Role of language assessment interval duration (LAID) in optimization of
language development in children with cochlear implant: A systematic
review
Abstract
Purpose: Early fitting of cochlear implant (CI) enables longer access of
the critical period for language stimulation. In CI research, language
assessment interval duration (LAID) which is a time gap between two
language assessment phases, has been widely documented from the age of 2
months to 5 years and beyond. Thus, the objective of this review was to
explore the potential role of the LAID in development of overall
language outcomes. Method: A total of 1577 research articles were
selected based on the age of implantation (AOI) below 24 months, at
least two sessions of speech therapy per week, and occurrence of at
least two formal language assessments. Twenty-one articles, consisting
of 635 children with CI, were shortlisted for this review. Based on the
LAID, the selected articles were classified into three categories based
on AOI: <6 months, between 6-24 months and >24
months. Result: Children with LAID of <6 months performed
better in language development in comparison of the other two
categories. The shorter LAID of six months enables real-time, periodic
feedback to the language stimulating program which can fasten the growth
of speech and language. Conclusion: Based on the specific clinical
protocol, participant’s availability, cost, and insurance cover the LAID
is inconsistently practiced. Thus, the need of the development of a
precise clinical protocol on the LAID is warranted. A shorter duration
of the LAID of six months can optimize language outcomes in the children
with early implantation, leading to enhancement of the CI effectiveness.