The Relationship Between Phonological Awareness Skills And Home Environment Literacy in Cochlear Implant Users

Not Applicable

Completed

• Conditions: Cochlear Implants; Literacy; Child Language; Phonological (Speech) Disorder
• Interventions: Other: The Turkish Early Language Development Test (TEDIL); Other: The Family Literacy Scale; Other: The Early Childhood Phonological Sensitivity Scale (PASECP); Other: The Early Literacy Home Environment Scale (ELHES); Other: Demographic Questionaries

• Registration Number: NCT06322472
• Lead Sponsor: Uskudar University

Brief Summary

The aim was to examine the relationship between home literacy of parents whose has children who use cohlear implant and family demographic characteristics and phonological awareness skills of children with cochlear implant.

Detailed Description

This study was designed to determine the relationship between home literacy of parents whose has children who use cohlear implant and family demographic characteristics and phonological awareness skills of children with cochlear implant.To collect data from the parents, "Demographic Questionary" which is prepared by the researchers, "Early Literacy Home Environment Scale (ELHES)" (Karaahmetoğlu \& Turan, 2017), and "Family Literacy Scale" (Kılıç, Doğan \& Özden, 2017) were used in the study. To collect data from the children with cochlear implant users, "The Turkish Early Language Development Test (TEDİL) " (Topbaş \& Güven, 2013), and "The Early Childhood Phonological Sensitivity Scale (PASECP)" (Sarı \& Acar, 2013) were used in the 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 23 cochlear implant users and, 23 their family. 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.

SPSS 25.0 (IBM) was used program for statistical analysis. The differences of the numerical measurements used in the research according to the binary demographic categories were analyzed with the Mann Whitney U test, and the analysis of the differences according to the multiple categories was analyzed with the Kruskal Wallis H test. The significance level (α=0.05) was used.

Study Timeline

• Study Start: 2021-01-10
• Primary Completion: 2021-05-24
• Study Completion: 2022-02-12
• Study First Submitted: 2024-02-19
• Status Verified: 2024-03
• Study First Submitted QC: 2024-03-13
• Last Update Submitted: 2024-03-13
• Study First Posted: 2024-03-21
• Last Update Posted: 2024-03-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• language skills were between 60 and 72 months; not enrolled in primary school; regular use of unilateral or bilateral cochlear implants;regular training in an auditory rehabilitation center

Exclusion Criteria

• The study excluded individuals who did not meet the inclusion criteria for the control and study groups.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
23 children with cochlear implants	The Turkish Early Language Development Test (TEDIL)	The children with cochlear implants was applied The Early Childhood Phonological Sensitivity Scale and The Turkish Early Language Development Test.
23 children with cochlear implants	The Early Childhood Phonological Sensitivity Scale (PASECP)	The children with cochlear implants was applied The Early Childhood Phonological Sensitivity Scale and The Turkish Early Language Development Test.
23 parents	The Family Literacy Scale	Demographic Questionaries, Family Literacy Scale and ELHES were applied to the families of the participants
23 parents	The Early Literacy Home Environment Scale (ELHES)	Demographic Questionaries, Family Literacy Scale and ELHES were applied to the families of the participants
23 parents	Demographic Questionaries	Demographic Questionaries, Family Literacy Scale and ELHES were applied to the families of the participants

Primary Outcome Measures

Name	Time	Method
The data the Early Childhood Phonological Sensitivity Scale (PASECP) from children with cochlear implants	3 months	The Early Childhood Phonological Sensitivity Scale (PASECP) which was developed by Sarı and Aktan Acar (2013) measure phonological awareness of children aged 60-72 months. The test contains eight sub-dimensions, and total of 78 items. 1 point is taken for each correct answer. The sub-dimensions of the scale are recognizing rhyme, beginning sound detection, the generating new words related to the desired phoneme, grouping words starting with the same sound within a group of words, blending phonemes, segmenting word into its syllables, omitting a word in a compound and of alphabet knowledge. The scale was used to measure the phonological awareness skills of children with cochlear implants in the study.
The data Family Literacy Scale from parents	1 months	The Family Literacy Scale which a reliable and valid measurement scale was developed by Kılıç, Doğan, and Özden in 2017. The question items of the scale consist about parental literacy, child literacy, and early literacy. Parental Literacy Scale to identify and analyze situations such as using literacy skills, role modeling for children, performing simple literacy activities at home, on the street, etc., and generally helping children learn how to read and write. The questions were 32 items and rated on a five-point Likert scale. (Always=5 point, Often=4 points, Sometimes=3 points, Rarely=2 points, and Never=1 point). The higher scores on the scale indicate to increased parent literacy level. This scale used to determine the literacy status of families in this study.
The data Early Literacy Home Environment Scale (ELVES) from parents	2 weeks	The Early Literacy Home Environment Scale (ELHES) is a scale reliable and valid questionnaire for assessing the early literacy home environments of families with children 0-6 years of age. The scale is four-point Likert. The total score is obtained by summing all the items (the lowest score is 8, and the highest score is 32). The scale of home early literacy environment range from 8 to 32; 8-15 is "insufficient", 16-23 "medium", 24-32 "sufficient". It was used to evaluate the early literacy opportunities provided by families for children with using cochlear implants in the home environment.

Trial Locations

Locations (1)

Uskudar University; 🇹🇷 Istanbul, Turkey