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The Signed Linguistic Input Of Hearing Mothers To Children Who Are Deaf Or Hard Of Hearing, Aleah S. Brock

Journal of Early Hearing Detection and Intervention

This study investigated the distribution of ten facilitative language techniques (FLTs) in the linguistic input of hearing, signing mothers to their children who are deaf or hard of hearing (DHH). Four hearing mothers and their DHH children under the age of three participated in six, ten-minute caregiver-child interaction sessions via Zoom. The recorded sessions were coded for mother FLTs and child utterances. Results indicated that the mothers tended to use more initiative than responsive types of FLTs, consistent with findings of previous studies that examined the input of mothers who were using spoken-only language with their children who are DHH. …

Parent And Provider Perspectives On Early Intervention In Ohio: A Community Collaborative Approach, Jessa Reed, Ursula M. Findlen, Carrie Davenport, Cheryl Deconde Johnson, Maria Sentelik, Carrie Spangler, Wendy Steuerwald, Derek Houston

Journal of Early Hearing Detection and Intervention

The network of early intervention (EI) for families with children who are deaf or hard of hearing (D/HH) consists of multiple professionals that partner with parents. As part of a community collaborative initiative, diverse perspectives were gathered via online surveys as part of a state-wide needs assessment to evaluate the landscape of EI in Ohio. The qualitative and quantitative feedback were analyzed in light of the Joint Committee on Infant Hearing’s (2007) goals and the 2013 early intervention supplement to those goals. Care coordination and equitable access emerged as top priorities across all three stakeholder groups queried (audiologists, EI providers, …

An Assessment Of 50 State Early Hearing Detection And Intervention Websites: Is Needed Information Being Provided For Parent Decision Making?, Nichole Westin, Donna Sorkin

Journal of Early Hearing Detection and Intervention

Growth of the Internet as an information resource has provided expanded opportunities for families to easily gather information on a range of topics, including health related topics. State Early Hearing Detection and Intervention (EHDI) websites and other electronic data sources are an important opportunity to support families seeking information on options for their children who have been identified as deaf or hard of hearing. A review was undertaken between August and September 2021 of the 51 US EHDI (state and DC) websites and related information (such as links to others’ sites) to determine if information that is specifcally discussed in …

“It’S About Walking Alongside A Family”: Practitioner Perspectives On Caregiver Coaching With Families Of Children Who Are Deaf Or Hard Of Hearing, Dorie Noll, Sheila Moodie, Ian D. Graham, Beth Potter, Elizabeth M. Fitzpatrick

Journal of Early Hearing Detection and Intervention

Practitioners utilize caregiver coaching in early intervention services, but coaching principles and practices are not well understood in the context of listening and spoken language (LSL) services with families of children who are deaf or hard of hearing. The purpose of this study was to examine practitioners’ experiences with coaching, including definitions, training, and practices they utilize in their work with families. Using semi-structured, qualitative interviews and video observation discussions, this study examined the perspectives of 14 practitioners providing LSL services to families at three intervention sites in the US and Canada. Results indicate that practitioners’ underlying beliefs about their …

Tele-Intervention Resources, Pam Dawson M.Ed., Rachel Glade Ph.D.

Journal of Early Hearing Detection and Intervention

The restrictions of the COVID-19 pandemic forced many early intervention (EI) providers and families to adopt an emergency virtual service delivery model. The exigent nature of the pandemic necessitated the rapid transition to virtual early intervention, often without the benefit of training and guidance for both providers and caregivers regarding the use of virtual platforms, objectives, procedures, and the overall dynamics of the virtual session. As restrictions begin to ease and in-person home visits once again become possible, many providers and caregivers may be wondering how tele-intervention (TI) services might fit in ongoing early intervention for children who are deaf …

Working With Families Of Young Children Who Are Deaf Or Hard Of Hearing Through Tele-Intervention, Amanda M. Rudge Phd, Betsy Moog Brooks Edd, Arlene Stredler-Brown Phd

Journal of Early Hearing Detection and Intervention

Tele-intervention services have been utilized for many years to serve families of young children, in addition to or in lieu of traditional in-person intervention services. Recently, the COVID-19 pandemic cultivated urgent dependence on access to effective services via a distance connection. As such, the need for information, guidance, and resources related to tele-intervention as a primary service model has increased. This article serves as the introduction to a monographic series aiming to describe practices, circumstances, and perceptions surrounding tele-intervention services for families of children aged birth to five who are deaf or hard of hearing. Topics include: (a) a brief …

“It Gives Me Confidence”: Caregiver Coaching From The Perspective Of Families Of Children Who Are Deaf Or Hard Of Hearing, Dorie Noll, Sheila Moodie, Ian D. Graham, Beth Potter, Elizabeth M. Fitzpatrick

