COMMUNICATION DEVELOPMENT IN CHILDREN WITH OTITIS MEDIA

中耳炎儿童的沟通发展

• 批准号: 3732239
• 负责人: JUDITH S GRAVEL
• 金额: --
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/3732239
• 关键词: audiometry; audiotape; auditory discrimination; auditory threshold; biological information processing; child behavior; child psychology; communication behavior; conductive hearing loss; ear disorder diagnosis; hearing; human subject; infant human (0-1 year); language development; longitudinal human study; low birth weight infant human; otitis media; perception; preschool child (1-5); psycholinguistics; speech; statistics /biometry; vocalization

The objective of this investigation is to examine the effects of otitis media with effusion (OME) on children's hearing, speech, and language competencies and to delineate any communication sequelae of this ubiquitous childhood illness. The immediate and long-term effects of middle ear effusion on communication abilities remain controversial for a number of reasons including retrospective study designs, small sample sizes, poorly documented hearing histories and otologic findings, inadequate outcome measures, and failure to assess children at more than one age. In this study, the effects of middle ear effusion on the auditory, cognitive, speech and language capabilities of infants and young children will be examined using age-appropriate measures selected to probe both global and specific communication competencies. A large cohort of children will be followed prospectively beginning at term. Our previous experience with a similar population indicates that a significant number of these children will develop recurrent OME, while others will remain otitis free. This cohort will receive periodic audiolobic, otoscopic, and acoustic immittance assessments during the first three years of life, thereby prospectively documenting their peripheral hearing status and middle ear function. Other auditory measures will be administered at specified intervals in order to examine children's higher-order processing capabilities. All children will receive assessments of their receptive and expressive language abilities, cognitive capacities, and behavior. Perceptual and acoustical phonologic analyses of children's spoken language (including infant vocalizations) will be performed regularly. Our aim is to examine the immediate and longer-term consequences of OME on emerging and established communication competencies using specific and global measures of performance.

这项调查的目的是检查中耳炎的影响 渗出媒体 (OME) 对儿童听力、言语和语言的影响 能力并描述这种无处不在的沟通后遗症 儿时患病。 中耳的近期和长期影响 对于许多人来说，沟通能力的积液仍然存在争议 原因包括回顾性研究设计、样本量小、效果不佳 记录听力史和耳科检查结果，结果不充分 措施，以及未能评估一岁以上的儿童。 本研究探讨中耳积液对听觉的影响， 婴幼儿的认知、言语和语言能力 将使用选择的适合年龄的措施进行检查 全球和特定的沟通能力。 一大群孩子 将从学期开始前瞻性地进行跟踪。 我们之前的经验 具有相似的人口表明其中有相当数量 儿童会出现复发性 OME，而其他儿童则不会出现中耳炎。 该队列将定期接受听力、耳镜和声学检查 生命前三年的导纳评估，从而 前瞻性地记录他们的周围听力状态和中耳 功能。 其他听觉措施将在指定的时间进行 间隔以检查儿童的高阶处理 能力。 所有儿童都将接受对其接受性和接受性的评估 表达语言能力、认知能力和行为。 儿童口语的感知和声学语音分析 （包括婴儿发声）将定期进行。 我们的目标是 审查 OME 对新兴市场的直接和长期影响 并利用特定和全球性建立沟通能力 绩效衡量标准。