Medicine and Health Sciences Commons^™

Psychosocial Experiences Of Parents Of Young Children Who Use Hearing Devices: A Scoping Review, Karen F. Munoz, Natalie Nichols, Sydnee Hill

Journal of Early Hearing Detection and Intervention

Objective: The purpose of this scoping review was to provide information about the research base related to psychosocial experiences of parents of young children who are deaf or hard of hearing (DHH) and use hearing devices. A scoping review identifies trends and gaps in available evidence and this information can be used to inform practice and identify areas in need of further research.

Design: A scoping review was conducted in June 2020 to identify English-language peer-reviewed journal articles published through May 31, 2020.

Study sample: Nine articles were found that investigated psychosocial factors of parents of children birth through five …

Visual Reinforcers Designed For Children With Developmental Disabilities, Angela Yarnell Bonino, Amanda Hemann, Deborah Mood, Emily Kay, Elizabeth S. Pancoast, Kristin K. Sommerfeldt

Journal of Early Hearing Detection and Intervention

A library of visual reinforcers has been created to facilitate visual reinforcement audiometry (VRA) testing in children with developmental disabilities. The library includes 45 reinforcer sets – photos or videos grouped by a common theme – that were created based on commonly reported interests of children with developmental disabilities. Each reinforcer set contains a minimum of 20 unique photo or video files that can be download in two formats: one for commercially available VRA reinforcement systems and another for a custom setup. The library is freely available for download online under a Creative Commons License (Creative Commons Attribution-NonCommercial 4.0 International …

Diagnostic Infant Abr Testing Via Telehealth: A Survey Of Professional Opinions And Current Barriers, Haley B. Prins, Kimberly A. Peters, Douglas P. Sladen

Journal of Early Hearing Detection and Intervention

Purpose: To examine the barriers to Washington State audiologists adopting telehealth as a means of improving accessibility to diagnostic audiology for infants.

Methods: A Qualtrics survey was distributed via e-mail and social media. Survey participants were required to be audiologists practicing in Washington State. The sixteen-question survey consisted of topics related to participant demographics, previous telehealth experience, and barriers to the use of telehealth for diagnostic infant auditory brainstem response (ABR) testing. A total of 17 participants completed the survey.

Results: Survey responses indicated that Washington State audiologists are largely neutral or disagree with telehealth being an effective means of …

Developing A Spoken Language Outcome Monitoring Procedure For A Canadian Early Hearing Detection And Intervention Program: Process And Recommendations, Olivia Daub, Janis Cardy

Journal of Early Hearing Detection and Intervention

Abstract:

Purpose: Routine spoken language outcome monitoring is one component of Early Hearing Detection and Intervention (EHDI) programs for children who are hard-of-hearing and learning a spoken language. However, there is no peer-reviewed research that documents how spoken language outcome monitoring may be achieved, or what processes EHDI programs can use to develop these procedures. The present paper describes the process used by a Canadian EHDI program, and the final recommendations that were developed from this process.

Methodology: Through consultation with the program’s stakeholders, consideration of the Joint Committee on Infant Hearing’s recommendations, and drawing on our own expertise in …

The Effects Of Early Intervention On Language Growth After Age 3 For Children With Permanent Hearing Loss, Lisa Davidson, Andrea Osman, Ann E. Geers

Journal of Early Hearing Detection and Intervention

Purpose: The overall goal of this study was to examine language performance in children with permanent hearing loss who were enrolled in a Listening and Spoken Language program. The influence of time spent in Early Intervention (EI) on language trajectories and ability to attain age-appropriate language skills was examined.

Methods: Retrospective data were obtained from children (N=48) who attended Central Institute for the Deaf (CID) for various lengths of time between 2004 and 2017. Children were grouped into those who had received EI prior to age 3 years versus those who did not. Standardized tests of receptive and …

Increasing Access To Augmentative And Alternative Communication Services For People With Complex Communication Needs During Covid-19 And Beyond, Cristina L. Pujol, Anamaria Nevares, Michelle Schladant

Developmental Disabilities Network Journal

The COVID-19 global pandemic has affected the disability network across the world. In the United States, there are millions of people who cannot use their natural speech to communicate. Augmentative and alternative communication (AAC), a form of assistive technology (AT), helps people with complex communication needs (CCNs) to communicate with others. Examples of AAC include printed pictures and speech-generating devices. A team of professionals work together with the person with CCNs and their caregivers to choose the right type of AAC. Often, people with CCNs need face-to-face and ongoing AAC support. Prior to the COVID-19 pandemic, this population already faced …

