Investigating the Effect of Persian Phonemic Synthesis Program in Cochlear Implant Users with Phoneme Processing Dificulities
-
Mahdieh Hasanalifard
,
Masoumeh Saeedi
,
Mohammad Ajalloueyan
,
Reyhaneh Abolghasemi
,
Sahar Shomeil Shushtari
,
Maryam Amizadeh
Abstract
Background and Aim: Children with severe to profound sensory-neural hearing loss who use a hearing aid or a Cochlear Implant (CI) are likely to have Decoding (DEC) problems. Various studies recommend auditory processing training to improve auditory processing difficulties in CI users. The aim of the present study was to evaluate phoneme processing difficulties in CI users and to investigate the efficacy of the Persian version of the Phonemic Synthesis Program (P-PSP) in improving phonological abilities in this population.
Methods: A total of 28 prelingually hearing-impaired children aged 8–12 who underwent unilateral (right ear) cochlear implantation were included in this study. They were divided into experimental and control groups. The P-PSP was implemented on the experimental group, and the results were analyzed over three phases: baseline, intervention, and followup.
Results: The present study’s results indicate that P-PSP training is suitable for CI children, particularly for the DEC subcategory. Moreover, the Persian Phonemic Synthesis Test (P-PST) results significantly improved after the intervention phase compared to the baseline evaluations (p<0.05). There was no significant difference between the intervention and follow-up phases’ results (p>0.05), indicating no recurrence of auditory processing difficulties after discontinuing training.
Conclusion: Based on the study’s findings, the Persian version of PSP enhances phonological processing abilities in CI users. Therefore, the use of auditory phonological training in postimplantation rehabilitation programs appears to be highly important.
[1] Dillon CM, de Jong K, Pisoni DB. Phonological awareness, reading skills, and vocabulary knowledge in children who use cochlear implants. J Deaf Stud Deaf Educ. 2012;17(2):205-26. [DOI:10.1093/deafed/enr043]
[2] Shomeil Shushtari S, Fatahi F, Rouhbakhsh N, Saki N, Jalaie S, Negin E, et al. Evaluating the Efficacy of Phonemic Rehabilitations in Cochlear Implant Users: A Single Subject Study. Int J Pediatr. 2021;9(12):14914-28. [DOI:10.22038/ijp.2020.49905.3982]
[3] Katz J. Therapy for auditory processing disorders: simple effective procedures. Denver, CO: Educational Audiology Association; 2009.
[4] Halliday LF, Tuomainen O, Rosen S. Auditory processing deficits are sometimes necessary and sometimes sufficient for language difficulties in children: Evidence from mild to moderate sensorineural hearing loss. Cognition. 2017;166:139-151. [DOI:10.1016/j.cognition.2017.04.014]
[5] Waltzman SB, Scalchunes V, Cohen NL. Performance of multiply handicapped children using cochlear implants. Am J Otol. 2000;21(3):329-35. [DOI:10.1016/s0196-0709(00)80040-x]
[6] Saki N, Nikakhlagh S, Abshirini H, Yadollahpour A, Karimi M, Mirahmadi S, et al. Auditory Temporal Processing Performance in Cochlear Implant Users. Int J Pharm Res Allied Sci. 2016;5(2):179-82.
[7] Abdelhamid NH, Hegazi MAF, Elrefaie DA. Phonological Awareness in Cochlear Implants Users. Egypt J Hosp Med. 2018;71(6):3424-8. [DOI:10.12816/0047303]
[8] Thoutenhoofd E. Cochlear implanted pupils in Scottish schools: 4-year school attainment data (2000-2004). J Deaf Stud Deaf Educ. 2006;11(2):171-88. [DOI:10.1093/deafed/enj029]
[9] Simon M, Fromont LA, Le Normand MT, Leybaert J. Spelling, Reading Abilities and Speech Perception in Deaf Children with a Cochlear Implant. Sci Stud Read. 2019;23(6):494-508. [DOI:10.1080/10888438.2019.1613407]
[10] Tillery KL. Central Auditory Processing Evaluation: A Test Battery Approach. In: Katz J, Chasin M, English K, Hood LJ, Tillery KL, editors. Handbook of clinical audiology. 7th ed. Baltimore: Wolters Kluwer Health; 2015. p. 545-60.
