Dynamic dyadic parent-child interactions among CI-using children

使用 CI 的儿童之间动态的二元亲子互动

• 批准号: 10740456
• 负责人: Lee Branum-Martin
• 金额: $ 45.32万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10740456
• 关键词: Address; Age; Child; Child Development; Child Language; Child Support; Childhood; Clinic; Cochlear Implants; Cochlear implant procedure; Code; Communication; Data; Data Analyses; Databases; Development; Early Intervention; Education; Ethnic Origin; Family; Future; Genetic Transcription; Goals; Grain; Growth; Hearing; Home; Intervention; Knowledge; Language; Language Development; Length; Linguistics; Link; Literature; Measures; Mediating; Mission; Modeling; National Institute on Deafness and Other Communication Disorders; Outcome; Parent-Child Relations; Parents; Pattern; Population; Race; Research; Residual state; Sampling; Schools; Speech; Structure; Techniques; Testing; Time; Variant; Video Recording; cochlear development; deaf; demographics; effective intervention; hearing impairment; implantation; improved; language outcome; literacy; marginalized community; normal hearing; peer; secondary analysis; skills; standardize measure

PROJECT SUMMARY Spoken language outcomes for deaf children who use cochlear implants (CIs) are highly variable, with many children who use CIs lagging behind their peers with normal hearing. Among the identified causes of this variability is parental input, with evidence suggesting that variation in parental input may directly relate to children's post-CI language outcomes. Parent-based language interventions, including coaching parents on their language input, have been proposed as a means of improving parental input and thereby improving children’s language outcomes. However, we currently do not know how parental language and responsivity change over time following implantation, nor do we know how parental language influences child language over time following implantation. This lack of understanding regarding parent-child dynamic relationships is a critical gap in our ability to create effective parent-based interventions to improve post-CI language outcomes. The proposed research will address this gap in our knowledge by identifying the dynamic and dyadic relationships between parental language input and child language development post-CI. To attain this goal, we will conduct a secondary analysis of the Childhood Development after Cochlear Implantation (CDaCI) database, including coding parent language microstructure, parental facilitative language use, maternal sensitivity, and child spontaneous expressive language. These data will be analyzed using bivariate change score models, allowing us to identify the dynamic developmental relations between parental input and child language. Aim 1 will examine how parental language, maternal sensitivity, and child language change over time. Aim 2 will test the hypothesis that parental input and child language have bidirectional influences. The obtained data will provide initial evidence that parental language and child language are mutually reinforcing. These data will provide preliminary support for an R01 application to develop and validate an intervention targeting parental input to support language growth in prelingually deafened children, including children from historically marginalized communities, advancing our long-term goal to optimize language and literacy outcomes for all children with hearing loss.

项目概要 使用人工耳蜗 (CI) 的聋哑儿童的口语结果差异很大，其中许多 使用 CI 的儿童落后于听力正常的同龄人是造成这种情况的原因之一。 变异性是父母的输入，有证据表明父母输入的变异可能直接与 儿童的 CI 后语言结果 基于家长的语言干预，包括指导家长 他们的语言输入，已被提议作为改善父母输入并从而改善的一种手段 然而，我们目前不知道父母的语言和反应能力如何。 植入后随着时间的推移而变化，我们也不知道父母的语言如何影响孩子的语言 随着时间的推移，对亲子动态关系缺乏了解是一个问题。 我们在制定有效的基于家长的干预措施以改善 CI 后语言结果的能力方面存在严重差距。 拟议的研究将通过确定动态和二元关系来解决我们知识中的这一差距 父母语言输入与 CI 后儿童语言发展之间的关系 为了实现这一目标，我们。 将对人工耳蜗植入后的儿童发育进行二次分析（CDaCI） 数据库，包括编码父母语言微观结构、父母促进性语言使用、母亲 敏感性和儿童自发表达语言这些数据将使用双变量变化进行分析。 评分模型，使我们能够识别父母投入与孩子之间的动态发展关系 目标 1 将检查父母语言、母亲敏感性和儿童语言如何变化。 目标 2 将检验父母输入和儿童语言具有双向影响的假设。 获得的数据将提供初步证据，证明父母语言和儿童语言是相辅相成的。 这些数据将为 R01 应用程序开发和验证干预措施提供初步支持 针对家长的投入，支持语前聋儿（包括来自以下地区的儿童）的语言发展 历史上被边缘化的社区，推进我们优化语言和读写能力的长期目标 所有听力损失儿童的结果。