Measuring communicative performance with the FAPCI instrument: preliminary results from normal hearing and cochlear implanted children

Int J Pediatr Otorhinolaryngol. 2011 Apr;75(4):549-53. doi: 10.1016/j.ijporl.2011.01.015. Epub 2011 Feb 5.

Abstract

Objective: To develop preliminary "growth curves" of Functioning after Pediatric Cochlear Implantation (FAPCI) scores using a cross-sectional sample of normal hearing children and to compare these curves to trajectories of FAPCI scores in children receiving cochlear implants.

Methods: Quantile regression was used to develop growth curves from the FAPCI scores of a cross-sectional sample of 82 normal hearing children (age range 7 months-5 years). Trajectories of FAPCI scores from a longitudinal cohort of 75 children with cochlear implants (age range 1-5 years) were compared to these growth curves.

Results: FAPCI scores were positively associated with increasing age in normal hearing children with a rapid increase in scores observed at earlier ages followed by a plateau at age 3 years. FAPCI trajectories for cochlear-implanted children varied with age at implantation and did not reach a plateau until age 5-6 years.

Conclusion: Normal hearing children demonstrated increasing FAPCI scores with age, and these preliminary growth curves allow for the interpretation of a cochlear-implanted child's FAPCI scores in comparison to normal hearing children. Additional research using a larger, longitudinal cohort of normal hearing children will be needed to develop definitive normative FAPCI trajectories.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Age Factors
  • Child, Preschool
  • Cochlear Implantation / methods*
  • Cochlear Implants
  • Communication
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Hearing Loss, Bilateral / surgery*
  • Hearing Tests / instrumentation
  • Hearing Tests / methods*
  • Humans
  • Infant
  • Language Development*
  • Longitudinal Studies
  • Male
  • Reference Values
  • Risk Factors
  • Speech Perception / physiology*
  • Speech Production Measurement
  • Task Performance and Analysis
  • United States
  • Verbal Behavior