[11] Roman S, Rochette F, Triglia JM, Schön D, Bigand E. Auditory training improves auditory performance in cochlear implanted children. Hear Res. 2016;337:89-95. [DOI:10.1016/j.heares.2016.05.003]
[12] Muchnik C, Taitelbaum R, Tene S, Hildesheimer M. Auditory temporal resolution and open speech recognition in cochlear implant recipients. Scand Audiol. 1994;23(2):105-9. [DOI:10.3109/01050399409047493]
[13] Turner CW, Gantz BJ, Vidal C, Behrens A, Henry BA. Speech recognition in noise for cochlear implant listeners: benefits of residual acoustic hearing. J Acoust Soc Am. 2004;115(4):1729-35. [DOI:10.1121/1.1687425]
[14] Haddadi Aval M, Abdollahi F, Jafarzadeh S. Auditory rehabilitation based on auditory verbal therapy approach on children with bilateral sensory-neural hearing loss. Aud Vestib Res. 2020;29(3): 172-7. [DOI:10.18502/avr.v29i3.3850]
[15] Thomas ES, Zwolan TA. Communication Mode and Speech and Language Outcomes of Young Cochlear Implant Recipients: A Comparison of Auditory-Verbal, Oral Communication, and Total Communication. Otol Neurotol. 2019;40(10):e975-83. [DOI:10.1097/MAO.0000000000002405]
[16] Percy-Smith L, Hallstrøm M, Josvassen JL, Mikkelsen JH, Nissen L, Dieleman E, et al. Differences and similarities in early vocabulary development between children with hearing aids and children with cochlear implant enrolled in 3-year auditory verbal intervention. Int J Pediatr Otorhinolaryngol. 2018;108:67-72. [DOI:10.1016/j.ijporl.2018.02.030]
[17] Jackson CW, Schatschneider C. Rate of language growth in children with hearing loss in an auditory-verbal early intervention program. Am Ann Deaf. 2014;158(5):539-54. [DOI:10.1353/aad.2014.0006]
[18] Binos P, Nirgianaki E, Psillas G. How Effective Is Auditory-Verbal Therapy (AVT) for Building Language Development of Children with Cochlear Implants? A Systematic Review. Life (Basel). 2021;11(3):239. [DOI:10.3390/life11030239]
[19] Barootiyan SS, Jalilvand Karimi L, Jalaie S, Negin E. Development and evaluation of the efficacy of Persian phonemic synthesis program in children with (central) auditory processing disorder: a single subject study. Aud Vestib Res. 2018;27(2):101-10.
[20] Shomeil Shushtari S, Fatahi F, Rouhbakhsh N, Saki N, Jalaie S, Negin E, et al. Development and psychometric evaluation of the Persian version of the Phoneme Recognition Test: A central auditory processing measure. Iran J Child Neurol. 2022;16(3):79-93.
[21] Negin E, Jarollahi F, Barootiyan SS, Seyyedi F, Jalaie S, Katz J. Development, validity, reliability and normative data of the Persian Phonemic Synthesis Test (P-PST). Int J Audiol. 2020;59(3):230-5. [DOI:10.1080/14992027.2019.1688401]
[22] Negin E, Mohammadkhani G, Jalaie S, Jarollahi F. Efficacy of phonemic training program in rehabilitation of Persian-speaking children with auditory processing disorder: a single subject study. Aud Vestib Res. 2018;27(3):116-25. [DOI:10.18502/avr.v27i3.52]
[23] Katz J. The Buffalo CAPD Model: The importance of phonemes in evaluation and remediation. J Phonet and Audiol. 2016;2(1):111. [DOI:10.4172/2471-9455.1000111]
[24] Valente M, Oeding K, Brockmeyer A, Smith S, Kallogjeri D. Differences in Word and Phoneme Recognition in Quiet, Sentence Recognition in Noise, and Subjective Outcomes between Manufacturer First-Fit and Hearing Aids Programmed to NAL-NL2 Using Real-Ear Measures. J Am Acad Audiol. 2018;29(8):706-21. [DOI:10.3766/jaaa.17005]
[25] Xie Z, Gaskins CR, Shader MJ, Gordon-Salant S, Anderson S, Goupell MJ. Age-Related Temporal Processing Deficits in Word Segments in Adult Cochlear-Implant Users. Trends Hear. 2019;23:2331216519886688. [DOI:10.1177/2331216519886688]
[26] Zamani P, Soleymani Z, Rashedi V, Farahani F, Lotf G, Rezaei M. Spoken and Written Narrative in Persian-Speaking Students Who Received Cochlear Implant and/or Hearing Aid. Clin Exp Otorhinolaryngol. 2018;11(4):250-8. [DOI:10.21053/ceo.2017.01011]
[27] Zhang M, Miller A, Campbell MM. Overview of nine computerized, home-based auditory-training programs for adult cochlear implant recipients. J Am Acad Audiol. 2014;25(4):405-13.
