The Differential Effects of Auditory Status on the Number and Type of Extracurricular Activities and Subsequent Social Satisfaction in Adolescents

Participation in extracurricular activities positively affects quality of life, including social satisfaction, but disabilities may influence the extent of involvement in adolescents. For example, a diagnosis such as Deaf or hard of hearing may coincide with communication deficits or accessibility challenges that could alter participation patterns. This study investigates the effect of auditory status on activity involvement in adolescents relative to the number and type of activities and the relationship between extracurricular engagement and quality of life. Participants included 113 adolescents (13–17 years) who either used a cochlear implant (n = 68) or had typical hearing (n = 45). Adolescents completed an online survey querying demographic characteristics (e.g., auditory history, self-rated communication skills, extracurricular activity involvement), temperament, and social satisfaction. Adolescents with typical hearing engaged in significantly more extracurricular activities than adolescents with cochlear implants, with significantly higher participation in performing arts, community service, and academic-based clubs than the cochlear implant group. Higher levels of activity engagement co-occur with social satisfaction. Clinicians should encourage participation in extracurricular activities to foster social interactions and positive quality of life in adolescents who are Deaf or hard of hearing.