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ABSTRACT INFORMATION
Presenter Information:
Presenter 1: Name: Yvonne Sininger

Affiliation:

Dr.Yvonne Sininger is Professor in the Division of Head & Neck SurgeryUniversity of California, Los Angeles. She received her bachelor’s and master’s degree from Indiana University and her Ph.D. in Speech and Hearing Science from the University of California Santa Barbara & San Francisco.
Author Information:
Author 1: Name: Yvonne Sininger
Affiliation: UCLA
Author 2: Name: Lauire Eisenberg
Affiliation: House Ear Insitute
Author 3: Name: Amy Martinez
Affiliation: House Ear Institute
Author 4: Name: Alison Grimes
Affiliation: UCLA
Author 5: Name: Jasmine Hu
Affiliation: UCLA
Abstract Information:
Title: Influence of Early Amplification and Other Factors on Auditory-Based Outcomes
Primary Track: 2-Audiological Assessment and Intervention
Keyword(s): Early identification, communication outcomes, amplification, cochlear implants

Abstract:

A multi-center study entitled “Auditory Development in Early Amplified Children” has investigated auditory-based communication skills (speech perception, speech production and spoken language) in children with hearing loss and documented factors that are believed to influence development of these skills to determine the relationships. This was a prospective and longitudinal study that sought to answer questions by selecting and following children with a variety of degrees of hearing loss and a range of ages at intervention. Subjects included 64 children with bilateral sensorineural hearing loss ranging in degree from mild to profound who were free of other handicapping conditions. Forty-four subjects completed the study and provided data for the final analysis. Factors used as independent variables in the analysis include 1) age at fitting of amplification, 2) degree of hearing loss, 3) parent-child interactions, 4) educational intervention, 5) cochlear implant use and 6) home language. Measures of 1) speech perception including the IMSPAC-ol, and the PSI Test, 2) speech production (Arizona-3) and 3) spoken language by Reynell Developmental Language Scales (receptive and expressive) were obtained when the children reached three years of age and beyond. Each of these measures were summarized and used as dependent (outcome) variables in the multivariate regression analyses. Details of the relationships between the predictor variables and auditory outcomes will be elucidated by the multivariate regression analyses. The major finding is that the age of fitting of amplification and degree of hearing loss held primary roles in the modeling of outcomes. Specifically, overall outcomes were improved by early fitting of amplification and degraded with greater degrees of hearing loss. This study was supported by NIDCD (R01 DC04433).
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