{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:03:47Z","timestamp":1787169827036,"version":"build-2736575974"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Objective:<\/jats:title>\n The objective of this study is to assess whether patient participation in specific activities and perceived social support correlate with speech perception following cochlear implantation.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Tertiary referral hospital<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Adult cochlear implantation patients implanted in their poorer hearing ear between January 2019 and December 2020 completed the Functional Social Support Questionnaire (FSSQ) and a modified version of the Victoria Lifestyle Study-Activities Lifestyle Questionnaire (VLS-ALQ). Demographics, FSSQ score, and individual activities were correlated with implanted ear and binaural AzBio scores.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Twenty-three patients completed the survey and had at least 6 months of follow-up with appropriate speech perception testing. The average age at survey completion was 71.7 (SD, 9.1). Average pure-tone average in the contralateral ear was 70.1 (SD: 20) dB. The majority (N = 21, 91.3%) wore a hearing aid in the contralateral ear following cochlear implantation. Mean AzBio\n Quiet<\/jats:sub>\n score improvement was 60.6% (range: 20%\u201399%) in the implanted ear and 42.6% (range: \u22122% to 67%) binaurally. Work-related social support correlated positively with improvement in the implanted ear (Pearson\u2019s R = 0.473; 95% CI, 0.075-0.741;\n P<\/jats:italic>\n = 0.023). Improvement in the implanted ear correlated positively with creative writing (R = 0.542; 95% CI, 0.167-0.780;\n P<\/jats:italic>\n = 0.008), attending films (R = 0.448; 95% CI, 0.044-0.726;\n P<\/jats:italic>\n = 0.032), going out with friends (R = 0.423; 95% CI, 0.013-0.711;\n P<\/jats:italic>\n = 0.044) listening to audiobooks (R = 0.433; 95% CI, 0.025-0.717;\n P<\/jats:italic>\n = 0.039), and public speaking (R = 0.468; 95% CI, 0.069-0.738;\n P<\/jats:italic>\n = 0.024). Gains in binaural performance correlated positively with watching TV news (R = 0.819; 95% CI, 0.509-0.941;\n P<\/jats:italic>\n < 0.001) and negatively with eating at restaurants (R = \u22120.532; 95% CI, \u22120.829 to \u22120.002;\n P<\/jats:italic>\n = 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Activities that provide intellectual stimulation and engage auditory faculties correlate with greater speech perception testing improvements in adult cochlear implantation patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/ono.0000000000000033","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T11:14:51Z","timestamp":1684149291000},"page":"e033","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["The Influence of Activities and Functional Social Support on Adult Cochlear Implant Outcomes"],"prefix":"10.1097","volume":"3","author":[{"given":"Julia A.","family":"Casazza","sequence":"first","affiliation":[{"name":"Medical School, University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen L.","family":"Yancey","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob B.","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,6]]},"reference":[{"key":"R1-20241014","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.otc.2019.09.004","article-title":"Cochlear implant.","volume":"53","author":"Naples","year":"2020","journal-title":"Otolaryngol Clin North Am"},{"key":"R2-20241014","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1097\/MAO.0000000000002083","article-title":"Hearing preservation in cochlear implant surgery: a meta-analysis.","volume":"40","author":"Snels","year":"2019","journal-title":"Otol Neurotol"},{"key":"R3-20241014","doi-asserted-by":"crossref","first-page":"2352","DOI":"10.1002\/lary.26467","article-title":"Insertion depth impacts speech perception and hearing preservation for lateral wall electrodes.","volume":"127","author":"O\u2019Connell","year":"2017","journal-title":"Laryngoscope"},{"key":"R5-20241014","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1002\/lio2.20","article-title":"Postoperative rehabilitation strategies used by adults with cochlear implants: a pilot study.","volume":"1","author":"Harris","year":"2016","journal-title":"Laryngoscope Investig Otolaryngol"},{"key":"R6-20241014","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1080\/14670100.2017.1389020","article-title":"Auditory verbal habilitation is associated with improved outcome for children with cochlear implant.","volume":"19","author":"Percy-Smith","year":"2017","journal-title":"Cochlear Implants Int"},{"key":"R7-20241014","doi-asserted-by":"crossref","first-page":"e975E975","DOI":"10.1097\/MAO.0000000000002405","article-title":"Communication mode and speech and language outcomes of young cochlear implant recipients: a comparison of auditory-verbal, oral communication, and total communication.","volume":"40","author":"Thomas","year":"2019","journal-title":"Otol Neurotol"},{"key":"R8-20241014","first-page":"A5535","article-title":"Auditory verbal skills training is a new approach in adult cochlear implant rehabilitation.","volume":"66","author":"Baungaard","year":"2019","journal-title":"Dan Med J"},{"key":"R9-20241014","first-page":"e165","article-title":"Use of Auditory Training and Its Influence on Early Cochlear Implant Outcomes in Adults. 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