Early Postimplant Speech Perception and Language Skills Predict Long-Term Language and Neurocognitive Outcomes Following Pediatric Cochlear Implantation
Purpose: We sought to determine whether speech perception and language skills measured early after cochlear implantation in children who are deaf, and early postimplant growth in speech perception and language skills, predict long-term speech perception, language, and neurocognitive outcomes. Method...
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| Veröffentlicht in: | Journal of speech, language, and hearing research language, and hearing research, 2017-08, Vol.60 (8), p.2321-2336 |
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| container_title | Journal of speech, language, and hearing research |
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| creator | Hunter, Cynthia R Kronenberger, William G Castellanos, Irina Pisoni, David B |
| description | Purpose: We sought to determine whether speech perception and language skills measured early after cochlear implantation in children who are deaf, and early postimplant growth in speech perception and language skills, predict long-term speech perception, language, and neurocognitive outcomes. Method: Thirty-six long-term users of cochlear implants, implanted at an average age of 3.4 years, completed measures of speech perception, language, and executive functioning an average of 14.4 years postimplantation. Speech perception and language skills measured in the 1st and 2nd years postimplantation and open-set word recognition measured in the 3rd and 4th years postimplantation were obtained from a research database in order to assess predictive relations with long-term outcomes. Results: Speech perception and language skills at 6 and 18 months postimplantation were correlated with long-term outcomes for language, verbal working memory, and parent-reported executive functioning. Open-set word recognition was correlated with early speech perception and language skills and long-term speech perception and language outcomes. Hierarchical regressions showed that early speech perception and language skills at 6 months postimplantation and growth in these skills from 6 to 18 months both accounted for substantial variance in long-term outcomes for language and verbal working memory that was not explained by conventional demographic and hearing factors. Conclusion: Speech perception and language skills measured very early postimplantation, and early postimplant growth in speech perception and language, may be clinically relevant markers of long-term language and neurocognitive outcomes in users of cochlear implants. |
| doi_str_mv | 10.1044/2017_JSLHR-H-16-0152 |
| format | Article |
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Method: Thirty-six long-term users of cochlear implants, implanted at an average age of 3.4 years, completed measures of speech perception, language, and executive functioning an average of 14.4 years postimplantation. Speech perception and language skills measured in the 1st and 2nd years postimplantation and open-set word recognition measured in the 3rd and 4th years postimplantation were obtained from a research database in order to assess predictive relations with long-term outcomes. Results: Speech perception and language skills at 6 and 18 months postimplantation were correlated with long-term outcomes for language, verbal working memory, and parent-reported executive functioning. Open-set word recognition was correlated with early speech perception and language skills and long-term speech perception and language outcomes. Hierarchical regressions showed that early speech perception and language skills at 6 months postimplantation and growth in these skills from 6 to 18 months both accounted for substantial variance in long-term outcomes for language and verbal working memory that was not explained by conventional demographic and hearing factors. Conclusion: Speech perception and language skills measured very early postimplantation, and early postimplant growth in speech perception and language, may be clinically relevant markers of long-term language and neurocognitive outcomes in users of cochlear implants.