Percy-Smith Lone, Cayé-Thomasen Per, Breinegaard Nina, Jensen Jørgen Hedegaard
Department of Audiology, East Danish Cochlear Implant Center, Gentofte University Hospital of Copenhagen, Copenhagen, Denmark.
Acta Otolaryngol. 2010 Jun;130(6):708-15. doi: 10.3109/00016480903359939.
The present study demonstrates a very strong effect of the parental communication mode on the auditory capabilities and speech/language outcome for cochlear implanted children. The children exposed to spoken language had higher odds of scoring high in all tests applied and the findings suggest a very clear benefit of spoken language communication with a cochlear implanted child.
The aim of the study was to identify factors associated with speech and language outcomes for cochlear implanted children and also to estimate the effect-related odds ratio for each factor in relation to the children's speech and language performances.
Data relate to 155 prelingually deafened children with cochlear implant (CI). A test battery consisting of six different speech and language tests/assessments was used. Seven different factors were considered, i.e. hearing age, implantation age, gender, educational placement, ear of implantation, CI center, and communication mode. Logistic regression models and proportional odds models were used to analyze the relationship between the considered factors and test responses.
The communication mode at home proved essential to speech and language outcome, as children exposed to spoken language had markedly better odds of performing well in all tests, compared with children exposed to a mixture of spoken language and sign support, or sign language.
本研究表明，父母的沟通方式对接受人工耳蜗植入的儿童的听觉能力和言语/语言结果有非常显著的影响。与接触口语和手语混合交流方式或仅使用手语交流方式的儿童相比，接触口语交流方式的儿童在所有应用测试中获得高分的几率更高，研究结果表明与接受人工耳蜗植入的儿童进行口语交流有非常明显的益处。
本研究的目的是确定与接受人工耳蜗植入儿童的言语和语言结果相关的因素，并估计每个因素与儿童言语和语言表现相关的效应比值比。
数据涉及155名语前聋人工耳蜗植入（CI）儿童。使用了由六种不同的言语和语言测试/评估组成的测试组。考虑了七个不同因素，即听力年龄、植入年龄、性别、教育安置、植入耳、人工耳蜗植入中心和沟通方式。使用逻辑回归模型和比例优势模型分析所考虑因素与测试反应之间的关系。
事实证明，家庭中的沟通方式对言语和语言结果至关重要，因为与接触口语和手语混合交流方式或仅使用手语交流方式的儿童相比，接触口语交流方式的儿童在所有测试中表现良好的几率明显更高。
