2025 Early Hearing Detection & Intervention Conference

March 9-11, 2025 • Pittsburgh, PA

DAVID L. LAWRENCE CONVENTION CENTER

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  |  Factors Associated with Reduced Cochlear Implant Wear Time in Children with Single-Sided Deafness

Factors Associated with Reduced Cochlear Implant Wear Time in Children with Single-Sided Deafness

The incidence of severe-to-profound unilateral sensorineural hearing loss, referred to as single-sided deafness (SSD), has been estimated between 2 and 5 per 1000 school-aged children (Lee et al., 1998). Cochlear implantation in children with SSD (SSD + CI) has been shown to improve speech perception in quiet, speech perception in noise, and sound localization (Brown, 2022). The importance of consistent cochlear implant use to maximize auditory outcomes is becoming more well understood (Holder, et al. 2020; Holder and Gifford, 2021). For children with SSD + CI, increased daily CI use has been associated with greater spatial release from masking (Park, et al. 2023). Despite robust counseling regarding the importance of full-time CI use on outcomes, clinicians are observing variable CI use rates in the SSD + CI population, especially notable in very young children (e.g., Macielak, et al. 2024, Spitzer, et al. 2024). Approximately 35% of SSD + CI recipients at our institution demonstrate limited CI use. The specific factors associated with reduced cochlear implant wear time in children with SSD + CI are presently unknown. The Cochlear Implant Use Questionnaire (CIUQ) has been shown to be a valid tool in identifying barriers to full-time CI use in adult CI recipients (Holder, et al. 2022). In the current study, pediatric versions of the CIUQ were administered via a REDCap survey to guardians of children with SSD + CI to assess habits and behaviors of CI use. Parental responses were compared between limited and full-time users. Survey responses were analyzed for trends in the limited use cohort. Survey findings will help to inform future interventions targeted at increasing CI adherence in the growing SSD + CI population.

  • Learners will be able to list age-appropriate questionnaires that can assess the habits and behaviors of cochlear implant use.
  • Learners will be able to explain the importance of consistent cochlear implant use to maximize auditory outcomes.
  • Learners will be able to describe factors contributing to cochlear implant use in the single-sided deafness population.

Presentation:
3545975_18121RachelWagner.pdf

Handouts:
Handout is not Available

Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference


Presenters/Authors

Selena Mayer (Co-Presenter,Author,Co-Author), Boston Children's Hospital, selena.mayer@Childrens.harvard.edu;
Selena Mayer is an audiology extern and LEND trainee at Boston Children’s Hospital. She graduated with a Bachelor of Arts in Speech and Hearing Science from The Ohio State University. She is enrolled at the University of North Carolina at Chapel Hill where she is seeking her Doctor of Audiology degree. While enrolled at the University of North Carolina, Selena was a LEND trainee at the Carolina Institute for Developmental Disabilities.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
Financial relationship with Boston Children's Hospital.
Nature: Selena Mayer is an employee at Boston children's Hospital.

Nonfinancial -
No relevant nonfinancial relationship exists.

Rachel Wagner (Primary Presenter,Co-Presenter,Author,Co-Author), Boston Children's Hospital, rachel.wagner@childrens.harvard.edu;
Rachel Wagner is an audiology extern and LEND trainee at Boston Children’s Hospital. She graduated with a Bachelor of Arts in Speech, Language, and Hearing Science from San Diego State University. She is enrolled at Rush University where she is pursuing her Doctor of Audiology degree.


ASHA DISCLOSURE:

Financial -
• Receives Other financial benefit for Other activities from Boston Children's Hospital.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
Financial relationship with Boston Children’s Hospital, Boston, Massachusetts.
Nature: Amanda M. Griffin is a salaried employee of Boston Children’s Hospital. Selena Mayer and Rachel Wagner are fourth-year audiology externs at Boston Children’s Hospital. .

Nonfinancial -
No relevant nonfinancial relationship exists.

Amanda Griffin (Author,Co-Author), Boston Children's Hospital, amanda.griffin@childrens.harvard.edu;
Amanda Griffin is the Director of Audiology Research at Boston Children's Hospital and an Instructor of Otolaryngology at Harvard Medical School.


ASHA DISCLOSURE:

Financial -

Nonfinancial -

AAA DISCLOSURE:

Financial -

Nonfinancial -