Factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge, attitude and practice
Objectives This study aimed to examine factors that influence postoperative rehabilitation outcomes in children with cochlear implants, using a knowledge–attitude–practice (KAP) framework.Design A total of 683 children with cochlear implants participated in this study. Hearing and speech assessments...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
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| author | Jing Ma Xia Li Ken Lin Yiyun Zhang Wenyue Chi Xiuli Ma Dong Su Yuling Du Tiesong Zhang |
| author_facet | Jing Ma Xia Li Ken Lin Yiyun Zhang Wenyue Chi Xiuli Ma Dong Su Yuling Du Tiesong Zhang |
| author_sort | Jing Ma |
| collection | DOAJ |
| description | Objectives This study aimed to examine factors that influence postoperative rehabilitation outcomes in children with cochlear implants, using a knowledge–attitude–practice (KAP) framework.Design A total of 683 children with cochlear implants participated in this study. Hearing and speech assessments were conducted through face-to-face and/or telephone interviews, while parents’ or guardians’ KAP were assessed following detailed instructions provided beforehand. Responses were recorded meticulously.Setting Data were collected through a convenience sampling method at a children’s hospital.Participants Out of 840 questionnaires distributed, 683 completed questionnaires were retained for analysis after excluding responses with missing data.Results Parents’ average KAP score was 8.03 (SD = 3.13). Household income and education levels directly influenced KAP scores, while certain child characteristics were significantly associated with higher scores on the Infant–Toddler Meaningful Auditory Integration Scale (IT-MAIS). Children who were outgoing (32.29 points), had used a cochlear implant for more than 3 years (32.78 points), and had surgery funded by state support (32.14 points) demonstrated higher MAIS scores. Factors such as personality, monthly family income, surgery funding and parents' beliefs significantly affected rehabilitation outcomes among children.Conclusion Parental knowledge about deafness, trust in cochlear implant procedures and healthcare providers, and parental behaviours during the treatment and rehabilitation process have a direct impact on children’s health outcomes. Enhancing parents’ KAP levels is critical to improve rehabilitation outcomes for children with cochlear implants. |
| format | Article |
| id | doaj-art-918e66eae1ee4b5aa737385df083ab8b |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-918e66eae1ee4b5aa737385df083ab8b2025-01-14T22:40:11ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-084278Factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge, attitude and practiceJing Ma0Xia Li1Ken Lin2Yiyun Zhang3Wenyue Chi4Xiuli Ma5Dong Su6Yuling Du7Tiesong Zhang8Department of Otolaryngology, Head and Neck Surgery, Kunming Children`s Hospital, Kunming, Yunnan, China1 Department of Neonatology Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Kunming Children`s Hospital, Kunming, Yunnan, ChinaSchool of Ethnology and Sociology, Yunnan University, Kunming, Yunnan, ChinaKunming Medical University, Kunming, Yunnan, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Kunming Children`s Hospital, Kunming, Yunnan, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Kunming Children`s Hospital, Kunming, Yunnan, ChinaKunming Medical University, Kunming, Yunnan, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Kunming Children`s Hospital, Kunming, Yunnan, ChinaObjectives This study aimed to examine factors that influence postoperative rehabilitation outcomes in children with cochlear implants, using a knowledge–attitude–practice (KAP) framework.Design A total of 683 children with cochlear implants participated in this study. Hearing and speech assessments were conducted through face-to-face and/or telephone interviews, while parents’ or guardians’ KAP were assessed following detailed instructions provided beforehand. Responses were recorded meticulously.Setting Data were collected through a convenience sampling method at a children’s hospital.Participants Out of 840 questionnaires distributed, 683 completed questionnaires were retained for analysis after excluding responses with missing data.Results Parents’ average KAP score was 8.03 (SD = 3.13). Household income and education levels directly influenced KAP scores, while certain child characteristics were significantly associated with higher scores on the Infant–Toddler Meaningful Auditory Integration Scale (IT-MAIS). Children who were outgoing (32.29 points), had used a cochlear implant for more than 3 years (32.78 points), and had surgery funded by state support (32.14 points) demonstrated higher MAIS scores. Factors such as personality, monthly family income, surgery funding and parents' beliefs significantly affected rehabilitation outcomes among children.Conclusion Parental knowledge about deafness, trust in cochlear implant procedures and healthcare providers, and parental behaviours during the treatment and rehabilitation process have a direct impact on children’s health outcomes. Enhancing parents’ KAP levels is critical to improve rehabilitation outcomes for children with cochlear implants.https://bmjopen.bmj.com/content/15/1/e084278.full |
| spellingShingle | Jing Ma Xia Li Ken Lin Yiyun Zhang Wenyue Chi Xiuli Ma Dong Su Yuling Du Tiesong Zhang Factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge, attitude and practice BMJ Open |
| title | Factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge, attitude and practice |
| title_full | Factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge, attitude and practice |
| title_fullStr | Factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge, attitude and practice |
| title_full_unstemmed | Factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge, attitude and practice |
| title_short | Factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge, attitude and practice |
| title_sort | factors affecting the quality of postoperative rehabilitation in children with cochlear implants based on the theory of knowledge attitude and practice |
| url | https://bmjopen.bmj.com/content/15/1/e084278.full |
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