Benefits of Parent Training in the Rehabilitation of Deaf or Hard of Hearing Children of Hearing Parents: A Systematic Review.

Ilaria Giallini,Valentina Baccolini,Patrizia Mancini,Antonio Sciurti,Giovanni Ruoppolo,Corrado De Vito,Laura Mariani,Rosaria Turchetta,Maria Nicastri,Marco De Vincentiis

doi:10.3390/audiolres11040060

Ilaria Giallini, Valentina Baccolini + Show 8 more

Open Access

https://doi.org/10.3390/audiolres11040060

Copy DOI

Journal: Audiology research	Publication Date: Dec 13, 2021
Citations: 9	License type: CC BY 4.0

Affiliation: Sapienza University of Rome

Abstract

The present study is a systematic review on the effectiveness of Parent Training (PT) and coaching in deaf and hard of hearing (DHH) rehabilitation programs which reviews and synthesizes the existing body of evidence to assess the benefits of these programs in enhancing parents’ sensitivity, responsivity and promoting language development in DHH children during the first years after HA fitting or CI activation. Five published studies met the Population, Intervention, Comparison and Outcomes (PICO) inclusion criteria and were eligible to be included, but heterogeneity in terms of the study design, interventions and outcomes did not allow for performing a meta-analysis. All included studies shared the view that a parent’s learning is a circular (rather than frontal) process, and the results appear promising in terms of enhancing parents’ responsiveness and promoting DHH child language development. Nevertheless, the available evidence was judged to not be robust enough due to limitations in the studies’ designs. Further high-quality evidence is needed to evaluate the true degree of clinical value and the cost effectiveness of PT programs aimed at increasing parents’ responsiveness to their DHH children.

Highlights

Accepted: 9 December 2021In cases of congenital sensorineural hearing loss, early and timely intervention is considered the “gold standard” treatment to be initiated during the period of maximum neural plasticity in order to reduce the sensory deficits in the auditory system and promote cortical maturation [1]
This systematic review focused on existing research evaluating the effectiveness of Parent Training (PT) programs in deaf and hard of hearing (DHH) rehabilitation from a twofold perspective: PT benefits on the level of sensitivity and the responsivity of hearing children (HC) parents toward their hearing aid (HA) or cochlear implantation (CI) children aged
All of them had in common the centrality of the family relational framework and the theoretical assumption that the development of language begins before the child has the opportunity or ability to use words [55,56,57]

Summary

Introduction

In cases of congenital sensorineural hearing loss, early and timely intervention is considered the “gold standard” treatment to be initiated during the period of maximum neural plasticity in order to reduce the sensory deficits in the auditory system and promote cortical maturation [1]. A great deal of variability in the results for auditory, linguistic and academic outcomes still exists [1] This variability depends on a complex set of interactions, including age at onset of hearing loss, degree of hearing impairment, degree of sensory deprivation, adequacy of hearing intervention and the type and quality of rehabilitation programs as well as social, parental and psychological factors [3]. Intervention with the most appropriate fitted hearing technology may exploit elevated early neural plasticity and may prevent or reduce the risk of dysfunction in brain maturation, increasing the probability of an early and rich auditory and linguistic experience.

Methods

Discussion

Conclusion