Clin Exp Otorhinolaryngol.  2018 Dec;11(4):250-258. 10.21053/ceo.2017.01011.

Spoken and Written Narrative in Persian-Speaking Students Who Received Cochlear Implant and/or Hearing Aid

Affiliations
  • 1Hearing and Speech Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • 2Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • 3Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
  • 4Hearing Disorders Research Center, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran. m_r_st@yahoo.com
  • 5Department of Speech Therapy, Faculty of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

Abstract


OBJECTIVES
To compare narrative skills between fourth and fifth grades of Persian-speaking students with hearing impairments and typical hearing students of the same grade and also to evaluate the effects of group, sex, hearing age, and educational grade of the students on their spoken/written narrative performance.
METHODS
The subjects were 174 students aged 10-13 years, 54 of whom wore cochlear implants, 60 suffered from moderate to severe hearing losses and wore hearing aids, with the remaining 60 students being typical hearing in terms of the sense of hearing. The micro- and macrostructure components of spoken and written narrative were elicited from a pictorial story (The Playful Little Elephant) and then scored by raters.
RESULTS
Compared to the typical hearing, the students with hearing impairments had significantly lower scores in all of the microstructure components of narratives. However, the findings showed no significant difference among different groups in macrostructure components of narratives. It was also revealed that the students had equal performance in spoken and written narrative. Finally, factor analysis manifested that group, sex, hearing age, and educational level of children might alter the outcome measures in various interactions.
CONCLUSION
Although cochlear implantation was more effective than hearing aid on spoken and written narrative skills, the Persian-speaking students with hearing impairments were seen to need additional trainings on microstructure components of spoken/written narrative.

Keyword

Narration; Cochlear Implants; Hearing Aids

MeSH Terms

Child
Cochlear Implantation
Cochlear Implants*
Hearing Aids*
Hearing Loss
Hearing*
Humans
Narration
Outcome Assessment (Health Care)

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