Strategies for improving music perception and enjoyment: a case study of a deafblind musician with cochlear implants.

OBJECTIVES

This study explores the experiences of a deafblind cochlear implant (CI) user, who is also a musician and a music therapist. It aims to provide insights into adaptive strategies that might improve music listening with CIs.

METHODS

A qualitative case study framework was utilized, incorporating an in-depth semi-structured interview with the participant. This methodological approach facilitated a comprehensive examination of the participant's musical engagement and the evolution of their auditory experiences over time. The transcribed data were analyzed using thematic analysis to identify emergent patterns and themes.

RESULTS

Four main themes were identified through thematic analysis: (1) emotional connection and musical identity, (2) changes in musical engagement throughout deafblindness, (3) innovative self-driven strategies for improving music perception, and (4) technological and social support in music perception.

DISCUSSION: The interviewee's experiences highlight a proactive approach to integrating CI auditory cues with extensive musical expertise. The study underscores the importance of personalized CI programming, audiologist support and adaptive strategies in enhancing music perception and enjoyment for CI users. While based on a single case, the findings provide insights into how CI users develop individualized approaches to music. This study advocates for a multidisciplinary approach to CI programming, accommodating diverse hearing histories and musical backgrounds.