{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T06:41:24Z","timestamp":1794033684301,"version":"4.8.0"},"reference-count":29,"publisher":"American Speech Language Hearing Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Speech Lang Hear Res"],"published-print":{"date-parts":[[2021,4,14]]},"abstract":"<jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>The purpose of this study was to analyze the impact of cumulative hearing hour percentage (HHP) on pediatric cochlear implant users' speech and language development at age 3 years and to determine an evidence-based wear time recommendation that yields typical spoken language standard scores.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>A retrospective chart review of 40 pediatric cochlear implant recipients was completed. Children met the following criteria: prelingually deafened, implanted at age 2 years or younger, utilized a speech processor with datalogging capabilities, a minimum of 1 year of cochlear implant use, and language testing completed at approximately age 3 years. Exclusion criteria included significant inner ear malformation (i.e., common cavity) or developmental delay that would preclude spoken language development.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Multiple regression analysis revealed that age and implantation and HHP were predictive of spoken language skills at age 3 years. Further analysis yielded wear time recommendations associated with age-appropriate spoken language based on the age at implantation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>When the goal is age-appropriate spoken language, wear time recommendations should reflect a child's current age, age at implantation, and the comparative daily sound access of age-matched normal-hearing peers. The HHP measurement can help provide that information. The minimum wear time recommendation should be set to 80% HHP with the ultimate goal of 100% HHP to give pediatric cochlear implant recipients enough access to sound and language to achieve their spoken language goals.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1044\/2020_jslhr-20-00567","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T21:41:32Z","timestamp":1617140492000},"page":"1369-1375","source":"Crossref","is-referenced-by-count":42,"title":["The Impact of Cumulative Cochlear Implant Wear Time on Spoken Language Outcomes at Age 3 Years"],"prefix":"10.1044","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8901-1512","authenticated-orcid":false,"given":"Erika B.","family":"Gagnon","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, The University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Eskridge","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, The University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin D.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, The University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9804-2425","authenticated-orcid":false,"given":"Lisa R.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, The University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1179\/cim.2009.10.1.25"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.748"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/2016_JSLHR-H-16-0162"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000818"},{"key":"e_1_3_2_6_1","volume-title":"Oral and Written Language Scales\u2013Second Edition","author":"Carrow-Woolfolk E.","year":"2011","unstructured":"Carrow-Woolfolk, E. 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