Comparison of Parental Expectations Regarding Effectiveness of Speech Therapy Among Cochlear Implant and Hearing Aid Users

Main Article Content

Faryal Ikram, Saba Yaqoob, Mamona Riaz, Maham Ikram, Nighat Rehman Rao, Hafsa Noreen


Hearing, Hearing Impairment, Cochlear Implant, Hearing Aid, Sensorineural Hearing Loss


Parental expectations are the desires for their children's socialization, academic performance, and professional ambitions which are based on effective communication.

Objective: This study compared parental expectations regarding the effectiveness of speech therapy among children with Cochlear Implant and Hearing Aid.

Method: The study design was a comparative Cross-Sectional Study. The sample size consisted of parents of 100 hearing-impaired children. It was divided into two groups i.e., 50 parents of cochlear implant children and 50 hearing aid users’ parents. The purposive Sampling Technique was used to conduct this study. The study was conducted at Mind Care Rehabilitation, Bol Rehabilitation Centre, and Rahman Rehabilitation Clinic. In this study, the parents of the children receiving speech therapy after amplification were included. The parents of the children with other challenge disorders i.e., neurological disorders, organic disorders, syndromes, or learning disabilities were excluded from this study. (Questionnaire) The expectation of improvement in communication abilities was used to conduct this study. Demographics were explained using frequencies. Cross tabs were used to display the results

Results: This current study showed that in “child will be able to easily detect very quiet sound’’ domain cochlear Implant 24% and hearing Aid 26% expectations. And in the other result is” Child usually treated like a hearing child by family and friends” with cochlear Implants at 27% and hearing aids at 27% expectations.

Conclusion: It was concluded from this study that parents with children having cochlear implants have higher expectations than those of hearing aid users. It is implicated by the study that parents of such children should provide counselling sessions

