Measures of Follow-Up in Early Hearing Detection and Intervention Programs: A Need for Standardization

Mason, Craig A.; Gaffney, Marcus; Green, Denise R.; Grosse, Scott D.
June 2008
American Journal of Audiology;Jun2008, Vol. 17 Issue 1, p60
Academic Journal
Purpose: To demonstrate the need for standardized data definitions and reporting for early hearing detection and intervention (EHDI) programs collecting information on newborn hearing screening and follow-up, and types of information best collected in a standardized manner. Method: A hypothetical birth cohort was used to show the potential effects of nonstandardized definitions and data classifications on rates of hearing screening, audiologic follow-up, and hearing loss. Results: The true screening rate in this cohort was 92.4%. The calculated rate was between 90.0% and 96.5%, depending on the measure used. Among children documented as screened and referred for follow-up, 61.0% received this testing. Only 49.0% were documented to have been tested. Despite a true prevalence of 3.7 per 1,000 births, only 1.5 per 1,000 children were documented with a hearing loss. Conclusion: Ensuring that children receive recommended follow-up is challenging. Without complete reporting by audiologists to EHDI programs, accurate calculation of performance measures is impossible. Lack of documentation can lead to the overstatement of "loss to follow-up." Also, standardization of measures is essential for programs to evaluate how many children receive recommended services and assess progress toward national goals. A new survey has been implemented to collect more detailed and standardized information about recommended services.


Related Articles

  • Parents' Needs Following Identification of Childhood Hearing Loss. Fitzpatrick, Elizabeth; Angus, Doug; Durieux-Smith, Andrée; Graham, Ian D.; Coyle, Doug // American Journal of Audiology;Jun2008, Vol. 17 Issue 1, p38 

    Purpose: Appropriate support for families of children diagnosed with hearing impairment may have a direct impact on the success of early hearing detection and intervention programs in reducing the negative effects of permanent hearing loss. We conducted a qualitative study to explore parents'...

  • Helping Families Accept Technology. Madell, Jane // AudiologyOnline;5/23/2011, p1 

    The article focuses on a topic from AudiologyOnline live seminar entitled "Pediatric Audiology - Raising the Bar" on March 18, 2011. It discusses the steps that should be taken by audiologists to better help families in accepting hearing loss including dealing with feelings about the child with...

  • What's That You Say?  // Scholastic Parent & Child;Dec2010/Jan2011, Vol. 18 Issue 4, p40 

    The article presents a study from Brigham and Women's Hospital which showed that hearing loss in children between 12-years-old and 19-years-old has increased over the past decade in 2010.

  • Molecular Screening for Children With Hearing Loss: Why Do It? Wolfe, Jace; Nance, Walter // ASHA Leader;11/6/2007, Vol. 12 Issue 15, p20 

    The article presents an overview of the reasons, including a desire of parents to know, that molecular screening for hearing loss in children. A discussion of the importance of screening for genetic and environmental causes for hearing loss in newborns is presented. Details of the process which...

  • Many hearing impaired kids don't use, have access to hearing aids.  // Nation's Health;Apr2008, Vol. 38 Issue 3, p7 

    This article reports on a study on the use of hearing aids by children with hearing loss in the U.S. Released by the Better Hearing Institute, the study found that only 12 percent of children with hearing loss use hearing aids and that one out of five parents say they are unable to afford...

  • Early Intervention in Audiology: Exploring the Current Status from a Developing Country Context. Khoza-Shangase, Katijah; Michal, Gila // British Journal of Medicine & Medical Research;2014, Vol. 4 Issue 11, p2238 

    Aims: Analysis of the current audio logical management protocols for children with hearing impairment in South Africa's Gauteng state hospitals was investigated in this study. Study Design and Methods: A retrospective record review was conducted, with 70 files/medical records of paediatric...

  • Management of Young Children with Unilateral Hearing Loss. McKay, Sarah // Volta Review;Winter2006, Vol. 106 Issue 3, p299 

    Children with unilateral hearing loss (UHL) are at risk for academic, speech and language and social-emotional difficulties. To date, most of the evidence documented in the literature has been obtained from school-age children, most of whom were diagnosed with UHL after enrollment in school....

  • Auditory Sequential Organization Among Children With and Without a Hearing Loss. Jutras, Benoit; Gagne, Jean-Pierre // Journal of Speech, Language & Hearing Research;Jun1999, Vol. 42 Issue 3, p553 

    Presents information on a study which examined the ability of children with and without a hearing loss to correctly reproduce sequences of varied acoustic stimuli. Evaluation of auditory sequential organization ability among nine-and ten-year-old children; Developmental aspects of auditory...

  • Community-based infant hearing screening in a developing country: parental uptake of follow-up services. Olusanya, Bolajoko O.; Akinyemi, Oladele O. // BMC Public Health;2009, Vol. 9 Issue 1, p1 

    Background: Universal newborn hearing screening is now considered an essential public health care for the early detection of disabling life-long childhood hearing impairment globally. However, like any health interventions in early childhood, parental support and participation is essential for...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics