ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2021
Parenting Stress, Self-Efficacy, and Involvement: Effects on Spoken Language Ability Three Years After Cochlear Implantation.
Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Meta-Analyses of the Relationships between Family Systems Practices, Parents' Psychological Health, and Parenting Quality.International journal of environmental research and public health · 2023Pooled it
- Impacts of hearing history, etiology, vestibular and balance function, and socioeconomic marginalization on developmental outcomes in children with cochlear implants.Scientific reports · 2026Article
- Effortful control and expressive language in deaf or hard-of-hearing children: The contributions of caregiver language and parenting stress.Journal of child language · 2026Article
- Hearing and early life adversity: effects of developmental stress on sensory processing.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Early Cochlear Implant Promotes Global Development in Children with Severe-to-Profound Hearing Loss.Audiology research · 2025Article
- Communicative participation of school-aged children with cochlear implants: parental perceptions.Journal of deaf studies and deaf education · 2025Article
- Exploration of parental perspectives and involvement in therapeutic communication approaches for deaf and/or hard-of-hearing children at special schools in South Africa.Medical humanities · 2025Article
- The role of socioeconomic factors and third-party support in language development for children with cochlear implants.Scientific reports · 2025Article
- Teenagers and Young Adults with Cochlear Implants: A Multidisciplinary Follow-Up Study Approach and Baseline Characteristics.Audiology research · 2025Article
- Parental self-efficacy and early language development in deaf and hard-of-hearing children.Journal of deaf studies and deaf education · 2024Article
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- Article
- Preschool Children with Hearing Loss: Social Communication and Parenting Stress.Journal of personalized medicine · 2023Article
- Parents of children with hearing loss: Impact and exposure of COVID-19 on mental health.PloS one · 2023Article
- Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual Model.Journal of clinical medicine · 2022Review
- Family-Centered Early Intervention (FCEI) Involving Fathers and Mothers of Children Who Are Deaf or Hard of Hearing: Parental Involvement and Self-Efficacy.Journal of clinical medicine · 2022Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveThis study evaluated associations among parenting stress, self-efficacy, and involvement in relation to spoken language outcomes in young children 3 years following cochlear implantation. STUDY
designCross-sectional.
settingSix university tertiary medical centers. PATIENTS: One hundred sixty-four young children with bilateral, severe-to-profound sensorineural hearing loss who had 3 years of experience with a CI; children with substantial cognitive impairments were excluded from the study. MAIN OUTCOME MEASURESS: Family Stress Scale (FSS), Scale of Parental Involvement and Self-Efficacy (SPISE), Oral and Written Language Scales (OWLS).
resultsCorrelations were of moderate strength between FSS scores and SPISE scores (Parental Self-Efficacy, r = -0.45, p < 0.01, Parental Involvement r = -0.32, p < 0.01). As hypothesized, parents reporting higher levels of stress reported lower perceptions of self-efficacy and involvement. In addition, results showed that family stress had a direct, negative effect on spoken language (-4.43 [95% confidence interval: -6.97; -1.89]). After controlling for maternal education and activation age, parental self-efficacy mediated the negative effect between family stress and spoken language (indirect effect = -1.91 [3.45; -0.69]; proportion mediated = 0.43). No mediating effects were found for parental involvement.
conclusionsThese findings highlight the need for parenting interventions that focus on reducing stressors and increasing parents' perceptions of self-efficacy in families of children using cochlear implants. Integration of mental health screening and tailored parenting interventions in CI clinics may increase parental self-efficacy and involvement, with measurable benefits in the child's use of spoken language.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.