Service Preferences of Parents of Children With Mild Bilateral or Unilateral Hearing Loss: A Conjoint Analysis Study

Fitzpatrick, Elizabeth; Coyle, Doug; Gaboury, Isabelle; Durieux‐Smith, Andrée; Whittingham, JoAnne; Grandpierre, Viviane; Na, Eunjung; Salamatmanesh, Mina

doi:10.1097/aud.0000000000000651

Cited by 12 publications

(5 citation statements)

References 40 publications

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“…This is especially true for slight/mild degrees of childhood hearing loss where the perceived need may be minimized because of residual hearing. Families should be counseled regarding the potential negative impact of unaided milder hearing losses on developmental outcomes, including speech and language, academic performance, social interaction, behavior, and health-related quality of life (Fitzpatrick et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Predictors of hearing technology use in children

Booysen

Roux

Masenge

et al. 2021

International Journal of Audiology

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To identify and describe predictors of daily hearing technology (HT) use in children. DesignRetrospective review of clinical records. Multiple regression analyses were performed to identify predictors. Study sampleThe sample included 505 children (<11 years of age) using hearing aids (HAs), cochlear implants (CIs), and bone conduction hearing devices (BCHDs). ResultsAverage HT use was 9.4 h a day. Bivariate analyses yielded 31 potential predictors from the 42 variables included. The general linear model (p < 0.01, R 2 = 0.605) identified 10 interacting factors that significantly associated with increased HT use. Intrinsic predictors of increased HT use included older chronological age, more severe degrees of hearing loss and older ages at diagnosis and initial HA fitting. Extrinsic predictors included the child's ability to independently use HT, at least one CI as part of the HT fitting, coordinated onsite audiological management, self-procured batteries, auditory-oral communication mode and regular caregiver intervention attendance. ConclusionsAverage HT use was high, approximating hearing hours of peers with normal hearing. CI recipients demonstrated higher HT use compared to children using other HT. The newly identified factors can predict and increase HT use in children while contributing to evidence-based intervention services that promote optimal auditory-based outcomes.

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Section: Discussionmentioning

confidence: 99%

Predictors of hearing technology use in children

Booysen

Roux

Masenge

et al. 2021

International Journal of Audiology

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“…The most common reasons for refusing surgery were aesthetic concerns and perceptions that surgery would not significantly improve the child's quality of life. A qualitative study of parents of children with minimal hearing loss by Fitzpatrick et al [22], which included 11 children with unilateral hearing loss, found that confusion and uncertainty dominated decisions about amplification, with mixed messages from different professionals about the effectiveness of device use, particularly in infants. More recently, Hussain et al [23] interviewed the parents of children with UHL (N = 21) to explore their decision-making regarding their child's habilitation needs.…”

Section: Parent Decision Making For Uhl Managementmentioning

confidence: 99%

Decision-making following identification of an infant's unilateral hearing loss: Parent and professional perspectives

Porter

Sheeran

Hood

et al. 2021

International Journal of Pediatric Otorhinolaryngology

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Background: Parents of infants identified with unilateral hearing loss (UHL) make decisions about managing their infant's hearing loss based on limited evidence and before knowing whether their infant will require additional support.Objectives: The decision-making processes of parents and clinicians regarding the management of UHL following newborn hearing screening were examined.Procedure: Two convenience samples were recruited: 15 parents of children with permanent UHL aged under 4 years, and 14 clinicians. Applied thematic analysis of the semi-structured interviews elicited insight into the complexities surrounding decision-making from a parent and clinician perspective.Results: Three main themes captured the decision-making process: motivation for decisionmaking, limited evidence creates uncertainty, and available evidence builds certainty. The diverse experiences and opinions of parents and clinicians highlight the complexity of decision-making when there are contested opinions and no clear best management option.Conclusions: The choices parents make about the management of their child's UHL can have lifelong implications for their child. Many questions need answering before parents can effectively evaluate the short-and long-term consequences of their options and whether the advantages outweigh the disadvantages in the long-term. This uncertainty is challenging for professionals and parents and risks cognitive biases influencing clinical and parental decision-making.

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“…It is important that young children with unilateral hearing loss of any degree and mild bilateral hearing loss are still identified early and offered appropriate EI services as soon as possible [ 25 ]. These services should include the same services offered to all children who are DHH, even though the intensity of services may be less [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Early Intervention Intensity for Children Who Are Deaf or Hard of Hearing

et al. 2022

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We quantified the intensity of early intervention (EI) services allocated to 1262 children who were deaf or hard of hearing (DHH) within a state program and identified factors associated with intervention intensity. Child specific data were collected on children born between 2008 and 2014. Data from Individualized Family Service Plans of children enrolled in Part C EI programming were evaluated for the type and duration of services during their EI enrollment. Associations between EI intensity and child/family variables were examined. Median age of EI enrollment was 5.3 months. The most frequently received services included primary service coordination, specialized DHH service, special instruction, language therapy, and family training; 60% of children received 4 or more different EI services. The median service intensity was 138.1 min per month across all EI years. The factors associated with higher EI intensity included severe hearing loss, bilateral hearing loss and presence of a disability. Children enrolled in EI at later ages received higher intensity of specialized DHH services, suggesting a need to “catch up” due to late acquisition of services. Evaluating EI service intensity broadens our understanding of effective components of state-based programs that support the developmental needs of children who are DHH.

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Service Preferences of Parents of Children With Mild Bilateral or Unilateral Hearing Loss: A Conjoint Analysis Study

Cited by 12 publications

References 40 publications

Predictors of hearing technology use in children

Predictors of hearing technology use in children

Decision-making following identification of an infant's unilateral hearing loss: Parent and professional perspectives

Factors Associated with Early Intervention Intensity for Children Who Are Deaf or Hard of Hearing

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