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Quality of Life Research
Erschienen in: Quality of Life Research 2/2014

01.03.2014

Assessment of health-related quality of life 6 years after childhood cochlear implantation

verfasst von: Rachel L. Meserole, Christine M. Carson, Anne W. Riley, Nae-Yuh Wang, Alexandra L. Quittner, Laurie S. Eisenberg, Emily A. Tobey, Howard W. Francis, John K. Niparko

Erschienen in: Quality of Life Research | Ausgabe 2/2014

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Abstract

Purpose

To examine the impact of cochlear implant (CI) intervention on health-related quality of life (HRQOL) assessed by both self- and parent-reported measures.

Methods

In this national study of children implanted between ages 6 months and 5 years, HRQOL of 129 children 6-year post-CI was compared to 62 internal study (NH1) and 185 external (NH2) samples of hearing children frequency-matched to the CI group on sociodemographic variables. HRQOL ratings of children and their parents in each group, measured using the Child Health and Illness Profile-Child Edition, were compared, and their associations with the Family Stress Scale were investigated.

Results

CI children reported overall and domain-specific HRQOL that was comparable to both NH1 and NH2 peers. CI parents reported worse child scores than NH1 parents in Achievement, Resilience, and Global score (p’s < 0.01) but similar or better scores than socioeconomically comparable NH2 parents. Higher family stress was negatively associated with all parent-reported HRQOL outcomes (p’s < 0.01). Parent–child correlations in HRQOL global scores trended higher in CI recipients (r = 0.50) than NH1 (r = 0.42) and NH2 (r = 0.35) controls.

Conclusions

CI recipients report HRQOL comparable to NH peers. These results, from both child and parent perspective, lend support to the effectiveness of CI intervention in mitigating the impact of early childhood deafness. Family stress was associated with worse HRQOL, underscoring a potential therapeutic target. Parent–child agreement in HRQOL scores was higher for CI families than NH families, which may reflect higher caregiver insight and involvement related to the CI intervention.
Vorheriger Artikel Fatigue interference with daily living among patients with inflammatory bowel disease
Nächster Artikel Quality of life among hazardous and harmful drinkers: EQ-5D over a 1-year follow-up period

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Metadaten
Titel
Assessment of health-related quality of life 6 years after childhood cochlear implantation
verfasst von
Rachel L. Meserole
Christine M. Carson
Anne W. Riley
Nae-Yuh Wang
Alexandra L. Quittner
Laurie S. Eisenberg
Emily A. Tobey
Howard W. Francis
John K. Niparko
Publikationsdatum
01.03.2014
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 2/2014
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0509-3

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