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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 …

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 …

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 …

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 …

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 …

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 …

Impact Of Face Masks On Audiovisual Word Recognition In Young Children With Hearing Loss During The Covid-19 Pandemic, Erin Lipps, Jody Caldwell-Kurtzman, Lina Motlagh Zadeh, Chelsea M. Blankenship, David R. Moore, Lisa L. Hunter

Journal of Early Hearing Detection and Intervention

Objective: To investigate effects of surgical and transparent face masks during the Covid-19 pandemic on audiovisual speech recognition of words for deaf and hard-of-hearing children.

Design: Recorded Word Intelligibility by Picture Identification test (WIPI) was presented in quiet via a computer monitor to children in a quiet test room. The acoustic power spectra of each mask type were compared to the baseline no mask condition. Percent correct word recognition was recorded for four mask conditions (no mask, surgical mask, transparent apron mask and ClearMask) in counterbalanced order. Repeated measures ANOVA was used to test for significant differences in word recognition …

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 …

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 …

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, …

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 …

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. …

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.

Progress In Documented Early Identification And Intervention For Deaf And Hard Of Hearing Infants – Cdc’S Hearing Screening And Follow-Up Survey, United States, 2006–2016, Krishnaveni Subbiah, Craig A. Mason, Marcus Gaffney, Scott D. Grosse

Journal of Early Hearing Detection and Intervention

The national EHDI 1-3-6 goals state that all infants should be screened for hearing loss before 1 month of age; with diagnostic testing before 3 months of age for those who do not pass screening; and early intervention (EI) services before 6 months of age for those with permanent hearing loss. This report updates previous summaries of progress on these goals by U.S. states and territories. Data are based on the Hearing Screening and Follow-up Survey (HSFS) conducted annually by the Centers for Disease Control and Prevention for the years 2006–2016. Trends were assessed using 3-year moving averages, with rates …

The Past, Present And Future Of Universal Newborn Hearing Screening In Taiwan, Lin Hung-Ching, Hsiu-Wen Chang, Wen-Hui Hsieh

Journal of Early Hearing Detection and Intervention

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, …

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, Tyson S. Barrett, Amanda Wylie, Beth Vogel, Kunal Sanghavi, Melissa Raspa, Kathryn P. Aveni, Kathryn Tullis, Michele Caggana, Karl R. White, Joann Bodurtha

Journal of Early Hearing Detection and Intervention

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 …

Identification Of Oral Clefts As A Risk Factor For Hearing Loss During Newborn Hearing Screening, Patricia L. Purcell, Kathleen Cy Sie, Todd C. Edwards, Debra Lochner Doyle, Karin Neidt

Journal of Early Hearing Detection and Intervention

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 …

Some Permanent Hearing Loss Is Missed When "Switched Ear" Passes Are Used To Determine Screening Results, Beverly G. Lim, Maria Perez-Abalo, Jillian Gerstenberger, Shauna Morales Flowers

Journal of Early Hearing Detection and Intervention

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%) …

Pitch Perception In Preschool-Age Children Who Are Deaf Or Hard Of Hearing, Megan Lambert

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

This research thesis will 1) provide an overview of the psychoacoustics of music perception, particularly as related to the properties of pitch perception in young children and 2) describe the methods and outcomes of an exploratory study to evaluate the efficacy of obtaining pitch perception data from preschool age children with hearing loss. Each child completed a series of three tasks, including coaching and practice, single note perception, and pitch contrasts. All of the children readily understood the single-note pitch perception task. Pitch contrast performance across participants ranged from 50% to 96% correct for the first data collection period and …

Prevalence And Trends Of Childhood Hearing Loss Based On Federally-Funded National Surveys: 1994–2013, Tyson S. Barrett, Karl R. White

Journal of Early Hearing Detection and Intervention

A recent highly cited publication, using data from the National Health and Nutrition Examination Survey (NHANES), concluded that the prevalence of childhood hearing loss in the United States is increasing (Shargorodsky, Curan, Curhan, & Eavey, 2010). This article examines the accuracy of that conclusion based on additional data from three nationally-representative surveys of childhood health. Using data from NHANES, the National Survey of Children’s Health (NSCH), and the National Health Interview Survey (NHIS), logistic regression was used to assess trends from audiometry-measured and parent-reported childhood hearing loss.

