 Subjects -> DISABILITY (Total: 100 journals)
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- Others’ Publications About EHDI: October 2017 through April 2018
PubDate: Tue, 05 Jun 2018 15:15:42 PDT
- Restructuring Data Reported from State Early Hearing Detection and
Intervention (EHDI) Programs: A Pilot Study
Authors: Suhana Alam et al.
Abstract: Objective: To assess the feasibility, benefits, and challenges surrounding individual-level versus aggregate data reporting by jurisdictional EHDI programs to the Centers for Disease Control and Prevention (CDC). Methods: Using data reported to CDC by three jurisdictions in 2011, descriptive statistics were used to assess the feasibility of collecting and reporting individual-level data. Comparisons were made on what can be learned from individual-level data as opposed to CDC’s aggregate survey data.Results: Individual-level data provided a detailed overview of the population served, services received, and variations across jurisdictions in data collection, reporting, and quality monitoring practices. Several challenges and areas needing improvement were identified: variations in (1) data standardization; (2) data collection and reporting procedures; and (3) protocols for recommended follow-up services.Conclusions: Using individual-level data, CDC was able to perform in-depth statistical analyses and learn more about each jurisdiction’s population, their EHDI process, and challenges to data collection, tracking, and surveillance efforts. As a result, CDC was able to provide more targeted technical assistance. All of the above would not be feasible using aggregate survey data. The pilot study demonstrated that individual-level data reporting to CDC is feasible and offers many opportunities for both CDC and jurisdictional EHDI programs.Keywords: Early hearing detection and intervention, newborn hearing screen, surveillance and tracking
PubDate: Tue, 05 Jun 2018 15:15:30 PDT
- The Past, Present And Future Of Universal Newborn Hearing Screening in
Taiwan
Authors: LIN HUNG-CHING et al.
Abstract: In Taiwan, the Taipei Mackay Memorial Hospital, in collaboration with the Children’s Hearing Foundation, initiated a free newborn hearing screening program using transient evoked otoacoustic emissions (TEOAE) in 1998. During 2003-2013, there were four major phases of implementation and promotion of universal newborn hearing screening program (UNHS) in Taiwan initiated by the government’s Bureau of Health Promotion. These included (1) establishment of “2004 Taiwan Guidance of Newborn Hearing Screening Program” ; (2) completion of “2008 Taiwan Consensus Statement on Newborn Hearing Screening”; (3) implementation of national government-funded UNHS program in 2012; (4)“2014 Taiwan UNHS revised guidelines”. In summary, in 2016, Taiwan national statistics indicate that for a total of near 200,000 babies the coverage rate of newborn hearing screening was up to 98.2%, the refer rate was 1.14%, the diagnostic rate was 83.16% and the incidence of congenital deafness was estimated to be 0.372%.
PubDate: Tue, 05 Jun 2018 15:15:21 PDT
- Where Do We Go From Here' The Need for Genetic Referrals in Patients
who are Deaf or Hard of Hearing: Findings from a Regional Survey
Authors: Tyson S. Barrett et al.
Abstract: Purpose: The purpose of this study was to assess primary health care providers’ knowledge and use of genetic services for children whose hearing screening indicates they may be deaf/hard of hearing (D/HH) and identify areas in which health care providers can be supported to increase family education and referral of families for genetic consultation.Methodology: A survey was developed on current practices, knowledge, and perceived beliefs regarding genetic education and referrals for deafness. The surveys were distributed to pediatricians, family medicine physicians, nurse practitioners, and physician assistants in DC, DE, MD, NJ, NY, PA, VA, and WV.Results: Among 266 respondents, 80% were uninformed about Early Hearing Detection Intervention (EHDI) 1-3-6 guidelines prior to taking the survey. Approximately 55% were not confident about the genetic causes of deafness, 44% rarely consulted genetics professionals, 41% had not referred families to genetics, and 37% were not confident about the importance of genetic referrals.Conclusions: Integrated, targeted, and user-friendly genetics education strategies in the existing EHDI framework are needed to ensure adequate awareness and delivery of genetics services for D/HH children.
