{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T14:06:04Z","timestamp":1774274764020,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Increase in the number of children receiving cochlear implants warrants the need for exploring parental views and experience on outcomes of children. The objective was to understand the parental views and expectations on QoL after 5\u2009years of CI use among the recipients of a government\u2010funded CI programme in Kerala, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Based on the literature review and clinical experience, a 52\u2010item close\u2010ended questionnaire was developed to explore the parents' views and experiences with CI in their children on various domains. The questionnaire was sent to 802 parents with a return rate of 59.10%. The mean age of the children was 128.6\u2009months, and the mean duration of implant use was 92.9\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Parents agreed that their children communicated easily and efficiently (83%), use of spoken language developed (94.3%), could play outside (92.5%), enjoy quality time with peers (98.4%), improved confidence (90.7%), became independent like peer group (73%), better family relationships (86.6%) and dependent on the implant for academic activities (94.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Service delivery is shaped by parental perspectives on insights into children's spoken language and psychosocial development, as well as their lived experiences. Hence, understanding the wider perspectives of parents over the long\u2010term use of CI helps in counselling, setting realistic expectations and supporting new families in the decision\u2010making process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.70238","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T07:50:06Z","timestamp":1769759406000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Parental Views and Expectations on Quality of Life of Their Children After Long\u2010Term Implant Use\u2014Insights From the Government Funded CI Project in India"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0513-3438","authenticated-orcid":false,"given":"Sita","family":"Sreekumar","sequence":"first","affiliation":[{"name":"Clinical Coordinator \u2013 Audiology\/Senior Lecturer, Department of Audiology &amp; Speech Language Pathology National Institute of Speech &amp; Hearing  Trivandrum Kerala India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9923-0268","authenticated-orcid":false,"given":"Jeena\u00a0Mary","family":"Joy","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Audiology &amp; Speech Language Pathology National Institute of Speech &amp; Hearing  Trivandrum Kerala India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.06.016"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/dei.243"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2017.1385865"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1179\/1467010014z.000000000172"},{"key":"e_1_2_12_6_1","volume-title":"Google Books","author":"Christiansen J. 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