title: [Dance projects as an integral part of CI rehabilitation and their impact on mental health: a pilot study].
abstract: BACKGROUND
  Alongside improvements in hearing and communication skills, the rehabilitation of children, adolescents and adults with a cochlear implant (CI) in recent years has increasingly taken into account mental health and quality of life issues. In the context of the programs offered, this study assesses the significance of dance for the mental health of adult clients with a CI.
  
  
  METHODS
  Eleven adult CI users participated in a dance project, which took place as a cooperation between the ENT University Hospital Heidelberg and the Baden State Theatre Karlsruhe. Participants were questioned at two different time points for assessment with the mental health scales (SPG). These scales measure seven different aspects of psychosocial well-being (including autonomy, willpower, affirmation of life and meaningfulness).
  
  
  RESULTS
  Significant positive changes in the domains of affirmation of life, self-reflection and social integration were revealed by before and after comparisons; tendencies toward positive change were observed (p ≤ 0.10) in the domains of willpower, naturalness and meaningfulness. No changes were observed in the autonomy domain.
  
  
  CONCLUSIONS
  The results indicate that the mental health of adult clients with a CI can be strengthened by dance as a complementary rehabilitation module. Concepts of CI rehabilitation should increasingly find anchor in the consideration of such arrangements for its range of offers.
authors.affiliation: Institut für Sonderpädagogik, Pädagogische Hochschule Heidelberg, Keplerstr. 87, 69120, Heidelberg, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Klink
authors.forename: M
authors.initials: M
authors.lastname: Praetorius
authors.forename: S
authors.initials: S
authors.lastname: Roder
authors.forename: M
authors.initials: M
authors.lastname: Hintermair
mesh_terms: D000328:Adult; D000368:Aged; D019929:Cochlear Implantation / Q000523:psychology*; D003054:Cochlear Implants; D003131:Combined Modality Therapy / Q000379:methods / Q000523:psychology; D003614:Dance Therapy; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010865:Pilot Projects; D011788:Quality of Life / Q000523:psychology*; D016896:Treatment Outcome