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Timeliness of Service Delivery for Children With Later-Identified Mild-to-Severe Hearing Loss.

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Title: Timeliness of Service Delivery for Children With Later-Identified Mild-to-Severe Hearing Loss.
Authors: Walker, Elizabeth A.1 elizabeth-walker@uiowa.edu, Holte, Lenore1, Spratford, Meredith2, Oleson, Jacob1, Welhaven, Anne1, Harrison, Melody3
Source: American Journal of Audiology. Mar2014, Vol. 23 Issue 1, p116-128. 13p.
Subject Terms: *Audiometry, *Health services accessibility, *Longitudinal method, *Mothers, *Educational attainment, *Children, Hearing aid fitting, Hard of hearing people, Interviewing, Medical care, Rehabilitation, Research funding, Time, Early medical intervention
Abstract: Purpose: In this study, the authors examined diagnostic and intervention services for children identified with hearing loss (HL) after the newborn period. Method: The authors compared ages at service delivery and length of delays between service delivery steps for 57 later-identified children with HL and 193 children who referred for assessment from the newborn hearing screen (NHS). For only later-identified children, regression models were used to investigate relationships among predictor variables and dependent variables related to service delivery. Results: Children who referred from the NHS received follow-up services at younger ages than later-identified children. Later-identified children had significantly longer delays from entry into early intervention to HL confirmation, compared to children who referred from the NHS. For later-identified children, degree of HL predicted ages at follow-up clinical services. Children with more severe HL received services at younger ages compared with children with milder HL. Gender predicted the length of the delay from confirmation to entry into early intervention, with girls demonstrating shorter delays. Conclusions: The current results lend support to the need for ongoing hearing monitoring programs after the neonatal period, particularly when children enter early intervention programs because of language/developmental delays. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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PubType: Academic Journal
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  Data: Timeliness of Service Delivery for Children With Later-Identified Mild-to-Severe Hearing Loss.
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  Data: <searchLink fieldCode="AR" term="%22Walker%2C+Elizabeth+A%2E%22">Walker, Elizabeth A.</searchLink><relatesTo>1</relatesTo><i> elizabeth-walker@uiowa.edu</i><br /><searchLink fieldCode="AR" term="%22Holte%2C+Lenore%22">Holte, Lenore</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Spratford%2C+Meredith%22">Spratford, Meredith</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Oleson%2C+Jacob%22">Oleson, Jacob</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Welhaven%2C+Anne%22">Welhaven, Anne</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Harrison%2C+Melody%22">Harrison, Melody</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Mar2014, Vol. 23 Issue 1, p116-128. 13p.
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  Data: *<searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br />*<searchLink fieldCode="DE" term="%22Mothers%22">Mothers</searchLink><br />*<searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br />*<searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+aid+fitting%22">Hearing aid fitting</searchLink><br /><searchLink fieldCode="DE" term="%22Hard+of+hearing+people%22">Hard of hearing people</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation%22">Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Time%22">Time</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Purpose: In this study, the authors examined diagnostic and intervention services for children identified with hearing loss (HL) after the newborn period. Method: The authors compared ages at service delivery and length of delays between service delivery steps for 57 later-identified children with HL and 193 children who referred for assessment from the newborn hearing screen (NHS). For only later-identified children, regression models were used to investigate relationships among predictor variables and dependent variables related to service delivery. Results: Children who referred from the NHS received follow-up services at younger ages than later-identified children. Later-identified children had significantly longer delays from entry into early intervention to HL confirmation, compared to children who referred from the NHS. For later-identified children, degree of HL predicted ages at follow-up clinical services. Children with more severe HL received services at younger ages compared with children with milder HL. Gender predicted the length of the delay from confirmation to entry into early intervention, with girls demonstrating shorter delays. Conclusions: The current results lend support to the need for ongoing hearing monitoring programs after the neonatal period, particularly when children enter early intervention programs because of language/developmental delays. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1044/1059-0889(2013/13-0031)
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        Text: English
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        PageCount: 13
        StartPage: 116
    Subjects:
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Mothers
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      – SubjectFull: Educational attainment
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      – SubjectFull: Children
        Type: general
      – SubjectFull: Hearing aid fitting
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      – SubjectFull: Hard of hearing people
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      – TitleFull: Timeliness of Service Delivery for Children With Later-Identified Mild-to-Severe Hearing Loss.
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              Text: Mar2014
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