</description><identifier>ISSN: 1092-4388</identifier><identifier>ISSN: 1558-9102</identifier><identifier>EISSN: 1558-9102</identifier><identifier>DOI: 10.1044/2017_JSLHR-H-16-0152</identifier><identifier>PMID: 28724130</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association</publisher><subject>Adolescent ; Adult ; Assistive Technology ; Auditory Perception ; Child ; Child Development ; Child, Preschool ; Children ; Cochlear Implants ; Deafness ; Deafness - diagnosis ; Deafness - psychology ; Deafness - rehabilitation ; Deafness - surgery ; Female ; Hearing ; Humans ; Infant ; Language ; Language Skills ; Male ; Patient outcomes ; Physiological aspects ; Predictive Measurement ; Prognosis ; Regression (Statistics) ; Speech Communication ; Speech Perception ; Young Adult</subject><ispartof>Journal of speech, language, and hearing research, 2017-08, Vol.60 (8), p.2321-2336</ispartof><rights>COPYRIGHT 2017 American Speech-Language-Hearing Association</rights><rights>Copyright © 2017 American Speech-Language-Hearing Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c566t-6d0c689917994695feacb43a32cdb57e22ba5b9c7dcb12d8495bf505ac71fd313</citedby><cites>FETCH-LOGICAL-c566t-6d0c689917994695feacb43a32cdb57e22ba5b9c7dcb12d8495bf505ac71fd313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27923,27924</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1151973$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28724130$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hunter, Cynthia R</creatorcontrib><creatorcontrib>Kronenberger, William G</creatorcontrib><creatorcontrib>Castellanos, Irina</creatorcontrib><creatorcontrib>Pisoni, David B</creatorcontrib><title>Early Postimplant Speech Perception and Language Skills Predict Long-Term Language and Neurocognitive Outcomes Following Pediatric Cochlear Implantation</title><title>Journal of speech, language, and hearing research</title><addtitle>J Speech Lang Hear Res</addtitle><description>Purpose: We sought to determine whether speech perception and language skills measured early after cochlear implantation in children who are deaf, and early postimplant growth in speech perception and language skills, predict long-term speech perception, language, and neurocognitive outcomes. Method: Thirty-six long-term users of cochlear implants, implanted at an average age of 3.4 years, completed measures of speech perception, language, and executive functioning an average of 14.4 years postimplantation. Speech perception and language skills measured in the 1st and 2nd years postimplantation and open-set word recognition measured in the 3rd and 4th years postimplantation were obtained from a research database in order to assess predictive relations with long-term outcomes. Results: Speech perception and language skills at 6 and 18 months postimplantation were correlated with long-term outcomes for language, verbal working memory, and parent-reported executive functioning. Open-set word recognition was correlated with early speech perception and language skills and long-term speech perception and language outcomes. Hierarchical regressions showed that early speech perception and language skills at 6 months postimplantation and growth in these skills from 6 to 18 months both accounted for substantial variance in long-term outcomes for language and verbal working memory that was not explained by conventional demographic and hearing factors. Conclusion: Speech perception and language skills measured very early postimplantation, and early postimplant growth in speech perception and language, may be clinically relevant markers of long-term language and neurocognitive outcomes in users of cochlear implants.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Assistive Technology</subject><subject>Auditory Perception</subject><subject>Child</subject><subject>Child Development</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cochlear Implants</subject><subject>Deafness</subject><subject>Deafness - diagnosis</subject><subject>Deafness - psychology</subject><subject>Deafness - rehabilitation</subject><subject>Deafness - surgery</subject><subject>Female</subject><subject>Hearing</subject><subject>Humans</subject><subject>Infant</subject><subject>Language</subject><subject>Language Skills</subject><subject>Male</subject><subject>Patient outcomes</subject><subject>Physiological aspects</subject><subject>Predictive Measurement</subject><subject>Prognosis</subject><subject>Regression (Statistics)</subject><subject>Speech Communication</subject><subject>Speech Perception</subject><subject>Young Adult</subject><issn>1092-4388</issn><issn>1558-9102</issn><issn>1558-9102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptktFu0zAUhiMEYmPwBoAsISFuMmwnTuIbpKnq6KaKVXRcW45zkhocu9jJ0N6Ex8VRR7dKtS9s-Xz_f-zjkyRvCT4nOM8_U0xKcb1eLr6ni5QUKSaMPktOCWNVygmmz-Mec5rmWVWdJK9C-InjIHnxMjmhVUlzkuHT5O9cenOPVi4Mut8aaQe03gKoDVqBV7AdtLNI2gYtpe1G2QFa_9LGBLTy0Gg1oKWzXXoLvn8kJvwbjN4p11k96DtAN-OgXA8BXTpj3B9tu-jfaDl4rdDMqY0B6dHV7gZySvo6edFKE-DNw3qW_Lic384W6fLm69XsYpkqVhRDWjRYFRXnpOQ8LzhrQao6z2RGVVOzEiitJau5KhtVE9pUOWd1yzCTqiRtk5HsLPmy892OdQ-NAjt4acTW6176e-GkFocRqzeic3eCVZRXuIgGnx4MvPs9QhhEr4MCE18CbgyCcEoI5ZGN6Icd2kkDQtvWRUc14eKC4ZJUjGV5pNIjVAcWYnpnodXx-IA_P8LH2UCv1VHBxyeCDUgzbIIz41T2cAjmO1B5F4KHdl8WgsXUhOKxCcVCkEJMTRhl75-WdC_633UReLcDIH7_Pjy_JoQRXmbZP0ka5AA</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Hunter, Cynthia R</creator><creator>Kronenberger, William G</creator><creator>Castellanos, Irina</creator><creator>Pisoni, David B</creator><general>American Speech-Language-Hearing Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170801</creationdate><title>Early