Factors Influencing Spoken Language Outcomes in Children Following Early Use of Hearing Aids

Main Article Content

Dr Maria Sheikh
Dr Hafsa Noreen
Dr Hamza Khalid
Dr Aneela Irshad
Dr Razia Sultana
Dr Qurrat ul Ain


BACKGROUND: Humans are social animals they cannot survive without social interaction. In all over the world human interaction is achieved and maintained through language. Hearing impairment pessimistically interference communication in everyday life for deaf children amplification is very important intervention. Hearing aids generally are used to correct for the loss of noticeable hearing impairment. One of the interventional consequences of a hearing aid in young children to identify spoken language. This study will assist that higher language outcomes are related with the early intervention in the form of amplification.

OBJECTIVES: To investigate the factors effecting spoken language outcomes in children who are using hearing aids at early age.

METHODS: This was conducted in government sector and it was a cross sectional survey. After the synopsis approval this study was completed in six months. A convenient sample of 376 parents of hearing-impaired children was recruited. A predetermined criterion of suitability was used. For the collection of data questionnaire was used. To analyze the data SPSS 21- (statistical package for social sciences) was used, descriptive statistic such as mean, standard deviation, frequency and percentages were calculated. Descriptive cross tabulation test was used.

RESULTS: Out of total 376 respondents 132(35.1) participants were under matric, 75(19.9%) were of matric, 68(18.1%) were of F.A, 64(17.0%) were of B.A, 37(9.8%) were of Masters qualification. Out total of 376 306(81.6%) were parents and 306(81.4%) and 66(17.6%) were with other relationship. Out of total of 376 participants, hearing aid age 3-5 years were 169(44.9%), 6-8 years were 137(39.4%), 8 above were 45(12.0%) and before 2 years were 25(6.6%). Out of total respondents 342(91%) participants were agree that the goal of hearing aid is to maximize the chances of spoken language. Out of total respondents 337(89.7%) participants were agree that early use of hearing aid enables child to have better understanding of different types of listening situations. Out of total respondents 335(89.1%) participants were agree that after use of hearing aid children maintain better interaction with normal peers through spoken language.

CONCLUSION: It was concluded that most common factor was swelling in the ear which affects the hearing aid fitting and the chances of spoken language were affected.

Article Details

How to Cite
Maria Sheikh, Hafsa Noreen, Hamza Khalid, Aneela Irshad, Razia Sultana, & Qurrat ul Ain. (2023). Factors Influencing Spoken Language Outcomes in Children Following Early Use of Hearing Aids. Journal of Health and Rehabilitation Research, 3(1). Retrieved from https://jhrlmc.com/index.php/home/article/view/37
Author Biographies

Dr Maria Sheikh, Speech Therapist

Department of Special Education Punjab

Dr Hafsa Noreen, Assistant Professor

Riphah International University Lahore

Dr Hamza Khalid, Speech Therapist

Shuja Speech and Language Therapy Centre

Dr Aneela Irshad, Speech Therapist

Shuja Speech and Language Therapy Centre

Dr Razia Sultana, Senior Special Education Teacher

(Hic) Department of Special Education

Dr Qurrat ul Ain, HOD Speech and Language Pathology

Avicenna Medical and Dental college


Fitzpatrick EM, Gaboury I, Durieux-Smith A, Coyle D, Whittingham J, Salamatmanesh M, et al. Parent Report of Amplification Use in Children with Mild Bilateral or Unilateral Hearing Loss. J Am Acad Audiol. 2019;30(2):93-102.

Donahue A, Dubno JR, Beck L. Guest editorial: accessible and affordable hearing health care for adults with mild to moderate hearing loss. Ear Hear. 2010;31(1):2-6.

Cupples L, Ching TY, Button L, Seeto M, Zhang V, Whitfield J, et al. Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants. Int J Audiol. 2018;57(sup2):S55-s69.

Bagai A, Thavendiranathan P, Detsky AS. Does this patient have hearing impairment? Jama. 2006;295(4):416-28.

Wong CL, Ching TY, Cupples L, Button L, Leigh G, Marnane V, et al. Psychosocial development in 5-year-old children with hearing loss using hearing aids or cochlear implants. Trends in Hearing. 2017;21:2331216517710373.

Shearer AE, Hildebrand MS, Smith RJ. Hereditary hearing loss and deafness overview. 2017.

