Health-related quality of life in South African children who use cochlear implants

Int J Audiol. 2020 Feb;59(2):132-139. doi: 10.1080/14992027.2019.1661531. Epub 2019 Sep 13.


Objective: To describe health-related quality of life (HRQoL) outcomes of school-going paediatric cochlear implant (CI) recipients in a South African cohort from the perspectives of parents.Design: Parents of school-going CI recipients completed the Children with Cochlear Implants: Parental Perspectives (CCIPP) CI-specific HRQoL questionnaire. The effect of different demographic variables on HRQoL outcomes was also determined.Study sample: The study sample included 54 parents of school-going (mean age = 12.2 years; SD = 3.6; range = 6.6-18.3 years) CI recipients with at least six months CI experience.Results: Children's communication and general functioning with a CI received the most positive parental ratings. Among a number of confirmed statistically significant (p < 0.05) associations between HRQoL outcomes and demographic variables, pre-lingual onset of deafness was linked to better HRQoL in terms of general functioning and well-being. While shorter duration of deafness and unilateral implantation were associated with higher parental ratings for self-reliance and well-being respectively, longer duration of CI use was linked to improved HRQoL outcomes in terms of general functioning.Conclusion: Parents assigned positive ratings to their child's HRQoL. This exploration of children's HRQoL related to their CIs contributes to evidence-based paediatric CI services that promote optimal psychosocial outcomes.

Keywords: Cochlear implant; health-related quality of life; outcomes; paediatric cochlear implantation; parents; quality of life.

MeSH terms

  • Adolescent
  • Child
  • Cochlear Implantation / psychology*
  • Cochlear Implants / psychology*
  • Deafness / psychology*
  • Deafness / surgery
  • Female
  • Humans
  • Male
  • Parents
  • Quality of Life*
  • South Africa
  • Students / psychology*
  • Surveys and Questionnaires
  • Treatment Outcome