Medicine and Health Sciences Commons^™

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 …

Application Of Intervention Mapping To Address Lost To Intervention In Early Hearing Detection And Intervention, Torri Ann Woodruff-Gautherin, Kathleen Cienkowski

Journal of Early Hearing Detection and Intervention

Abstract

Purpose: Detail the application of intervention mapping as a protocol for developing a novel way to address lost to intervention within the early hearing detection and intervention systems.

Design: Intervention mapping (IM) is an approach to behavior change that is typically utilized in public health initiatives. This six-step process walks health program developers, researchers, and policy makers through a rigorous research and community-based approach to understanding why a health concern or problem is present in a community. While using IM to address lost to intervention in Early Hearing Detection and Intervention programs, the focus is on why families, after …

A Systematic Review Of The Effects Of Lena-Based Feedback On Parent-Child Language Interactions In Families With Young Children, Beula M. Magimairaj, Naveen K. Nagaraj, Ana Caballero, Karen F. Munoz, Karl R. White

Journal of Early Hearing Detection and Intervention

Enhancing parent language interactions with children beginning in infancy is important because it results in better language abilities, social skills, and academic outcomes in children. A number of researchers have suggested that parent language interactions with children could be enhanced by giving parents feedback about their language interactions using the Language Environment Analysis (LENA) system. The LENA system records communication exchanges between a child and the adult caregiver and provides an automated analysis of adult word count, child vocalization count, and conversational turn count. We did a systematic review of the studies that investigated the use of LENA-based feedback to …

Nurses’ Perceptions Of The Universal Newborn Hearing Screening Program, Aaron Michael Roman, Michelle O'Connor Kensey

Journal of Early Hearing Detection and Intervention

This study explores the knowledge and perceptions of the newborn hearing screening (NBHS) program from the perspective of nurses and nursing support staff. Registered nurses and nursing support staff (n = 84) completed a digitally administered survey that queried their understanding of JCIH guidelines, perceptions around NBHS administration, and parental anxiety. The results demonstrated that while most respondents felt comfortable and confident about NBHS administration, there was a significant difference in their understanding of appropriate screening milestones compared to JCIH recommendations. Participants further demonstrated an interest in additional learning opportunities related to the NBHS.

Impact Of Social Determinants Of Health On Early Hearing Detection And Intervention Screening/Diagnosis Outcomes, Nannette Nicholson, Ellen A. Rhoades, Rachel E. Glade, Laura Smith-Olinde

Journal of Early Hearing Detection and Intervention

Purpose

We reviewed how Social Determinants of Health relate to health inequities and disparities for Early Hearing Detection and Intervention (EHDI) programs. Then, we examine links between specific sociodemographic factors (maternal age, maternal education, ‘race’/ethnicity) and hearing screening and diagnostic audiology follow-up for newborns in the U.S. and its territories.

Methods

Maternal demographic, hearing screening and diagnostic data extracted from publicly available Centers for Disease Control and Prevention (CDC) records were reported to CDC by personnel responsible for EHDI programs. Data were subjected to statistical analysis using analysis of variance and multiple regression techniques.

Results

Results showed no significant differences …

Likely Impact Of The Covid-19 Pandemic On Newborn Hearing Screening And Follow-Up Services In The United States In 2020, Kelly Dundon, Suhana Alam, Xidong Deng, Mia Morrison, Treeby Brown, Karl R. White, Linda Hazard, Macia Fort, Kirsten R. Coverstone, Craig Mason, Marcus Gaffney

Journal of Early Hearing Detection and Intervention

This perspective aims to highlight aspects of the Early Hearing Detection and Intervention (EHDI) newborn hearing screening and follow-up processes that were impacted by the COVID-19 pandemic and considers factors that likely impacted follow-up after newborn hearing screening among infants born in the United States during 2020. Efforts to minimize the potential impact of missed or delayed identification of hearing loss in infants and young children will also be discussed to help guide future program improvement activities.

