Effects of Policy Changes to Universal Newborn Hearing Screening Follow-Up in a University Clinic

Krishnan, Lata A.; Hyfte, Shannon Van

doi:10.1044/2014_aja-14-0008

Cited by 13 publications

(8 citation statements)

References 19 publications

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“…Care coordination with pediatricians (Christensen et al 2008; Seeliger et al 2016; Zeitlin et al 2021), with diagnostic testing sites (Seeliger et al 2016; Al-Mulki & Todd 2020Al-Mulki & Todd 2020) and using hospital Child Find services to coordinate care has also been shown to improve diagnostic follow-up (Deem et al 2012). Proactively scheduling screening and diagnostic follow-up appointments at the time of need instead of shifting the responsibility to parents for calling to schedule at a later time significantly improves completion of follow-up (Krishnan & Van Hyfte 2014; Thomson & Tran et al 2017; Yoshinaga-Itano 2018; Zeitlin et al 2021). Lastly, partnering with community services like the Women, Infant, and Children (WIC) Program allows for better communication of needed follow-up and the potential for colocating follow-up services at appointments that are already being completed for infants who were lost to follow-up (Hunter et al 2016; Zeitlin et al 2021).…”

Section: Resultsmentioning

confidence: 99%

Barriers to and Facilitators of Early Hearing Detection and Intervention in the United States: A Systematic Review

et al. 2022

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Objectives: Early hearing detection and intervention (EHDI) is guided by the 1-3-6 approach: screening by one month, diagnosis by 3 mo, and early intervention (EI) enrollment by 6 mo. Although screening rates remain high, successful diagnosis and EI-enrollment lag in comparison. The aim of this systematic review is to critically examine and synthesize the barriers to and facilitators of EHDI that exist for families, as they navigate the journey of congenital hearing loss diagnosis and management in the United States. Understanding barriers across each and all stages is necessary for EHDI stakeholders to develop and test novel approaches which will effectively reduce barriers to early hearing healthcare.Design: A systematic literature search was completed in May and August 2021 for empirical articles focusing on screening, diagnosis, and EI of children with hearing loss. Two independent reviewers completed title and abstract screening, full-text review, data extraction, and quality assessments with a third independent reviewer establishing consensus at each stage. Data synthesis was completed using the Framework Analysis approach to categorize articles into EHDI journey timepoints and individual/family-level factors versus system-level factors.Results: Sixty-two studies were included in the narrative synthesis. Results revealed that both individual/family-level (e.g., economic stability, medical status of the infant including middle ear involvement) and system-level barriers (e.g., system-service capacity, provider knowledge, and program quality) hinder timely diagnosis and EI for congenital hearing loss. Specific social determinants of health were noted as barriers to effective EHDI; however, system-level facilitators such as care coordination, colocation of services, and family support programs have been shown to mitigate the negative impact of those sociodemographic factors. Conclusions:Many barriers exist for families to obtain appropriate and timely EHDI for their children, but system-level changes could facilitate the process and contribute to long-term outcomes improvement. Limitations of this study include limited generalizability due to the heterogeneity of EHDI programs and an inability to ascertain factor interactions.

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Section: Resultsmentioning

confidence: 99%

Barriers to and Facilitators of Early Hearing Detection and Intervention in the United States: A Systematic Review

et al. 2022

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“…Similar studies indicated several factors that could affect directly the length of the period between the diagnosis and initiation of education. The referral of the children to education by the health sector, the difficulties in scheduling the testing time, and absence of the patients were reported as main reasons for the increase in the time between the diagnosis and the intervention (Krishnan & Hyfte, 2014 drigues, Loiola-Barreiro, Pereira & Pomilio, 2015;McLean, Ware, Heussler, Harris & Beswick, 2019). Further research should be conducted to understand and explain the obstacles specific to Turkey, however clinical observations of the authors were consistent with previously reported findings that implied serious problems in the referral of the patients to education by the legal regulations, and the significant disorganization between the service providers (Baş et al, 2019;Kemaloğlu, 2015;Vehapoğlu-Türkmen et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effectiveness of newborn hearing screening program: A center in Turkey.

