PMID- 34883326 OWN - NLM STAT- MEDLINE DCOM- 20220105 LR - 20220105 IS - 1872-8464 (Electronic) IS - 0165-5876 (Linking) VI - 152 DP - 2022 Jan TI - Social communication and quality of life in children using hearing aids. PG - 111000 LID - S0165-5876(21)00393-1 [pii] LID - 10.1016/j.ijporl.2021.111000 [doi] AB - OBJECTIVES: This study compared the parent-reported structural language and social communication skills-measured with the Children's Communication Checklist-2 (CCC-2)-and health-related quality of life (HR-QOL)-measured with the Pediatric Quality of Life Inventory (PedsQL)-of children who use hearing aids (HAs) and their typical-hearing (TH) peers. DESIGN: The participants were 88 children (age range of 5; 6 to 13; 1 (years; months)) and their parents: 45 children with bilateral moderate to severe hearing loss using HAs who had no additional disabilities and 43 children with typical hearing. The groups were matched based on chronological age, gender, nonverbal IQ, and parental education level. The parents completed questionnaires related to their children's communication skills, including subdomains structural language and social communication, and HR-QOL. RESULTS: The HA group had significantly poorer overall communication skills than the TH group (r = 0.49). The children in the HA group scored significantly lower than the TH group on both structural language (r = 0.37) and social communication (r = 0.41). Half of the children in the HA group had overall communication scores that either indicated concern or required further investigation according to the instrument's manual. In terms of psychosocial functioning, which was measured as HR-QOL, the subdomain school functioning was the main driver of the difference between groups, with the HA group being at least twice as likely (OR = 2.52) as the TH group to have poor HR-QOL in the school domain. Better parent-reported social communication was associated with better parent-reported psychosocial functioning in the children using HAs-even when background variables were taken into account. CONCLUSION: The results suggest that traditional assessments and interventions targeting structural aspects of language may overlook social communication difficulties in children with HAs, even those with no additional disabilities. As school functioning stood out as the most problematic domain for children with HAs, efforts to improve the well-being of these children should focus on this area. CI - Copyright (c) 2021 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Haukedal, Christiane Lingas AU - Haukedal CL AD - Department of Special Needs Education, Faculty of Educational Sciences, University of Oslo, Oslo, Norway; Department of Vocational Teacher Education, Faculty of Education and International Studies, Oslo Metropolitan University, Oslo, Norway. Electronic address: chrislh@oslomet.no. FAU - Wie, Ona Bo AU - Wie OB AD - Department of Special Needs Education, Faculty of Educational Sciences, University of Oslo, Oslo, Norway; Division of Surgery and Clinical Neuroscience, Department of Otorhinolaryngology, Oslo University Hospital, Oslo, Norway. FAU - Schauber, Stefan K AU - Schauber SK AD - Centre for Health Sciences Education, University of Oslo, Oslo, Norway. FAU - Lyxell, Bjorn AU - Lyxell B AD - Department of Special Needs Education, Faculty of Educational Sciences, University of Oslo, Oslo, Norway; Department of Behavioural Sciences and Learning, Linnaeus Centre HEAD, Swedish Institute for Disability Research, Linkoping University, Linkoping, Sweden. FAU - Fitzpatrick, Elizabeth M AU - Fitzpatrick EM AD - Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; CHEO Research Institute, Ottawa, Ontario, Canada. FAU - von Koss Torkildsen, Janne AU - von Koss Torkildsen J AD - Department of Special Needs Education, Faculty of Educational Sciences, University of Oslo, Oslo, Norway. LA - eng PT - Journal Article DEP - 20211204 PL - Ireland TA - Int J Pediatr Otorhinolaryngol JT - International journal of pediatric otorhinolaryngology JID - 8003603 SB - IM MH - Child MH - Communication MH - Hearing MH - *Hearing Aids MH - Humans MH - Infant MH - *Quality of Life MH - Surveys and Questionnaires EDAT- 2021/12/10 06:00 MHDA- 2022/01/06 06:00 CRDT- 2021/12/09 20:19 PHST- 2021/09/08 00:00 [received] PHST- 2021/11/10 00:00 [revised] PHST- 2021/12/02 00:00 [accepted] PHST- 2021/12/10 06:00 [pubmed] PHST- 2022/01/06 06:00 [medline] PHST- 2021/12/09 20:19 [entrez] AID - S0165-5876(21)00393-1 [pii] AID - 10.1016/j.ijporl.2021.111000 [doi] PST - ppublish SO - Int J Pediatr Otorhinolaryngol. 2022 Jan;152:111000. doi: 10.1016/j.ijporl.2021.111000. Epub 2021 Dec 4.