Listening comprehension is important for oral communication, but little is known about it in children using cochlear implants (CIs). Hence, we explored discourse-level listening comprehension in CI users and their typical hearing (TH) peers. DESIGN AND
Audiologists and educators working with pediatric cochlear implant users should assess both speech perception and broader language abilities when evaluating listening comprehension, as neither alone fully explains outcomes at the discourse level.
Understanding what drives listening comprehension at the discourse level — beyond basic speech perception — can help clinicians and educators better target rehabilitation and support for school-age children with cochlear implants.
- 01Study examines discourse-level listening comprehension in school-age cochlear implant users.
- 02Explores the relative contributions of speech perception and language skills to comprehension.
- 03Published in International Journal of Audiology (DOI: 10.1080/14992027.2026.2664659).
- 04Findings could inform more holistic rehabilitation goals beyond audibility alone.
- 05Highlights that language skill is a distinct and important factor alongside speech perception.
Both speech perception and language skills contribute to discourse-level listening comprehension in children with cochlear implants.
studypartially supported- PMID
- 42218811
- DOI
- 10.1080/14992027.2026.2664659.
- Journal
- International Journal of Audiology
- Publication type
- research_article
- Evidence level
- 4
- Population
- School-age children with cochlear implants
- Intervention
- Assessment of discourse-level listening comprehension
Primary outcomes
Discourse-level listening comprehension; Speech perception accuracy; Language skill performance