Age of Suspicion, Identification, and Intervention for Infants and Young Children with Hearing Loss: A National Study

Harrison, Melody; Roush, Jackson

doi:10.1097/00003446-199602000-00007

Cited by 152 publications

(92 citation statements)

References 8 publications

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“…[30][32] In yet another study the average delay between diagnosis and hearing and fitting was 3 months. [34] In the article of Sjoblad et al, the interval was reported to be 8 months. [38] We have also noticed an undue delay in the amplification by putting hearing aid to those who have detected to have deafness with a mean age of 29.28 months.…”

Section: Discussionmentioning

confidence: 99%

Challenges in the detection and intervention of childhood deafness: Experience from a developing country

Kumar¹,

Kolethekkat²,

Kurien³

2015

Int Jour of Biomed Res

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The Objectives: To determine the age of suspicion, confirmation and amplification of hearing handicap in children and to assess the burden of parental delay in the evaluation of hearing loss. Methods: A prospective study was done at a tertiary academic hospital in South India on 61 children with bilateral sensory neural deafness who either warrant hearing aid fitting for amplification or those hearing aids found ineffective. Any significant motor, visual, sensory or genetic disorders were excluded. Interviewer administered a questionnaire to the parents, guardian or older children for evaluations of their awareness and knowledge of the special needs. Pure tone audiometry was done for all children older than 5 years and Auditory Brainstem Evoked Response (ABER) audiometry was done in those younger than 5 years and older children who were mentally challenged. All the children were prescribed hearing aid after a trail and those who were already aided were evaluated for the performance of the aid. From the data, the age of suspicion, identification and the amplification were determined. The various factors were noted; data entered and analyzed using Statistical Programme for Social Science (SPSS -Version 6). Design: Prospective case study Results: The mean age in months at first suspicion, identification and the amplification was 19.59 months, 24.82 months and 29.28 months respectively. The average delays between the age of suspicion and identification was 5.23 months and the time interval between the identification and amplification was 4.46 months. In 70.48% of children the hearing loss was suspected after one year of age and only 1.6% have confirmed to have hearing loss and amplified before 6 months. Conclusion:The substantial parental delay of suspicion and its subsequent delay in identification and the amplification of childhood deafness indicate that the attainable realistic goal of EHDI has not yet been achieved. Setting up EHDI through UNHS is a challenge in developing countries, however an unavoidable strategy. Hence cost effective national policies with community support should be considered to give greater chance of linguistic, psychological and social development to the hearing impaired children.

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Section: Discussionmentioning

confidence: 99%

Challenges in the detection and intervention of childhood deafness: Experience from a developing country

Kumar¹,

Kolethekkat²,

Kurien³

2015

Int Jour of Biomed Res

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“…Approximately 98% of eligible infants born in the United States are now being screened for HL at birth (U.S. Centers for Disease Control, 2011), which has led to dramatic reductions over the past two decades in the age at identification of HL for children who are hard of hearing (Harrison & Roush, 1996;Holte et al, 2012). Although the vast majority of infants are being screened for HL, an often stated concern is that children with mild HL are more likely to be underidentified or later identified compared with children with moderate-to-profound HL (Johnson et al, 2005;Ross et al, 2008).…”

Section: Nhs and Mild Hlmentioning

confidence: 99%

Service Delivery to Children With Mild Hearing Loss: Current Practice Patterns and Parent Perceptions

et al. 2017

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Purpose This study investigates clinical practice patterns and parent perception of intervention for children with mild hearing loss (HL). Method Ages at and delays between service delivery steps (first diagnostic evaluation, confirmation of HL, hearing aid [HA] fitting, entry into early intervention) were investigated for 113 children with mild HL. Comparisons were made to children with moderate-to-severe HL. Parents of children with mild HL reported reasons for delays and their perceptions of intervention and amplification for their children. Results Seventy-four percent of children with mild HL were identified through the newborn hearing screen; 26% were identified later due to passing or not receiving a newborn hearing screen. Ninety-four percent of children with mild HL were fit with HAs, albeit at significantly later ages than children with moderate-to-severe HL. Most parents indicated that their children benefited from HA use, but some parents expressed ambivalence toward the amount of benefit. Conclusions Audiologists appear to be moving toward regularly providing amplification for children with mild HL. However, delays in HA fittings indicate that further educating professionals and parents about the benefits of early amplification and intervention is warranted to encourage timely fitting and consistent use of HAs.

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“…13 To engage in this cause, the National Center and the Department of State and Chapter Affairs established a national network of professionals in the AAP state chapters to promote hearing screening and its necessary linkage to a child's medical home. These "Chapter Champions" have been instrumental in educating child health care professionals, at the state and local levels, on necessary identification, diagnosis, treatment, and follow-up guidelines developed by the AAP Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis, and Intervention.…”

Section: Resource Developmentmentioning

confidence: 99%

American Academy of Pediatrics Newborn Screening Task Force Recommendations: How Far Have We Come?

et al. 2006

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The partnership of the Health Resources and Services Administration (HRSA)/ Maternal and Child Health Bureau (MCHB) and the American Academy of Pediatrics (AAP) for improving health care for all children has long been recognized. In 1998, the establishment of the Newborn Screening Task Force marked a major initiative in addressing the needs of the newborn screening system. At the request of HRSA/MCHB, the AAP convened the task force to ensure that pediatric clinicians assumed a leadership role in examining the totality of the newborn screening system, including the necessary linkage to medical homes. The task force's report, published in 2000, outlined major recommendations for federal, state, and other national partners in addressing the identified barriers and needed enhancements of the care delivery system. Today, manifestations of the task force's recommendations are evident, many of which occurred under the leadership of HRSA/MCHB and the AAP. These activities are detailed in this article, with a discussion of future progression toward a quality, consistent, coordinated system of care for children identified with positive newborn screening results, their families, and the child health professionals who care for them.www.pediatrics.org/cgi

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Age of Suspicion, Identification, and Intervention for Infants and Young Children with Hearing Loss: A National Study

Abstract: The median age of identification and intervention, although still higher than optimal, may be improving. Further research is needed to identify the many factors that continue to delay the timely management of hearing loss in young children.

Cited by 152 publications

References 8 publications

Challenges in the detection and intervention of childhood deafness: Experience from a developing country

Challenges in the detection and intervention of childhood deafness: Experience from a developing country

Service Delivery to Children With Mild Hearing Loss: Current Practice Patterns and Parent Perceptions

American Academy of Pediatrics Newborn Screening Task Force Recommendations: How Far Have We Come?

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