[2] Shomeil Shushtari S, Fatahi F, Rouhbakhsh N, Saki N, Jalaie S, Negin E, et al. Evaluating the Efficacy of Phonemic Rehabilitations in Cochlear Implant Users: A Single Subject Study. Int J Pediatr. 2021;9(12):14914-28. [DOI:10.22038/ijp.2020.49905.3982]
[3] Katz J. Therapy for auditory processing disorders: simple effective procedures. Denver, CO: Educational Audiology Association; 2009.
[4] Halliday LF, Tuomainen O, Rosen S. Auditory processing deficits are sometimes necessary and sometimes sufficient for language difficulties in children: Evidence from mild to moderate sensorineural hearing loss. Cognition. 2017;166:139-151. [DOI:10.1016/j.cognition.2017.04.014]
[5] Waltzman SB, Scalchunes V, Cohen NL. Performance of multiply handicapped children using cochlear implants. Am J Otol. 2000;21(3):329-35. [DOI:10.1016/s0196-0709(00)80040-x]
[6] Saki N, Nikakhlagh S, Abshirini H, Yadollahpour A, Karimi M, Mirahmadi S, et al. Auditory Temporal Processing Performance in Cochlear Implant Users. Int J Pharm Res Allied Sci. 2016;5(2):179-82.
[7] Abdelhamid NH, Hegazi MAF, Elrefaie DA. Phonological Awareness in Cochlear Implants Users. Egypt J Hosp Med. 2018;71(6):3424-8. [DOI:10.12816/0047303]
[8] Thoutenhoofd E. Cochlear implanted pupils in Scottish schools: 4-year school attainment data (2000-2004). J Deaf Stud Deaf Educ. 2006;11(2):171-88. [DOI:10.1093/deafed/enj029]
[9] Simon M, Fromont LA, Le Normand MT, Leybaert J. Spelling, Reading Abilities and Speech Perception in Deaf Children with a Cochlear Implant. Sci Stud Read. 2019;23(6):494-508. [DOI:10.1080/10888438.2019.1613407]
[10] Tillery KL. Central Auditory Processing Evaluation: A Test Battery Approach. In: Katz J, Chasin M, English K, Hood LJ, Tillery KL, editors. Handbook of clinical audiology. 7th ed. Baltimore: Wolters Kluwer Health; 2015. p. 545-60.
