Can Mild Bilateral Sensorineural Hearing Loss Affect Developmental Abilities in Younger School-Age Children?

Đoković, Sanja; Gligorović, Milica; Ostojić, Sanja; Dimić, Nadežda; Radić-Šestić, Marina; Slavnić, Svetlana

doi:10.1093/deafed/enu018

Cited by 25 publications

(14 citation statements)

References 32 publications

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“…This finding is consistent with results from the OCHL cohort as a whole: Another report on the entire sample of children who are hard of hearing showed a pattern of children performing, on average, within the normative range of the standardized tests but significantly lower than the OCHL control group with normal hearing . This pattern reflects an issue that has been discussed by other authors in the literature on mild HL (Blair et al, 1985;Đoković et al, 2014;Kiese-Himmel & Ohlwein, 2003), in which children with mild HL performed within normal limits on standardized language measures but significantly worse when compared with peers. In the present study, we made comparisons within the group of children with mild HL, but the end result is similar.…”

Section: Discussionsupporting

confidence: 77%

“…Furthermore, there is ambiguity regarding appropriate clinical interventions for children with mild HL, particularly involving the need for audiological management (Fitzpatrick, Durieux-Smith, & Whittingham, 2010). This general uncertainty exists, at least in part, because of conflicting findings from the past and present literature: Some studies have reported negative effects of mild HL on developmental outcomes (Davis, Stelmachowicz, Shepard, & Gorga, 1981;Đoković et al, 2014), whereas other studies have suggested that mild HL has minimal or no effect on outcomes (Kiese-Himmel & Ohlwein, 2003;Porter, Sladen, Ampah, Rothpletz, & Bess, 2013;Wake et al, 2006). Limitations in past studies include grouping children with mild and unilateral HL together under the umbrella term of minimal HL and/or failing to consider the contributions of early intervention, aided audibility, or consistent hearing aid (HA) use to outcomes.…”

Section: Discussionmentioning

confidence: 99%

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The Influence of Hearing Aid Use on Outcomes of Children With Mild Hearing Loss

Walker

Holte

McCreery

et al. 2015

J Speech Lang Hear Res

136

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Purpose: This study examined the effects of consistent hearing aid (HA) use on outcomes in children with mild hearing loss (HL). Method: Five-or 7-year-old children with mild HL were separated into 3 groups on the basis of patterns of daily HA use. Using analyses of variance, we compared outcomes between groups on speech and language tests and a speech perception in noise task. Regression models were used to investigate the influence of cumulative auditory experience (audibility, early intervention, HA use) on outcomes. Results: Full-time HA users demonstrated significantly higher scores on vocabulary and grammar measures compared with nonusers. There were no significant differences between the 3 groups on articulation or speech perception measures. After controlling for the variance in age at confirmation of HL, level of audibility, and enrollment in early intervention, only amount of daily HA use was a significant predictor of grammar and vocabulary. Conclusions: The current results provide evidence that children's language development benefits from consistent HA use. Nonusers are at risk in areas such as vocabulary and grammar compared with other children with mild HL who wear HAs regularly. Service providers should work collaboratively to encourage consistent HA use.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

The Influence of Hearing Aid Use on Outcomes of Children With Mild Hearing Loss

Walker

Holte

McCreery

et al. 2015

J Speech Lang Hear Res

136

View full text Add to dashboard Cite

show abstract

“…Second, the limited research that does exist provides mixed evidence regarding the negative impact of mild HL on outcomes. Although some authors have concluded that children with mild HL do not experience adverse effects as the result of HL in this range (e.g., Kiese-Himmel & Ohlwein, 2003;Wake et al, 2006;Wolgemuth, Kamhi, & Lee, 1998), other studies have indicated that these children face challenges at home and school (e.g., Blair et al, 1985;Đoković et al, 2014;Porter, Sladen, Ampah, Rothpletz, & Bess, 2013). For example, Wake et al (2006) did not find significant differences between children with mild HL and children with normal hearing on measures of reading, language, and behavior.…”

Section: Developmental Outcomes and Service Provision In Children Witmentioning

confidence: 97%

“…It should be noted, however, that there are limitations in interpreting these prior studies with regard to the importance of early identification and intervention for children with mild HL. Much of the available research was conducted with populations of children who did not have access to NHS, and thus the children were identified later, on average, than might be expected for children with mild HL born in the post-NHS era (Blair et al, 1985;Davis et al, 1986;Đoković et al, 2014;Wake et al, 2006;Wolgemuth et al, 1998).…”

Section: Developmental Outcomes and Service Provision In Children Witmentioning

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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“…More pertinent to the OCHL study sample are studies that examined the consequences of mild bilateral sensorineural HL. Dokovic et al (2014) identified 144 school-aged children with mild bilateral HL who had not previously received HAs or other services. These students demonstrated deficits in phonological memory and morphosyntactic skills, suggesting consequences for structural aspects of language when mild HL goes untreated.…”

Section: Introductionmentioning

confidence: 99%

An Introduction to the Outcomes of Children with Hearing Loss Study

2015

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The landscape of service provision for young children with hearing loss has shifted in recent years as a result of newborn hearing screening and the early provision of interventions, including hearing technologies. It is expected that early service provision will minimize or prevent linguistic delays that typically accompany untreated permanent childhood hearing loss. The post-newborn hearing screening era has seen a resurgence of interest in empirically examining the outcomes of children with hearing loss to determine if service innovations have resulted in expected improvements in children’s functioning. The Outcomes of Children with Hearing Loss (OCHL) project was among these recent research efforts, and this introductory article provides background in the form of literature review and theoretical discussion to support the goals of the study. The OCHL project was designed to examine the language and auditory outcomes of infants and preschool-aged children with permanent, bilateral, mild-to-severe hearing loss and to identify factors that moderate the relationship between hearing loss and longitudinal outcomes. We propose that children who are hard of hearing experience limitations in access to linguistic input, which lead to a decrease in uptake of language exposure and an overall reduction in linguistic experience. We explore this hypothesis in relation to three primary factors that are proposed to influence children’s access to linguistic input: aided audibility, duration and consistency of hearing aid (HA) use, and characteristics of caregiver input.

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Can Mild Bilateral Sensorineural Hearing Loss Affect Developmental Abilities in Younger School-Age Children?

Cited by 25 publications

References 32 publications

The Influence of Hearing Aid Use on Outcomes of Children With Mild Hearing Loss

The Influence of Hearing Aid Use on Outcomes of Children With Mild Hearing Loss

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

An Introduction to the Outcomes of Children with Hearing Loss Study

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