TY - JOUR
T1 - Cochlear Implants in Neurologically Impaired Children
T2 - A Survey of Health-Related Quality of Life
AU - Anne, Samantha
AU - Schwartz, Seth Roslow
AU - McCoy, Jennifer L.
AU - Haberkamp, Thomas
AU - Hoffer, Michael E.
AU - Chi, David H.
N1 - Funding Information:
We thank Jeff Hammel, MS, for assistance with data analysis and John O?Neill, research coordinator for the Head and Neck Institute at the Cleveland Clinic, for assistance for data collation.
Publisher Copyright:
© American Academy of Otolaryngology–Head and Neck Surgery Foundation 2021.
PY - 2021/11
Y1 - 2021/11
N2 - Objectives: Evaluate health-related quality-of-life (HRQoL) measures in noncommunicative, neurologically impaired, developmentally delayed (NCNIDD) children compared to normally developing children (ND) who undergo cochlear implantation (CI). Study Design: Cross-sectional survey of parents of NCNIDD and ND children who underwent CI. Setting: Two tertiary care medical centers. Methods: Questions comprising the Children With Cochlear Implants: Parental Perspectives survey were used in analysis. Average responses were calculated within 8 domains (communication, general functioning, self-reliance, well-being and happiness, social relationships, education, effects of implantation, and support the child). Groups were compared using Wilcoxon rank-sum test. Impact of individual and collective socioeconomic/family covariates was assessed using analysis of variance. Results: Surveys were returned from 17 of 42 (40%) patients with NCNIDD and 35 of 131 (27%) patients with ND. There were no statistically significant differences between groups in survey response rate, age, sex, age at implantation, current age, or duration of implant use. Overall, parents of children with ND responded more favorably in all domains vs children with NCNIDD. Parents of children with NCNIDD answered neutrally or favorably in all domains, except “support the child” and “self-reliance” domains. Differences between groups in mean domain scores, univariably and almost universally when adjusting for socioeconomic and family variables individually and collectively, were statistically significant. Conclusions: This study suggests that HRQoL benefits of CI are perceived in most domains by parents of children with NCNIDD, albeit less strongly than children with ND. A survey sensitive to challenges of children with NCNIDD may better capture benefits that may not be apparent in this study.
AB - Objectives: Evaluate health-related quality-of-life (HRQoL) measures in noncommunicative, neurologically impaired, developmentally delayed (NCNIDD) children compared to normally developing children (ND) who undergo cochlear implantation (CI). Study Design: Cross-sectional survey of parents of NCNIDD and ND children who underwent CI. Setting: Two tertiary care medical centers. Methods: Questions comprising the Children With Cochlear Implants: Parental Perspectives survey were used in analysis. Average responses were calculated within 8 domains (communication, general functioning, self-reliance, well-being and happiness, social relationships, education, effects of implantation, and support the child). Groups were compared using Wilcoxon rank-sum test. Impact of individual and collective socioeconomic/family covariates was assessed using analysis of variance. Results: Surveys were returned from 17 of 42 (40%) patients with NCNIDD and 35 of 131 (27%) patients with ND. There were no statistically significant differences between groups in survey response rate, age, sex, age at implantation, current age, or duration of implant use. Overall, parents of children with ND responded more favorably in all domains vs children with NCNIDD. Parents of children with NCNIDD answered neutrally or favorably in all domains, except “support the child” and “self-reliance” domains. Differences between groups in mean domain scores, univariably and almost universally when adjusting for socioeconomic and family variables individually and collectively, were statistically significant. Conclusions: This study suggests that HRQoL benefits of CI are perceived in most domains by parents of children with NCNIDD, albeit less strongly than children with ND. A survey sensitive to challenges of children with NCNIDD may better capture benefits that may not be apparent in this study.
KW - cochlear implantation
KW - health-related quality of life
KW - neurologically impaired
UR - http://www.scopus.com/inward/record.url?scp=85101753284&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85101753284&partnerID=8YFLogxK
U2 - 10.1177/0194599821989642
DO - 10.1177/0194599821989642
M3 - Article
C2 - 33618581
AN - SCOPUS:85101753284
VL - 165
SP - 731
EP - 738
JO - Otolaryngology - Head and Neck Surgery (United States)
JF - Otolaryngology - Head and Neck Surgery (United States)
SN - 0194-5998
IS - 5
ER -