Parental Expectation and Perception of CI Benefits in Their Implanted Wards


Parents of implanted children develop a set of expectations prior to implantation about future performance and outcomes of their child. This set of expectations has an important impact on post-implant satisfaction levels. The position of the parent in the household makes them uniquely placed to assess the impact of implantation in the context within which the child grows up. There is strong need to find out expectations of parents from CI outcomes in implanted children. The functional benefits of CI may be measured by administering the parental perception of CI benefits in their implanted wards. The primary aim of the study was to find out different expectations of CI outcomes in parents of CI users and the perception of CI outcomes in the parents of CI users. Secondary aim was to find out the most important concerns of parents towards their implanted children. Twenty families with a child implanted for duration of more than 2 years were selected for the study. Two questionnaires (1) Parent Expectations Questionnaire for Cochlear Implants (Nemours children clinic) and (2) Parents and their cochlear implanted child Questionnaire (O’Neill Int J Pediatr Otorhinolaryngol 68: 149–160 2004) were administered on these parents. Results were analyzed qualitatively. Parents expected their implanted children to use the telephone, to be able to detect soft sounds, to listen in crowds, to be able to easily understand others, and to show improvement in communication skills. The quality of speech, process of implantation, to take time off for the appointments at the implant centre and making decision to proceed with implantation were main concerns of the parents. Parents have a high expectation from their implanted children in all domains of life i.e. communication abilities, social and academic skills. Parents have high positive views about the outcomes of the CI. However there are areas which need attention for a positive outcome from the point of view of parents of implanted children.

This is a preview of subscription content, log in to check access.


  1. 1.

    Blacher J (1984) Sequential stages of adjustment to the birth of a child with handicaps: Fact or artifact? Ment Retard 22:55–68

    CAS  PubMed  Google Scholar 

  2. 2.

    Damen GW, Krabbe PF, Archbold SM, Mylanus EA (2007) Evaluation of the parental perspective instrument for pediatric cochlear implantation to arrive at a short version. Int J Pediatr Otorhinolaryngol 71(3):425–433

    Article  Google Scholar 

  3. 3. Accessed 3 Nov 2018

  4. 4.

    O’Neill C, Lutman ME, Archbold SM, Gregory S, Nikolopoulos TP (2004) Parents and their cochlear implanted child; questionnaire development to assess parental views and experiences. Int J Pediatr Otorhinolaryngol 68:149–160

    Article  Google Scholar 

  5. 5. Accessed 3 Nov 2018

  6. 6.

    Stefanini MR, Morettin M, Zabeu JS, Bevilacqua MC, Moret AL (2014) Parental perspectives of children using cochlear implant. Codas 26(6):487–493

    Article  Google Scholar 

  7. 7.

    Quittner AL, Steck JT, Rouiller RL (1991) Cochlear implants in children: a study of parental stress and adjustment. Am J Otol 12(Suppl.):95–104

    PubMed  Google Scholar 

  8. 8.

    Weisel A, Most T, Michael R (2007) Mothers’ stress and expectations as a function of time since child’s cochlear implantation. J Deaf Stud Deaf Educ 12(01):55–64

    Article  Google Scholar 

  9. 9.

    Cunningham JK (1990) Parents’ evaluation of the effects of 3M/housed cochlear implants in children. Ear Hear 11:375–381

    CAS  Article  Google Scholar 

  10. 10.

    Archbold S, Sach T, O’Neill C, Lutman M, Gregory S (2008) Outcomes from cochlear implantation for child and family: parental perspectives. Deaf Educ Int 10(3):120–142

    Article  Google Scholar 

  11. 11.

    Nicholas JG, Geers AE (2003) Personal, social, and family adjustment in school-aged children with a cochlear implant. Ear Hear 24(1 Suppl):69S–81S

    Article  Google Scholar 

  12. 12.

    Sach TH, Whynes DK (2005) Paediatric cochlear implantation: the views of parents. Int J Audiol 44(7):400–407

    Article  Google Scholar 

  13. 13.

    Beadle EA, McKinley DJ, Nikolopoulos TP, Brough J, O’Donoghue GM, Archbold SM (2005) Long-term functional outcomes and academicoccupational status in implanted children after 10 to 14 years of cochlear implant use. Otol Neurotol 26(6):1152–1160

    Article  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Md. Noorain Alam.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Alam, M.N., Munjal, S., Sharma, A. et al. Parental Expectation and Perception of CI Benefits in Their Implanted Wards. Indian J Otolaryngol Head Neck Surg 71, 1153–1156 (2019).

Download citation


  • Cochlear implant
  • Expectation
  • Perception
  • Concerns
  • Parents