Parenting Stress, Self-Efficacy, and Involvement: Effects on Spoken Language Ability Three Years After Cochlear Implantation.
Otol Neurotol
; 42(10S): S11-S18, 2021 12 01.
Article
em En
| MEDLINE
| ID: mdl-34766939
ABSTRACT
OBJECTIVE:
This study evaluated associations among parenting stress, self-efficacy, and involvement in relation to spoken language outcomes in young children 3âyears following cochlear implantation. STUDYDESIGN:
Cross-sectional.SETTING:
Six university tertiary medical centers. PATIENTS One hundred sixty-four young children with bilateral, severe-to-profound sensorineural hearing loss who had 3 years of experience with a CI; children with substantial cognitive impairments were excluded from the study. MAIN OUTCOME MEASURESS Family Stress Scale (FSS), Scale of Parental Involvement and Self-Efficacy (SPISE), Oral and Written Language Scales (OWLS).RESULTS:
Correlations were of moderate strength between FSS scores and SPISE scores (Parental Self-Efficacy, râ=â-0.45, pâ<â0.01, Parental Involvement râ=â-0.32, pâ<â0.01). As hypothesized, parents reporting higher levels of stress reported lower perceptions of self-efficacy and involvement. In addition, results showed that family stress had a direct, negative effect on spoken language (-4.43 [95% confidence interval -6.97; -1.89]). After controlling for maternal education and activation age, parental self-efficacy mediated the negative effect between family stress and spoken language (indirect effectâ=â-1.91 [3.45; -0.69]; proportion mediatedâ=â0.43). No mediating effects were found for parental involvement.CONCLUSIONS:
These findings highlight the need for parenting interventions that focus on reducing stressors and increasing parents' perceptions of self-efficacy in families of children using cochlear implants. Integration of mental health screening and tailored parenting interventions in CI clinics may increase parental self-efficacy and involvement, with measurable benefits in the child's use of spoken language.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Implantes Cocleares
/
Implante Coclear
/
Surdez
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Humans
Idioma:
En
Revista:
Otol Neurotol
Assunto da revista:
NEUROLOGIA
/
OTORRINOLARINGOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article