In contrast to prior research, the results were highly conflicting. NHANES suggested both …

Wic Participation As A Risk Factor For Loss To Follow-Up In The Wisconsin Ehdi System, Elizabeth L. Seeliger, Rebecca A. Martin, Andrea N. Gromoske, Anne B. Harris

Journal of Early Hearing Detection and Intervention

In 2011, Wisconsin’s Early Hearing Detection and Intervention (EHDI) program, Wisconsin Sound Beginnings (WSB), developed multiple strategies to reduce loss to follow-up (LTFU) for babies who did not pass their newborn hearing screening: Medical Outreach, Family Outreach, Regional Outreach and WIC Alert. WSB evaluated the outcomes of babies identified as at-risk for LTFU to determine whether WIC participation was an indicator of their risk for LTFU. Additionally, WSB evaluated whether babies who were identified as at-risk for LTFU and receiving WIC services in two WIC projects serving areas and populations with known health disparities, were at even greater risk for …

Professional Competence To Promote Resilience For Children Living In Poverty, Jenna M. Voss, Susan Lenihan

Journal of Early Hearing Detection and Intervention

Poverty has a tremendous impact on the educational results of all children, including those who are deaf or hard of hearing. With targeted, evidence-based interventions during the first three years of life, Early Hearing Detection and Intervention (EHDI) professionals can protect children from the numerous risk factors which impede development. While EHDI professionals often serve children and families living in poverty, it remains the case that the professional preparation programs offer limited instruction and experience in how to best serve children and families living in poverty. The purpose of this study was to explore professional preparedness to serve children who …

A Comparison Of Speech Audiometric Performance Of Hypacusics With Clinic-Fitted Hearing Aids And With Master Hearing Aid, Kent Jay Nielsen

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Clinical audiologists at Utah State University have been using a master hearing aid as a basic part of hearing aid evaluation procedures. To ascertain the usefulness of the master hearing aid in predicting patient success with a wearable hearing aid, 20 subjects were given speech audiometric tests under the following conditions: (1) without amplification; (2) with the headset system of the master hearing aid (a system which utilizes chassis mounted microphones and external receivers of the type used with body-worn hearing aids); (3) with the ear-level system of the master hearing aid (a system which utilizes a microphone and receiver …

Wind Noise: Its Effect On Human Audition, William Roy Nelson

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

An examination was made of the acoustic characteristics of wind turbulence generated noise in a car traveling at 70 mph over smoothly paved highway with the driver's window down. The overall noise level was found to be at 112 dB SPL with the predominance of energy in the low frequencies. The study was concerned with the effects of such noise on human audition in terms of temporary threshold shift.

Twenty normal hearing young adults were exposed to a tape recording of wind noise for 15 minutes. Post-exposure auditory thresholds at seven discreet frequencies were compared to pre-exposure auditory thresholds at …

A Study Of The Type And Extent Of Hearing Loss Of Speech Defective Children In The Elementary Schools Of Cache County And Of The Logan City School Districts, Merlin J. Mecham

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Many articles and textbooks which have recently been written in the field of speech correction indicate that a high percent of all children who have speech defects also have a hearing deficiency. Some even say that a higher percent of these children have hearing deficiencies than do children who are normal in speech.

Because of the great interest which has been aroused in the nature of the problems of the speech defectives, and because of the desire which exists for them to be helped in their handicaps, there is a necessity for their problems to be understood as thoroughly as …

A Study Of A Remedial Speech Program In Operation In Four Rural Schools In The State Of Utah, John O. Anderson

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Recent speech surveys conducted in Box Elder County showed that approximately 17% of the elementary school children there had speech defects of such seriousness that they needed clinical attention.

A remedial speech program was organized and remedial speech training given at four schools in Box Elder County.

The purpose of this project was to study this remedial speech program, as it was in operation, in an effort to determine the feasibility and value of such a program.