Medicine and Health Sciences Commons^™

Access To Pediatric Audiological Evaluation Facilities For Infants And Young Children In The United States: Results From The Ehdi-Pals System, Naveen K. Nagaraj, Emilee Mertens, Beula Magimairaj, Randi Winston Gerson, John Whicker, Karl R. White

Journal of Early Hearing Detection and Intervention

Early Hearing Detection and Intervention - Pediatric Audiology Links to Services (EHDI-PALS) is a web-based national directory of pediatric audiology facilities in the United States, created by an expert committee and launched in October 2012. In this study, data from 1,232 audiology facilities were analyzed to identify the number of registered facilities, types of diagnostic hearing tests offered, and the number of children under 5 years of age who were diagnosed with hearing loss. Some states had almost 15 times as many registered facilities as other states, suggesting that access to quality diagnostic hearing testing for infants and young children …

Engaging Parents Of Children With Mild Bilateral Or Unilateral Hearing Loss: Counseling Considerations, Karen F. Munoz, Clarissa W. Ong, Michael P. Twohig

Journal of Early Hearing Detection and Intervention

A notable percentage of children identified with hearing loss through newborn hearing screening have mild bilateral or unilateral hearing loss (MB/UHL). Caregivers’ appropriately strong emotions, fears, and personal struggles may inadvertently interfere with their engagement with audiologists and other professionals, as well as adherence to jointly determined intervention protocols. Researchers have shown variable outcomes for children with MB/UHL, counseling that includes addressing emotional and cognitive factors is essential for effectively engaging parents. The aim of this article is to describe counseling attributes and strategies that providers can incorporate when working with parents of children with MB/UHL to improve parent engagement …

Social Validity Of Technology Assisted Spoken Language Intervention For Deaf And Hard-Of-Hearing Children, Sandra Grether Phd, Lisa L. Hunter Phd, Robert C. Gibler M.A., Susan Wiley, Bethany Wysocki Au.D., Rajvi Desai Msw, Jareen Meinzen-Derr

Journal of Early Hearing Detection and Intervention

Children who are Deaf or Hard-of-Hearing (DHH) are at-risk for language delays and associated developmental challenges that impact academic, social, and communication skills. Technology Assisted Language Intervention (TALI) is a novel approach that focuses on using augmentative and alternative communication (AAC) as an intervention for children who are DHH. Results from a recent pilot study suggested that TALI may be a viable approach for enhancing spoken language and communication. In this study, we examined the social validity of TALI using interviews and focus groups. We collected qualitative data from parents, caregivers, and professionals working with children who are DHH to …

Assessment Of Factors Involved In Non-Adherence To Infant Hearing Diagnostic Testing, Anita Shanker, Marcia Vanessa Rojas-Ramirez, Julie A. Jacobs, Jennifer B. Shinn, Cathy Lester, Philip M. Westgate, Matthew L. Bush

Journal of Early Hearing Detection and Intervention

Abstract

Introduction: Delayed diagnosis of pediatric hearing loss can cause delays in cognitive and social development. This study described the sociodemographic factors associated with delayed timing of a final hearing diagnosis after an abnormal newborn hearing screening (NBHS). Methods: Parent-infant dyads were recruited after being referred for further audiologic testing on an abnormal result from the NBHS. Results: Of the 53 participants, 55% (n=29) did not receive a final diagnosis by the recommended 3 months of age. Of those with a delayed diagnosis, 45% (n=13) had their first appointment within 3 months, but a delay was caused by an inconclusive …

An Exploration Of Automated Narrative Analysis Via Machine Learning, Sharad Jones, Carly Fox, Sandra Laing Gillam, Ronald B. Gillam

Communicative Disorders and Deaf Education Faculty Publications

The accuracy of four machine learning methods in predicting narrative macrostructure scores was compared to scores obtained by human raters utilizing a criterion-referenced progress monitoring rubric. The machine learning methods that were explored covered methods that utilized hand-engineered features, as well as those that learn directly from the raw text. The predictive models were trained on a corpus of 414 narratives from a normative sample of school-aged children (5;0-9;11) who were given a standardized measure of narrative proficiency. Performance was measured using Quadratic Weighted Kappa, a metric of inter-rater reliability. The results indicated that one model, BERT, not only achieved …

