The language outcome of children receiving cochlear implantation to address bilateral sensorineural hearing loss is more variable than that of typical hearing children. The research is focused upon development of neural predictive models based upon brain imaging to forecast language after cochlear implantation on the individual child level. The long-term goal is improving children's language by using predictive models to enable a custom "predict to prescribe" approach to intervene with more effective behavioral therapy for children at risk to develop poorer language. The investigators previously developed models for short term language outcome of English-learning implanted children. The aims of this study are to 1. Develop models able to predict long term outcome for English- learning and Spanish-learning children; and 2. To evaluate whether English-learning children predicted to achieve lower language based on the investigators' previously constructed models can demonstrate significant gains from Parent Implemented Communication Treatment (PICT). PICT is an intensive parent education program about strategies to improve children's communication.
Age 5 years and under.
English or Spanish as the dominant language.
English or Spanish dominant language in the home.
Children with bilateral sensorineural hearing loss who meet clinical criterial for cochlear implantation
Severe motor and /or cognitive disability that would preclude evaluation of progress
Limited electrode insertion likely to significantly impact development of speech perception
Hearing loss due to bacterial meningitis
Neither English or Spanish as the dominant family language in the home
Parallel
Parent-Implemented Communication Treatment
BehavioralThe intervention will be taught by a qualified professional online and/or in-person for about 6 months. Parents will learn strategies to enhance their children's social communication and will receive coaching and feedback.
Preschool Language Scales, Fifth Edition (PLS-5)
A standardized measure of auditory comprehension and expressive communication in children. Standard scores are obtained which are then translated to percentiles, and age equivalents. Higher standard scores indicate better performance.
Preschool Language Scales, Fifth Edition (PLS-5)
A standardized measure of auditory comprehension and expressive communication in children. Standard scores are obtained which are then translated to percentiles, and age equivalents. Higher standard scores indicate better performance.
Preschool Language Scales, Fifth Edition (PLS-5)
A standardized measure of auditory comprehension and expressive communication in children. Standard scores are obtained which are then translated to percentiles, and age equivalents. Higher standard scores indicate better performance.
Preschool Language Scales, Fifth Edition (PLS-5)
A standardized measure of auditory comprehension and expressive communication in children. Standard scores are obtained which are then translated to percentiles, and age equivalents. Higher standard scores indicate better performance.
Behavior Rating Inventory of Executive Function (BRIEF)
A parent-reported executive function questionnaire that utilizes T-scores to reflect individual's level of executive functioning. Higher T-scores indicate better performance.
Behavior Rating Inventory of Executive Function (BRIEF)
A parent-reported executive function questionnaire that utilizes T-scores to reflect individual's level of executive functioning. Higher T-scores indicate better performance.
Behavior Rating Inventory of Executive Function - Preschool Version (BRIEF-P)
A parent-reported executive function questionnaire designed for preschool-aged children that utilizes T-scores to reflect children's level of executive functioning. Higher T-scores indicate better performance.
Behavior Rating Inventory of Executive Function - Preschool Version (BRIEF-P)
A parent-reported executive function questionnaire designed for preschool-aged children that utilizes T-scores to reflect children's level of executive functioning. Higher T-scores indicate better performance.
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Ann & Robert H Lurie Children's Hospital of Chicago
Lead sponsor
Chinese University of Hong Kong
Collaborator
Northwestern University
Collaborator
University of North Carolina, Chapel Hill
Collaborator
University of Southern California
Collaborator
University of Miami
Collaborator
The University of Texas at Dallas
Collaborator