Training The Next Generation Of Practitioners In Early Intervention And Telepractice: Three University Models, K. Todd Houston, Lauri Nelson, Kristina Blaiser

Journal of Early Hearing Detection and Intervention

The COVID-19 pandemic continues to shape the provision of family-centered early intervention services for children who are Deaf or Hard-of-Hearing and their families. In programs, schools, and centers, direct in-person contact with families have been significantly curtailed as a means to limit the exposure to and spead of the virus. Emergency remote learning has lead to an increase in telepractice, also referred to as teleintervention, as the designated model of service provision. Most early interventionists, speech-language pathologists, and teachers of the Deaf were not sufficiently trained to suddenly implement emergency remote teaching or telepractice services, but service providers had no …

Telepractice-Based Assessment Of Children Who Are Deaf/Hard-Of-Hearing: Focus On Family-Centered Practice, Kristina M. Blaiser, Lauri Nelson, K. Todd Houston

Journal of Early Hearing Detection and Intervention

Ongoing assessment and progress monitoring is considered best practice to serve children who are Deaf/Hard-of-Hearing (DHH) yet logistics related to provider shortages, distances between families, and illness make regular assessment difficult if not impossible. In the last ten years, telepractice has become a more commonly used service delivery model for serving children who are DHH and their families, however, many providers lack the training needed to adequately assess this population (Behl & Kahn, 2015). With explicit planning of the assessments and tools needed on both sides of the camera, providers can create a shared framework to collect the information needed …

A Review Of Current Pediatric Tele-Audiology Ehealth Platforms, Alex Meibos

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this study was to identify current pediatric tele-audiology hearing technology platforms for young children with hearing loss and their families.

Method: An exploratory, descriptive design was used to evaluate features of available pediatric tele-audiology platforms for parents and audiologists to implement for young children. The study explored internet resources including hearing industry websites, for information related to specific eHealth platform features designed to support pediatric hearing devices currently available to audiologists and families.

Results: Of the websites reviewed, only four major technology companies were found to have pediatric tele-audiology ready platforms designed to support young children …

Intra-Operative Language Assessment For Adult Brain Tumor Survivors: A Systematic Review, Carissa Jolley

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Awake craniotomy and language assessment procedures for brain tumor survivors can drastically affect patient outcomes and quality of life. The goal of intra-operative language mapping is to help preserve vital communicative functions. However, there is currently no standardized set of measures for intra-operative language assessment. This systematic review identified behavioral language measures used during intra-operative procedures and the resulting outcomes for adult brain tumor patients, with the aim of helping clinicians and researchers select intra-operative language assessments supported by the highest levels of evidence.

PRISMA guidelines were used to systematically identify articles. Patient demographic and medical information, neuroimaging data, intra-operative …

Usability And Feasibility Of A Spoken Language Outcome Monitoring Procedure In A Canadian Early Hearing Detection & Intervention Program: Results Of A 1-Year Pilot, Olivia Daub, Barbara Jane Cunningham, Marlene P. Bagatto, Janis Oram Cardy

Journal of Early Hearing Detection and Intervention

Abstract

Purpose: Best practice recommendations for Early Hearing Detection and Intervention (EHDI) programs include routine spoken language outcome monitoring. The present article reports on pilot data that evaluated the usability and feasibility of a spoken language outcome monitoring procedure developed for Ontario’s Infant Hearing Program (IHP). This procedure included both Program-level monitoring using omnibus language tests from birth to 6;0 and individual vulnerability monitoring of key domains of spoken language known to be at risk in children who are deaf/hard-of-hearing.

Methodology: Speech-language pathologists (SLPs) in the IHP piloted the new procedures for one year and provided feedback on the procedure …

Association Between Craniofacial Anomalies And Newborn Hearing Screening Fail Rate, Kaitlyn Sheapp, Ruth S. Marin, Larry Medwetsky

Journal of Early Hearing Detection and Intervention

Purpose: Increased knowledge of the prevalence of various craniofacial anomalies and their associated risks for hearing loss can help guide 1) development of evidence-based practice regarding detection and documentation of risk factors at birth and 2) health care professionals to make appropriate recommendations for follow-up testing and monitoring.

