Self- and parental assessment of quality of life in child cochlear implant bearers

Abstract

ObjectivesThe aim of this study was to assess quality of life in children fitted with cochlear implants, using combined self- and parental assessment. Materials and methodsThirty-two children, aged 6 to 17 years, with prelingual hearing loss and receiving cochlear implants at a mean age of 22 months, were included along with their families. The KIDSCREEN-27 questionnaire was implemented, in face-to-face interview, in its parents and children-adolescents versions, with 27 items covering physical well-being (“physical activities and health”), psychological well-being (“general mood and feelings about yourself”), autonomy & parents (“family and free time”), peers & social support (“friends”) and school environment (“school and learning”). Parent and child responses were compared with a general population database, and pairwise. ResultsGlobal scores were compared against the general population on Cohen d effect-size. For child self-assessment, the results were: physical well-being, 72.81 (d=0); psychological well-being, 78.13 (d=−0.4); autonomy & parents, 63.84 (d=−0.2); peers & social support, 61.72 (d=−0.4); and school environment 73.83 (d=0). For parent assessment, the respective results were 62.66 (d=−0.8), 74.89 (d=−0.3), 57.37 (d=−1.2), 51.56 (d=−0.8), and 68.95 (d=−0.4). Half of the children could not answer the questionnaire, mainly due to associated disability. Schooling and language performance were poorer in non-respondent than respondent children. Quality of life was comparable between implanted and non-implanted children: Cohen d, 0 to 0.4. Early cochlear implantation in children with pre-lingual hearting loss provides quality of life comparable to that of the general population.