Journal article
Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients
Frontiers in human neuroscience, Vol.17, pp.1308712-1308712
12/21/2023
DOI: 10.3389/fnhum.2023.1308712
PMCID: PMC10764544
PMID: 38178994
Abstract
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.
Details
- Title: Subtitle
- Psychosocial and auditory factors that influence successful music-based auditory training in pediatric cochlear implant recipients
- Creators
- Kate Gfeller - University of IowaRuth Mallalieu - University of Oxford
- Resource Type
- Journal article
- Publication Details
- Frontiers in human neuroscience, Vol.17, pp.1308712-1308712
- DOI
- 10.3389/fnhum.2023.1308712
- PMID
- 38178994
- PMCID
- PMC10764544
- NLM abbreviation
- Front Hum Neurosci
- ISSN
- 1662-5161
- eISSN
- 1662-5161
- Publisher
- Frontiers Media Sa
- Number of pages
- 17
- Grant note
- Office of the Provost, University of Iowa, Community Impact Grant 2 P50 DC00242; 5T32DC000040-24 / NIDCD, NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Deafness & Other Communication Disorders (NIDCD)
- Language
- English
- Date published
- 12/21/2023
- Academic Unit
- School of Music; Communication Sciences and Disorders; Otolaryngology
- Record Identifier
- 9984824314202771
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