Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients
IntroductionCochlear implants (CIs), which are designed to support spoken communication of persons with severe to profound hearing loss, can provide improved hearing capability through passive exposure. However, auditory training may optimize perception of spectrally complex sounds such as music or...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Human Neuroscience |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnhum.2023.1308712/full |
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| author | Kate Gfeller Ruth Mallalieu |
| author_facet | Kate Gfeller Ruth Mallalieu |
| author_sort | Kate Gfeller |
| collection | DOAJ |
| description | IntroductionCochlear implants (CIs), which are designed to support spoken communication of persons with severe to profound hearing loss, can provide improved hearing capability through passive exposure. However, auditory training may optimize perception of spectrally complex sounds such as music or speech. Reviews of music-based training for pediatric CI users have reported modest though variable benefits, as well as problems with attrition. It is presumed that more substantial changes may result from longer, more intensive training; however, the development of protocols sufficiently motivating for sustained intensity is challenging. This article examined the experiences of star pediatric CI users, whose years of music training have yielded exceptional auditory benefits. Greater understanding of their experiences and attitudes may suggest best practices for music-based training. Research aims included: (a) characterizing the musical behaviors and perceptual learning processes of music-centric (Music-centric, for purposes of this paper, refers to CI users who engage in sustained and successful music making such as music lessons and ensembles and focused music listening over a period of years, and who derive deep satisfaction from those experiences.) pediatric CI users, and (b) identifying psychosocial and auditory factors that motivated persistence in auditory training.MethodsWe used qualitative and patient-engaged research methodologies, gathering data through questionnaires with open-ended questions. The participants, six music-centric CI users and five parents, described their experiences and attitudes regarding music training, and factors that supported or undermined those experiences. Data were analyzed using reflexive thematic analysis.ResultsThe codes were consolidated into five themes and organized into a Model of Music-Based Learning for Pediatric Cochlear Implant Recipients. Sustained participation in music training was perceived as a dynamic process including varied musical stimuli, and moderated by intrinsic (attitude, perceived behavioral control) and extrinsic (parents, teachers, peers) influences, hearing status, sound access and background factors.DiscussionThese themes highlighted motivational factors that pediatric CI users and parents considered important to sustained, intensive and successful music learning throughout childhood and adolescence. These factors should be considered in the development of music-based training for pediatric CI recipients. |
| first_indexed | 2024-03-08T21:32:55Z |
| format | Article |
| id | doaj.art-2b71e7e0ffd74255b00b4f50d57e1070 |
| institution | Directory Open Access Journal |
| issn | 1662-5161 |
| language | English |
| last_indexed | 2024-03-08T21:32:55Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Human Neuroscience |
| spelling | doaj.art-2b71e7e0ffd74255b00b4f50d57e10702023-12-21T04:30:33ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612023-12-011710.3389/fnhum.2023.13087121308712Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipientsKate Gfeller0Ruth Mallalieu1Department of Otolaryngology—Head and Neck Surgery, School of Music, Department of Communication Sciences and Disorders, The University of Iowa, Iowa City, IA, United StatesBodleian Libraries, The University of Oxford, Oxford, United KingdomIntroductionCochlear implants (CIs), which are designed to support spoken communication of persons with severe to profound hearing loss, can provide improved hearing capability through passive exposure. However, auditory training may optimize perception of spectrally complex sounds such as music or speech. Reviews of music-based training for pediatric CI users have reported modest though variable benefits, as well as problems with attrition. It is presumed that more substantial changes may result from longer, more intensive training; however, the development of protocols sufficiently motivating for sustained intensity is challenging. This article examined the experiences of star pediatric CI users, whose years of music training have yielded exceptional auditory benefits. Greater understanding of their experiences and attitudes may suggest best practices for music-based training. Research aims included: (a) characterizing the musical behaviors and perceptual learning processes of music-centric (Music-centric, for purposes of this paper, refers to CI users who engage in sustained and successful music making such as music lessons and ensembles and focused music listening over a period of years, and who derive deep satisfaction from those experiences.) pediatric CI users, and (b) identifying psychosocial and auditory factors that motivated persistence in auditory training.MethodsWe used qualitative and patient-engaged research methodologies, gathering data through questionnaires with open-ended questions. The participants, six music-centric CI users and five parents, described their experiences and attitudes regarding music training, and factors that supported or undermined those experiences. Data were analyzed using reflexive thematic analysis.ResultsThe codes were consolidated into five themes and organized into a Model of Music-Based Learning for Pediatric Cochlear Implant Recipients. Sustained participation in music training was perceived as a dynamic process including varied musical stimuli, and moderated by intrinsic (attitude, perceived behavioral control) and extrinsic (parents, teachers, peers) influences, hearing status, sound access and background factors.DiscussionThese themes highlighted motivational factors that pediatric CI users and parents considered important to sustained, intensive and successful music learning throughout childhood and adolescence. These factors should be considered in the development of music-based training for pediatric CI recipients.https://www.frontiersin.org/articles/10.3389/fnhum.2023.1308712/fullcochlear implantspediatricmusic perceptionaural rehabilitationmusic training |
| spellingShingle | Kate Gfeller Ruth Mallalieu Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients Frontiers in Human Neuroscience cochlear implants pediatric music perception aural rehabilitation music training |
| title | Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients |
| title_full | Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients |
| title_fullStr | Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients |
| title_full_unstemmed | Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients |
| title_short | Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients |
| title_sort | psychosocial and auditory factors that influence successful music based auditory training in pediatric cochlear implant recipients |
| topic | cochlear implants pediatric music perception aural rehabilitation music training |
| url | https://www.frontiersin.org/articles/10.3389/fnhum.2023.1308712/full |
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