Videogestützte Elternberatung und Beurteilung der Entwicklung des elterlichen Kommunikationsverhaltens mit ihren Cochlea Implantat-versorgten Kindern – Fallstudie

Zusammenfassung

Videogestützte Beratungsangebote sind Teil familienzentrierter Konzepte in der Therapie und Frühförderung von Kindern nach Cochlea Implantat-Versorgung. Ziel dieser retrospektiven Längsschnitt-Fallstudie ist es, zu untersuchen, ob mittels EKIE-hör (Eltern-Kind-Interaktionseinschätzskala) elterliches Interaktionsverhalten mit ihrem CI-versorgten Kind im individuellen Einzelfall im Verlauf adäquat bewertet werden kann. Zudem soll der Einfluss videogestützter Beratung auf das Interaktionsverhalten im Therapieverlauf sichtbar gemacht werden.

Untersucht wurden drei Eltern-Kind-Dyaden mit unterschiedlichem Bildungshintergrund und unterschiedlichen Voraussetzungen: monolingual Deutsch, zusätzliche Erschwernisse in der Eltern-Kind-Interaktion, andere Erstsprache.

Es zeigten sich fallspezifische Schwerpunkte, Interaktionsverläufe und Beratungserfolge. Beratungsschwerpunkte blieben i. d. R. über einen längeren Zeitraum konstant. Eine wesentliche Herausforderung für Eltern CI-versorgter Kinder ist die Balance zwischen sensitiver Reaktion auf die Hörschädigung und angemessener Erhöhung sprachlicher Komplexität.

Abstract

Video-based counseling services are part of family-centered concepts in the therapy of children with cochlear implants. The aim of this retrospective longitudinal case study is to investigate whether EKIE-hör (parent-child interaction assessment scale) can be used to adequately assess parental interaction behavior with their CI-fitted child in individual cases over the course of therapy. In addition, the influence of video-supported counseling on the interaction behavior in the course of therapy is to be made visible.

Three parent-child dyads with different educational backgrounds and different prerequisites were examined: monolingual German, additional difficulties in parent-child interaction, other first language.

There were case-specific focal points, courses of interaction and counseling successes. As a rule, the focal points of counseling remained constant over a longer period of time. A major challenge for parents of children with CIs is the balance between a sensitive reaction to the hearing loss and an appropriate increase in linguistic complexity.

Schlüsselwörter

Eltern-Kind-Interaktion Videogestützte Elternberatung - Fallstudie - Cochlea Implantat

Keywords

parent-child-interaction - video-based parent counselling - case study - cochlear implant

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