Impact of adult cochlear implantation on the partner relationship : a conceptual framework informed by cochlear implant recipient and partner perceptions

Abstract

PURPOSE : (1) To understand the impact of adult cochlear implantation on the partner relationship, as perceived by adult cochlear implant (CI) recipients and their intimate partners. (2) To generate a conceptual framework for guiding future research and clinical adult cochlear implantation interventions. METHOD : Concept mapping, a participatory, mixed-method approach, was used for data collection, analysis and interpretation. Participants attended sessions to generate, sort and rate statements describing the changes in their relationship due to cochlear implantation. Participants included 15 CI recipients (mean age: 51.6 years; SD: 8.2) and 12 partners (mean age: 50.9 years; SD: 8.2). RESULTS : Five concepts emerged from the data, describing changes in the partner relationship following cochlear implantation: (1) Social Interactions, (2) Partner Involvement, (3) Communication, (4) Emotional Adjustment, and (5) Relationship Intimacy. The concept Relationship Intimacy was rated the highest in positivity and importance. Findings also underscored improved social interactions, communication dynamics, and emotional adjustment. CONCLUSIONS : The Relationship Intimacy cluster emerged as pivotal, highlighting its essential role in improving post-implantation relationships. CI recipients experienced enhanced autonomy, while partners’ roles evolved regarding assistance and support. The diverse effects of implantation on partner relationships highlight the importance of adopting a patient- and family-centered approach to audiological intervention. IMPLICATIONS FOR REHABILITATION : These insights on partner relationships and cochlear implantation can inform tailored pre- and ongoing post-operative counselling to support cochlear implant recipients and their partners in navigating relationship changes, emotional adjustments, and addressing communication challenges. Cochlear implantation reduces partner burden, emphasising the need for hearing healthcare professionals to facilitate partner engagement in rehabilitation approaches. Relationship intimacy, deemed the foremost positive outcome, underscores the importance of incorporating these aspects into pre- and post-operative counselling.