title: Brazilian adaptation of the Functioning after Pediatric Cochlear Implantation (FAPCI): comparison between normal hearing and cochlear implanted children.
abstract: OBJECTIVE
  Enabling development of the ability to communicate effectively is the principal objective of cochlear implantation (CI) in children. However, objective and effective metrics of communication for cochlear-implanted Brazilian children are lacking. The Functioning after Pediatric Cochlear Implantation (FAPCI), a parent/caregiver reporting instrument developed in the United States, is the first communicative performance scale for evaluation of real-world verbal communicative performance of 2-5-year-old children with cochlear implants. The primary aim was to cross-culturally adapt and validate the Brazilian-Portuguese version of the FAPCI. The secondary aim was to conduct a trial of the adapted Brazilian-Portuguese FAPCI (FAPCI-BP) in normal hearing (NH) and CI children.
  
  
  METHODS
  The American-English FAPCI was translated by a rigorous forward-backward process. The FAPCI-BP was then applied to the parents of children with NH (n=131) and CI (n=13), 2-9 years of age. Test-retest reliability was verified.
  
  
  RESULTS
  The FAPCI-BP was confirmed to have excellent internal consistency (Cronbach's alpha > 0.90). The CI group had lower FAPCI scores (58.38 ± 22.6) than the NH group (100.38 ± 15.2; p<0.001, Wilcoxon test).
  
  
  CONCLUSIONS
  The present results indicate that the FAPCI-BP is a reliable instrument. It can be used to evaluate verbal communicative performance in children with and without CI. The FAPCI is currently the only psychometrically-validated instrument that allows such measures in cochlear-implanted children.
authors.affiliation: Faculdades Pequeno Príncipe, Curitiba, PR, Brazil; Department of Otorhinolaryngology, Hospital Infantil Pequeno Príncipe, Curitiba, PR, Brazil.
authors.forename: Trissia M F
authors.initials: TM
authors.lastname: Vassoler
authors.affiliation: Faculdades Pequeno Príncipe, Curitiba, PR, Brazil; Department of Otorhinolaryngology, Hospital Infantil Pequeno Príncipe, Curitiba, PR, Brazil; Neurosciences Group, Instituto de Pesquisa Pelé Pequeno Príncipe, Curitiba, PR, Brazil; Department of Psychiatry and Biobehavioral Sciences of the David Geffen School of Medicine, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, United States. Electronic address: mcordeiro@mednet.ucla.edu.
authors.forename: Mara L
authors.initials: ML
authors.lastname: Cordeiro
mesh_terms: D001938:Brazil; D002648:Child; D002663:Child Language; D002675:Child, Preschool; D019929:Cochlear Implantation / Q000379:methods*; D003142:Communication; D003431:Cross-Cultural Comparison; D005260:Female; D006311:Hearing Disorders / Q000175:diagnosis*; D006319:Hearing Loss, Sensorineural / Q000534:rehabilitation; D006320:Hearing Tests / Q000295:instrumentation*; D006801:Humans; D007806:Language Disorders / Q000175:diagnosis*; D008297:Male; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014177:Translations; D014705:Verbal Behavior
keywords: Audição normal; Cochlear implantation; Comunicação verbal; FAPCI; Implante coclear; Normal hearing; Verbal communication