Contribution of Family Environment to Pediatric Cochlear Implant Users' Speech and Language Outcomes: Some Preliminary Findings
Contribution of Family Environment to Pediatric Cochlear Implant Users' Speech and Language Outcomes: Some Preliminary Findings
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DOI：
10.1044/1092-4388(2011/11-0143
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发表时间：
2012-06-01
影响因子：
2.6
通讯作者：
Lalonde, Kaylah
中科院分区：
文献类型：
--
作者：
Holt, Rachael Frush;Beer, Jessica;Lalonde, Kaylah
目的：评价人工耳蜗术后儿童的家庭环境，探讨家庭环境与术后语言发育和执行功能的关系。方法：对45个人工耳蜗术后儿童家庭进行家庭环境问卷调查(家庭环境量表第四版；Moos&Moos，2009)和执行功能问卷(执行功能行为评定量表[Gioia，Isquith，Guy，&Kenworth，2000]或执行功能行为评定量表-学龄前儿童版[Gioia，Espy，&Isquith，2003])。作者还评估了儿童的接受性词汇(皮博迪图片词汇测试第四版；Dunn&Dunn，2007)和全球语言技能(学龄前语言量表第四版[Zimmerman，Steiner，&Pond，2002]和临床语言基础评估-第四版[Semel，Wiig，&Secord，2003])。结果：人工耳蜗术后儿童的家庭环境与听力正常儿童不同，但在临床上没有显著差异。语言发育和执行功能被发现是不典型的，但并不是不典型的临床人群。自我报告控制力水平较高的家庭孩子的词汇量较小。家庭对成就的重视程度越高，孩子的执行功能和工作记忆问题就越少。最后，家庭对组织的重视程度越高，孩子与抑制相关的问题就越少。结论：长期发育的人工耳蜗术后结果的一些差异与家庭环境有关。由于家庭环境可以通过治疗或教育来改善和改善，这些初步发现为未来的工作提供了希望，帮助家庭创造强大的语言学习环境，通过植入人工耳蜗来最大限度地发挥孩子的潜力。
Purpose: To evaluate the family environments of children with cochlear implants and to examine relationships between family environment and postimplant language development and executive function.Method: Forty-five families of children with cochlear implants completed a self-report family environment questionnaire (Family Environment Scale-Fourth Edition; Moos & Moos, 2009) and an inventory of executive function (Behavior Rating Inventory of Executive Function [Gioia, Isquith, Guy, & Kenworthy, 2000] or Behavior Rating Inventory of Executive Function-Preschool Version [Gioia, Espy, & Isquith, 2003]). The authors also evaluated children's receptive vocabulary (Peabody Picture Vocabulary Test-Fourth Edition; Dunn & Dunn, 2007) and global language skills (Preschool Language Scale-Fourth Edition [Zimmerman, Steiner, & Pond, 2002] and Clinical Evaluation of Language Fundamentals-Fourth Edition [Semel, Wiig, & Secord, 2003]).Results: The family environments of children with cochlear implants differed from those of normal-hearing children but not in clinically significant ways. Language development and executive function were found to be atypical but not uncharacteristic of this clinical population. Families with higher levels of self-reported control had children with smaller vocabularies. Families reporting a higher emphasis on achievement had children with fewer executive function and working memory problems. Finally, families reporting a higher emphasis on organization had children with fewer problems related to inhibition.Conclusion: Some of the variability in cochlear implantation outcomes that have protracted periods of development is related to family environment. Because family environment can be modified and enhanced by therapy or education, these preliminary findings hold promise for future work in helping families to create robust language-learning environments that can maximize their child's potential with a cochlear implant.