Rayes, H; Al-Malky, G; Vickers, D; (2019) Systematic Review of Auditory Training in Paediatric Cochlear Implant Recipients. Journal of Speech, Language, and Hearing Research , 62 (5) pp. 1574-1593. 10.1044/2019_JSLHR-H-18-0252.

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Abstract

Objective: The purpose of this systematic review is to evaluate the published research in Auditory training (AT) for paediatric CI recipients. This review investigates whether AT in children with CIs leads to improvements in speech and language development, cognition, and/or quality of life; and whether improvements, if any, remain over time post AT intervention. Method: A systematic search of seven databases identified 96 papers published up until January 2017, nine of which met the inclusion criteria. Data were extracted and independently assessed for risk of bias and quality of study against a PICOS framework. Results: All studies reported improvements in trained AT tasks including speech discrimination/identification and working memory. Retention of improvements overtime was found whenever it was assessed. Transfer of learning was measured in four out of six studies, which assessed generalization. Quality of life was not assessed. Overall, evidence for the included studies was deemed to be of low quality. Conclusion: Benefits of AT were illustrated through the improvement in trained tasks and this was observed in all reviewed studies. Transfer of improvement to other domains and also retention of benefits post AT were evident when assessed, although rarely done. However, higher quality evidence to further examine outcomes of AT in paediatric CI recipients is needed. Keywords: aural rehabilitation, auditory training, children, cochlear implants, systematic review.

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