PubDate: Tue, 05 Jun 2018 15:15:05 PDT
- TWO EARS ARE BETTER THAN ONE: AN EXAMINATION OF THE DECISION-MAKING
PROCESS OF COCHLEAR IMPLANT AUDIOLOGISTS WHEN DECIDING ON BILATERAL
SEQUENTIAL OR BILATERAL SIMULTANEOUS COCHLEAR IMPLANTS FOR THEIR PEDIATRIC
PATIENTS
Authors: donald goldberg
PubDate: Tue, 05 Jun 2018 15:14:56 PDT
- Identification of oral clefts as a risk factor for hearing loss during
newborn hearing screening
Authors: Patricia L. Purcell et al.
Abstract: Objective: This study assessed whether children with oral clefts are appropriately classified as at-risk for hearing loss at the time of newborn hearing screening and describes their screening and diagnostic results.Design: Birth certificates were used to identify children with cleft lip and palate or isolated cleft palate born in Washington State from 2008–2013. These were cross-referenced with the state’s Early Hearing Detection, Diagnosis and Intervention (EHDDI) database. Multivariate logistic regression was used to examine associations.Results: Birth records identified 235 children with cleft lip and palate and 116 with isolated cleft palate. Six children were listed as having both diagnoses. Only 138 (39%) of these children were designated as having a craniofacial anomaly in the EHDDI database. Children who were misclassified were less likely to have referred on initial hearing screening, OR 0.3, 95% CI [0.2, 0.5]. Misclassification of risk factor status was also associated with delayed hearing screening past 30 days of age or unknown age at screening, OR 4.4, 95% CI [1.5, 13.3], p = 0.008. Of 50 children with diagnostic results; 25 (50%) had hearing loss: 18 conductive, 2 mixed, and 5 unspecified.Conclusion: A majority of children with oral clefts were misclassified regarding risk factor for hearing loss in the EHDDI database.
PubDate: Tue, 05 Jun 2018 15:14:46 PDT
- Pediatric Hearing Device Management: Professional Practices for Monitoring
Aided Audibility
Authors: Karen F. Munoz et al.
Abstract: Objective: The purpose of this study was to explore professional practices for monitoring aided audibility for children who are deaf or hard of hearing (DHH). Design: A cross-sectional survey design was used to identify providers’ self-reported practice patterns for monitoring aided audibility for children who use hearing aids, cochlear implants, and bone-conduction hearing aids. Three surveys were used.Study Sample: Practicing audiologists, speech-language pathologists, and deaf educators providing services to children birth to six years of age who use hearing technology were recruited to participate. A total of 184 surveys were included in the analysis (96 hearing aid; 47 cochlear implant; 41 bone conduction hearing aid). Results: Practice gaps were identified, including infrequent use of parent questionnaires to explore how children are hearing at home and in other environments, lack of loaner equipment for some children when hearing devices were being repaired, and inconsistent monitoring of data logging to identify challenges with hearing aid use.Conclusions: Children who are DHH and their parents rely on professionals to provide evidence-based practices. This study revealed practice gaps related to monitoring audibility, suggesting opportunities for training to address provider confidence and consistent implementation of monitoring practices.
PubDate: Tue, 05 Jun 2018 15:14:36 PDT
- Volume 3, Issue 1 (2018) The Journal of Early Hearing Detection and
Intervention: Volume 3 Issue 1
PubDate: Tue, 05 Jun 2018 15:14:29 PDT
- Others' Publications About EHDI: May through October 2017
PubDate: Wed, 29 Nov 2017 23:53:44 PST
- Some Permanent Hearing Loss is Missed When "Switched Ear" Passes Are Used
to Determine Screening Results
Authors: Beverly G. Lim et al.
Abstract: A common practice in Universal Newborn Hearing Screen (UNHS) programs is rolling up non-simultaneous passing results in each ear (SW_EAR) from repeat automated screens into a bilateral pass. This study aims to provide evidence-based criteria for best practices regarding SW_EAR screens. From January 2010 to May 2013, infants with SW_EARs results were prospectively monitored by MEDNAX-Pediatrix’s nationwide UNHS program, which combine inpatient/outpatient screens utilizing automated auditory brainstem response (AABR). The tracked audiologic evaluations of 16,129 refer infants (2,334 due to SW_EAR) out of the total infant population screened (2,492,314) were analyzed retrospectively. A high proportion of hearing loss (354/2334, 15%) was identified in infants with SW_EAR screens. Of those identified, 159 infants had a permanent hearing loss (PHL), 98 infants were fit with hearing aids and 7 received cochlear implants. When including SW_EARs as a criterion for referral, the screening protocol identified one more infant with PHL in every one hundred screened positive, maintaining referral and false positive rates of < 0.7 % and
PubDate: Wed, 29 Nov 2017 23:53:38 PST
- Measuring nurses' knowledge and understanding of universal newborn
hearing screenings
Authors: Caitlyn Roberts et al.
