Interdisciplinary Approaches to the Study of Listening Effort in Young Children with Cochlear Implants

Very early bilateral implantation is thought to significantly reduce the attentional effort required to acquire spoken language, and consequently offer a profound improvement in quality of life. Despite the early intervention, however, auditory and communicative outcomes in children with cochlear im...

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Main Authors: Amanda Saksida, Sara Ghiselli, Stefano Bembich, Alessandro Scorpecci, Sara Giannantonio, Alessandra Resca, Pasquale Marsella, Eva Orzan
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Audiology Research
Subjects:
Online Access:https://www.mdpi.com/2039-4349/12/1/1
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author Amanda Saksida
Sara Ghiselli
Stefano Bembich
Alessandro Scorpecci
Sara Giannantonio
Alessandra Resca
Pasquale Marsella
Eva Orzan
author_facet Amanda Saksida
Sara Ghiselli
Stefano Bembich
Alessandro Scorpecci
Sara Giannantonio
Alessandra Resca
Pasquale Marsella
Eva Orzan
author_sort Amanda Saksida
collection DOAJ
description Very early bilateral implantation is thought to significantly reduce the attentional effort required to acquire spoken language, and consequently offer a profound improvement in quality of life. Despite the early intervention, however, auditory and communicative outcomes in children with cochlear implants remain poorer than in hearing children. The distorted auditory input via the cochlear implants requires more auditory attention resulting in increased listening effort and fatigue. Listening effort and fatigue may critically affect attention to speech, and in turn language processing, which may help to explain the variation in language and communication abilities. However, measuring attention to speech and listening effort is demanding in infants and very young children. Three objective techniques for measuring listening effort are presented in this paper that may address the challenges of testing very young and/or uncooperative children with cochlear implants: pupillometry, electroencephalography, and functional near-infrared spectroscopy. We review the studies of listening effort that used these techniques in paediatric populations with hearing loss, and discuss potential benefits of the systematic evaluation of listening effort in these populations.
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spelling doaj.art-bbd58bdb873f42e2b1e52093f3b8deb72022-12-22T01:45:42ZengMDPI AGAudiology Research2039-43492021-12-011211910.3390/audiolres12010001Interdisciplinary Approaches to the Study of Listening Effort in Young Children with Cochlear ImplantsAmanda Saksida0Sara Ghiselli1Stefano Bembich2Alessandro Scorpecci3Sara Giannantonio4Alessandra Resca5Pasquale Marsella6Eva Orzan7Institute for Maternal and Child Health—IRCCS “Burlo Garofolo”, 34100 Trieste, Italy“Guglielmo da Saliceto” Hospital of Piacenza, 29121 Piacenza, ItalyInstitute for Maternal and Child Health—IRCCS “Burlo Garofolo”, 34100 Trieste, ItalyOspedale Pediatrico Bambino Gesù, 00165 Roma, ItalyOspedale Pediatrico Bambino Gesù, 00165 Roma, ItalyOspedale Pediatrico Bambino Gesù, 00165 Roma, ItalyOspedale Pediatrico Bambino Gesù, 00165 Roma, ItalyInstitute for Maternal and Child Health—IRCCS “Burlo Garofolo”, 34100 Trieste, ItalyVery early bilateral implantation is thought to significantly reduce the attentional effort required to acquire spoken language, and consequently offer a profound improvement in quality of life. Despite the early intervention, however, auditory and communicative outcomes in children with cochlear implants remain poorer than in hearing children. The distorted auditory input via the cochlear implants requires more auditory attention resulting in increased listening effort and fatigue. Listening effort and fatigue may critically affect attention to speech, and in turn language processing, which may help to explain the variation in language and communication abilities. However, measuring attention to speech and listening effort is demanding in infants and very young children. Three objective techniques for measuring listening effort are presented in this paper that may address the challenges of testing very young and/or uncooperative children with cochlear implants: pupillometry, electroencephalography, and functional near-infrared spectroscopy. We review the studies of listening effort that used these techniques in paediatric populations with hearing loss, and discuss potential benefits of the systematic evaluation of listening effort in these populations.https://www.mdpi.com/2039-4349/12/1/1listening effortlistening fatigueyoung children with cochlear implantsEEGfNIRSpupillometry
spellingShingle Amanda Saksida
Sara Ghiselli
Stefano Bembich
Alessandro Scorpecci
Sara Giannantonio
Alessandra Resca
Pasquale Marsella
Eva Orzan
Interdisciplinary Approaches to the Study of Listening Effort in Young Children with Cochlear Implants
Audiology Research
listening effort
listening fatigue
young children with cochlear implants
EEG
fNIRS
pupillometry
title Interdisciplinary Approaches to the Study of Listening Effort in Young Children with Cochlear Implants
title_full Interdisciplinary Approaches to the Study of Listening Effort in Young Children with Cochlear Implants
title_fullStr Interdisciplinary Approaches to the Study of Listening Effort in Young Children with Cochlear Implants
title_full_unstemmed Interdisciplinary Approaches to the Study of Listening Effort in Young Children with Cochlear Implants
title_short Interdisciplinary Approaches to the Study of Listening Effort in Young Children with Cochlear Implants
title_sort interdisciplinary approaches to the study of listening effort in young children with cochlear implants
topic listening effort
listening fatigue
young children with cochlear implants
EEG
fNIRS
pupillometry
url https://www.mdpi.com/2039-4349/12/1/1
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