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Language ability in children with permanent hearing impairment : the influence of early management and family participation
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Watkin, P., McCann, D., Law, C., Mullee, M., Petrou, Stavros, Stevenson, J., Worsfold, S., Yuen, H. M. and Kennedy, C. (2007) Language ability in children with permanent hearing impairment : the influence of early management and family participation. Pediatrics, 120 (3). e694-e701. doi:10.1542/peds.2006-2116 ISSN 0031-4005.
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Official URL: http://dx.doi.org/10.1542/peds.2006-2116
Abstract
OBJECTIVE. The goal was to examine the relationships between management after confirmation, family participation, and speech and language outcomes in the same group of children with permanent childhood hearing impairment.
METHODS. Speech, oral language, and nonverbal abilities, expressed as z scores and adjusted in a regression model, and Family Participation Rating Scale scores were assessed at a mean age of 7.9 years for 120 children with bilateral permanent childhood hearing impairment from a 1992–1997 United Kingdom birth cohort. Ages at institution of management and hearing aid fitting were obtained retrospectively from case notes.
RESULTS. Compared with children managed later (>9 months), those managed early (≤9 months) had higher adjusted mean z scores for both receptive and expressive language, relative to nonverbal ability, but not for speech. Compared with children aided later, a smaller group of more-impaired children aided early did not have significantly higher scores for these outcomes. Family Participation Rating Scale scores showed significant positive correlations with language and speech intelligibility scores only for those with confirmation after 9 months and were highest for those with late confirmed, severe/profound, permanent childhood hearing impairment.
CONCLUSIONS. Early management of permanent childhood hearing impairment results in improved language. Family participation is also an important factor in cases that are confirmed late, especially for children with severe or profound permanent childhood hearing impairment.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Pediatrics | ||||
Publisher: | American Academy of Pediatrics | ||||
ISSN: | 0031-4005 | ||||
Official Date: | 2007 | ||||
Dates: |
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Volume: | 120 | ||||
Number: | 3 | ||||
Page Range: | e694-e701 | ||||
DOI: | 10.1542/peds.2006-2116 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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