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Self- and parental assessment of quality of life in child cochlear implant bearers

Abstract : The aim of this study was to assess quality of life in children fitted with cochlear implants, using combined self-and parental assessment. Materials and methods: Thirty-two children, aged 6 to 17 years, with prelingual hearing loss and receiving cochlear implants at a mean age of 22 months, were included along with their families. The KIDSCREEN-27 questionnaire was implemented, in face-to-face interview, in its parents and children-adolescents versions, with 27 items covering physical well-being ("physical activities and health"), psychological wellbeing ("general mood and feelings about yourself"), autonomy & parents ("family and free time"), peers & social support ("friends") and school environment ("school and learning"). Parent and child responses were compared with a general population database, and pairwise. Results: Global scores were compared against the general population on Cohen d effect-size. For child self-assessment, the results were: physical well-being, 72.81 (d = 0); psychological well-being, 78.13 (d = −0.4); autonomy & parents, 63.84 (d = −0.2); peers & social support, 61.72 (d = −0.4); and school environment 73.83 (d = 0). For parent assessment, the respective results were 62.66 (d = −0.8), 74.89 (d = −0.3), 57.37 (d = −1.2), 51.56 (d = −0.8), and 68.95 (d = −0.4). Half of the children could not answer the questionnaire, mainly due to associated disability. Schooling and language performance were poorer in non-respondent than respondent children. Quality of life was comparable between implanted and nonimplanted children: Cohen d, 0 to 0.4. Early cochlear implantation in children with pre-lingual hearting loss provides quality of life comparable to that of the general population.
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Submitted on : Monday, September 13, 2021 - 5:51:22 PM
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T Razafimahefa-Raoelina, A Farinetti, R Nicollas, J-M Triglia, S Roman, et al.. Self- and parental assessment of quality of life in child cochlear implant bearers. European Annals of Otorhinolaryngology, Head and Neck Diseases, Elsevier Masson, 2016, 133 (1), pp.31 - 35. ⟨10.1016/j.anorl.2015.10.002⟩. ⟨inserm-03343037⟩



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