Bat-Chava Y, Martin D, Imperatore L
Comprehensive Research & Evaluation Services, New York, NY, USA.
Child Care Health Dev. 2014 Nov;40(6):870-81. doi: 10.1111/cch.12102. Epub 2013 Sep 13.
Few research studies have examined longitudinal improvements in oral communication skills and quality of peer relationships of children with implants. Moreover, although the emerging literature suggests that improvement in social functioning follows improvement in oral communication, it is still unknown what factors enhance or impede the relations between these constructs.
Based on parent interviews, the current study examined the long-term improvements in speech and oral language skills and relationships with hearing peers in 19 implanted children.
Results demonstrate that on average, children continue to improve in oral communication skills and quality of peer relationships even years after implantation, especially those with initial poorer skills. While oral communication ability and quality of peer relationships are strongly associated at each time point, gains in these two variables are associated only for some of the children. Other factors, including self-confidence and peer acceptance, seem to moderate this relationship. Qualitative data are presented to illustrate these relations among variables and to assist in theory building.
The results highlight the need for more specific examination of various developmental periods in combination with the progress of oral communication and peer relationships among children with implants.
很少有研究探讨植入人工耳蜗儿童的口语沟通能力和同伴关系质量的纵向改善情况。此外，尽管新出现的文献表明社会功能的改善遵循口语沟通的改善，但仍不清楚哪些因素会促进或阻碍这些构念之间的关系。
基于家长访谈，本研究调查了19名植入人工耳蜗儿童的言语和口语技能以及与听力正常同伴关系的长期改善情况。
结果表明，平均而言，即使在植入人工耳蜗数年之后，儿童的口语沟通能力和同伴关系质量仍在持续改善，尤其是那些最初技能较差的儿童。虽然在每个时间点口语沟通能力和同伴关系质量都密切相关，但这两个变量的进步仅在部分儿童中相关。其他因素，包括自信心和同伴接纳度，似乎会调节这种关系。本文呈现了定性数据以说明变量之间的这些关系，并有助于理论构建。
研究结果凸显了结合植入人工耳蜗儿童的口语沟通和同伴关系进展，对各个发育阶段进行更具体研究的必要性。
