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  • Title: Parental perspectives regarding early intervention and its role in cochlear implantation in children.
    Author: Sorkin DL, Zwolan TA.
    Journal: Otol Neurotol; 2008 Feb; 29(2):137-41. PubMed ID: 18223442.
    Abstract:
    OBJECTIVE: To examine parental perspectives regarding services provided to families of hearing-impaired children under federally funded early-intervention (EI) programs with respect to support of cochlear implantation. Furthermore, to examine if family ethnicity or income was correlated with use of cochlear implants. STUDY DESIGN: A 4-page retrospective survey was mailed to parents of children who received Nucleus cochlear implants. SETTING: Surveys were sent to parents' registered home addresses. PATIENTS: A random stratified sample of 300 parents residing in the United States was drawn from the registration database maintained by Cochlear Americas. INTERVENTION: Surveys were administered after the children received a cochlear implant. MAIN OUTCOME MEASURES: Family ratings of perceived bias during advisement, services received under EI and difficulty accessing such services, and family's socioeconomic status and ethnicity. RESULTS: Children who were non-Caucasian and of lower socioeconomic status were underrepresented in the cochlear implant population. Parents noted a lack of "comprehensive and bias-free" information regarding communication options and technology under EI and sometimes experienced difficulty in obtaining certain services. CONCLUSION: Early-intervention professionals are the common denominator for families seeking information and services because they explain, help initiate, and expedite diagnostic and treatment services. Because low- and moderate-income families may have greater difficulty negotiating the cochlear implant process, EI can facilitate full access to this intervention by those with fewer financial resources.
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