Effects Of A Telerehabilitation Group On Continuing Language Treatment After Participation In An Intensive Comprehensive Aphasia Program (Icap), Alexis Missel

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

Aphasia is an acquired neurogenic language disorder encompassing oral and/or written language expression and comprehension affecting an estimated two- to two to four million people in the United States, (Simmons-Mackie, 2018; National Aphasia Association, 2016). The primary aim of the current study was to investigate an option for targeted intervention as a follow-up to an Intensive Comprehensive Aphasia Program (ICAP). There is little research assessing maintenance of communication profile gains following conclusion of the ICAPs, and there are few options that exist as tailored ICAP follow-up programs or continued intervention guided by the ICAP principle features. To address this, a …

Pathway To Amplification In Children Who Passed Their Universal Newborn Hearing Screening Bilaterally, Derek J. Stiles, Kathryn Broughton, Jane Rose, Emily Trittschuh

Journal of Early Hearing Detection and Intervention

Purpose: The aim of this study was to investigate the pathway to amplification technologies for children who passed their universal newborn hearing screening (UNHS) bilaterally with the intent of revealing effective strategies to identify children with acquired or progressive hearing losses. Additionally, the degrees, types, and causes of hearing loss, as well as the types of amplification used by the patients were investigated. Methodology: Medical records were reviewed for 102 children who passed their UNHS bilaterally and who are enrolled in the Boston Children’s Hospital Amplification or Cochlear Implant Programs. Of the 204 total ears, 177 ears were identified with …

Timeliness Of Ehdi Benchmarks In Infants With A Nicu Admission Greater Than Five Days: Analysis From A Retrospective Cohort, Caitlin Sapp, Tammy O'Hollearn, Elizabeth Ann Walker

Journal of Early Hearing Detection and Intervention

The purpose of this study was to examine the timeline of early hearing healthcare in infants with a history of lengthy (> 5 days) admission to a neonatal intensive care unit (NICU) compared to non-NICU peers. We compiled four years of state Early Hearing Detection and Intervention (EHDI) records from 156,335 infants using a statewide administrative database. We compared age at the time of newborn hearing screening, diagnostic audiological evaluation, and entry into early intervention in NICU infants and non-NICU infants. We also compared the proportion of NICU and non-NICU infants meeting prescriptive EHDI timing benchmarks based on the Joint …

Parent Perceptions Of Person-Centered Care: A Randomized Controlled Trial Of The Childhood Hearing Loss Question Prompt List For Parents, Karen F. Munoz, Shannon Edelman, Clarissa W. Ong, Holle Aungst, Kali Markle, Michael P. Twohig

Journal of Early Hearing Detection and Intervention

Objective: When children are identified with hearing loss, parents are often unsure about what they need to know. A Childhood Hearing Loss Question Prompt List for Parents (CHLQPL) was recently developed to help parents and providers address questions. This exploratory study investigated if parents who used the CHLQPL in their audiology appointment perceived their appointment as more person-centered than parents who received treatment as usual. Parent perceptions regarding use of the CHLQPL during the audiology appointment was also sought.

Design: Randomized control trial.

Study sample: Parents of children with permanent hearing loss (N=50).

Results: There were no statistically significant differences …

Well-Being Of Parents Of Children Who Are Deaf Or Hard Of Hearing, Courtney P. Kasin, Karen F. Munoz, Clarissa W. Ong, John J. Whicker, Michael P. Twohig

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this study was to explore factors influencing the well-being of parents who have children who are deaf or hard of hearing (DHH) and to compare their experiences to non-clinical samples.

Method: A cross-sectional online survey was used to collect data (N = 296).

