{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T14:19:19Z","timestamp":1788445159199,"version":"build-2803163510"},"reference-count":41,"publisher":"American Speech Language Hearing Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Audiol"],"published-print":{"date-parts":[[2026,9,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The aim of this study was to adapt the Cochlear Implant Skills Review to assess the real-time demonstration of skills and device knowledge of the adults who care for their child's, client's, or student's cochlear implant (CI). This study also sought to assess inter- and intrarater reliability of the newly adapted Pediatric Cochlear Implant Skills Review (Ped-CISR) and provide evidence for its construct validity by assessing group performance differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>The Ped-CISR was administered to (a) caregivers of new pediatric CI recipients (less than 1 year of device use), (b) caregivers of experienced pediatric CI recipients (greater than 1 year of device use), (c) educators of the deaf and hard of hearing, and (d) speech-language service providers working in an educational or hospital setting. Participant skills and knowledge were scored by three independent raters. One rater rewatched and rescored each session at least 4 weeks following initial review. Inter- and intrarater reliability and agreement were assessed for all raters, and between-groups differences were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Reliability across all raters was high with an intraclass correlation coefficient of .801, 95% confidence interval [.785, .817]. There were no significant between-groups differences on the total score of the Ped-CISR; however, participant groups demonstrated significantly different knowledge and skills in the Battery and Indicator Light subcategories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Ped-CISR is a valuable clinical tool to help identify deficits in knowledge and skills of caregivers, educators, and speech-language service providers of children who use CIs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1044\/2025_aja-24-00255","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:48:16Z","timestamp":1780321696000},"page":"819-845","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Cochlear Implant Competence of Caregivers, Educators, and Speech-Language Service Providers With the Pediatric Cochlear Implant Skills Review"],"prefix":"10.1044","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2159-9767","authenticated-orcid":false,"given":"Kristen E. T.","family":"Thornton","sequence":"first","affiliation":[{"name":"Department of Behavioural Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Norway"},{"name":"Department of Hearing, Speech, and Language Sciences, Gallaudet University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra","family":"Bosworth","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Columbia University Herbert and Florence Irving Medical Center, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Riley Hospital for Children, Indianapolis, IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew A.","family":"Lopez","sequence":"additional","affiliation":[{"name":"Potomac Audiology, Rockville, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Buxton","sequence":"additional","affiliation":[{"name":"Children's National Hospital, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Oliver","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Columbia University Herbert and Florence Irving Medical Center, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire M.","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Department of Hearing, Speech, and Language Sciences, Gallaudet University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","volume-title":"Scale of Parental Involvement and Self-Efficacy\u2013Revised [Assessment instrument]","author":"Ambrose S. E.","year":"2019","unstructured":"Ambrose, S. E., Appenzeller, M., & DesJardin, J. L. (2019). Scale of Parental Involvement and Self-Efficacy\u2013Revised [Assessment instrument]. Boys Town National Research Hospital."},{"key":"e_1_3_2_3_1","unstructured":"American Academy of Audiology. (2019). Clinical practice guideline: Cochlear implants. https:\/\/www.audiology.org\/practiceguideline\/clinical-practice-guideline-cochlear-implants\/"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/18.1.18"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1353\/aad.2005.0040"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12713"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12472"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1044\/2018_AJA-18-0050"},{"key":"e_1_3_2_9_1","author":"Bernstein C.","year":"2015","unstructured":"Bernstein, C., Brewer, D., Hume, K., & Presley, R. (2015). Development of the Cochlear Implant Skills Review (CISR) measure [Unpublished document]. Deaf\/Hard of Hearing Technology Rehabilitation Engineering Research Center. Retrieved May 28, 2021, from https:\/\/www.deafhhtech.org\/rerc\/2017\/06\/29\/cochlear-implant-skills-review-cisr-tool\/","journal-title":"Development