Journal of Early Hearing Detection and Intervention

Caregiver coaching is utilized in early intervention services with families of children who are deaf or hard of hearing to increase caregivers’ skills and confidence in supporting their child’s language development, but few studies have examined coaching from the perspective of the caregivers. The purpose of this study was to increase understanding of caregivers’ experiences of coaching in the context of listening and spoken language intervention services. Using semi-structured, qualitative interviews, this study examined 13 caregivers’ perspectives at three intervention sites in the US and Canada. Results indicate that caregivers perceive that practitioner characteristics, expectations, and the evolution of the …

The Impact Of The Covid-19 Pandemic On Newborn Hearing Screening Programs In Western States, Nathan A. Blaseg, Hannah M. Williams, Shelby Jepperson, Jessica J. Messersmith

Journal of Early Hearing Detection and Intervention

The primary objective of this study was to determine the impact of the COVID-19 pandemic on newborn hearing screening guideline adherence and the respective rates of screening, diagnosis, and intervention. This was a review of newborn hearing screening data compiled from the Departments of Health of six states for the time periods of March-September 2019 and March-September 2020. Endpoints included the numbers of live births as well as the numbers and timeframes of screening, diagnostic, and intervention events. Two-tailed paired t-tests were performed to determine statistical significance. 181,662 births in six states were assessed. Compared to March-September 2019, March-September 2020 …

The Role Of Early Intervention In Parental Self-Efficacy For Parents Of Deaf And Hard-Of-Hearing Children, Carrie Davenport, Derek Houston, Kristina Bowdrie, Rachael Frush Holt

Journal of Early Hearing Detection and Intervention

Purpose: To investigate the effects of age at enrollment in early intervention (EI) and dosage of EI services (frequency and intensity) on parental self-efficacy (PSE) and to determine whether parents with better PSE demonstrate more involvement in deciding Individualized Family Service Plan goals (IFSP), services, and amount of services.

Method: Sixty-five parent-child dyads were included in this retrospective between-subjects study. PSE was measured using the Scale of Parental Involvement and Self-Efficacy (DesJardin, 2003). Dosage of EI services and parent/professional involvement in IFSP decision-making were measured using a Child Demographic Questionnaire.

Results: Statistically significant correlations were not found between age at …

Getting Started With Home Visits: Recommendations For Serving Families Of Children Who Are Deaf Or Hard Of Hearing, Lauri H. Nelson, Samantha C. Gotcher, Lauren Smith

Journal of Early Hearing Detection and Intervention

The successful implementation of newborn hearing screening programs across the United States has facilitated timely diagnosis of hearing loss and referral to early intervention (EI) services for families of children who are deaf or hard of hearing (DHH), thus increasing the potential for improved language development outcomes. As new parents engage in EI services that involve professionals entering their home, the effectiveness of the early interventionists’ engagement, knowledge, coaching skills, and ability to provide emotional support can substantially influence families’ experiences. This article provides graduate students and new early interventionists an overview of key concepts related to home-based EI services, …

Beliefs And Self-Efficacy Of Parents Of Young Children With Hearing Loss, Sophie E. Ambrose, Margo Appenzeller, Alexandra Mai, Jean L. Desjardin

Journal of Early Hearing Detection and Intervention

The purpose of this study was to learn more about the beliefs and self-efficacy of parents of young children with hearing loss. Seventy-two parents completed the Scale of Parental Involvement and Self-Efficacy - Revised (SPISE-R), which queries parents about their child’s hearing device use and their perceptions of their own beliefs, knowledge, confidence, and actions pertaining to supporting their child’s auditory access and spoken language development. Two beliefs were identified that related to parents’ action scores and one belief was identified that related to children’s hearing device use. Knowledge and confidence scores were significantly correlated with action scores and children’s …

Using Technology To Monitor Hearing Device Use And Linguistic Environments: Early Intervention Providers’ Perspectives, Margo C. Appenzeller, Sophie E. Ambrose

Journal of Early Hearing Detection and Intervention

To optimize outcomes of children with hearing loss, early intervention professionals must work with families to optimize both children’s hearing device use and the linguistic and auditory features of their environments. Two technologies with potential use in monitoring these domains are data logging and Language Environment Analysis (LENA) technology. This study had two objectives: 1) to determine whether providers’ experiences, perspectives, and current practices indicate there is a need for tools to better monitor these domains, and 2) to gain a better understanding of providers’ experiences with and perspectives on use of data logging and LENA technology using an internet-based …

Ehdi System Effectiveness: The Impact Of Community Collaboration, Kristina M. Blaiser, Gabriel Anne Bargen

Journal of Early Hearing Detection and Intervention

Early Hearing Detection and Intervention systems rely on collaborative, coordinated systems, yet, in actuality, collaboration is often reduced to periodic communication related to processes. This can be even more important in a state like Idaho where access to providers and resources are limited in rural and remote areas. Researchers at Idaho State University were awarded a grant to bring together key community stakeholders with the goal of evaluating and improving families’ journeys from newborn hearing screening to enrollment in Part B educational services. This paper will outline the process and information that was collected as part of the Idaho Community …

Listen To Us: Dad-Endorsed Strategies For Ehdi Professionals, Holly F. Pedersen Dr., Jerusha Olthoff

