Dynamic dyadic parent-child interactions among CI-using children

使用 CI 的儿童之间动态的二元亲子互动

• 批准号: 10740456
• 负责人: Lee Branum-Martin
• 金额: $ 45.32万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10740456
• 关键词: Address; Age; Child; Child Development; Child Language; Child Support; Childhood; Clinic; Cochlear Implants; Cochlear implant procedure; Code; Communication; Data; Data Analyses; Databases; Development; Early Intervention; Education; Ethnic Origin; Family; Future; Genetic Transcription; Goals; Grain; Growth; Hearing; Home; Intervention; Knowledge; Language; Language Development; Length; Linguistics; Link; Literature; Measures; Mediating; Mission; Modeling; National Institute on Deafness and Other Communication Disorders; Outcome; Parent-Child Relations; Parents; Pattern; Population; Race; Research; Residual state; Sampling; Schools; Speech; Structure; Techniques; Testing; Time; Variant; Video Recording; cochlear development; deaf; demographics; effective intervention; hearing impairment; implantation; improved; language outcome; literacy; marginalized community; normal hearing; peer; secondary analysis; skills; standardize measure

PROJECT SUMMARY Spoken language outcomes for deaf children who use cochlear implants (CIs) are highly variable, with many children who use CIs lagging behind their peers with normal hearing. Among the identified causes of this variability is parental input, with evidence suggesting that variation in parental input may directly relate to children's post-CI language outcomes. Parent-based language interventions, including coaching parents on their language input, have been proposed as a means of improving parental input and thereby improving children’s language outcomes. However, we currently do not know how parental language and responsivity change over time following implantation, nor do we know how parental language influences child language over time following implantation. This lack of understanding regarding parent-child dynamic relationships is a critical gap in our ability to create effective parent-based interventions to improve post-CI language outcomes. The proposed research will address this gap in our knowledge by identifying the dynamic and dyadic relationships between parental language input and child language development post-CI. To attain this goal, we will conduct a secondary analysis of the Childhood Development after Cochlear Implantation (CDaCI) database, including coding parent language microstructure, parental facilitative language use, maternal sensitivity, and child spontaneous expressive language. These data will be analyzed using bivariate change score models, allowing us to identify the dynamic developmental relations between parental input and child language. Aim 1 will examine how parental language, maternal sensitivity, and child language change over time. Aim 2 will test the hypothesis that parental input and child language have bidirectional influences. The obtained data will provide initial evidence that parental language and child language are mutually reinforcing. These data will provide preliminary support for an R01 application to develop and validate an intervention targeting parental input to support language growth in prelingually deafened children, including children from historically marginalized communities, advancing our long-term goal to optimize language and literacy outcomes for all children with hearing loss.

项目摘要 使用人工耳蜗（CI）的聋哑儿童的口语结果是高度可变的，许多 使用顺式落后于同龄人的孩子正常。在确定的原因中 可变性是父母的输入，有证据表明父母输入的变化可能与 儿童的CI后语言结果。基于父母的语言干预措施，包括教练父母 他们的语言输入已被提出作为改善父母投入的一种手段，从而改善了 儿童语言结果。但是，我们目前不知道父母的语言和响应性如何 植入后随着时间的流逝而改变，我们也不知道父母语言如何影响儿童语言 随着植入后的时间。对亲子动态关系的缺乏理解是 我们创建有效的基于父母干预措施以改善CI后语言结果的能力的危险差距。 拟议的研究将通过识别动态和二元性来解决我们知识的这一差距 父母语言输入与儿童语言发展之间的关系。为了实现这一目标，我们 将对人工耳蜗（CDACI）后的儿童发展进行次要分析 数据库，包括编码父语言微观结构，父母促进语言的使用，母亲 敏感性和儿童赞助语言。这些数据将使用双变量更改分析 得分模型，使我们能够确定父母输入与孩子之间的动态发展关系 语言。 AIM 1将研究父母的语言，母性敏感性和儿童语言如何改变 时间。 AIM 2将检验父母输入和儿童语言具有双向影响的假设。这 获得的数据将提供最初的证据，表明父母语言和儿童是相互加强的。 这些数据将为R01应用程序提供初步支持，以开发和验证干预 针对父母输入以支持初步摧毁的儿童的语言增长，包括 历史上边缘化的社区，促进了我们长期目标以优化语言和识字 所有听力损失的儿童的结果。