Postimplant Speech Perception and Language Skills Predict Long-Term Language and Neurocognitive Outcomes Following Pediatric Cochlear Implantation</title><author>Hunter, Cynthia R ; Kronenberger, William G ; Castellanos, Irina ; Pisoni, David B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c566t-6d0c689917994695feacb43a32cdb57e22ba5b9c7dcb12d8495bf505ac71fd313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Assistive Technology</topic><topic>Auditory Perception</topic><topic>Child</topic><topic>Child Development</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cochlear Implants</topic><topic>Deafness</topic><topic>Deafness - diagnosis</topic><topic>Deafness - psychology</topic><topic>Deafness - rehabilitation</topic><topic>Deafness - surgery</topic><topic>Female</topic><topic>Hearing</topic><topic>Humans</topic><topic>Infant</topic><topic>Language</topic><topic>Language Skills</topic><topic>Male</topic><topic>Patient outcomes</topic><topic>Physiological aspects</topic><topic>Predictive Measurement</topic><topic>Prognosis</topic><topic>Regression (Statistics)</topic><topic>Speech Communication</topic><topic>Speech Perception</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hunter, Cynthia R</creatorcontrib><creatorcontrib>Kronenberger, William G</creatorcontrib><creatorcontrib>Castellanos, Irina</creatorcontrib><creatorcontrib>Pisoni, David B</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of speech, language, and hearing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hunter, Cynthia R</au><au>Kronenberger, William G</au><au>Castellanos, Irina</au><au>Pisoni, David B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1151973</ericid><atitle>Early Postimplant Speech Perception and Language Skills Predict Long-Term Language and Neurocognitive Outcomes Following Pediatric Cochlear Implantation</atitle><jtitle>Journal of speech, language, and hearing research</jtitle><addtitle>J Speech Lang Hear Res</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>60</volume><issue>8</issue><spage>2321</spage><epage>2336</epage><pages>2321-2336</pages><issn>1092-4388</issn><issn>1558-9102</issn><eissn>1558-9102</eissn><abstract>Purpose: We sought to determine whether speech perception and language skills measured early after cochlear implantation in children who are deaf, and early postimplant growth in speech perception and language skills, predict long-term speech perception, language, and neurocognitive outcomes. Method: Thirty-six long-term users of cochlear implants, implanted at an average age of 3.4 years, completed measures of speech perception, language, and executive functioning an average of 14.4 years postimplantation. Speech perception and language skills measured in the 1st and 2nd years postimplantation and open-set word recognition measured in the 3rd and 4th years postimplantation were obtained from a research database in order to assess predictive relations with long-term outcomes. Results: Speech perception and language skills at 6 and 18 months postimplantation were correlated with long-term outcomes for language, verbal working memory, and parent-reported executive functioning. Open-set word recognition was correlated with early speech perception and language skills and long-term speech perception and language outcomes. Hierarchical regressions showed that early speech perception and language skills at 6 months postimplantation and growth in these skills from 6 to 18 months both accounted for substantial variance in long-term outcomes for language and verbal working memory that was not explained by conventional demographic and hearing factors. Conclusion: Speech perception and language skills measured very early postimplantation, and early postimplant growth in speech perception and language, may be clinically relevant markers of long-term language and neurocognitive outcomes in users of cochlear implants.</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association</pub><pmid>28724130</pmid><doi>10.1044/2017_JSLHR-H-16-0152</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of speech, language, and hearing research, 2017-08, Vol.60 (8), p.2321-2336 |
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| source | MEDLINE; EBSCOhost Education Source; Alma/SFX Local Collection |
| subjects | Adolescent Adult Assistive Technology Auditory Perception Child Child Development Child, Preschool Children Cochlear Implants Deafness Deafness - diagnosis Deafness - psychology Deafness - rehabilitation Deafness - surgery Female Hearing Humans Infant Language Language Skills Male Patient outcomes Physiological aspects Predictive Measurement Prognosis Regression (Statistics) Speech Communication Speech Perception Young Adult |
| title | Early Postimplant Speech Perception and Language Skills Predict Long-Term Language and Neurocognitive Outcomes Following Pediatric Cochlear Implantation |
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