Abstract 145 | PDF Downloads 29


1. Shakeel R, Shakeel M, KHALIL AHMAD SNMJPPJ. Parental knowledge attitude and practices (KAP) at pre-cochlear implant speech therapy assessment. 2023;47(1):11-5.
2. Alduhaim A, Purcell A, Cumming S, Doble MJIjopo. Parents’ views about factors facilitating their involvement in the oral early intervention services provided for their children with hearing loss in Kuwait. 2020;128:109717.
3. Tomblin JB, Oleson J, Ambrose SE, Walker EA, McCreery RW, Moeller MP. Aided hearing moderates the academic outcomes of children with mild to severe hearing loss. Ear and hearing. 2020;41(4):775-89.
4. Lukovenko T, Sikinbayev B, Shterts O, Mironova EJJoPR. Parental Competence as a Teacher in the Auditory Development of Children with Cochlear Implants. 2023;52(6):2119-33.
5. Abdallah Mohamed Amer S, Nabawy Elaasar HJEJoHC. Effect of an Educational Program on Mothers’ Knowledge, Practice, Empowerment and Satisfaction Regarding Caring of their Children Post Cochlear Implant. 2023;14(1):948-72.
6. Nailand L, Munro N, Purcell AJE, Hearing. What Are Parents’ Experiences With Their Child’s Hearing Aid Use in the First 5 Years? 2023;44(4):816-28.
7. Tamati TN, Pisoni DB, Moberly ACJARoL. Speech and language outcomes in adults and children with cochlear implants. 2022;8:299-319.
8. Kim YS, Kim Y, Lee SJ, Han JH, Yi N, Yoo HS, et al. Efficacy of cochlear implants in children with borderline hearing who have already achieved significant language development with hearing aids. 2022;17(6):e0267898.
9. Ravanyar L, Mostafavi F, Hashemian S-S, Hosseini R, Hazavehei SMM, Oryadi-Zanjani MMJJoMC. Program to reduce empowerment barriers hindering mothers to contribute to speech skills of hearing-impaired children with cochlear implant. 2022;11(4):164-71.
10. Siggaard LD. Remote Ear-Nose-and-Throat Specialist Screening in Adult Potential First-Time Hearing Aid Users: A Randomized Clinical Trial. 2023.
11. Kecman EJTJoDS, Education D. Research about parents of children with cochlear implants: A scoping review. 2022;27(3):214-33.
12. Kalambe S, Gaurkar S, Jain S, Deshmukh P. Comparison of Otoacoustic Emission (OAE) and Brainstem Evoked Response Audiometry (BERA) in High Risk Infants and Children under 5 Years of Age for Hearing Assessment in Western India: A Modification in Screening Protocol. Indian Journal of Otolaryngology and Head & Neck Surgery. 2021:1-15.
13. Mundayoor SA, Bhatarai P, Prabhu PJJoO. A comparison of the quality of life of parents of children using hearing aids and those using cochlear implants. 2022;17(4):211-7.
14. Jia H, Li Y, Xu B, Liu X, Bian P, Guo YJTJoL, et al. Different modes of cochlear implantation in children: a comparative study on hearing and speech rehabilitation effects. 2022;136(10):986-93.
15. Sevinç Ş, Şenkal ÖJNjocp. Parent participation in early intervention/early childhood hearing impairment program. 2021;24(2):254-61.
16. Bollapalli V, Prakash SJCDDSHA. A Comparative Study on the Development of Language Skills among the Children using Cochlear Implant and Hearing Aids. 2019;7(2):1-9.
17. Association AS-L-H. Hearing Aids. Cleveland Clinic medical professional. 2023.
18. Benchetrit L, Ronner EA, Anne S, Cohen MS. Cochlear implantation in children with single-sided deafness: a systematic review and meta-analysis. JAMA Otolaryngology–Head & Neck Surgery. 2021;147(1):58-69.
19. Sharma SD, Cushing SL, Papsin BC, Gordon KA. Hearing and speech benefits of cochlear implantation in children: A review of the literature. International Journal of Pediatric Otorhinolaryngology. 2020;133:109984.
20. Ehrmann-Mueller D, Kurz A, Kuehn H, Rak K, Mlynski R, Hagen R, et al. Usefulness of cochlear implantation in children with single sided deafness. International Journal of Pediatric Otorhinolaryngology. 2020;130:109808.
21. Lee YJCS, Disorders. Functional listening performance of sequential bilateral cochlear implantation in young adults with congenital deafness. 2018;23(4):1111-26.
22. Molla M, Asha NJ, Kamrujjaman MJIJoO, Head, Surgery N. Parents perceived quality of life for children with cochlear implants. 2018;8(1):13-24.
23. Shivaprakash S, Castro NOJSJoO. Performance of hearing-impaired children with hearing aid and cochlear implant in auditory verbal therapy. 2019;2(3):10-32474.
24. Dutta P, Dey S, Malakar IJJoISL, Association H. Parental knowledge and understanding of monitoring and maintenance of cochlear implant under ADIP scheme. 2020;34(1):17-23.
25. Prathiba DGJIJoPHR, Development. Benefits of Cochlear Implants in Children with Hearing impairment: Parental Perspectives from Tertiary Care Hospitals in Tamilnadu. 2020;11(6).
26. Wiseman KB, Warner-Czyz AD, Nelson JA. Stress in parents of school-age children and adolescents with cochlear implants. The Journal of Deaf Studies and Deaf Education. 2021;26(2):209-22.
27. Kumar SR, Shora S, Saxena U, Bollapalli VR, Bapuji M. Expectations on communication abilities, social skills, and academic achievements of children with cochlear implant in Indian context: Preoperative parental perspectives. Indian Journal of Otology. 2022;28(3):228-34.
28. Galal Abdelrahman R, Ibrahim El-Malky M, Mohamed Barakat M. Psychological Distress and Coping Strategies among Parents with Deaf and Mute Children. Journal of Nursing Science Benha University. 2022;3(1):637-51.
29. Sarant J, Garrard P. Parenting stress in parents of children with cochlear implants: Relationships among parent stress, child language, and unilateral versus bilateral implants. Journal of deaf studies and deaf education. 2014;19(1):85-106.
30. Gabova K, Meier Z, Tavel P. Parents’ experiences of remote microphone systems for children with hearing loss. Disability and Rehabilitation: Assistive Technology. 2024;19(3):831-40.