Academic Outcomes and Coping Mechanisms of Children using Cochlear Implants in Mainstream Schools in Kerala, India.

Purpose: The aim of the present study was to understand the academic outcomes of children using cochlear implants in mainstream schools in Kerala, India and to explore the compensatory strategies used by them to overcome the difficulties faced in classrooms. Method: Thirty-one children using cochlear implants who were attending first and second grades in mainstream schools, and their parents and teachers participated in the study. Teachers were asked to rate a questionnaire, "Teachers' Perceptions of Academic Outcomes", which consisted of five sections -- oral comprehension, oral expression, reading, writing and mathematics. The performance of the children using cochlear implants was compared with the performance of typically hearing children in the class. The grades obtained in the previous examination were also used for the comparison. Information was collected regarding difficulties faced by the children inside the classroom and their strategies to overcome the challenges. Results: The class teachers rated the performance of 71 % of these children as 'above average'. Though the academic outcomes were found to be good on the questionnaire and classroom tests, most of the children with cochlear implants faced various difficulties and had used different compensatory strategies to give their optimum performance in the classroom. Conclusion: The study emphasizes the importance of having mid- and long-term follow-ups with children using cochlear implants, even after mainstreaming. It is necessary to orient and train teachers about the needs of these children and to implement support strategies in mainstream schools. [ABSTRACT FROM AUTHOR]