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Pediatric Cochlear Implantation
The Parents' Perspective
Thomas P. Nikolopoulos, MD, PhD;
Hazel Lloyd, BEd;
Sue Archbold, MPhil;
Gerard M. O'Donoghue, FRCS
Arch Otolaryngol Head Neck Surg. 2001;127:363-367.
Objective To analyze parental views on cochlear implantation, before and in the
years following implantation, to determine whether the results from the intervention
met their expectations.
Design Prospective longitudinal study to assess parental perspectives of an
unselected group of children with cochlear implantation.
Setting Tertiary referral pediatric cochlear implant center in the United Kingdom.
Subjects Forty-three parents of children with cochlear implantation.
Intervention A specifically designed questionnaire was administered to assess preimplant
expectations and observed changes and concerns at 1, 2, and 3 years following
implantation. Three key domains were evaluated: (1) communication with others,
(2) listening to speech without lipreading, and (3) the development of speech
and language.
Results Preoperative expectations were met or surpassed at each of the follow-up
intervals. In the area of communication, 35 (81%) parents expected a definite
improvement preoperatively, and 3 years following implantation, 42 (98%) actually
saw such an improvement. The respective numbers in the area of listening to
speech were 15 (35%) and 38 (88%), and for speech development, 37 (86%) and
37 (86%). Speech development was the major area of concern at all intervals.
Conclusion This study demonstrates the ability of cochlear implantation to meet
or surpass parental expectations in 3 important outcome domains: communication,
listening to speech, and the development of speech and language.
From the Department of Otolaryngology, University Hospital, Queen's
Medical Center National Health System Trust, Nottingham, England.
Corresponding author: Sue Archbold, MPhil, Nottingham Pediatric Cochlear
Implant Programme, 113 The Ropewalk, Nottingham NG1 6HA, England (e-mail: sue.archbold{at}mail.qmouh-tr.trent.nhs.uk).
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