In Pursuit of Successful Hearing Screening: An Exploration of Factors Associated with Follow-Up Return Rate in a Risk-Based Newborn Hearing Screening Programme

Kanji, Amisha; Khoza-Shangase, Katijah

doi:10.5812/ijp.56047

Cited by 16 publications

(21 citation statements)

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“…Another recent study from the South African context which explored factors associated with follow-up return rate in a risk-based NHS programme found that addressing the challenges to implementation of NHS is imperative towards successful EHDI (Kanji & Khoza-Shangase, 2018b). In this study, 66.5% of the participants returned for repeat screening, and this follow-up return rate decreased to below 50% for follow-up diagnostic assessment.…”

Section: Introductionmentioning

confidence: 64%

“…The high referral rate of 47% also contributed to increasing the burden of work for the under-resourced screening team. The return rate of those who require further diagnostic evaluation after failing the initial screening should be at least 95% (Kanji & Khoza-Shangase, 2018b ). This highlights the importance of increasing all efforts to ensure that when screening happens, a two-stage approach is adopted in order to minimise the high referral rate.…”

Section: Resultsmentioning

confidence: 99%

“…These findings were not that far different from the private healthcare sectors, where resource constraints are not as prevalent as in the public healthcare sector (Khoza-Shangase, 2021b). In a national survey of the audiological services for diagnosis and intervention in the private healthcare sector in South Africa, findings revealed that there is significant delay in the overall diagnosis and provision of intervention for hearing impairment (Kanji & Khoza-Shangase, 2018b ; Khoza-Shangase, Barratt, & Jonosky, 2010 ; Meyer, Swanepoel, & Le Roux, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

“…Various reasons for poor return rate were identified, with one of the key challenges contributing to nonattendance being changes in residential location. The authors suggest that strategic bookings of appointments for screening where there is improved alignment of hearing screening appointments with other medical follow-up services are key to successful implementation of neonatal screening (Kanji & Khoza-Shangase, 2018b).…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of newborn hearing screening at an academic secondary level hospital in Johannesburg, South Africa

Bezuidenhout

Khoza-Shangase

Maayer

et al. 2021

South African Journal of Communication Disorders

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Background The Health Professions Council of South Africa (HPCSA) issued early hearing detection and intervention guidelines, which has universal newborn hearing screening (UNHS) as one of the important goals. Despite established evidence of the importance of UNHS globally, there has been no mandated formalised and standardised implementation as yet in South Africa. Objectives The aim of this study was to describe the outcomes of newborn hearing screening (NHS) in an academic secondary level hospital in Johannesburg, South Africa. Methods This was a prospective non-experimental feasibility study over a 3-month period, involving conducting hearing screening of 121 neonates. Audiologists conducted a risk factor assessment, otoscopic examinations and distortion product otoacoustic emissions (DPOAEs) screening on each neonate, with follow-up appointments for re-screening and diagnostic audiological assessments for all neonates with refer findings. Data were analysed using STATA intercooled version 11 © , through both descriptive and inferential statistics (Fisher’s exact test), with significance established where p -values less than 0.05 were considered statistically significant. Results Of the 121 neonates screened, the majority (75%) were screened in the first 24 h of life. A high refer rate (47%) of the total sample was found on DPOAE screening. No maternal or neonatal risk factors were found to be significantly associated with refer findings. Conclusion Findings contribute towards the existing evidence base that raises implications for successful implementation of NHS programmes in public healthcare in South Africa. Screening protocols need to consider the timing of screening, the measures and procedures adopted in the screening protocols, as well as the follow-up strategies.

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Section: Introductionmentioning

confidence: 64%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcomes of newborn hearing screening at an academic secondary level hospital in Johannesburg, South Africa

Bezuidenhout

Khoza-Shangase

Maayer

et al. 2021

South African Journal of Communication Disorders

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“…Data were collected in the form of semi-structured interviews with caregivers who had returned for the follow-up audiological assessment of their infant. Reasons for non-attendance were explored in another larger study (Kanji & Khoza-Shangase, 2018 ). The interview included both open and closed-ended questions.…”

Section: Methodsmentioning

confidence: 99%

Audiological follow-up in a risk-based newborn hearing screening programme: An exploratory study of the influencing factors