Abstract: The present study was conducted to investigate the knowledge and understanding of Universal Newborn Hearing Screening (UNHS) in nursing professionals. A group of 15 adult, licensed nurses with varied professional experience participated in the study. Participants completed both objective and subjective measurements to evaluate their current knowledge of training procedures. A free online UNHS training program offered through the National Center for Hearing Assessment and Management (NCHAM) served as both the objective measure and training module. Participants completed pre- and post-surveys as the subjective measure of their UNHS training. Results of these surveys were compared across the participants to determine significant outcomes. Results of this study suggest nursing professionals are not confident in their current level of training concerning UNHS. Additionally, the participants' scores on the online training module testing showed improvement from pre- to post-testing.
PubDate: Wed, 29 Nov 2017 23:53:32 PST
- Parental Satisfaction and Objective Test Measurements Associated with
Post-Partum versus Nursery Newborn Hearing Screening
Authors: Jennifer E. Bentley et al.
Abstract: Beth Israel Deaconess Medical Center (BIDMC; Boston, MA) initiated a change to the newborn hearing screening program in 2013 to encourage increased parental presence at the time of screening and support a more family centered hospital environment. Newborn hearing screening program technicians were encouraged to conduct all hearing screens in the parent’s post-partum rooms instead of in the nursery. To measure the effect of this change on the families and screening measures, satisfaction surveys and retrospective data was collected over a 2 year period and compared. Newborn hearing screening program technicians and mother-baby nursing staff were surveyed to determine influence of this new process on their work flow. Results suggest post-partum room testing leads to an increase in family satisfaction without a resulting change in pass rates or decrease in efficiency of screen or staff work flow.
PubDate: Wed, 29 Nov 2017 23:53:27 PST
- Scheduling Hearing Appointments Prior To Hospital Discharge Improves
Follow-up After Failed Newborn Screening
Authors: Tri Tran et al.
Abstract: The study aimed to identify if there was a relationship between a follow-up hearing appointment scheduled prior to hospital discharge (hospital scheduled appointment) and follow-up status, including loss to follow-up or loss to documentation (LTF/LTD); early follow-up initiation; and early completion of audiological diagnosis. The study included 4,597 children who were born between January 2015 and June 2016 in Louisiana birthing hospitals and failed newborn hearing screening (NHS) prior to hospital discharge. Of the study population, 56.1% of children were scheduled for a follow-up hearing appointment prior to hospital discharge. Among children without a hospital scheduled appointment, the rate of LTF/LTD and the rate of early follow-up initiation were 52% and 25%, respectively, higher than children with a hospital scheduled appointment. There was no statistical association of early completion of audiological diagnosis with a hospital scheduled appointment. Thus, a hospital scheduled appointment improved LTF/LTD and early follow-up initiation among newborns who failed NHS.
PubDate: Wed, 29 Nov 2017 23:53:20 PST
- Are Audiologists Directly Referring Children with Hearing Loss to Early
Intervention'
Authors: Natalie Loyola et al.
Abstract: This article describes the ways that pediatric audiologists are directing infants into Early Intervention, and the related barriers and facilitators. Over one hundred pediatric audiologists responded to an online survey including questions on how audiologists provide direct and indirect referrals to Early Intervention for those infants that are diagnosed with hearing loss. Most respondents agreed that audiologists are the best person to provide this referral, but many audiologists did not make the direct referral. Barriers to direct referral included time constraints and resistance from parents. Opportunities identified to improve referral included online referral systems and national guidelines for what qualifies a child with hearing loss for Early Intervention.
PubDate: Wed, 29 Nov 2017 23:53:14 PST
- Effectiveness of Dexmedetomidine for Sedation in Auditory Brainstem
Response Testing
Authors: Laura Sherry et al.
