ABSTRACT With regard to parents making communication approach decisions for their children with hearing loss, Crowe et al. (2014) suggested that key themes were: feasibility; sources of information; child characteristics; and, future opportunities. For children using cochlear implants (CI/s), the present study aimed to understand parental preferences regarding communication, the sources of information they used, and child language outcomes. Demographic and language data were available for 162 children using CI/s (mean age at CI 3.74 years; SD 3.83). Standard scores (SS) were reported for the PPVT-3/ PPVT-4. To enable inclusion of a more diverse group of children (including those with additional needs) data from the PPVT, PLS, CDI and RI-TLS were coded; receptive and expressive Categories of Linguistic Performance (CLIP; Dettman et al., 2017). Caregivers completed a one-off questionnaire; Parental Views about Communication (PVaC). Chi-square analyses explored the distribution and strength of caregiver responses to PVaC questions about the use of spoken language/Auslan within a Bilingual-Bicultural approach. Correlations between child/family characteristics, child language and parental preferences were explored. Parents’ decisions regarding communication with their children using CI/s were driven by multiple sources of information and influence. Changes in a child’s communication approach before and after hearing diagnosis and, following CIs were unrelated to child language outcomes or family characteristics but were influenced to an extent by parent values and child preferences. Of importance to the field, parents/caregivers require unbiased support from professionals to learn about their needs and to seek information (Young, 2002). Consistent with Watson et al. (2007) child preferences were influential on parental decision making; the present study demonstrated that child language and cognitive skills were also influential.

中文翻译：

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使用人工耳蜗的儿童的看护人关于沟通方法的决定与语言结果之间的关系

摘要 关于父母为听力损失孩子做出沟通方式的决定，Crowe 等人。（2014 年）建议关键主题是：可行性；信息来源; 儿童特征；以及，未来的机会。对于使用人工耳蜗 (CI/s) 的儿童，本研究旨在了解父母对交流的偏好、他们使用的信息来源以及儿童语言结果。使用 CI/s 获得了 162 名儿童的人口统计学和语言数据（CI 的平均年龄为 3.74 岁；SD 3.83）。报告了 PPVT-3/PPVT-4 的标准分数 (SS)。为了能够包含更多样化的儿童群体（包括有额外需求的儿童），对来自 PPVT、PLS、CDI 和 RI-TLS 的数据进行了编码；语言表现的接受性和表达性类别（CLIP；Dettman 等，2017）。护理人员完成了一次性问卷；家长对沟通的看法 (PVaC)。卡方分析探讨了在双语双文化方法中看护人对有关使用口语/澳大利亚语的 PVaC 问题的反应的分布和强度。探讨了儿童/家庭特征、儿童语言和父母偏好之间的相关性。父母关于使用 CI/s 与孩子沟通的决定是由多种信息来源和影响力驱动的。听力诊断前后儿童沟通方式的变化以及 CI 之后的变化与儿童语言结果或家庭特征无关，但在一定程度上受父母价值观和儿童偏好的影响。对领域很重要，父母/看护人需要专业人士的公正支持来了解他们的需求并寻求信息（Young，2002）。与 Watson 等人一致。(2007) 儿童偏好对父母的决策有影响；本研究表明，儿童的语言和认知技能也具有影响力。