Does quality of life depend on speech recognition performance for adult cochlear implant users?

2015 ◽  
Vol 126 (3) ◽  
pp. 699-706 ◽  
Author(s):  
Natalie R. Capretta ◽  
Aaron C. Moberly
Keyword(s):  
Quality Of Life ◽  
Speech Recognition ◽  
Cochlear Implant ◽  
Recognition Performance

Postlingually Deaf Adults of All Ages Derive Equal Benefits from Unilateral Multichannel Cochlear Implant

2011 ◽  
Vol 22 (10) ◽  
pp. 637-643 ◽  
Author(s):  
Edward Park ◽  
David B. Shipp ◽  
Joseph M. Chen ◽  
Julian M. Nedzelski ◽  
Vincent Y.W. Lin
Keyword(s):  
Quality Of Life ◽  
Speech Recognition ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
Cochlear Implantation ◽  
Hearing Aid ◽  
Age Groups ◽  
Perceived Quality Of Life ◽  
Deaf Adults

Background: Controversy still exists regarding the impact of age on speech recognition following cochlear implant in postlingually deaf adults. In some studies elderly recipients did not perform as well as younger patients on standard speech recognition tests. Furthermore, previous studies have shown that cochlear implantation improves quality of life, as measured by self-administered questionnaires, but the sample sizes of these studies have been relatively small, thus making age stratification a challenge. Purpose: The primary objective was to assess whether the age at which a patient receives a unilateral cochlear implant affects improvements in speech recognition scores and perceived quality of life. A secondary objective was to determine whether preoperative use of hearing aids correlates with improvement in speech recognition and perceived quality of life after cochlear implantation. Research Design: A retrospective study in a tertiary referral center. Patients: A total of 161 postlingually deaf adults, who were divided based on age (<50, 50–65, >65) and on prior hearing aid(s) use. Intervention: All patients received a unilateral multichannel cochlear implant. Data Collection and Analysis: Speech recognition was quantified by percent correct scores on the Hearing in Noise Test sentences delivered in a quiet setting only (HINT%), and quality of life was quantified by the Hearing Handicap Inventory (HHI) before and 1 yr after cochlear implantation. Results: Speech recognition, as measured by HINT%, improved significantly and to similar extents in all three age groups following cochlear implantation. Similarly, quality of life as quantified by HHI improved markedly and to similar extents in all age groups. Whether hearing aids were used pre-implant, or whether the cochlear implant (CI) was implanted on the same side or contralateral to the hearing aid side, had no substantial effect on the patients’ performances on either speech recognition or quality of life. Moreover, there were no statistically significant correlations between pre-implant speech recognition scores and pre-implant quality of life scores or between postimplant speech recognition scores and postimplant quality of life scores. Conclusion: The findings of the present study demonstrate that cochlear implantation improves HINT% and HHI scores to similar extents across all age groups. This finding suggests that elderly patients may derive speech recognition and quality of life benefits similar to those of younger patients and that age should not be an essential factor in the determination of CI candidacy. Furthermore, prior use of a hearing aid, and its location in relation to the cochlear implant, does not influence the extent of improvement in speech recognition or quality of life measurements following cochlear implantation.

scholarly journals Older and Younger Adult Cochlear Implant Users: Speech Recognition in Quiet and Noise, Quality of Life, and Music Perception

2015 ◽  
Vol 24 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Douglas P. Sladen ◽  
Amanda Zappler
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Speech Recognition ◽  
Cochlear Implant ◽  
Music Perception ◽  
Signal To Noise Ratio ◽  
Age Groups ◽  
Speech Understanding ◽  
Lower Hrqol

Purpose To determine whether older cochlear implant (CI) listeners differ from younger CI listeners on measures of speech understanding, music perception, and health-related quality of life (HRQoL). In the study, the authors hypothesized that speech recognition would be more difficult for older adults, especially in noisy conditions. Performance on music perception was expected to be lower for older implanted listeners. No differences between age groups were expected on HRQoL. Method Twenty older (>60 years) and 20 younger (<60 years) implanted adults participated. Speech understanding was assessed using words and sentences presented in quiet, and sentences presented at +15, +10, and +5 dB signal-to-noise ratio conditions. Music perception was tested using the University of Washington Clinical Assessment of Music, and HRQoL was measured using the Njimegen CI survey. Results Speech understanding was significantly lower for the older compared with the younger group in all conditions. Older implanted adults showed lower performance on music perception compared with younger implanted adults on 1 of 3 subtests. Older adults reported lower HRQoL benefit than younger adults on 3 of 6 subdomains. Conclusion Data indicate that older CI listeners performed more poorly than younger CI listeners, although group differences appear to be task specific.

