Being in flux: the experiences of everyday listening among children and young people with cochlear implants

OBJECTIVE: Although children and young people (CYP) with bilateral cochlear implants (BCI) can have difficulties perceiving speech-in-noise and sound localisation, little is known about their experiences of listening in daily life. This study explored CYP's perspectives of everyday listening. DESIGN: Embedded within a randomised controlled trial, a qualitative study using repeat interviews, was conducted. Data were analysed using the Framework approach. STUDY SAMPLE: 81 interviews were carried out with 46 CYP with BCI, aged 8-16. RESULTS: explains how CYP used various strategies to either alter, accept or avoid each context-specific listening situation. Although CYP's experiences and management of situations changed as they got older, the relationship between age, listening experiences and coping strategies was individualised and complex. CONCLUSIONS: Decision-making around how to cope with situational demands was influenced by CYP's agency and choice of strategy impacted on CYP's participation and inclusion. Further research is needed to understand how experiences change over time and how CYP can be supported to develop agency, self-advocacy and resilience to maximise their hearing.