Capability of deaf children with a cochlear implant
WJ Rijke, AM Vermeulen, K Wendrich… - Disability and …, 2021 - Taylor & Francis
WJ Rijke, AM Vermeulen, K Wendrich, E Mylanus, MC Langereis, GJ van der Wilt
Disability and Rehabilitation, 2021•Taylor & FrancisIntroduction The main idea underlying this paper is that impairments such as deafness are
particularly relevant to the extent that they lead to deprivation of capability. Likewise, the
impact of healthcare services such as cochlear implants and subsequent rehabilitation can
best be inferred from the extent that they protect or restore capability of those affected.
Methods To explore children's post-implant capabilities, we tested two newly developed
digital, adaptive child self-report and parent-report questionnaires in 19 deaf children (aged …
particularly relevant to the extent that they lead to deprivation of capability. Likewise, the
impact of healthcare services such as cochlear implants and subsequent rehabilitation can
best be inferred from the extent that they protect or restore capability of those affected.
Methods To explore children's post-implant capabilities, we tested two newly developed
digital, adaptive child self-report and parent-report questionnaires in 19 deaf children (aged …
Introduction
The main idea underlying this paper is that impairments such as deafness are particularly relevant to the extent that they lead to deprivation of capability. Likewise, the impact of healthcare services such as cochlear implants and subsequent rehabilitation can best be inferred from the extent that they protect or restore capability of those affected.
Methods
To explore children’s post-implant capabilities, we tested two newly developed digital, adaptive child self-report and parent-report questionnaires in 19 deaf children (aged 8–12 years) and their parents during rehabilitation, as well as in 23 age peers with normal hearing.
Results
Despite the impressive speech-language results that were recorded with cochlear implants, the post-implant capabilities of the deaf children we evaluated differed from those of their hearing peers, with the cochlear implant group appearing particularly disadvantaged in areas such as accessing information, communication, social participation, and participation in school.
Conclusion
Deaf children with cochlear implants who are performing well on linguistic and auditory tests can still experience serious limitations in desired functioning. Our findings suggest that a capability approach may reveal aspects of what is being achieved through rehabilitation that might otherwise remain unnoticed, and that could help to further improve the well-being of our patients.
- Overall, children with cochlear implants appeared disadvantaged in certain capability areas, like accessing information, communication, social participation, and participation in school.
- It may be worthwhile to also ascertain capabilities in these children, representing a domain not covered by clinical measures, tapping directly into areas that are valuable to the patient.
IMPLICATIONS FOR REHABILITATION
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