Impact of paediatric cochlear implantation on family life : a conceptual framework informed by parents

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dc.contributor.advisor Le Roux, Talita
dc.contributor.coadvisor Eikelboom, Robert H.
dc.contributor.postgraduate De Beer, Chané
dc.date.accessioned 2024-02-15T09:21:47Z
dc.date.available 2024-02-15T09:21:47Z
dc.date.created 2024-05
dc.date.issued 2023
dc.description Dissertation (MA (Audiology))--University of Pretoria, 2023. en_US
dc.description.abstract Numerous studies have investigated the effect of permanent childhood hearing loss and cochlear implantation on parents and siblings, but there is limited evidence available regarding the effect of paediatric cochlear implantation on family life, known as the routine interactions and activities that families have together. The aim of this study was to generate a conceptual framework that describes the impact of paediatric cochlear implantation on family life as perceived by parents. Participants included parents of paediatric (<18 years) cochlear implant recipients who had been implanted for at least 12 months. A total of 29 parents participated in this research study. A participatory mixed-method design, namely concept mapping was used. Concept mapping involves six steps namely (1) preparation, (2) generation of ideas via brainstorming, (3) structuring of ideas via grouping and rating, (4) analysis and representation, (5) interpretation and (6) utilization of the results. Brainstorming sessions were held in-person and online, and as individual and group sessions. Parents attended one brainstorming session via their preferred mode, wherein they generated statements describing the changes in family life that occurred since their child received their cochlear implants. Parents then grouped and rated these statements to identify concepts. Data analysis involved multidimensional scaling and hierarchical cluster analysis to create a conceptual framework. In total, 99 unique statements described the impact of paediatric cochlear implantation on family life. The grouping activity yielded six concepts, namely i) “Financial Outlay and Supports”; ii) “Education and Therapy”; iii) “Responsibilities and Sacrifices”; iv) “Extended Family and Community”; v) “Spouses and Siblings” and vi) “Achievements and Enrichments”. Statements grouped in “Financial Outlay and Supports”, “Achievements and Enrichments” and “Spouses and Siblings” were rated as the most important possible changes to be aware of prior to proceeding with paediatric cochlear implantation, while statements in “Achievements and Enrichments” was rated as the most positive and statements in “Financial Outlay and Supports” and “Extended Family and Community” as the most negative in terms of family life experiences. This study highlights the multiple areas of family life affected by the diagnosis of permanent childhood hearing loss and subsequent paediatric cochlear implantation. To improve patient-and-family-centred care, these factors need to be considered during pre-implantation and successive counselling of a paediatric CI recipient and their family members en_US
dc.description.availability Restricted en_US
dc.description.degree MA (Audiology) en_US
dc.description.department Speech-Language Pathology and Audiology en_US
dc.description.faculty Faculty of Humanities en_US
dc.description.sdg SDG-03: Good health and well-being en_US
dc.identifier.citation * en_US
dc.identifier.doi 10.25403/UPresearchdata.25209866 en_US
dc.identifier.other A2024 en_US
dc.identifier.uri http://hdl.handle.net/2263/94635
dc.language.iso en en_US
dc.publisher University of Pretoria
dc.rights © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
dc.subject UCTD en_US
dc.subject Paediatric cochlear implantation en_US
dc.subject Cochlear implant en_US
dc.subject Family life en_US
dc.subject Parents en_US
dc.subject Concept mapping en_US
dc.subject SDG-03: Good health and well-being
dc.subject Sustainable Development Goals (SDGs)
dc.subject.other SDG-03: Good health and well-being
dc.subject.other Humanities theses SDG-03
dc.title Impact of paediatric cochlear implantation on family life : a conceptual framework informed by parents en_US
dc.type Dissertation en_US


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