Sequential Bilateral Cochlear Implantation With Prolonged Time Intervals

2020 ◽  
Vol 63 (9) ◽  
pp. 3195-3207
Author(s):  
Zhikai Zhang ◽  
Chaogang Wei ◽  
Yanmei Zhang ◽  
Zhengang Zeng ◽  
Keli Cao ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Speech Recognition ◽  
Cochlear Implant ◽  
Cochlear Implantation ◽  
Health Related Quality ◽  
Significant Difference ◽  
Recognition Ability ◽  
Related Quality ◽  
Health Related

Purpose The aim of the study was to assess whether sequential cochlear implantation (CI) with a prolonged interimplant interval ( M = 15.2 years) between the first and second CIs benefited speech recognition and health-related quality of life. Method This prospective study included 14 prelingually deafened participants who received their second CI after a prolonged interimplant interval ( M = 15.2 years). Additionally, speech recognition ability over a 12-month period of bilateral implant use was investigated. The results of the speech recognition test in both quiet and noisy conditions were statistically analyzed for each CI alone and both CIs together. Nijmegen Cochlear Implant Questionnaire scores were also collected at activation and at 12 months after activation. Results Improvements in speech recognition ability were observed following the use of the first implant alone and with the use of both implants together; however, progress was much slower with the use of the second implant alone, following its introduction. Furthermore, a significant difference in the trajectory of speech recognition ability was observed between the first and the second implanted ear. According to Nijmegen Cochlear Implant Questionnaire scores, all participants benefitted from bilateral CI after 12 months. Conclusions Prolonged interimplant intervals resulted in asymmetrical speech recognition abilities. A significant improvement in the speech recognition scores was observed with the first implanted ear, and much slower progress was observed with the second implanted ear. However, the “poorer” second implanted ear could provide a considerable beneficial effect on the improved speech recognition and health-related quality of life with the bilateral CI. Supplemental Material https://doi.org/10.23641/asha.12861152

scholarly journals The Development of the “Telislife” Questionnaire for the Evaluation of Telephone Use in Cochlear Implant Users

2020 ◽  
pp. 1-10
Author(s):  
Adrien Bolzer ◽  
Michel Hoen ◽  
Bettina Montaut-Verient ◽  
Charles Hoffmann ◽  
Marine Ardoint ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Practice ◽  
Speech Recognition ◽  
Cochlear Implant ◽  
Multicenter Study ◽  
Short Form ◽  
Monosyllabic Word ◽  
Prospective Multicenter Study ◽  
Important Landmark

Purpose For cochlear implant users, the ability to use the telephone is often seen as an important landmark during rehabilitation and an indicator of cochlear implant benefit. The goal of this study was to develop a short questionnaire exploring the ability to use the telephone in cochlear implant users, named Telislife, and test it in a group of experienced users. Method This prospective multicenter study was based on the completion of self-administrated questionnaires. The Telislife includes 20 items using a 5-point Likert scale for answers. Speech recognition scores were obtained with monosyllabic word lists at 70 dB HL. Quality of life was evaluated with the Nijmegen Cochlear Implant Questionnaire. This study included 55 adult patients wearing a cochlear implant for over 1 year. Results The Telislife questionnaire showed excellent reliability (Cronbach's α = .91). A significant correlation was found between Telislife scores and Nijmegen Cochlear Implant Questionnaire scores ( r = .69, p < .001) and speech recognition scores ( r = .35, p = .007). Conclusion Given significant correlations between Telislife scores and both speech recognition and quality of life and given its short form, the Telislife questionnaire appears to be a reliable tool to evaluate cochlear implant outcomes in clinical practice. Supplemental Material https://doi.org/10.23641/asha.13322873

scholarly journals Multivariate Predictors of Music Perception and Appraisal by Adult Cochlear Implant Users

2008 ◽  
Vol 19 (02) ◽  
pp. 120-134 ◽  
Author(s):  
Kate Gfeller ◽  
Jacob Oleson ◽  
John F. Knutson ◽  
Patrick Breheny ◽  
Virginia Driscoll ◽  
...  
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Music Perception ◽  
Life Experience ◽  
Recognition Performance ◽  
Strong Predictor ◽  
Music Listening ◽  
Linear Regression Models ◽  
Hearing Aid Use ◽  
Music Appraisal