Journal of Early Hearing Detection and Intervention

While fathers play an increasingly important role in today’s families, there is an imbalance of research regarding fathers of children with disabilities compared to mothers. Modest research with mothers of children who are deaf/hard of hearing exists; however, very limited research is available specific to fathers of that population. With the advent of newborn hearing screening, the number of children who have hearing loss being identified within the first six months of life has significantly increased. Thus, the number of fathers participating in EHDI services has also increased. Seeking to answer the question, What do fathers’ experiences in the early …

Effects Of Frequency Of Early Intervention On Spoken Language And Literacy Levels Of Children Who Are Deaf Or Hard Of Hearing In Preschool And Elementary School, Ann E. Geers, Jean S. Moog, Amanda M. Rudge

Journal of Early Hearing Detection and Intervention

Language delays associated with hearing loss during infancy may have a negative impact on academic development throughout childhood. Early intervention provided by the Moog Center for Deaf Education prior to 36 months of age was quantified, and associations with later outcomes were examined for 50 students who are DHH representing Moog Center alumni. The objective was to determine whether the amount of early intervention (referred to hereafter as dose of early intervention received at the Moog Center during the time children were 0-36 months of age) contributed uniquely to outcomes in preschool (4–6 years) and in elementary school (8–14 years). …

Are Audiologists Directly Referring Children With Hearing Loss To Early Intervention?, Natalie Loyola, Bridget Shanahan, Cailin Shanahan, Kosuke Kawai, Derek J. Stiles

Journal of Early Hearing Detection and Intervention

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 …

Using Data To Improve Services For Infants With Hearing Loss: Linking Newborn Hearing Screening Records With Early Intervention Records, Maria Gonzalez, Lori Iarossi, Yan Wu, Ying Huang, Kirsten Siegenthaler

Journal of Early Hearing Detection and Intervention

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 …

Announcing The New Ehdi Learning Center Ebook

Journal of Early Hearing Detection and Intervention

No abstract provided.

Evaluating Loss To Follow-Up In Newborn Hearing Screening In A Southern State, Elizabeth L. Crouch, Janice C. Probst, Kevin J. Bennett, Tara Carroll Mcd, Ccc/A

Journal of Early Hearing Detection and Intervention

Objective: The aim of this study was to examine loss to follow-up on the usage of diagnostic or intervention services for South Carolina infants screened or diagnosed with hearing loss and the risk factors associated with loss to follow up.

Design: A cross sectional analysis of data from South Carolina was used to examine loss to follow-up on the use of audiologic evaluation services after initial newborn hearing screening and receipt of intervention services after confirmation of hearing loss.

Results: Three percent (3.1%) of all children screened in the state of South Carolina did not pass their newborn hearing screening …

Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud.

Journal of Early Hearing Detection and Intervention

Prelingual hearing loss greatly restricts a child’s language development, hindering his or her behavioral, cognitive and social functioning. Although technology such as hearing aids and cochlear implants are an option for providing access to sound, they fail to teach the child how to listen or attend, how to process language (whether visual or spoken), or how to produce language and communicate. Home visiting is widely recognized as a cost-effective intervention service delivery model. Home visiting programs for promoting language development in children who are diagnosed as deaf or hard of hearing have been in existence for over 50 years, yet …

Time Trend And Factors Associated With Late Enrollment In Early Intervention Among Children With Permanent Hearing Loss In Louisiana 2008-2013, Tri Tran, Yao Wang, Mary Jo Smith, Brenda Sharp, Terri Ibieta, Jeanette Webb, Wendy Jumonville, Melinda Peat, Susan Berry

Journal of Early Hearing Detection and Intervention

This study aimed to identify the time trend of and factors associated with late enrollment in early intervention (EI) services among children with permanent hearing loss (HL) born between 2008 and 2013 in Louisiana. 2008-2013 linked Louisiana Early Hearing Detection and Intervention, birth records, EarlySteps (IDEA, Part C), Parent-Pupil Education Program, and Medicaid data were analyzed. Logistic regression models were used to evaluate the trend and associations of mother and child’s demographic and hearing loss characteristics with late EI enrollment. Results of data analyses did not show any trend of late enrollment in EI services from 2008 to 2013. Delayed …

Promoting Immigrant Parents’ Engagement In Early Intervention Through Culturally And Linguistically Responsive Service Delivery, Wendy B. Wieber, Lucia Quinonez Sumner

Journal of Early Hearing Detection and Intervention

This article focuses on the use of culture-based play, songs, and games in the early education of newcomers to the United States. Current studies examine culturally inclusive practices in PreK-12 schools in America, Canada, and Australia and suggest that parents participate more enthusiastically when their cultural orientation is honored. Although there is scant research regarding in-home early intervention for infants and toddlers who are deaf or hard of hearing for recent immigrants to the United States, the same principle may hold true for this group of immigrants. The type of parent involvement that an early interventionist in the U.S. hopes …