Method: Records were reviewed for 39,813 infants born at Adventist HealthCare Shady Grove Medical Center and White Oak Medical Center between January 1, 2014 and December 31, 2019 to determine the association between the presence of craniofacial anomalies and newborn hearing screening fail rates, as well as the prevalence of confirmed hearing …

Adaptation Of The Conditioned Assessment Of Speech Production In Spanish, Alliete R. Alfano, Daniel Gonzalez, David J. Ertmer

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this article is to describe the adaptation of the Spanish adaptation of the CASP.

Method: The authors adapted each segment into Spanish, then had 41 participants complete a survey to determine if each adapted segment was representative of the Spanish phonologic system. Thirty-six children (half with typical hearing, half with hearing loss) completed the CASP in English and Spanish. Paired samples t-tests were run to compare English and Spanish CASP scores between children with hearing loss and those with typical hearing.

Results: All segments were adapted as needed into Spanish. There was no statistical difference between …

Improving Newborn Hearing Screening Through Collaboration And Communication, Mary Duncan, Marissa Schuh, Shannon Haynes, Anita Taylor, Gwen Moreland, Raleigh Jones, Matthew Bush, Jennifer Shinn

Journal of Early Hearing Detection and Intervention

Purpose: Hearing loss is the number one birth defect among children. There are significant consequences of delayed diagnosis and failure to obtain timely intervention, particularly for a child’s speech and language development. Design and implementation of successful newborn hearing screening (NHS) programs can be challenging. The purpose of this paper is to demonstrate improved efficiency and effectiveness of a large NHS program through the implementation of a team approach engaging both ambulatory and hospital services.

Methodology: A Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was used to develop an improved NHS program focused on improving patient care. The SWOT analysis …

“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 …

Hearing Screening In North Carolina's Nicu And Well-Baby Nurseries: Impact Of Jcih 2019 And Covid-19, Jackson Roush, Shannon Culbertson, Chloe Gratzek, Jane Khin, Alexandra Mccormick, Stephanie Ortega, Madison Rock, Kathryn Sobon, Jenna Van Bosch, Hannah Siburt, Marcia Fort

Journal of Early Hearing Detection and Intervention

Purpose: Over an 18-month period in 2020–2021, the North Carolina Early Hearing Detection and Intervention (EHDI) program in collaboration with the North Carolina Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program conducted a statewide examination of newborn hearing screening practices in North Carolina’s 24 Neonatal Intensive Care Units (NICU) and 86 well-baby nurseries to determine how current protocols and procedures conform to those recommended by the Joint Committee on Infant Hearing (JCIH) in its Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. The COVID-19 pandemic emerged during the study period and motivated …

Language Revitalization: Strategies To Reverse Language Shift, Jessica Jamiel Martin

Undergraduate Honors Capstone Projects

Language shift, the process by which a language loses speakers until it becomes extinct, is occurring in speech communities all over the world. This process is influenced by internal and external political, social, and economic factors unique to each community. As its causes and effects are not uniform, a universal model for reversing language shift does not exist. However, several broad principles can be applied across multiple contexts and situations for successful language revitalization. It is essential for the speech community to be the primary decision maker in any program. A thorough assessment of the community’s current status, challenges, and …

Working Memory Capactiy And Speech Perception With Hearing Aids, Ethan Watson

Student Research Symposium

This presentation covers an ongoing literature review that is asessing the relationship between working memory capcity and speech percpetion with hearing aids. It will provide a brief overview of the ELU model and how hearing aids create mismatch in our neural coding process of speech. Current results of what hearing aid signal stratgies relate to WMC will be provided.

Public Education V. Deaf Children: The Benefits And Downsides Of Public Education For Deaf Children, Esther Christensen

Student Research Symposium

My research was focused on the benefits and downsides of public education on deaf children. This research aims to find the best solution for the education of deaf children in American society, and inform others of the results. I used a library database to find primary and secondary sources from the Deaf community and other communities that are influenced by this topic. Through my research I found that it is possible for deaf children to succeed in public schools, they are far better off in schools for the deaf. The results that I found indicate that there are some benefits …

