title: Brief Assessment of Parental Perception (BAPP): Development and validation of a new measure for assessing paediatric outcomes after bilateral cochlear implantation.
abstract: In contrast to previous clinical practice, current guidelines recommend bilateral cochlear implantation in children, resulting in a cohort of children who initially received one implant, but have subsequently had a second, contralateral implant. This study aimed to explore satisfaction and quality of life in children implanted simultaneously or sequentially.
  
  
  
  A novel measure of satisfaction and quality of life following paediatric bilateral cochlear implantation (the Brief Assessment of Parental Perception; BAPP) was developed and preliminary validation undertaken as part of a large, national project of bilateral implantation. Children's parents completed the measure yearly for up to three years following implantation.
  
  
  
  Children from 14 UK implant centres were recruited into the study; data were available for 410 children one year post-implantation.
  
  
  
  The BAPP was found to have good face and convergent validity, and internal consistency. Results indicated very high levels of satisfaction with the devices, and improvements in quality of life. However there was evidence that children implanted sequentially were less willing to wear their second implant in the first two years than those children receiving simultaneous implants.
  
  
  
  Simultaneous and sequential cochlear implants have a positive impact on the quality of life of deaf children.
authors.affiliation: a South Wales Doctoral Programme in Clinical Psychology, School of Psychology, Cardiff University , UK .
authors.forename: V
authors.initials: V
authors.lastname: Samuel
authors.affiliation: b University of Southampton Auditory Implant Service (USAIS) , Southampton , UK .
authors.forename: C
authors.initials: C
authors.lastname: Gamble
authors.affiliation: b University of Southampton Auditory Implant Service (USAIS) , Southampton , UK .
authors.forename: H
authors.initials: H
authors.lastname: Cullington
authors.affiliation: c Cochlear Implant Programme, Great Ormond Street Hospital for Children , London , UK .
authors.forename: F
authors.initials: F
authors.lastname: Bathgate
authors.affiliation: d Nottingham Auditory Implant Programme , Nottingham , UK .
authors.forename: E
authors.initials: E
authors.lastname: Bennett
authors.affiliation: c Cochlear Implant Programme, Great Ormond Street Hospital for Children , London , UK .
authors.forename: N
authors.initials: N
authors.lastname: Coop
authors.affiliation: e Guy's and St Thomas' Hearing Implant Centre , London , UK .
authors.forename: J
authors.initials: J
authors.lastname: Cropper
authors.affiliation: f Cochlear Implant Programme , Royal National Throat, Nose and Ear Hospital , London , UK.
authors.forename: A
authors.initials: A
authors.lastname: Emond
authors.affiliation: f Cochlear Implant Programme , Royal National Throat, Nose and Ear Hospital , London , UK.
authors.forename: R
authors.initials: R
authors.lastname: Kentish
authors.affiliation: c Cochlear Implant Programme, Great Ormond Street Hospital for Children , London , UK .
authors.forename: L
authors.initials: L
authors.lastname: Edwards
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000367:Age Factors; D001307:Auditory Perception; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D019929:Cochlear Implantation / Q000295:instrumentation*; D003054:Cochlear Implants; D003638:Deafness / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D004644:Emotions; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010290:Parents / Q000523:psychology*; D017060:Patient Satisfaction; D010465:Perception; D019986:Persons with Hearing Disabilities / Q000523:psychology / Q000534:rehabilitation*; D011237:Predictive Value of Tests; D011474:Prosthesis Design; D011788:Quality of Life; D015203:Reproducibility of Results; D012919:Social Behavior; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D006113:United Kingdom
keywords: Cochlear implant; assistive technology; pediatric; psycho-social/emotional