Effect Of Music Integrated Phonological Awareness Program On Preschool Cochlear Implant Users
Condition: Telerehabilitation
Study type: Interventional

Summary: 
      The aim was to observe the effect of the music integrated phonological awareness program on
      preschool cochlear implant users and to compare the phonological awareness skills of the
      study group with the control group before and after the online training.
    

Detailed description: 
      This study was designed to determine the benefit of music integrated phonological awareness
      programs for children using cochlear implants. In addition, the phonological skills and
      language skills of children using cochlear implants and children with normal hearing were
      compared in the pre and post-training results. Test of Early Language Development (TELD-3),
      The Phonological Awareness Scale of Early Childhood Period (PASECP), Mismatch Negativity
      (MMN) was used in this study.

      This study was carried out with follow-up patients in the Audiology, Language and Speech
      Disorders Clinic of xxx University - Medical Faculty, Department of Otorhinolaryngology. The
      study was performed with the approval of Ethics Committee, and written informed consent was
      obtained from all patient families (138955/ July 2021). There are 9 female and 14 male
      cochlear implant users in the study group; 9 female and 14 male children with normal hearing
      in the control group. Children ranging in age from 5 to 7 who also have 5-6 years old
      language skills without any neurological problems were included in the study. Cochlear
      implant mappings of all children were checked before the training.

      SPSS 25.0 (IBM) was used for statistical analysis. Pre and post-training comparisons of The
      Phonological Awareness Scale of Early Childhood Period, SMRT, and Mismatch Negativity tests
      were analyzed with the Wilcoxon test. The correlation of numerical measurements with each
      other was examined with Spearman Correlation. The differences in the numerical measurements
      used in the research according to the binary demographic categories were analyzed with the
      Mann-Whitney U test. The differences according to the multiple categories were analyzed using
      the Kruskal Wallis H test. The significance level (α=0,05) was used.
    

Intervention name(s): Music-Integrated Phonological Awareness training program; Spectral-Temporally Modulated Ripple Test (SMRT); The Phonological Awareness Scale of Early Childhood Period (PASECP); Mismatch Negativity Test; Early Language Development (TELD-3)
Intervention type(s): Other; Diagnostic Test; Diagnostic Test; Diagnostic Test; Diagnostic Test
Intervention description(s): We would like to observe the effect of the music integrated phonological awareness program on preschool cochlear implant users and to compare the phonological awareness skills of the study group with the control group before and after the online training. The program is prepared as 10 lessons. Participants were guided through online training for 5 weeks, with 20-minute sessions conducted weekly. The training was carried out via Zoom, a free virtual interview program. Each family had a computer.; Spectral-Temporally Modulated Ripple Test (SMRT) was used to assess the spectral discrimination ability of the study group.Speech stimuli were presented at a calibrated presentation level of 60 dB SPL in a quiet room. The child was positioned at 0° azimuth and 1-meter from the loudspeaker.; The Phonological Awareness Scale of Early Childhood Period (PASECP) was used to measure the sound awareness and sound discrimination skills of study group pre-post training. The test has 8 sub-dimensions.; Mismatch Negativity (MMN) was used to evaluate the central auditory system.The test was used for electrophysiological recordings of the study group.The standard stimulus presented as /ba/ (%80), and the rare stimulus presented as /da/ (%20) frequency. The onset (rise) and offset (fall) times of the stimuli are 10 ms, and the plateau time is 50 ms. The interval between stimuli for both responses was 1.1 ms. A 0.1-30 Hz filter was applied. The speech stimuli intensity was 70 dB SPL. Speech stimuli were presented at a 1-meter distance from the participant, with speakers placed at an angle of 0°.; Test of Early Language Development (TELD-3) measured children's receptive and expressive language skills both group for inclusion criteria.
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Intervention model description: This study was designed to determine the benefit of music integrated phonological awareness programs for children using cochlear implants. In addition, the phonological skills and language skills of children using cochlear implants and children with normal hearing were compared in the pre and post-training results.
Masking: None (Open Label)
Primary purpose: Other
Keywords: Phonological awareness training; music; cochlear implant; telerehabilitation; mismatch negativity