Results: Data analyses revealed the majority of parents of children who are DHH were functioning similarly to or better than the non-clinical samples in our comparison and within the non-clinical range for the included measures. No relationship was found between factors related to child age or timing of services (age at diagnosis, time …

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 …

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 …

South Dakota Early Hearing Detection And Intervention Program: Using Teleaudiology To Conduct Infant Diagnostic Assessments, Hannah Williams, Emily Riley, Jessica Messersmith

Journal of Early Hearing Detection and Intervention

Teleaudiology allows patients and providers to bypass several economic and geographic barriers that impede the delivery and accessibility of audiological services. The South Dakota Early Hearing Detection and Intervention (EHDI) program recognized this benefit and created a teleaudiology infrastructure for the diagnostic assessment of infants. Using a hub-and-spoke model, a certified pediatric audiologist at the hub site assesses infants located at two spoke sites in South Dakota. Remote control software applications are used to provide a synchronous method of service delivery. The audiologist’s test battery includes video otoscopy, tympanometry, and auditory brainstem response (ABR) testing. Since establishing the teleaudiology program, …

Audiologic Clinical Practice Patterns: Infant Assessment, Ursula M. Findlen, Nicole D. Schuller

Journal of Early Hearing Detection and Intervention

The purpose of the present study was to report the current clinical practice patterns for assessment of infants after a referred newborn hearing screening within the context of available guidelines and to examine how the advent of newer stimuli, technology, and/or instrumentation has changed clinical practice patterns for audiologic infant assessment. A mixed-method survey that included both quantitative and qualitative questions was disseminated to pediatric audiologists in 2017. Quantitative data were analyzed via descriptive statistics while qualitative questions were analyzed via content analysis and combined with associated quantitative data. Lastly, infant assessment test battery categorization was completed to ascertain the …

Neonatal Abstinence Syndrome And Infant Hearing Assessment: A Kids’ Inpatient Database Review, Liza Creel, Adam Van Horn, Alex Hines, Matthew L. Bush

Journal of Early Hearing Detection and Intervention

Objective: Neonatal abstinence syndrome (NAS) has become an epidemic. This study assesses documented rates of failed newborn hearing screening (NBHS) or hearing loss diagnosis (HL) in NAS infants, and sociodemographic factors associated with abnormal inpatient hearing results.

Methods: The 2016 HCUP/KID national database was used to identify a weighted sample of infants with failed NBHS/HL during birth hospitalization. Independent variables included diagnoses of NAS/in-utero opioid exposure, HL risk factor presence and sociodemographic data. Univariate analyses and multivariate logistic regression were used to determine associations between NAS and abnormal hearing assessment.

Results:NAS infants had lower odds ratio (OR) of documented …

An Investigation Of Pictography And Verbal Rehearsal On College Students’ Recall Of Expository Texts, Joshua Woodruff

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

Purpose: This study investigated the effects of pictography with and without verbal rehearsal on informational recall of two types of expository texts. This study is part of a research program to further develop a treatment for younger students with language impairment called Sketch-and-Speak.

Procedure: 66 undergraduate students between the ages of 18 and 40 were tested on recall of concrete versus abstract expository texts in a randomized group experiment across three conditions: pictography with and without verbal rehearsal versus re-reading. Participants were trained on the assigned testing condition and then proceeded to the experimental procedure. In the experimental procedure, …

Hearing Care And Management Priority Among Parents Of Children With Down Syndrome: A Grounded Theory, John J. Whicker, Karen F. Muñoz, Nicole J. Pearson, Trenton J. Landon, Lauri H. Nelson, Karl R. White, Michael P. Twohig

Communicative Disorders and Deaf Education Faculty Publications

Objective: This study qualitatively explored the factors that influence how parents of children who are Deaf or hard-of-hearing with Down syndrome prioritize hearing care and management and developed an associated theory to explain that priority.

Design: Grounded theory was used for the purposes of this qualitative study. Data were collected using in-depth interviews which were analyzed using a three-tiered qualitative coding process.

Study Sample: Eighteen mothers of children who are Deaf or hard-of-hearing with Down syndrome participated in this study.

Results: The higher the extent of engaged professional support, perception of benefit for child, parent activation, and family engagement, the …

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 …

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: …

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 …

An Examination Of Entrainment In Typically Developing Children, Kiersten A. Pope

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

Purpose: Conversational entrainment describes the tendency for individuals to align their behavior with their communication partners and is essential for successful interaction. Evidence of entrainment in adults is robust, yet research regarding its development is sparse. Here, we investigate the effectiveness of a quasi-conversational paradigm for the purpose of identifying the speech rate entrainment abilities of children.

Method: Data were collected from a total of 50 typically developing children from 5-14 years old. Participants completed an entrainment task to identify the presence of speech rate modification depending on the presence of “fast” or “slow” stimuli. The entrainment task utilized a …