Open AccessExplaining Speech Recognition and Quality of Life Outcomes in Adult Cochlear Implant Users: Complementary Contributions of Demographic, Sensory, and Cognitive Factors
Author(s) -
Jeffrey Skidmore,
Kara J. Vasil,
Shuman He,
Aaron C. Moberly
Publication year - 2020
Publication title -
otology and neurotology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.147
H-Index - 104
eISSN - 1537-4505
pISSN - 1531-7129
DOI - 10.1097/mao.0000000000002682
Subject(s) - medicine , cognition , cochlear implant , quality of life (healthcare) , sensory system , rehabilitation , speech perception , audiology , cognitive skill , clinical psychology , cognitive psychology , psychology , perception , physical therapy , psychiatry , nursing , neuroscience
Adult cochlear implant (CI) outcomes depend on demographic, sensory, and cognitive factors. However, these factors have not been examined together comprehensively for relations to different outcome types, such as speech recognition versus quality of life (QOL). Three hypotheses were tested: 1) speech recognition will be explained most strongly by sensory factors, whereas QOL will be explained more strongly by cognitive factors. 2) Different speech recognition outcome domains (sentences versus words) and different QOL domains (physical versus social versus psychological functioning) will be explained differentially by demographic, sensory, and cognitive factors. 3) Including cognitive factors as predictors will provide more power to explain outcomes than demographic and sensory predictors alone.