J Multidiscip Care. 2022;11(4): 164-171.
doi: 10.34172/jmdc.2022.96
  Abstract View: 540
  PDF Download: 272

Original Article

Program to reduce empowerment barriers hindering mothers to contribute to speech skills of hearing-impaired children with cochlear implant

Leila Ravanyar 1* ORCID logo, Firoozeh Mostafavi 2 ORCID logo, Shervin-Sadat Hashemian 3 ORCID logo, Rana Hosseini 1 ORCID logo, Seyed Mohammad Mahdi Hazavehei 4 ORCID logo, Mohammad Majid Oryadi-Zanjani 5 ORCID logo

1 Social Determinant of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
2 Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Community Medicine and Health, School of Medicine, Golestan University of Medical Sciences, Golestan, Iran
4 Department of Public Health, School of Health, Hamedan University of Medical Sciences, Hamedan, Iran
5 Department of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
*Corresponding Author: Leila Ravanyar, Email: ravanyar2007@yahoo.com


Background and aims: Given the importance of reducing barriers hindering the empowerment of mothers from contributing to the rehabilitation of hearing-impaired children with cochlear implants, the present study points to the direction of designing, adopting, and assessing a program that would lessen such barriers.

Methods: In this randomized controlled trial (RCT), participants were consecutively selected from individuals referring to speech-therapy centers serving hearing-impaired children in the Town of Shiraz (Iran). Intervention and control groups were established using randomized block selection (35 individuals per group). The parent-based intervention was adopted in 6 training sessions, each session lasting 80 minutes. A researcher-made questionnaire was employed to investigate empowerment barriers, while children’s speech skill was assessed using the Newsha scale.

Results: Data collected from 35 intervention and 33 control group members were examined. Evaluation of primary and interactional effects of “time” and “group” shows time to have a meaningful effect on “parental discord” and “empowerment barrier” variables (P<0.001). Time-group interaction also proved significant regarding effects on “difficulty working with hearing-impaired child” and “parents’ false beliefs”. Compared to the control group, the intervention group shows significant improvement across all variables at studied different time periods. Not to forget the immediate effects of time and group on the “speech skill” variable, which also proved significant (P=0.001).

Conclusion: The results denote the effectiveness of the parent-based intervention on mothers’ empowerment and speech improvement in children with impaired hearing.

Cite this article as: Ravanyar L, Mostafavi F, Hashemian SS, Hosseini R, Hazavehei SMM, Oryadi Zanjani MM. Program to reduce empowerment barriers hindering mothers to contribute to speech skills of hearing-impaired children with cochlear implant. Journal of Multidisciplinary Care. 2022;11(4):164-171. doi: 10.34172/jmdc.2022.96.
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Submitted: 04 Sep 2022
Revision: 15 Dec 2022
Accepted: 26 Dec 2022
ePublished: 30 Dec 2022
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