A Comparison Of The Storage-Only Deficit And Joint Mechanism Deficit Hypotheses Of The Verbal Working Memory Storage Capacity Limitation Of Children With Developmental Language Disorder, James W. Montgomery, Ronald B. Gillam, Julia L. Evans, Sarah Schwartz, Jamison D. Fargo

Communicative Disorders and Deaf Education Faculty Publications

Purpose: The storage-only deficit and joint mechanism deficit hypotheses are two possible explanations of the verbal working memory (vWM) storage capacity limitation of school-age children with developmental language disorder (DLD). We assessed the merits of each hypothesis in a large group of children with DLD and a group of same-age typically developing (TD) children.

Method: Participants were 117 children with DLD and 117 propensity-matched TD children 7-11 years of age. Children completed tasks indexing vWM capacity, verbal short-term storage, sustained attention, attention switching, and lexical long-term memory (LTM).

Results: For the DLD group, all of the mechanisms jointly explained 26.5% …

Pediatric Amplification Management: Parent Experiences Monitoring Children’S Aided Hearing, Karen F. Munoz, Makynzie Larsen, Lauri Nelson, Sarah E. Yoho, Michael P. Twohig

Journal of Early Hearing Detection and Intervention

Objective: Investigate parents’ experiences monitoring aided hearing for children who use hearing aids, bone conduction hearing aids, and cochlear implants.

Design: A cross-sectional survey design, using three survey instruments, was used to collect parent data.

Study Sample: A total of 178 parents of children birth to six years were included in the analysis (81 hearing aid; 61 cochlear implant; 36 bone conduction hearing aid).

Results: Surveys explored hearing device use and monitoring. Variability was found for hearing aid use, and many parents reported being unaware if their child’s device has data logging capability. Parents varied widely in how often they …

Involvement Of Adults Who Are Deaf Or Hard Of Hearing In Ehdi Programs, Elizabeth Shuler-Krause, Karl R. White

Journal of Early Hearing Detection and Intervention

Consistent with a position statement of the Joint Committee on Infant Hearing (JCIH, 2007), several key organizations and groups have supported involving deaf and hard of hearing (DHH) adults in Early Hearing Detection and Intervention (EHDI) systems, including providing families of children who are DHH with opportunities to interact with adults who are DHH. This article reviews the available data on the involvement of adults who are DHH in EHDI systems to determine the availability of opportunities for families who have children who are DHH to interact with adults who are DHH, how families feel about these experiences, and to …

Family Impact Of Pediatric Hearing Loss: Findings From Parent Interviews And A Parent Support Group, Kristen L. Haddad, Wendy W. Steuerwald, Lori Garland

Journal of Early Hearing Detection and Intervention

Parents experience numerous stressors tied to their child's diagnosis as deaf or hard of hearing (DHH). This study sought to inquire about the lived experiences of parents with children who are DHH to inform the types of supports that should be provided within an audiology care coordination system. Semi-structured phone interviews were conducted with parents of children under the age of five who are DHH and patients of the Division of Audiology at Cincinnati Children’s Hospital Medical Center (CCHMC). Interview findings informed focus group questions, which were facilitated in a parent support group with parents of children who are DHH …

Newborn Hearing Screenings For Babies Born At Home: Report From An Initiative In Michigan, Shannon B. Palmer, Jill L. Adelson, Brittany F. Crawford, Nan Asher, Wendy Switalski

Journal of Early Hearing Detection and Intervention

Objective: Babies born in an out-of-hospital setting (e.g., homebirth) often do not receive a universal newborn hearing screening (UNHS). The purpose of this study was to evaluate the effect of providing training and equipment for newborn hearing screening to midwives who attend homebirths.