The research examined whether performance by adult cochlear implant recipients on a variety of recognition and appraisal tests derived from real-world music could be predicted from technological, demographic, and life experience variables, as well as speech recognition scores. A representative sample of 209 adults implanted between 1985 and 2006 participated. Using multiple linear regression models and generalized linear mixed models, sets of optimal predictor variables were selected that effectively predicted performance on a test battery that assessed different aspects of music listening. These analyses established the importance of distinguishing between the accuracy of music perception and the appraisal of musical stimuli when using music listening as an index of implant success. Importantly, neither device type nor processing strategy predicted music perception or music appraisal. Speech recognition performance was not a strong predictor of music perception, and primarily predicted music perception when the test stimuli included lyrics. Additionally, limitations in the utility of speech perception in predicting musical perception and appraisal underscore the utility of music perception as an alternative outcome measure for evaluating implant outcomes. Music listening background, residual hearing (i.e., hearing aid use), cognitive factors, and some demographic factors predicted several indices of perceptual accuracy or appraisal of music. La investigación examinó si el desempeño, por parte de adultos receptores de un implante coclear, sobre una variedad de pruebas de reconocimiento y evaluación derivadas de la música del mundo real, podrían predecirse a partir de variables tecnológicas, demográficas y de experiencias de vida, así como de puntajes de reconocimiento del lenguaje. Participó una muestra representativa de 209 adultos implantados entre 1965 y el 2006. Usando múltiples modelos de regresión lineal y modelos mixtos lineales generalizados, se seleccionaron grupos de variables óptimas de predicción, que pudieran predecir efectivamente el desempeño por medio de una batería de pruebas que permitiera evaluar diferentes aspectos de la apreciación musical. Estos análisis establecieron la importancia de distinguir entre la exactitud en la percepción musical y la evaluación de estímulos musicales cuando se utiliza la apreciación musical como un índice de éxito en la implantación. Importantemente, ningún tipo de dispositivo o estrategia de procesamiento predijo la percepción o la evaluación musical. El desempeño en el reconocimiento del lenguaje no fue un elemento fuerte de predicción, y llegó a predecir primariamente la percepción musical cuando los estímulos de prueba incluyeron las letras. Adicionalmente, las limitaciones en la utilidad de la percepción del lenguaje a la hora de predecir la percepción y la evaluación musical, subrayan la utilidad de la percepción de la música como una medida alternativa de resultado para evaluar la implantación coclear. La música de fondo, la audición residual (p.e., el uso de auxiliares auditivos), los factores cognitivos, y algunos factores demográficos predijeron varios índices de exactitud y evaluación perceptual de la música.

scholarly journals Systematic Review of Auditory Training in Pediatric Cochlear Implant Recipients

2019 ◽  
Vol 62 (5) ◽  
pp. 1574-1593 ◽  
Author(s):  
Hanin Rayes ◽  
Ghada Al-Malky ◽  
Deborah Vickers
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Cochlear Implant ◽  
Auditory Training ◽  
Memory Retention ◽  
Speech Discrimination ◽  
Speech And Language Development ◽  
Published Research ◽  
Over Time

Objective The purpose of this systematic review is to evaluate the published research in auditory training (AT) for pediatric cochlear implant (CI) recipients. This review investigates whether AT in children with CIs leads to improvements in speech and language development, cognition, and/or quality of life and whether improvements, if any, remain over time post AT intervention. Method A systematic search of 7 databases identified 96 review articles published up until January 2017, 9 of which met the inclusion criteria. Data were extracted and independently assessed for risk of bias and quality of study against a PICOS (participants, intervention, control, outcomes, and study) framework. Results All studies reported improvements in trained AT tasks, including speech discrimination/identification and working memory. Retention of improvements over time was found whenever it was assessed. Transfer of learning was measured in 4 of 6 studies, which assessed generalization. Quality of life was not assessed. Overall, evidence for the included studies was deemed to be of low quality. Conclusion Benefits of AT were illustrated through the improvement in trained tasks, and this was observed in all reviewed studies. Transfer of improvement to other domains and also retention of benefits post AT were evident when assessed, although rarely done. However, higher quality evidence to further examine outcomes of AT in pediatric CI recipients is needed.

scholarly journals Self-Assessment of Unilateral and Bimodal Cochlear Implant Experiences in Daily Life

2020 ◽  
Author(s):  
Elke M J Devocht ◽  
A. Miranda L Janssen ◽  
Josef Chalupper ◽  
Robert J Stokroos ◽  
Herman Kingma ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cochlear Implant ◽  
Daily Life ◽  
Subjective Experiences ◽  
Self Assessment ◽  
Hearing Ability ◽  
Hearing Handicap ◽  
General Quality ◽  
Contralateral Ear

AbstractObjectiveThe subjective experiences were assessed of cochlear implant (CI) users either wearing or not wearing a hearing aid (HA) at the contralateral ear.DesignUnilateral CI-recipients were asked to fill out a set of daily-life questionnaires on bimodal HA use, hearing disability, hearing handicap and general quality of life.Study sampleTwenty-six CI-recipients who regularly use a contralateral HA (bimodal group) and twenty-two CI-recipients who do not use a HA in the contralateral ear (unilateral group).ResultsComparisons between both groups (bimodal versus unilateral) showed no difference in self-rated disability, hearing handicap or general quality of life. However within the group of bimodal listeners, participants did report a significant benefit of bimodal hearing ability in various daily life listening situations.ConclusionsBimodal benefit in daily life can consistently be experienced and reported within the group of bimodal users.

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