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Which Factor Has a Greater Impact on Speech Perception in Noise in School-Aged Children With Cochlear Implants: Chronological Age or Age at Implantation?

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Title: Which Factor Has a Greater Impact on Speech Perception in Noise in School-Aged Children With Cochlear Implants: Chronological Age or Age at Implantation?
Authors: Ozcan, Ecem Kartal1 ecemkartalozcan@gmail.com, Akkaplan, Selvet2, Batuk, Merve Ozbal2, Sennaroglu, Gonca2
Source: Language, Speech & Hearing Services in Schools. Oct2025, Vol. 56 Issue 4, p912-921. 10p.
Subject Terms: *Auditory perception testing, *Statistical correlation, *Academic medical centers, *Data analysis, *Psychology of school children, *Longitudinal method, *Research, *Auditory perception, *Comparative studies, *Educational attainment, *Children, Cochlear implants, Pearson correlation (Statistics), Noise, Speech, T-test (Statistics), Sensorineural hearing loss, Questionnaires, Age distribution, Descriptive statistics, Mann Whitney U Test, Speech perception in children, Statistics, Psychology of parents, Data analysis software, Sensitivity & specificity (Statistics), Nonparametric statistics
Geographic Terms: Türkiye
Abstract: Purpose: The aims of this study were to (a) investigate speech-in-noise perception using an adaptive procedure in school-aged children with bilateral cochlear implants (CIs); (b) evaluate the impact of chronological age, age at the second implantation, and interimplant interval on auditory performance in children with bilateral CIs; and (c) determine the correlation between speech recognition performance and subjective parental questionnaire scores. Method: A total of 24 school-aged children with bilateral CIs participated in this study, divided into two groups: Group I (younger than 108 months of age, n = 12) and Group II (older than 108 months of age, n = 12). Speech recognition performance was assessed using sentences from the Turkish Hearing in Noise Test for Children under both quiet and noisy conditions at an adaptive signal-to-noise ratio. The auditory behavior of the children in daily life was evaluated by interviewing parents using the Parent's Evaluation of Aural/Oral Performance of Children (PEACH) scale. Results: The Quiet and Noise Composite Scores of Group II were significantly better than those of Group I (p = .033 and p = .041, respectively). However, no significant difference was observed between the PEACH scores of the groups (p = .378). A significant correlation was found between PEACH scores and speech recognition performance under both quiet (p = .009) and noisy conditions (p = .021). Conclusions: Chronological age had a greater impact on speech recognition performance than age at the second implantation and interimplant interval, emphasizing the role of age-related auditory development in speech perception. Additionally, parental perspective questionnaires may serve as a practical and efficient tool for assessing functional hearing abilities in children, particularly in educational settings where standard speech perception tests may not always be feasible. [ABSTRACT FROM AUTHOR]
Copyright of Language, Speech & Hearing Services in Schools is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Which Factor Has a Greater Impact on Speech Perception in Noise in School-Aged Children With Cochlear Implants: Chronological Age or Age at Implantation?
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  Data: <searchLink fieldCode="AR" term="%22Ozcan%2C+Ecem+Kartal%22">Ozcan, Ecem Kartal</searchLink><relatesTo>1</relatesTo><i> ecemkartalozcan@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Akkaplan%2C+Selvet%22">Akkaplan, Selvet</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Batuk%2C+Merve+Ozbal%22">Batuk, Merve Ozbal</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Sennaroglu%2C+Gonca%22">Sennaroglu, Gonca</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Language%2C+Speech+%26+Hearing+Services+in+Schools%22">Language, Speech & Hearing Services in Schools</searchLink>. Oct2025, Vol. 56 Issue 4, p912-921. 10p.
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  Data: *<searchLink fieldCode="DE" term="%22Auditory+perception+testing%22">Auditory perception testing</searchLink><br />*<searchLink fieldCode="DE" term="%22Statistical+correlation%22">Statistical correlation</searchLink><br />*<searchLink fieldCode="DE" term="%22Academic+medical+centers%22">Academic medical centers</searchLink><br />*<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Psychology+of+school+children%22">Psychology of school children</searchLink><br />*<searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br />*<searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br />*<searchLink fieldCode="DE" term="%22Auditory+perception%22">Auditory perception</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br />*<searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Cochlear+implants%22">Cochlear implants</searchLink><br /><searchLink fieldCode="DE" term="%22Pearson+correlation+%28Statistics%29%22">Pearson correlation (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Noise%22">Noise</searchLink><br /><searchLink fieldCode="DE" term="%22Speech%22">Speech</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Sensorineural+hearing+loss%22">Sensorineural hearing loss</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+perception+in+children%22">Speech perception in children</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Nonparametric+statistics%22">Nonparametric statistics</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Türkiye%22">Türkiye</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The aims of this study were to (a) investigate speech-in-noise perception using an adaptive procedure in school-aged children with bilateral cochlear implants (CIs); (b) evaluate the impact of chronological age, age at the second implantation, and interimplant interval on auditory performance in children with bilateral CIs; and (c) determine the correlation between speech recognition performance and subjective parental questionnaire scores. Method: A total of 24 school-aged children with bilateral CIs participated in this study, divided into two groups: Group I (younger than 108 months of age, n = 12) and Group II (older than 108 months of age, n = 12). Speech recognition performance was assessed using sentences from the Turkish Hearing in Noise Test for Children under both quiet and noisy conditions at an adaptive signal-to-noise ratio. The auditory behavior of the children in daily life was evaluated by interviewing parents using the Parent's Evaluation of Aural/Oral Performance of Children (PEACH) scale. Results: The Quiet and Noise Composite Scores of Group II were significantly better than those of Group I (p = .033 and p = .041, respectively). However, no significant difference was observed between the PEACH scores of the groups (p = .378). A significant correlation was found between PEACH scores and speech recognition performance under both quiet (p = .009) and noisy conditions (p = .021). Conclusions: Chronological age had a greater impact on speech recognition performance than age at the second implantation and interimplant interval, emphasizing the role of age-related auditory development in speech perception. Additionally, parental perspective questionnaires may serve as a practical and efficient tool for assessing functional hearing abilities in children, particularly in educational settings where standard speech perception tests may not always be feasible. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Language, Speech & Hearing Services in Schools is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2025_LSHSS-25-00028
    Languages:
      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 912
    Subjects:
      – SubjectFull: Auditory perception testing
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Psychology of school children
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Auditory perception
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Cochlear implants
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Noise
        Type: general
      – SubjectFull: Speech
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Sensorineural hearing loss
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Speech perception in children
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Psychology of parents
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Sensitivity & specificity (Statistics)
        Type: general
      – SubjectFull: Nonparametric statistics
        Type: general
      – SubjectFull: Türkiye
        Type: general
    Titles:
      – TitleFull: Which Factor Has a Greater Impact on Speech Perception in Noise in School-Aged Children With Cochlear Implants: Chronological Age or Age at Implantation?
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              M: 10
              Text: Oct2025
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              Y: 2025
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