Turan

BAŞ

2019

INT-JECSE

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The present study aimed to analyze the effects of newborn hearing screening program in Turkey based on the age of diagnosis, amplification and initiation of education between 2000 and 2017. The study was designed as a retrospective study. The files of 997 children registered with a research and education center for children with hearing loss were analyzed. The findings indicated that the age of diagnosis, amplification and initiation of education significantly decreased after the national newborn hearing screening program was introduced throughout the years. However, the recommended universal standards were achieved only for a minority of children in terms of timely diagnosis and early intervention. Delay in amplification mostly observed in children with mild-moderate loses and late diagnosis, was found as related to the testing in more than two different clinics. The findings on late initiation of education were discussed based on the reports in relevant literature and monitoring problems after the diagnosis and the problems observed in early education system in Turkey.

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“…Before the universal newborn hearing screening (UNHS) program and genetic screening for deafness-susceptibility in newborns (GSDSN) program, children with severe and profound hearing loss could not receive proper diagnosis and management until age 3, while children with mild and moderate hearing loss would be diagnosed even later, which severely impacted the auditory and speech development of these children. [ 1 2 3 ] The development of UNHS program and GSDSN program allows infants and toddlers with hearing loss to enter the process of auditory and speech habilitation by receiving hearing aids (HA) and/or cochlear implantation (CI). [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Home-based Early Intervention on Auditory and Speech Development in Mandarin-speaking Deaf Infants and Toddlers with Chronological Aged 7–24 Months

Yang

Liu

Ming-fu

et al. 2015

Chinese Medical Journal

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Background:Early auditory and speech development in home-based early intervention of infants and toddlers with hearing loss younger than 2 years are still spare in China. This study aimed to observe the development of auditory and speech in deaf infants and toddlers who were fitted with hearing aids and/or received cochlear implantation between the chronological ages of 7–24 months, and analyze the effect of chronological age and recovery time on auditory and speech development in the course of home-based early intervention.Methods:This longitudinal study included 55 hearing impaired children with severe and profound binaural deafness, who were divided into Group A (7–12 months), Group B (13–18 months) and Group C (19–24 months) based on the chronological age. Categories auditory performance (CAP) and speech intelligibility rating scale (SIR) were used to evaluate auditory and speech development at baseline and 3, 6, 9, 12, 18, and 24 months of habilitation. Descriptive statistics were used to describe demographic features and were analyzed by repeated measures analysis of variance.Results:With 24 months of hearing intervention, 78% of the patients were able to understand common phrases and conversation without lip-reading, 96% of the patients were intelligible to a listener. In three groups, children showed the rapid growth of trend features in each period of habilitation. CAP and SIR scores have developed rapidly within 24 months after fitted auxiliary device in Group A, which performed much better auditory and speech abilities than Group B (P < 0.05) and Group C (P < 0.05). Group B achieved better results than Group C, whereas no significant differences were observed between Group B and Group C (P > 0.05).Conclusions:The data suggested the early hearing intervention and home-based habilitation benefit auditory and speech development. Chronological age and recovery time may be major factors for aural verbal outcomes in hearing impaired children. The development of auditory and speech in hearing impaired children may be relatively crucial in the first year's habilitation after fitted with the auxiliary device.

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Effects of Policy Changes to Universal Newborn Hearing Screening Follow-Up in a University Clinic

Abstract: Challenges remain in meeting the goals of amplification within 1 month of diagnosis and documenting the start of early intervention. Improved communication between and education of all parties involved in the care of infants is needed.

Cited by 13 publications

References 19 publications

Barriers to and Facilitators of Early Hearing Detection and Intervention in the United States: A Systematic Review

Barriers to and Facilitators of Early Hearing Detection and Intervention in the United States: A Systematic Review

Evaluation of the effectiveness of newborn hearing screening program: A center in Turkey.

Home-based Early Intervention on Auditory and Speech Development in Mandarin-speaking Deaf Infants and Toddlers with Chronological Aged 7–24 Months

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