JAAA CEU Program

The questions below refer to Wolfe et al, “Factors Associated with Speech-Recognition Performance in School-Aged Children with Cochlear Implants and Early Auditory-Verbal Intervention,” pages 433–444.

Learner Outcomes

Readers of this article should be able to:

• Understand the association between language aptitude and speech recognition for children with cochlear implants.

• Describe at least two factors that infl uence the speech-recognition abilities of children with cochlear implants.

CEU Questions

1. According to the review of previous research discussed in the current paper, speech recognition of children with cochlear implants is infl uenced by which of the following factors:

   • The child's language aptitude

   • The manufacturer of the child's cochlear implant

   • The length of the child's cochlear implant electrode array

2. The two groups of participants in the current study were selected on the basis of:

   • Consonant-nucleus-consonant (CNC) wordrecognition score in quiet

   • Core language standard score on the Clinical Evaluation of Language Fundamentals (CELF) test

   • Nonverbal IQ standard score on Test of Nonverbal Intelligence (TONI)

3. The two groups (i.e., high language vs. low language) of children in the current study signifi cantly diff ered on which of the following independent variables?

   • Number of hours the cochlear implant processor was used per day per data-logging records

   • Duration of cochlear implant use at the time of assessment

   • Warble tone aided thresholds with use of cochlear implant

4. Which of the following statements best describes the results of the current study?

   • Children with poorer language aptitude had an earlier average age at implantation

   • Children with poorer language aptitude received a greater number of hours of auditory-verbal therapy

   • Children with poorer language aptitude showed a more prominent deterioration in speech recognition in noise relative to performance in quiet when compared to their peers with “normal” language aptitude.

5. In the current study, children with delayed language aptitude (i.e., less than 85 on CELF Core Language test) obtained a mean score of greater than 80 percent correct on the following measure:

   • CNC monosyllabic word recognition in quiet in the bilateral cochlear implant condition

   • AzBio sentence recognition in noise (+10 dB signalto-noise ratio - SNR) in the bilateral condition

   • AzBio sentence recognition in noise (+5 dB signalto-noise ratio - SNR) in the bilateral condition

6. In the current study, children with delayed language aptitude (i.e., CELF Core Language score less than 85) achieved their highest speech-recognition score (in percent correct) on the following test:

   • CNC monosyllabic word recognition in quiet

   • AzBio sentence recognition in quiet

   • AzBio sentence recognition in noise

7. In the current study, children with typical language development (i.e., CELF Core Language score of 100 or higher) achieved the highest speech-recognition score (percent correct) on the following test:

   • CNC word recognition in quiet in the bilateral condition

   • AzBio sentence recognition in quiet in the bilateral condition

   • AzBio sentence recognition in noise (+10 dB SNR) in the bilateral condition

8. Which of the following speech-recognition tests administered in the current study was the least susceptible to ceiling-level eff ects?

   • CNC monosyllabic words

   • AzBio sentence recognition in noise (+10 dB SNR)

   • AzBio sentence recognition in noise (+5 dB SNR)

9. Which of the following was associated with sentence-recognition-in-noise scores for the children in the current study?

   • Percentage of audiology appointments attended

   • Age at implantation

   • Percentage of auditory-verbal therapy appointments attended

10. Which of the following was associated with sentence-recognition-in-noise scores for the children in the current study?

    • Age at initial hearing aid fi tting

    • Number of hours cochlear implant was used per day per data-logging records

    • Maternal education level

Publication History

Article published online:
01 December 2021