of the Cochlear Implant Skills Review (CISR) measure [Unpublished document]"},{"key":"e_1_3_2_10_1","unstructured":"Cochlear Limited. (2017). Nucleus CP910 and CP920 sound processor: User guide. https:\/\/assets.cochlear.com\/api\/public\/content\/ad43a2c81eb44827be7987b1db4e1f50?v=8cd7edfd"},{"key":"e_1_3_2_11_1","unstructured":"Cochlear Limited. (2021a). Kanso 2 sound processor: User guide. https:\/\/assets.cochlear.com\/api\/public\/content\/D1674145_5_2024-02-02?v=35a9270b"},{"key":"e_1_3_2_12_1","unstructured":"Cochlear Limited. (2021b). Nucleus 7 sound processor: User guide. https:\/\/assets.cochlear.com\/api\/public\/content\/D815388_5_2024-02-02?v=117ff7ef"},{"key":"e_1_3_2_13_1","unstructured":"Cochlear Limited. (2022a). CP950 Kanso sound processor: User guide. https:\/\/assets.cochlear.com\/api\/public\/content\/0a16bf9bb72342b6a10960d94d83f9df?v=8c6a0a93"},{"key":"e_1_3_2_14_1","unstructured":"Cochlear Limited. (2022b). Cochlear Nucleus 8 sound processor: User guide. https:\/\/assets.cochlear.com\/api\/public\/content\/D1935521_3_2023-08-24?v=7d5f66c0"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525740108325554"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1044\/2023_AJSLP-23-00110"},{"issue":"1","key":"e_1_3_2_17_1","first-page":"41","article-title":"I have a child with a cochlear implant in my preschool classroom. Now what?","volume":"49","author":"Davenport C. A.","year":"2016","unstructured":"Davenport, C. A., & Alber-Morgan, S. R. (2016). I have a child with a cochlear implant in my preschool classroom. Now what? Exceptional Children, 49(1), 41\u201348. https:\/\/doi.org\/10.1177\/0040059916651430","journal-title":"Exceptional Children"},{"issue":"4","key":"e_1_3_2_18_1","first-page":"391","article-title":"Assessing parental perceptions of self-efficacy and involvement in families of young children with hearing loss","volume":"103","author":"Desjardin J. L.","year":"2003","unstructured":"Desjardin, J. L. (2003). Assessing parental perceptions of self-efficacy and involvement in families of young children with hearing loss. The Volta Review, 103(4), 391\u2013409.","journal-title":"The Volta Review"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1044\/1059-0889(2012\/11-0019)"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.17051"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0031619"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_JSLHR-20-00567"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1999.3220"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/088840640402700404"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.17035"},{"issue":"5","key":"e_1_3_2_26_1","first-page":"219","article-title":"Patients' memory for medical information","volume":"96","author":"Kessels R. P.","year":"2003","unstructured":"Kessels, R. P. (2003). Patients' memory for medical information. Journal of the Royal Society of Medicine, 96(5), 219\u2013222. https:\/\/doi.org\/10.1177\/014107680309600504","journal-title":"Journal of the Royal Society of Medicine"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.17955\/tvr.110.2.m.632"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1755319"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.19088"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461(2013\/12-0038)"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461(2011\/10-0011)"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.15008"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.16153"},{"key":"e_1_3_2_36_1","article-title":"How cochlear recipient solutions managers can help you increase confidence and achieve hearing goals","author":"Schulz J.","year":"2023","unstructured":"Schulz, J. (2023, May 16). How cochlear recipient solutions managers can help you increase confidence and achieve hearing goals. Cochlear. https:\/\/hearandnow.cochlear.com\/hearingsolutions\/services\/cochlear-recipient-solutions-managers\/","journal-title":"Cochlear"},{"key":"e_1_3_2_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2011.08.020"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461.3104.371"},{"key":"e_1_3_2_39_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_AJA-20-00038"},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.21767\/1791-809X.1000583"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000999"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/0090-5550.53.2.139"}],"container-title":["American Journal of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/pubs.asha.org\/doi\/pdf\/10.1044\/2025_AJA-24-00255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T14:01:24Z","timestamp":1788444084000},"score":1,"resource":{"primary":{"URL":"https:\/\/pubs.asha.org\/doi\/10.1044\/2025_AJA-24-00255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,3]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9,3]]}},"alternative-id":["10.1044\/2025_AJA-24-00255"],"URL":"https:\/\/doi.org\/10.1044\/2025_aja-24-00255","relation":{},"ISSN":["1059-0889","1558-9137"],"issn-type":[{"value":"1059-0889","type":"print"},{"value":"1558-9137","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,3]]}}}