Language Revitalization: Strategies To Reverse Language Shift, Jessica Martin

Student Research Symposium

Language shift, the process by which a language loses speakers until it becomes extinct, is occurring in speech communities all over the world. This process is influenced by internal and external political, social, and economic factors unique to each community. As its causes and effects are not uniform, a universal model for reversing language shift does not exist. However, several broad principles can be applied across multiple contexts and situations for successful language revitalization. It is essential for the speech community to be the primary decision maker in any program. A thorough assessment of the community’s current status, challenges, and …

The Development Of Controlled Attention, Lexie Scott, Katelin Pyfer

Student Research Symposium

The ability to maintain items of information within working memory is depending on the ability to allocate attention to items within WM. Individual differences in WM capacity may bedependent on the amount of information that can be held and maintained in the focus of attention. A basic question in cognitive development is whether individuals increase the capacity of the focus of attention or the efficiency with which they can process information. We examined the differences in typically developing children versus adults in the capacity and efficiency of attention control. In our study, children and young adults completed a dichotic attention …

Bodies Of Beauty, Tyaira Mackay

Student Research Symposium

The rates of eating disorder diagnoses amongst young people in the United States has gradually increased, while beauty standards have gained more prevalence. These beauty standards have become more unrealistic and glorify frail, stick-like bodies. This research aims to discover if there is any correlation between these unhealthy standards and the development and diagnosis of eating disorders. To conduct my research, I used library and internet sources to gather a pool of primary and secondary sources. I used sources by underrepresented scholars concerning different body standards as well as information given by eating disorder clinics to gain a better understanding …

Short Term Stability Of The Electrical Stapedial Reflex, Emilee Harris

Student Research Symposium

Electrical stapedial reflex threshold (eSRT) is an objective measurement of the stapedial reflex triggering in response to loud electrical stimulation through the CI electrode. eSRT has been a valuable clinical tool in mapping the Cochlear Implant (CI) electrodes upper limits. The main objective of this study is to validate the changes in the eSRT within and across CI patients over one year post activation. In this study retrospective clinical data were analyzed from 44 patients ranging in age from 1-88 years, with a total of 29 left ear devices and 31 right ear devices activated in the years 2013-2020 with …

Covid Anxiety And Stress In Higher Ed (Cash), Letitia Bergantz, Christopher E. Curtis

Journal on Empowering Teaching Excellence

Access the online Pressbooks version of this article here.

College is a time of increased stress and anxiety. The current changes in attendance and methods of instruction due to COVID-19 have demonstrated even higher levels of stress, anxiety, and mental health issues. Tailoring interventions to the specific needs of a campus community has been proposed as an appropriate means to the current crisis. This study identifies the mental health needs of students at a rural college as they pertain to the effects of the pandemic.

Questionnaires collected data from college students (N=33) at Athens State University, a rural university in …

Ehealth Education And Support For Pediatric Hearing Aid Management: Parent Goals, Questions And Challenges, Natalie Nichols, Karen F. Munoz, Guadalupe G. San Miguel, Michael P. Twohig

Communicative Disorders and Deaf Education Student Research

Purpose: To investigate parent goals, questions, and challenges that emerged during coaching phone calls in an eHealth program designed to provide education and support for hearing aid management.

Methods: Coaching phone calls were audio-recorded, transcribed and qualitatively analyzed for emergent themes within the categories of goals, questions, and challenges.

Results: Emergent themes revealed parent goals were focused on self-efficacy, routines, device care and child development. Emergent themes for questions revealed parents asked questions related to the device care, audiology appointments, confirmation of learning, and child development. For challenges emergent themes revealed parents’ own struggles (e.g., with emotions), issues related to …

Intervention Research To Increase Pediatric Hearing Device Use: A Scoping Review, Karen F. Munoz, Diana Ortiz, Cameron Bolinger, Michael P. Twohig

Psychology Faculty Publications

Purpose: This study is a scoping review examining interventions to increase hearing device use for children.

Method: Online databases were used to identify peer-reviewed journal articles published prior to November 1, 2021, yielding 1,288 after duplications were removed. Four articles met the inclusion criteria after articles were screened by title name and abstract and subsequent full-text screening of six articles. A qualitative analysis was conducted to identify features of the intervention studies related to the participants, design, intervention, key findings, and limitations.

Results: The included studies were published between 1982 and 2021, and in all four studies, the children used …