Abstract: Sedation is widely used for auditory brainstem response (ABR) testing for infants or young children who are unable to sleep or remain adequately quiet for testing. Because chloral hydrate is no longer readily available, dexmedetomidine has been proposed as an alternative medicinal agent to achieve moderate levels of sedation without risk of respiratory depression. The purpose of the study was to assess the effectiveness of dexmedetomidine in terms of the completeness of the audiologic data obtained in achieving moderate levels of sedation for auditory brainstem response testing. A retrospective chart review was conducted on ninety-nine patients at Kennedy Krieger Institute. Participants were administered either chloral hydrate or dexmedetomidine prior to ABR testing. Effectiveness was defined as having obtained thresholds for click and tone burst stimuli centered at 500, 2000, and 4000 Hz for both ears. Complete audiological data were obtained on 92.2% of patients sedated with dexmedetomidine whereas complete audiological data were obtained on 91% of patients sedated with choral hydrate in a period prior to the use of dexmedetomidine. It was concluded that dexmedetomidine is as effective as chloral hydrate in producing an appropriate state for sedated auditory brainstem response testing.
PubDate: Wed, 29 Nov 2017 23:53:08 PST
- Using Data to Improve Services for Infants with Hearing Loss: Linking
Newborn Hearing Screening Records with Early Intervention Records
Authors: Maria Gonzalez et al.
Abstract: The purpose of this study was to match records of infants with permanent hearing loss from the New York Early Hearing Detection and Intervention Information System (NYEHDI-IS) to records of infants with permanent hearing loss receiving early intervention services from the New York State Early Intervention Program (NYSEIP) to identify areas in the state where hearing screening, diagnostic evaluations and referrals to the NYSEIP were not being made or documented in a timely manner. Data from 2014-2016 NYEHDI-IS and NYEIS information systems were matched using The Link King. There were 274 infants documented in NYEIS Information System as receiving early intervention services but did not have documentation of failed hearing screening (n=103) or a diagnostic evaluation confirming hearing loss (n=171) in NYEHDI-IS. There were 40 infants with hearing loss in NYEHDI-IS who were not referred to NYSEIP, and 19 of these infants’ providers documented in NYEHDI-IS that a referral to NYSEIP was made. The results from these analyses were used to direct targeted technical assistance to audiologists to educate them about the importance of early identification and referral and the reporting requirements to the New York State Department of Health with the goal of improving NYSEIP and the NYEHDI Program.
PubDate: Wed, 29 Nov 2017 23:53:01 PST
- Announcing The New EHDI Learning Center eBook
PubDate: Wed, 29 Nov 2017 23:52:56 PST
- The Journal of Early Hearing Detection and Intervention: Volume 2 Issue 2
PubDate: Wed, 29 Nov 2017 23:52:51 PST
- What Are Others Publishing About Early Hearing Detection and
Intervention'
PubDate: Tue, 09 May 2017 13:36:08 PDT
- Implementing a Two Class System for Monitoring Risk Indicators for
Delayed-Onset Hearing Loss
Authors: Jessica Renee Stich-Hennen et al.
Abstract: Purpose: This manuscript discusses the importance of establishing risk indicator monitoring guidelines for state Early Hearing Detection and Intervention programs.Method: Idaho Sound Beginnings (ISB) implemented a guideline which divided risk indicators associated with delayed-onset hearing loss into two classes (Class A and Class B). From 2012-2013, the incidence of delayed-onset hearing loss in the presence of Class A and Class B risk indicators were evaluated. For Class B risk indicators, ototoxic medication exposure and family history were analyzed.Results: Of the 10,634 infants born, 1,175 were found to have passed the newborn hearing screening and have at least one risk indicator. Of the infants evaluated with Class A risk indicators, 21 children had an educationally significant hearing loss. Of the 345 children who received ototoxic medications, 55 children were diagnosed with educationally significant hearing loss. An educationally significant hearing loss was found in 10 children who returned for diagnostic evaluation who had family history of childhood hearing loss.Conclusion: ISB's risk monitoring classification system has enhanced Idaho’s EHDI program by early identification of children who are at higher risk for delayed-onset hearing loss. Early identification has ultimately lead to early intervention.
PubDate: Tue, 09 May 2017 13:36:03 PDT
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