Study Design: Midwives from around the state of Michigan were invited to participate in a two-part UNHS training. Hearing screening data from all midwives who attended homebirths (N=112) during the 2015 and 2016 calendar years were analyzed using a two-level multilevel model. Estimated odds of babies being screened were calculated based on midwife group.

Results: …

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). …

21st Century Teenagers And Young Adults Who Are Deaf Or Hard Of Hearing: Outcomes And Possibilities, Jean S. Moog, Amanda M. Rudge 3730756

Journal of Early Hearing Detection and Intervention

The purpose of this study was to document demographics, characteristics, and long-term outcomes of teenagers and young adults who are deaf or hard of hearing (DHH) and who all attended the Moog Center for Deaf Education for preschool and/or a portion of elementary school. Data were obtained via an online survey that was designed to assess educational, personal, and professional outcomes of individuals who were currently in high school and beyond. Survey questions were about the lives of these individuals after leaving the Moog Center. Participants included 108 individuals who were DHH, ranging from 15 to 32 years of age. …

The Impact Of Master’S Level Education On The Assessment And Intervention Of Pediatric Swallowing, Andrea Seagren

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Purpose: Pediatric swallowing disorders is increasing in prevalence as medical advancements are made. This increase raises the need for more speech-language pathologists (SLPs) to be involved in the assessment and intervention of pediatric swallowing. However, discrepancies exist in the amount and level of education being provided during academic coursework in the area of pediatric swallowing.

Method 1: The investigation had a two-tier approach. Part one included a survey specifically targeting SLPs who graduated within the most recent accreditation standards (2014 to present) and masters level students in their second year of graduate school (n=100). Part two explored academic courses offered …

Individualized Frequency Importance Functions For Listeners With Sensorineural Hearing Loss, Sarah E. Yoho Leopold, Adam K. Bosen

Communicative Disorders and Deaf Education Faculty Publications

The Speech Intelligibility Index includes a series of frequency importance functions for calculating the estimated intelligibility of speech under various conditions. Until recently, techniques to derive frequency importance required averaging data over a group of listeners, thus hindering the ability to observe individual differences due to factors such as hearing loss. In the current study, the “random combination strategy” [Bosen and Chatterjee (2016). J. Acoust. Soc. Am. 140, 3718–3727] was used to derive frequency importance functions for individual hearing-impaired listeners, and normal-hearing participants for comparison. Functions were measured by filtering sentences to contain only random subsets of frequency bands …

Parent Challenges, Perspectives And Experiences Caring For Children Who Are Deaf Or Hard-Of-Hearing With Other Disabilities: A Comprehensive Review, John J. Whicker, Karen F. Muñoz, Lauri H. Nelson

Communicative Disorders and Deaf Education Faculty Publications

Objective: The purpose of this literature review was to explore parent challenges in caring for children who are deaf or hard of hearing with other disabilities and discuss implications for audiologists related to supporting families.

Design: A comprehensive literature review was conducted, and through qualitative analysis, emergent themes were identified, and a narrative summary generated.

Study sample: Nine research studies were included in this review. Combined, these studies reflect a sample of 111 children, 23 families and 41 parents.

Results: Three broad themes were identified, and include parent-reported challenges related to family, professional and child variables. Sub-themes were identified within …

Autoscore: An Open-Source Automated Tool For Scoring Listener Perception Of Speech, Stephanie A. Borrie, Tyson S. Barrett, Sarah E. Yoho Leopold

Psychology Faculty Publications

Speech perception studies typically rely on trained research assistants to score orthographic listener transcripts for words correctly identified. While the accuracy of the human scoring protocol has been validated with strong intra- and inter-rater reliability, the process of hand-scoring the transcripts is time-consuming and resource intensive. Here, an open-source computer-based tool for automated scoring of listener transcripts is built (Autoscore) and validated on three different human-scored data sets. Results show that not only is Autoscore highly accurate, achieving approximately 99% accuracy, but extremely efficient. Thus, Autoscore affords a practical research tool, with clinical application, for scoring listener intelligibility of speech.