Cochlear Implant Nonuse: Insight from Deaf Adults

Research examining the outcome of pediatric cochlear implantation consists of certain limitations, including the use of
assessments that are often restricted to auditory-spoken skills, biased recruitment practices, and lack of consideration for
identity development. To better understand the long-term outcome of implantation, it is vital to seek out individuals who
decide to stop using their device and elicit feedback related to their decision. Thus, 11 adults, who were past cochlear
implant (CI) users, were interviewed to gain insight into factors that had led to their decision regarding cochlear implant
nonuse. Results indicated several variables to have played a role, but the most prominent factors were limitations in
postimplant auditory perceptual development and development of a d/Deaf identity. Although cochlear implant practices
and technology have improved over the past few decades, we need to recognize the continued variability in outcome to
ensure the provision of the most accurate information and appropriate services.