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      Current trends in outcome studies for children with hearing loss and the need to establish a comprehensive framework of measuring outcomes in children with hearing loss in China

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          Abstract

          Since the 1970s, outcome studies for children with hearing loss expanded from focusing on assessing auditory awareness and speech perception skills to evaluating language and speech development. Since the early 2000s, the multi-center large scale research systematically studied outcomes in the areas of auditory awareness, speech-perception, language development, speech development, educational achievements, cognitive development, and psychosocial development. These studies advocated the establishment of baseline and regular follow-up evaluations with a comprehensive framework centered on language development. Recent research interests also include understanding the vast differences in outcomes for children with hearing loss, understanding the relationships between neurocognitive development and language acquisition in children with hearing loss, and using outcome studies to guide evidence-based clinical practice. After the establishment of standardized Mandarin language assessments, outcomes research in Mainland China has the potential to expand beyond auditory awareness and speech perception studies.

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          Most cited references146

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          A sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation.

          The aim of the present experiment was to assess the consequences of cochlear implantation at different ages on the development of the human central auditory system. Our measure of the maturity of central auditory pathways was the latency of the P1 cortical auditory evoked potential. Because P1 latencies vary as a function of chronological age, they can be used to infer the maturational status of auditory pathways in congenitally deafened children who regain hearing after being fit with a cochlear implant. We examined the development of P1 response latencies in 104 congenitally deaf children who had been fit with cochlear implants at ages ranging from 1.3 yr to 17.5 yr and three congenitally deaf adults. The independent variable was the duration of deafness before cochlear implantation. The dependent variable was the latency of the P1 cortical auditory evoked potential. A comparison of P1 latencies in implanted children with those of age-matched normal-hearing peers revealed that implanted children with the longest period of auditory deprivation before implantation-7 or more yr-had abnormal cortical response latencies to speech. Implanted children with the shortest period of auditory deprivation-approximately 3.5 yr or less-evidenced age-appropriate latency responses within 6 mo after the onset of electrical stimulation. Our data suggest that in the absence of normal stimulation there is a sensitive period of about 3.5 yr during which the human central auditory system remains maximally plastic. Plasticity remains in some, but not all children until approximately age 7. After age 7, plasticity is greatly reduced. These data may be relevant to the issue of when best to place a cochlear implant in a congenitally deaf child.
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            Measures of working memory span and verbal rehearsal speed in deaf children after cochlear implantation.

            Large individual differences in spoken word recognition performance have been found in deaf children after cochlear implantation. Recently, Pisoni and Geers (2000) reported that simple forward digit span measures of verbal working memory were significantly correlated with spoken word recognition scores even after potentially confounding variables were statistically controlled for. The present study replicates and extends these initial findings to the full set of 176 participants in the CID cochlear implant study. The pooled data indicate that despite statistical "partialling-out" of differences in chronological age, communication mode, duration of deafness, duration of device use, age at onset of deafness, number of active electrodes, and speech feature discrimination, significant correlations still remain between digit span and several measures of spoken word recognition. Strong correlations were also observed between speaking rate and both forward and backward digit span, a result that is similar to previously reported findings in normal-hearing adults and children. The results suggest that perhaps as much as 20% of the currently unexplained variance in spoken word recognition scores may be independently accounted for by individual differences in cognitive factors related to the speed and efficiency with which phonological and lexical representations of spoken words are maintained in and retrieved from working memory. A smaller percentage, perhaps about 7% of the currently unexplained variance in spoken word recognition scores, may be accounted for in terms of working memory capacity. We discuss how these relationships may arise and their contribution to subsequent speech and language development in prelingually deaf children who use cochlear implants.
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              Reading, writing, and phonological processing skills of adolescents with 10 or more years of cochlear implant experience.

              This study had three goals: (1) to document the literacy skills of deaf adolescents who received cochlear implants (CIs) as preschoolers; (2) to examine reading growth from elementary grades to high school; (3) to assess the contribution of early literacy levels and phonological processing skills, among other factors, to literacy levels in high school.
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                Author and article information

                Contributors
                Journal
                J Otol
                J Otol
                Journal of Otology
                Chinese PLA General Hospital
                1672-2930
                24 May 2016
                June 2016
                24 May 2016
                : 11
                : 2
                : 43-56
                Affiliations
                [1]University of Texas at Dallas, Communication Sciences and Disorders, Bethel Hearing and Speaking Training Center, Research and Development, United States
                Article
                S1672-2930(16)30018-6
                10.1016/j.joto.2016.04.003
                6002604
                10bc0c55-057d-4de4-b32d-6f9162e23ecf
                Copyright © 2016, PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 22 January 2016
                : 25 April 2016
                : 26 April 2016
                Categories
                Review article

                outcome assessment,language assessment,mandarin,standardized assessment,hearing impaired children

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