title: The children speak: an examination of the quality of life of pediatric cochlear implant users.
abstract: OBJECTIVE
  To examine the results of health-related quality-of-life questionnaire scores from profoundly deaf children fitted with at least one cochlear implant (CI) and to compare their responses with those of normal-hearing mates of similar age and their parents.
  
  
  METHODS
  Cross-sectional study utilizing a generic quality-of-life questionnaire designed to be completed by both parents and children independently of each other.
  
  
  METHODS
  Questionnaires completed at various summer camps designed for children with CIs in Texas and Colorado.
  
  
  METHODS
  Eighty-eight families from 16 states were divided into two subgroups by age of cochlear implantation: an eight- to 11-year-old group and a 12- to 16-year-old group. The KINDL-R Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents was distributed, and CI participants completed the questionnaire independently of their participating family member.
  
  
  RESULTS
  CI users in both age groups scored similarly to their normal-hearing peers and their parents. Younger CI users scored their family domain lower compared with their normal-hearing peers. Teen CI users scored the school domain lower compared with their parents. Among CI participants, earlier implantation and longer CI use resulted in higher quality-of-life scores.
  
  
  CONCLUSIONS
  Children with CIs experience quality of life similar to that of normal-hearing peers. Parents are reliable reporters on the status of their child's overall quality of life.
authors.affiliation: University of Texas Southwestern Medical Center, Dallas, TX; Dallas Cochlear Implant Program, 5323 Harry Hines Blvd, Dallas, TX 75390-9035, USA. betty.loy@utsouthwestern.edu
authors.forename: Betty
authors.initials: B
authors.lastname: Loy
authors.forename: Andrea D
authors.initials: AD
authors.lastname: Warner-Czyz
authors.forename: Liyue
authors.initials: L
authors.lastname: Tong
authors.forename: Emily A
authors.initials: EA
authors.lastname: Tobey
authors.forename: Peter S
authors.initials: PS
authors.lastname: Roland
mesh_terms: D000293:Adolescent; D002648:Child; D019929:Cochlear Implantation; D003054:Cochlear Implants; D003430:Cross-Sectional Studies; D003638:Deafness / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology; D017060:Patient Satisfaction; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014481:United States