[11] Roman S, Rochette F, Triglia JM, Schön D, Bigand E. Auditory training improves auditory performance in cochlear implanted children. Hear Res. 2016;337:89-95. [DOI:10.1016/j.heares.2016.05.003]
[12] Muchnik C, Taitelbaum R, Tene S, Hildesheimer M. Auditory temporal resolution and open speech recognition in cochlear implant recipients. Scand Audiol. 1994;23(2):105-9. [DOI:10.3109/01050399409047493]
[13] Turner CW, Gantz BJ, Vidal C, Behrens A, Henry BA. Speech recognition in noise for cochlear implant listeners: benefits of residual acoustic hearing. J Acoust Soc Am. 2004;115(4):1729-35. [DOI:10.1121/1.1687425]
[14] Haddadi Aval M, Abdollahi F, Jafarzadeh S. Auditory rehabilitation based on auditory verbal therapy approach on children with bilateral sensory-neural hearing loss. Aud Vestib Res. 2020;29(3): 172-7. [DOI:10.18502/avr.v29i3.3850]
[15] Thomas ES, Zwolan TA. Communication Mode and Speech and Language Outcomes of Young Cochlear Implant Recipients: A Comparison of Auditory-Verbal, Oral Communication, and Total Communication. Otol Neurotol. 2019;40(10):e975-83. [DOI:10.1097/MAO.0000000000002405]
[16] Percy-Smith L, Hallstrøm M, Josvassen JL, Mikkelsen JH, Nissen L, Dieleman E, et al. Differences and similarities in early vocabulary development between children with hearing aids and children with cochlear implant enrolled in 3-year auditory verbal intervention. Int J Pediatr Otorhinolaryngol. 2018;108:67-72. [DOI:10.1016/j.ijporl.2018.02.030]
[17] Jackson CW, Schatschneider C. Rate of language growth in children with hearing loss in an auditory-verbal early intervention program. Am Ann Deaf. 2014;158(5):539-54. [DOI:10.1353/aad.2014.0006]
[18] Binos P, Nirgianaki E, Psillas G. How Effective Is Auditory-Verbal Therapy (AVT) for Building Language Development of Children with Cochlear Implants? A Systematic Review. Life (Basel). 2021;11(3):239. [DOI:10.3390/life11030239]
[19] Barootiyan SS, Jalilvand Karimi L, Jalaie S, Negin E. Development and evaluation of the efficacy of Persian phonemic synthesis program in children with (central) auditory processing disorder: a single subject study. Aud Vestib Res. 2018;27(2):101-10.
[20] Shomeil Shushtari S, Fatahi F, Rouhbakhsh N, Saki N, Jalaie S, Negin E, et al. Development and psychometric evaluation of the Persian version of the Phoneme Recognition Test: A central auditory processing measure. Iran J Child Neurol. 2022;16(3):79-93.
[21] Negin E, Jarollahi F, Barootiyan SS, Seyyedi F, Jalaie S, Katz J. Development, validity, reliability and normative data of the Persian Phonemic Synthesis Test (P-PST). Int J Audiol. 2020;59(3):230-5. [DOI:10.1080/14992027.2019.1688401]
[22] Negin E, Mohammadkhani G, Jalaie S, Jarollahi F. Efficacy of phonemic training program in rehabilitation of Persian-speaking children with auditory processing disorder: a single subject study. Aud Vestib Res. 2018;27(3):116-25. [DOI:10.18502/avr.v27i3.52]
[23] Katz J. The Buffalo CAPD Model: The importance of phonemes in evaluation and remediation. J Phonet and Audiol. 2016;2(1):111. [DOI:10.4172/2471-9455.1000111]
[24] Valente M, Oeding K, Brockmeyer A, Smith S, Kallogjeri D. Differences in Word and Phoneme Recognition in Quiet, Sentence Recognition in Noise, and Subjective Outcomes between Manufacturer First-Fit and Hearing Aids Programmed to NAL-NL2 Using Real-Ear Measures. J Am Acad Audiol. 2018;29(8):706-21. [DOI:10.3766/jaaa.17005]
[25] Xie Z, Gaskins CR, Shader MJ, Gordon-Salant S, Anderson S, Goupell MJ. Age-Related Temporal Processing Deficits in Word Segments in Adult Cochlear-Implant Users. Trends Hear. 2019;23:2331216519886688. [DOI:10.1177/2331216519886688]
[26] Zamani P, Soleymani Z, Rashedi V, Farahani F, Lotf G, Rezaei M. Spoken and Written Narrative in Persian-Speaking Students Who Received Cochlear Implant and/or Hearing Aid. Clin Exp Otorhinolaryngol. 2018;11(4):250-8. [DOI:10.21053/ceo.2017.01011]
[27] Zhang M, Miller A, Campbell MM. Overview of nine computerized, home-based auditory-training programs for adult cochlear implant recipients. J Am Acad Audiol. 2014;25(4):405-13.
| Files | ||
| Issue | Vol 33 No 1 (2024) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v33i1.14274 | |
| Keywords | ||
| Auditory processing decoding disorder cochlear implant auditory training | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Hasanalifard M, Saeedi M, Ajalloueyan M, Abolghasemi R, Shomeil Shushtari S, Amizadeh M. Investigating the Effect of Persian Phonemic Synthesis Program in Cochlear Implant Users with Phoneme Processing Dificulities. Aud Vestib Res. 2023;33(1):47-56.
