Houston Derek M
The Ohio State University Wexner Medical Center, Nationwide Children's Hospital.
Child Dev Perspect. 2022 Mar;16(1):60-66. doi: 10.1111/cdep.12443. Epub 2022 Jan 11.
Spoken language outcomes after cochlear implantation are highly variable. Some variance can be attributed to individual characteristics. Research with typically hearing children suggests that the amount of language directed to children may also play a role. However, several moderating factors may complicate the association between language input and language outcomes in children with cochlear implants. In this article, I present a conceptual framework that posits that the association between total language input directed to children and language outcomes is moderated by factors that influence what is accessible, attended to, and coordinated with the child. The framework also posits that children with cochlear implants exhibit more variability on those moderating factors, which explains why the relation between language input and language outcomes may be more complex even if language input is more important for successful language outcomes in this population.
人工耳蜗植入后的口语语言结果差异很大。部分差异可归因于个体特征。对听力正常儿童的研究表明，针对儿童的语言量也可能起作用。然而，几个调节因素可能会使人工耳蜗植入儿童的语言输入与语言结果之间的关联变得复杂。在本文中，我提出了一个概念框架，该框架假定针对儿童的总语言输入与语言结果之间的关联受到影响儿童可接触、关注和协调内容的因素的调节。该框架还假定人工耳蜗植入儿童在这些调节因素上表现出更大的变异性，这就解释了为什么即使语言输入对该人群成功的语言结果更为重要，语言输入与语言结果之间的关系可能也会更复杂。