Ohlenforst B, Zekveld AA, Jansma EP, Wang Y, Naylor G, Lorens A, et al. Effects of Hearing Impairment and Hearing Aid Amplification on Listening Effort: A Systematic Review. Ear Hear. 2017;38(3):267-81.

Agyemang COJ. Determinants of hearing loss and its effect on the academic performance of Junior High School Students’ in Bibiani Anhwiaso Bekwai District of Ghana 2016.

Sugaya A, Fukushima K, Kasai N, Kataoka Y, Maeda Y, Nagayasu R, et al. Impact of early intervention on comprehensive language and academic achievement in Japanese hearing-impaired children with cochlear implants. International journal of pediatric otorhinolaryngology. 2015;79(12):2142-6.

Moeller MP, Tomblin JB. An Introduction to the Outcomes of Children with Hearing Loss Study. Ear Hear. 2015;36 Suppl 1(0 1):4s-13s.

Mirman D, Chen Q, Zhang Y, Wang Z, Faseyitan OK, Coslett HB, et al. Neural organization of spoken language revealed by lesion–symptom mapping. Nature communications. 2015;6(1):6762.

Kalathil S, Elias E. Efficient design of non-uniform cosine modulated filter banks for digital hearing aids. AEU-International Journal of Electronics and Communications. 2015;69(9):1314-20.

Ching TY. Is Early Intervention Effective in Improving Spoken Language Outcomes of Children With Congenital Hearing Loss? Am J Audiol. 2015;24(3):345-8.

Tomblin JB, Oleson JJ, Ambrose SE, Walker E, Moeller MP. The influence of hearing aids on the speech and language development of children with hearing loss. JAMA Otolaryngol Head Neck Surg. 2014;140(5):403-9.

Muñoz K, Preston E, Hicken S. Pediatric hearing aid use: how can audiologists support parents to increase consistency? J Am Acad Audiol. 2014;25(4):380-7.

Witkin DM. Identification of factors predicting spoken language development in young children with a cochlear implant. 2005.

Kuppler K, Lewis M, Evans AK. A review of unilateral hearing loss and academic performance: is it time to reassess traditional dogmata? Int J Pediatr Otorhinolaryngol. 2013;77(5):617-22.

Kohan D, Sorin A, Marra S, Gottlieb M, Hoffman R. Surgical management of complications after hearing aid fitting. Laryngoscope. 2004;114(2):317-22.

Eaton AM, Ruzicka JC. Hearing aid systems. Google Patents; 2013.

Cusson RM. Factors influencing language development in preterm infants. J Obstet Gynecol Neonatal Nurs. 2003;32(3):402-9.

Theunissen SC, Rieffe C, Kouwenberg M, De Raeve L, Soede W, Briaire JJ, et al. Anxiety in children with hearing aids or cochlear implants compared to normally hearing controls. Laryngoscope. 2012;122(3):654-9.

Cusson RM. Factors influencing language development in preterm infants. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2003;32(3):402-9.

Zahnert T. The differential diagnosis of hearing loss. Dtsch Arztebl Int. 2011;108(25):433-43; quiz 44.

Kates JM. Hearing aid with suppression of wind noise. Google Patents; 2011.

Jackson CW. Family supports and resources for parents of children who are deaf or hard of hearing. Am Ann Deaf. 2011;156(4):343-62.

Hogan A, Shipley M, Strazdins L, Purcell A, Baker E. Communication and behavioural disorders among children with hearing loss increases risk of mental health disorders. Aust N Z J Public Health. 2011;35(4):377-83.

Deligoz I, Naqvi SR, Copani T, Kiaei S, Bakkaloglu B, Sang-Soo J, et al. A MEMS-Based Power-Scalable Hearing Aid Analog Front End. IEEE Trans Biomed Circuits Syst. 2011;5(3):201-13.

Stevenson J, McCann D, Watkin P, Worsfold S, Kennedy C. The relationship between language development and behaviour problems in children with hearing loss. J Child Psychol Psychiatry. 2010;51(1):77-83.

Sininger YS, Grimes A, Christensen E. Auditory development in early amplified children: factors influencing auditory-based communication outcomes in children with hearing loss. Ear Hear. 2010;31(2):166-85.

Pandey A, Mathews VJ. Low-delay signal processing for digital hearing aids. IEEE Transactions on audio, speech, and language processing. 2010;19(4):699-710.

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