Dissertations, Theses, and Capstone Projects

Date of Degree

6-2026

Document Type

Doctoral Capstone Project

Degree Name

Doctor of Audiology

Program

Audiology

Advisor

Barbara Weinstein

Advisor

Dorothy DiToro

Subject Categories

Speech Pathology and Audiology

Keywords

cochlear implant, music appreciation, post-lingually deafened adult, hearing science, audiology, music

Abstract

Cochlear implants provide significant benefits for speech perception in individuals with severe to profound hearing loss; however, music perception and appreciation remain challenging due to limited spectral and temporal resolution. This study examined music appreciation in post lingually deafened adult cochlear implant users, focusing on changes in enjoyment, listening behaviors, and subjective experiences following implantation. Sixteen adults completed a 36-item questionnaire assessing pre- and post-implant music engagement, perceived sound quality, and emotional responses to music. Quantitative data were analyzed using descriptive statistics and inferential statistics, and qualitative responses were analyzed thematically.

Results indicated a moderate decline in music enjoyment following implantation, although this difference did not reach statistical significance. Music listening frequency decreased significantly and was strongly correlated with changes in enjoyment. Duration of cochlear implant use was positively associated with music enjoyment, satisfaction, and listening frequency, suggesting improvement over time. Qualitative findings highlighted challenges with pitch and timbre perception, as well as themes of adaptation, familiarity, and active listening.

Despite these limitations, many cochlear implant users continue to engage with and value music. These findings highlight the importance of realistic counseling and music-focused rehabilitation strategies to support quality of life.

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