Factors affecting early cochlear implantation in children

Abstract Aim and Objectives: The purpose of this study was to analyze the demographic, parental, professional, and other factors that may contribute to the delay in the age of diagnosis of hearing loss and cochlear implantation in children. Materials and Methods: Thirty parents of children with bilateral severe to profound hearing loss who underwent unilateral cochlear implantation after 3 years of age participated in the study. Demographic and audiological information was collected from the case files, and a questionnaire was developed and administered through a telephone interview with the parents to analyze the factors. The questionnaire consisted of questions regarding the factors, which had to be answered on a 5-point Likert scale. Results: The results revealed that parental factors are the primary cause of delays in the age of implantation. Specifically, there was a negative correlation between the age of implantation and the mother’s education level, as well as parental behaviors like consulting many professionals for a second opinion. A positive correlation was observed between the age of implantation and factors such as missing appointments and taking care of family members. There was no correlation between the age of implantation and professional factors. Additionally, gender, geographical location, and source of funding did not affect the age of implantation. Conclusion: The study suggests that parental factors are a major contributor to the delayed diagnosis of hearing loss and cochlear implantation in children. It can be inferred that addressing parents’ attitudes toward their child’s hearing loss is crucial for improved outcomes. There is a need for increased public awareness and education to overcome the barriers leading to late implantation.