Peer-reviewed article
Associations Among Parental Anxiety, Family Rehabilitation Participation, and Auditory-Language Outcomes in Preschool Children Using Hearing Aids or Cochlear Implants.
Başoğlu Y, Başoğlu İ ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This study examined how parental anxiety and family participation in rehabilitation programmes affect language and hearing outcomes for preschool children using hearing aids or cochlear implants. The research found that parents with higher trait anxiety were less likely to participate in rehabilitation, and greater family participation was linked to better parent-reported hearing performance. Device usage averaged 8.5 hours per day, but actual usage patterns did not independently predict better outcomes.
Key points
- Higher parental trait anxiety was strongly associated with lower family rehabilitation participation (r = -.520, p < .001)
- Family participation was positively associated with parent-reported auditory performance (r = .333, p = .018) but not with standardized language scores (r = .121, p = .401)
- Mean daily device use was 8.52 ± 1.57 hours per day across the sample
- Device data logging variables were not significant independent predictors of auditory performance
- Trait anxiety and rehabilitation frequency significantly predicted family participation in regression models
Limitations
This is a cross-sectional study of 50 parent-child dyads, which cannot establish causation and may not represent larger populations. The study cannot clarify whether parental anxiety causes reduced participation or whether other factors influence both.
Abstract
Purpose This study examined associations among parental anxiety, family rehabilitation participation, device data logging variables, and auditory-language outcomes in preschool children using hearing aids or cochlear implants. Method Fifty parent-child dyads participated in this cross-sectional study. Parents completed the State-Trait Anxiety Inventory, the Family Rehabilitation Participation Form, and the Parents' Evaluation of Aural/Oral Performance of Children (PEACH) questionnaire. Children were assessed using the Turkish Early Language Development Test. Device data logging variables included daily average device use, number of days used, speech environment exposure, and noisy environment exposure. Results Higher parental anxiety was associated with lower family rehabilitation participation, with the strongest association observed for trait anxiety (r = -.520, 95% confidence interval [CI] [-.698, -.283], p < .001). Family participation was positively associated with parent-reported auditory performance (r = .333, 95% CI [.061, .560], p = .018) but not with age-standardized language scores (r = .121, p = .401). The mean ± SD daily device use was 8.52 ± 1.57 hr/day. In exploratory regression models, trait anxiety and rehabilitation frequency significantly predicted family participation, and family participation was positively associated with PEACH total percentage score. Device data logging variables were not significant independent predictors. Conclusions Parental trait anxiety and family rehabilitation participation may be clinically relevant in pediatric hearing rehabilitation. Family participation appeared more closely related to parent-reported everyday auditory performance than to standardized language scores. Device data logging provided useful clinical context but did not independently predict auditory performance in the exploratory model. Longitudinal studies are needed to clarify these relationships. Supplemental material https://doi.org/10.23641/asha.34024143.
Findings the Hub has extracted
Each claim below is labelled by its type of design and links back to this report.
- Intervention
- Family rehabilitation participation programmes for children using hearing aids or cochlear implants
- Population
- Fifty preschool children (and parent-child dyads) using hearing aids or cochlear implants
Key finding
Family participation was positively associated with parent-reported auditory performance (r = .333, p = .018)
Y et al. · Europe PMC · 9 Oct 2026