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

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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.

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Acknowledgments

The authors would like to thank the developers of the CHIP-CE for use of data from the CHIP-CE validation studies to create the NH2 comparison group. The CDaCI Study was supported by grant RO1 DC004797 from the National Institute on Deafness and Other Communication Disorders, the CityBridge Foundation, and the Sidgmore Family Foundation. Warranties on the implant devices used by children with implants in this study were discounted by 50 % by the Advanced Bionics Corporation, Cochlear Corporation, and the MEDEL Corporation.

Author information

Authors and Affiliations

  1. Department of Otolaryngology, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Rachel L. Meserole & Howard W. Francis

  2. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Christine M. Carson & John K. Niparko

  3. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Anne W. Riley

  4. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Nae-Yuh Wang

  5. Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Nae-Yuh Wang

  6. Department of Psychology, University of Miami, Coral Gables, FL, USA

    Alexandra L. Quittner

  7. House Research Institute, Los Angeles, CA, USA

    Laurie S. Eisenberg

  8. Callier Center for Communication Disorders, University of Texas at Dallas, Richardson, TX, USA

    Emily A. Tobey

  9. Department of Otolaryngology-Head & Neck Surgery, Keck School of Medicine of USC, University of Southern California, 1540 Alcazar Street, Suite 204, Los Angeles, CA, 90033, USA

    John K. Niparko

  10. 2701 Eastern Avenue, Baltimore, MD, 21224, USA

    Rachel L. Meserole

  11. 2024 E Monument St, Suite 2-500, Baltimore, MD, 21287, USA

    Christine M. Carson & Nae-Yuh Wang

  12. 615 N Wolfe St, Room E4539, Baltimore, MD, 21205, USA

    Anne W. Riley

  13. 5665 Ponce de Leon Blvd, Coral Gables, FL, 33146, USA

    Alexandra L. Quittner

  14. 2100 West Third St, Los Angeles, CA, 90057, USA

    Laurie S. Eisenberg

  15. 1966 Inwood Rd, Dallas, TX, 75235, USA

    Emily A. Tobey

  16. 601 N Caroline St, Ste. 6151, Baltimore, MD, 21287, USA

    Howard W. Francis

  17. 1540 Alcazar St, Suite 204, Los Angeles, CA, 90033, USA

    John K. Niparko

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  1. Rachel L. Meserole
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  2. Christine M. Carson
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Corresponding author

Correspondence to Rachel L. Meserole.

Appendix: CDaCI Investigative Team

Appendix: CDaCI Investigative Team

House Research Institute, Los Angeles: Laurie S. Eisenberg, PhD, CCC-A (PI); Karen Johnson, PhD, CCCA (coordinator); William Luxford, MD (surgeon); Leslie Visser-Dumont, MA, CCC-A (data collection); Amy Martinez, MA, CCC-A (data collection); Dianne Hammes Ganguly, MA (data collection); Jennifer Still, MHS (data collection); Carren J. Stika, PhD (data collection).

Johns Hopkins University, Listening Center, Baltimore: Howard Francis, MD (PI); Steve Bowditch, MS, CCC-A (data collection) Rick Ostrander, EdD (data collection); Jennifer Yeagle, MEd, CCC-A (data collection); Dawn Marsiglia, MA, CCC-A/SLP (data collection); Jill Stephens.

Johns Hopkins University, The River School, Washington, DC: Nancy Mellon, MS (administration); Meredith Ouellette, MS (coordinator); Meredith Dougherty, MS (data collection); Patricia Gates-Ulanet, PhD (data collection); Julie Verhoff, AuD, CCC-A (data collection).

University of Miami, Miami: Annelle Hodges, PhD, CCC-A (PI); Thomas Balkany, MD (surgeon); Alina Lopez, MA, CCC-SLP/A (coordinator); Leslie Goodwin, MSN, CCRC (data collection).

University of Michigan, Ann Arbor: Teresa Zwolan, PhD, CCC-A (Principal Investigator); Caroline Arnedt, MA, CCC-A (clinic coordinator); Hussam El-Kashlam, MD (surgeon); Kelly Starr, MA, CCC-SLP (data collection); Ellen Thomas, MA, CCC-SLP, Cert AVT.

University of North Carolina, Carolina Children’s Communicative Disorders Program, Chapel Hill: Holly F.B. Teagle, AuD, CCC-A (PI); Craig A. Buchman, MD (surgeon); Carlton Zdanski, MD (surgeon); Hannah Eskridge, MSP (data collection); Harold C. Pillsbury, MD (surgeon); Jennifer Woodard (coordinator).

University of Southern California, Los Angeles: John K. Niparko, MD (Study PI).

University of Texas at Dallas, Dallas Cochlear Implant Program, Callier Advanced Hearing Research Center, Dallas: Emily A. Tobey, PhD, CCC-SLP (PI); Lana Britt, AuD (Coordinator); Janet Lane, MS, CCC-SLP (data collection); Peter Roland, MD (surgeon); Sujin Shin, MA (data collection); Madhu Sundarrajan, MS, CCC-SLP (data collection).

Resource Centers

Data Coordinating Center, Johns Hopkins University, Welch Center for Prevention, Epidemiology & Clinical Research, Baltimore: Nae-Yuh Wang, PhD (PI, biostatistician); Christine M. Carson, ScM (study manager, data analysis); Thelma Grace (data assembly); Patricia Bayton (data assembly).

Psychometrics Center, University of Miami, Department of Psychology, Coral Gables: Alexandra Quittner, PhD (PI); David Barker, PhD (data analysis); Ivette Cruz, PhD (data analysis); Cara Kimberg (data assembly); Sandy Romero (data assembly); Mary Beth Grimley (data assembly); Michael Hoffman (data analysis).

Study Oversight Committees

Executive Committee: John K. Niparko, MD (chair); Laurie S. Eisenberg, PhD; Alexandra L. Quittner, PhD; Emily A. Tobey, PhD; Nae-Yuh Wang, PhD; Christine M. Carson, ScM.

External Advisors: Ann Geers, PhD; Karen Iler Kirk, PhD; Mabel Rice; Donna Thal.

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Meserole, R.L., Carson, C.M., Riley, A.W. et al. Assessment of health-related quality of life 6 years after childhood cochlear implantation. Qual Life Res 23, 719–731 (2014). https://doi.org/10.1007/s11136-013-0509-3

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