The communicative benefits of cochlear implantation for children with hearing loss and autism spectrum disorder: A review

Linda Cupples, Kathryn Crowe

    Research output: Contribution to journalArticle

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    Abstract

    Background: It has been suggested that autism spectrum disorder (ASD) occurs more frequently in children with hearing loss than in the general population. However, little is known about effective intervention for children who have this dual diagnosis. This review of the literature examined the communicative benefits of audiological intervention (in the form of cochlear implantation) for these children.
    Method: A literature search of 15 databases was conducted, which identified 46 peer-reviewed journal articles that described communication skills in children with a dual diagnosis of hearing loss and ASD. From this set, three articles that reported both pre- and post-cochlear implantation data were selected for review. A search of references cited in these and other papers reporting outcomes for children with hearing loss and additional disabilities resulted in the addition of four more articles to the review set.
    Results: Speech perception and/or language outcomes were available for 14 individual children and two small groups (comprising 4 and 8 participants respectively). Improvements from pre- to post-implant were observed for both groups, but significant for only one. Improvements were also reported for 11 of the 14 individual children, with greater improvements seen in children using some spoken language at the post-implant assessment compared to those using gesture only. Parent feedback regarding the benefits of cochlear implants was generally positive.
    Conclusion: Children with a dual diagnosis of severe-to-profound hearing loss and ASD appeared to benefit from audiological intervention with cochlear implants, although individual child outcomes were variable and studies did not include 'no intervention" control groups. Future research would be strengthened through the use of more effective assessment procedures, and the inclusion of further information on children's cognitive ability and the nature and severity of their ASD.
    Original languageEnglish
    Pages (from-to)1-6
    Number of pages6
    JournalOA Autism
    Volume2
    Issue number1
    Publication statusPublished - 2014

    Fingerprint

    Cochlear Implantation
    Hearing Loss
    Dual (Psychiatry) Diagnosis
    Cochlear Implants
    Autism Spectrum Disorder
    Language
    Gestures
    Speech Perception
    Aptitude
    Cochlea
    Communication

    Cite this

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    title = "The communicative benefits of cochlear implantation for children with hearing loss and autism spectrum disorder: A review",
    abstract = "Background: It has been suggested that autism spectrum disorder (ASD) occurs more frequently in children with hearing loss than in the general population. However, little is known about effective intervention for children who have this dual diagnosis. This review of the literature examined the communicative benefits of audiological intervention (in the form of cochlear implantation) for these children. Method: A literature search of 15 databases was conducted, which identified 46 peer-reviewed journal articles that described communication skills in children with a dual diagnosis of hearing loss and ASD. From this set, three articles that reported both pre- and post-cochlear implantation data were selected for review. A search of references cited in these and other papers reporting outcomes for children with hearing loss and additional disabilities resulted in the addition of four more articles to the review set.Results: Speech perception and/or language outcomes were available for 14 individual children and two small groups (comprising 4 and 8 participants respectively). Improvements from pre- to post-implant were observed for both groups, but significant for only one. Improvements were also reported for 11 of the 14 individual children, with greater improvements seen in children using some spoken language at the post-implant assessment compared to those using gesture only. Parent feedback regarding the benefits of cochlear implants was generally positive.Conclusion: Children with a dual diagnosis of severe-to-profound hearing loss and ASD appeared to benefit from audiological intervention with cochlear implants, although individual child outcomes were variable and studies did not include 'no intervention{"} control groups. Future research would be strengthened through the use of more effective assessment procedures, and the inclusion of further information on children's cognitive ability and the nature and severity of their ASD.",
    keywords = "Hearing loss, Deafness, Autism spectrum disorder, Cochlear implant, Early childhood, Audiological intervention, Communication, Speech perception, Language, Children",
    author = "Linda Cupples and Kathryn Crowe",
    note = "Includes bibliographical references.",
    year = "2014",
    language = "English",
    volume = "2",
    pages = "1--6",
    journal = "OA Autism",
    issn = "2052-7810",
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    }

    The communicative benefits of cochlear implantation for children with hearing loss and autism spectrum disorder : A review. / Cupples, Linda; Crowe, Kathryn.

    In: OA Autism, Vol. 2, No. 1, 2014, p. 1-6.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - The communicative benefits of cochlear implantation for children with hearing loss and autism spectrum disorder

    T2 - A review

    AU - Cupples, Linda

    AU - Crowe, Kathryn

    N1 - Includes bibliographical references.

    PY - 2014

    Y1 - 2014

    N2 - Background: It has been suggested that autism spectrum disorder (ASD) occurs more frequently in children with hearing loss than in the general population. However, little is known about effective intervention for children who have this dual diagnosis. This review of the literature examined the communicative benefits of audiological intervention (in the form of cochlear implantation) for these children. Method: A literature search of 15 databases was conducted, which identified 46 peer-reviewed journal articles that described communication skills in children with a dual diagnosis of hearing loss and ASD. From this set, three articles that reported both pre- and post-cochlear implantation data were selected for review. A search of references cited in these and other papers reporting outcomes for children with hearing loss and additional disabilities resulted in the addition of four more articles to the review set.Results: Speech perception and/or language outcomes were available for 14 individual children and two small groups (comprising 4 and 8 participants respectively). Improvements from pre- to post-implant were observed for both groups, but significant for only one. Improvements were also reported for 11 of the 14 individual children, with greater improvements seen in children using some spoken language at the post-implant assessment compared to those using gesture only. Parent feedback regarding the benefits of cochlear implants was generally positive.Conclusion: Children with a dual diagnosis of severe-to-profound hearing loss and ASD appeared to benefit from audiological intervention with cochlear implants, although individual child outcomes were variable and studies did not include 'no intervention" control groups. Future research would be strengthened through the use of more effective assessment procedures, and the inclusion of further information on children's cognitive ability and the nature and severity of their ASD.

    AB - Background: It has been suggested that autism spectrum disorder (ASD) occurs more frequently in children with hearing loss than in the general population. However, little is known about effective intervention for children who have this dual diagnosis. This review of the literature examined the communicative benefits of audiological intervention (in the form of cochlear implantation) for these children. Method: A literature search of 15 databases was conducted, which identified 46 peer-reviewed journal articles that described communication skills in children with a dual diagnosis of hearing loss and ASD. From this set, three articles that reported both pre- and post-cochlear implantation data were selected for review. A search of references cited in these and other papers reporting outcomes for children with hearing loss and additional disabilities resulted in the addition of four more articles to the review set.Results: Speech perception and/or language outcomes were available for 14 individual children and two small groups (comprising 4 and 8 participants respectively). Improvements from pre- to post-implant were observed for both groups, but significant for only one. Improvements were also reported for 11 of the 14 individual children, with greater improvements seen in children using some spoken language at the post-implant assessment compared to those using gesture only. Parent feedback regarding the benefits of cochlear implants was generally positive.Conclusion: Children with a dual diagnosis of severe-to-profound hearing loss and ASD appeared to benefit from audiological intervention with cochlear implants, although individual child outcomes were variable and studies did not include 'no intervention" control groups. Future research would be strengthened through the use of more effective assessment procedures, and the inclusion of further information on children's cognitive ability and the nature and severity of their ASD.

    KW - Hearing loss

    KW - Deafness

    KW - Autism spectrum disorder

    KW - Cochlear implant

    KW - Early childhood

    KW - Audiological intervention

    KW - Communication

    KW - Speech perception

    KW - Language

    KW - Children

    M3 - Article

    VL - 2

    SP - 1

    EP - 6

    JO - OA Autism

    JF - OA Autism

    SN - 2052-7810

    IS - 1

    ER -