activities and auditory utilization predict language ability in preschoolers with CIs versus NH peers.
- To identify key factors for effective language intervention in CI users.
Main Methods:
- Hierarchical regression analysis was used with teacher-reported data from 189 CI and 210 NH preschoolers.
- Predictor variables included language learning activities, daily communication, auditory utilization, attention, and socioeconomic status.
- Language ability was measured using the Mandarin Clinical Evaluation of Language for Preschoolers' Core Scale (MCELP-CS).
Main Results:
- For CI preschoolers, language learning activities and auditory utilization status were significant predictors of language ability.
- For NH preschoolers, age-related maturation was the primary predictor, with language learning activities also contributing.
- Daily communication activities and learning attentional state had minimal impact on language ability in NH children.
Conclusions:
- Educational interventions for CI preschoolers should prioritize structured language learning activities and auditory skill development.
- Standard language intervention models for NH children may not be directly applicable to CI populations.
- A synergistic approach fostering both language activities and auditory utilization is recommended for CI rehabilitation.
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