Kanji

Krabbenhoft

2018

South African Journal of Communication Disorders

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BackgroundFollow-up return rate in Early Hearing Detection and Intervention (EHDI) programmes is of specific importance as it ensures that benchmarks are met and that no child with suspected hearing loss is left unidentified.ObjectivesThe aim of this study was to determine the factors influencing audiological follow-up of high-risk infants in a risk-based newborn hearing screening programme.MethodA non-experimental, exploratory, qualitative research design was employed. Purposive sampling was used. The study was conducted at a secondary level hospital in the public health care sector in South Africa. Participants comprised 10 caregivers (age range 26–40 years) of infants who had been enrolled in a risk-based newborn hearing screening programme, and returned for follow-up appointments. Data were collected using semi-structured interviews. Responses were recorded by the researcher and a colleague to ensure rigour and trustworthiness of findings. Data were analysed using thematic analysis for open-ended questions and descriptive statistics for the closed-ended questions.ResultsThe most common positive contributors that facilitated participants’ attendance at follow-up appointments were: having friendly audiologists; a clear line of communication between caregiver and audiologist and a reminder of the appointment. The most significant perceived challenge that participants described in returning for the follow-up appointment was living in far proximity from the hospital.ConclusionFindings of the study revealed that influencing factors on follow-up return rate are demographic, socio-economic, and interpersonal in nature and further suggested the need for an all-inclusive appointment day. It may be of importance to not only look at what is being done to improve the follow-up return rate but also how it should be done in terms of professional-to-patient communication and interactions.

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Sociodemographic Factors Affecting Loss to Follow‐Up After Newborn Hearing Screening: A Systematic Review and Meta‐analysis

Atherton

Poupore

Clemmens

et al. 2023

Otolaryngol.--head neck surg.

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Objective Universal newborn hearing screening (NBHS) has been widely implemented as a part of early hearing detection and intervention (EHDI) programs worldwide. Even with excellent provider knowledge and screening rates, many infants do not receive definitive hearing testing or intervention after initial screening. The objective of this study was to identify sociodemographic factors contributing to loss of follow‐up. Data Sources PubMed, Scopus, and CINAHL. Review Methods Per Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, the databases were searched from the date of inception through December 28, 2021. Studies containing sociodemographic information on patients who were referred to NBHS were included. Meta‐analysis of odds ratios (ORs) was performed comparing rates of sociodemographic variables between patients adherent and nonadherent to follow‐up. Results A total of 169,238 infants from 19 studies were included. Low birth weight (OR 1.6 [95% confidence interval, CI 1.2‐2.2, p < .001), racial minority (OR 1.4 [95% CI 1.2‐1.6], p < .001), rural residence (OR 1.5 [95% CI 1.1‐1.9], p = .005), lack of insurance (OR 1 [95% CI 1.4‐2.5], p < .001), and public or state insurance (OR 1.7 [95% CI 1.2‐4.2], p = .008) were associated with missed follow‐up after referred NBHS. Associated maternal factors included low maternal education (OR 1.8 [95% CI 1.6‐2.0], p < .001), young maternal age (OR 1.5 [95% CI 1.5‐1.6], p < .001), unmarried maternal status (OR 1.5 [95% CI 1.1‐1.9], p = .003), and current or former maternal smoking status (OR 1.8 [95% CI 1.4‐2.2], p < .001). Conclusion Both infant and maternal sociodemographic factors influence follow‐up compliance after referred NBHS. Focused efforts should be made by medical providers and policymakers to address these factors to ensure appropriate newborn hearing care and interventions are achieved.

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In Pursuit of Successful Hearing Screening: An Exploration of Factors Associated with Follow-Up Return Rate in a Risk-Based Newborn Hearing Screening Programme

Cited by 16 publications

References 24 publications

Outcomes of newborn hearing screening at an academic secondary level hospital in Johannesburg, South Africa

Outcomes of newborn hearing screening at an academic secondary level hospital in Johannesburg, South Africa

Audiological follow-up in a risk-based newborn hearing screening programme: An exploratory study of the influencing factors

Sociodemographic Factors Affecting Loss to Follow‐Up After Newborn Hearing Screening: A Systematic Review and Meta‐analysis

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