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Robinson M, Burgner D, Lin A, Jacoby P, Eikelboom R, Vijayasekaran S, Brennan-Jones CG. Risk of otitis media in offspring following maternal prenatal stress exposure. Int J Pediatr Otorhinolaryngol 2024; 182:112022. [PMID: 38941719 DOI: 10.1016/j.ijporl.2024.112022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 06/12/2024] [Accepted: 06/23/2024] [Indexed: 06/30/2024]
Abstract
OBJECTIVES There is limited but consistent evidence that suggests prenatal factors, including maternal stress, may contribute to susceptibility for otitis media. We aimed to determine the effect of multiple life stress events during pregnancy on risk of acute and recurrent otitis media in offspring at three and five years of age. METHODS Exposure data on stressful life events were collected from pregnant women in a longitudinal prospective pregnancy cohort study, at 18 and 34 weeks' gestation. We used longitudinal regression models stratified by offspring sex to examine associations between the number, type and timing of maternal prenatal stress events and the likelihood of any OM in addition to recurrent OM infection at age three and five years, adjusting for pre-specified prenatal sociodemographic and environmental confounders. RESULTS Each additional stressful life event in pregnancy was associated with increased risk of any OM at both ages (3 years: OR = 1.07, 95%CI = 1.02, 1.12; 5 years: OR = 1.07, 95%CI = 1.02, 1.12), with larger effect sizes for recurrent otitis media (3 years: OR = 1.11, 95%CI = 1.05, 1.17; 5 years: OR = 1.09, 95%CI = 1.04, 1.14). Risk of offspring otitis media did not differ with timing of stress nor by offspring sex. Specific types of stress (pregnancy and relationship problems, issues with other children) were each associated with increased risk of recurrent OM at age three and five years. CONCLUSIONS We observed a dose-response relationship between maternal stressful life events in pregnancy and the risk for offspring otitis media in the preschool years, most marked for recurrent otitis media.
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Affiliation(s)
- Monique Robinson
- Telethon Kids Institute, The University of Western Australia, Australia.
| | - David Burgner
- Murdoch Children's Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia; Department of Paediatrics, Monash University, Clayton, Australia
| | - Ashleigh Lin
- School of Population and Global Health, The University of Western Australia, Australia
| | - Peter Jacoby
- Telethon Kids Institute, The University of Western Australia, Australia
| | - Robert Eikelboom
- Ear Sciences Centre, Medical School, The University of Western Australia, Australia; Ear Science Institute Australia, Perth, Australia; Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa; Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | - Shyan Vijayasekaran
- Perth ENT Centre, Perth, Australia; Otolaryngology Head and Neck Surgery, Perth Children's Hospital, Perth, Australia; Medical School, The University of Western Australia, Australia
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Altamimi AAH, Robinson M, Alenezi EMA, Choi RSM, Brennan-Jones CG. The Impact of Early-Life Recurrent Otitis Media in Children on the Psychological Well-Being of Caregivers. Laryngoscope 2024; 134:1445-1449. [PMID: 37565701 DOI: 10.1002/lary.30949] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 07/13/2023] [Accepted: 07/26/2023] [Indexed: 08/12/2023]
Abstract
AIM Children with early-life recurrent otitis media (OM) will often endure pain, sleep disturbances, and other developmental setbacks that impact the surrounding family system. The aim of this study was to investigate the psychological well-being and family functioning of caregivers of children with early-life recurrent OM (rOM). METHODS Data from a longitudinal pregnancy cohort were used to categorize children into two groups: those with a history of recurrent OM (rOM group) and those without a history of rOM (reference group) by the age of 3 years. The psychological well-being of caregivers and the family functioning status were assessed using the Affect Balance Scale and the General Functioning Scale of the McMaster Family Assessment Device (FAD-GF), respectively, at the three-, five-, and eight-year follow-up appointments. Multiple linear regression models were used to analyze the data and were adjusted for potential confounding variables. RESULTS There were significant associations between having a child with an early history of rOM and the Affect Balance Scale of caregivers for the negative affects subscale at the three- (p < 0.001) and five- (p = 0.018) year follow-ups, and the Affect Balance subscale at the three-year (p = 0.007) and the five-year follow-ups (p = 0.047). There were no significant associations measured during the 8-year follow-up period for the FAD-GF. CONCLUSION The findings of this study further highlight the impact of caring for a child with rOM in early childhood on caregivers' psychological well-being in the first five years of a child's life. The impact, however, did not appear to influence the longer-term functioning of the family as a whole. LEVEL OF EVIDENCE 3 Laryngoscope, 134:1445-1449, 2024.
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Affiliation(s)
- Ali A H Altamimi
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
- Division of Paediatrics, Medical School, The University of Western Australia, Perth, Western Australia, Australia
- Faculty of Life Sciences, Kuwait University, Kuwait City, Kuwait
| | - Monique Robinson
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
| | - Eman M A Alenezi
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
- Division of Paediatrics, Medical School, The University of Western Australia, Perth, Western Australia, Australia
- Faculty of Allied Health Sciences, Kuwait University, Kuwait City, Kuwait
| | - Robyn S M Choi
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
- Department of Audiology, School of Human Sciences, The University of Western Australia, Perth, Western Australia, Crawley, Australia
| | - Christopher G Brennan-Jones
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
- Division of Paediatrics, Medical School, The University of Western Australia, Perth, Western Australia, Australia
- Department of Audiology, Perth Children's Hospital, Perth, Western Australia, Australia
- School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
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Altamimi AAH, Robinson M, Alenezi EMA, Veselinović T, Choi RSM, Brennan‐Jones CG. Recurrent otitis media and behaviour problems in middle childhood: A longitudinal cohort study. J Paediatr Child Health 2024; 60:12-17. [PMID: 37961922 PMCID: PMC10952300 DOI: 10.1111/jpc.16518] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 09/12/2023] [Accepted: 11/02/2023] [Indexed: 11/15/2023]
Abstract
AIM To investigate the long-term effects of early-life recurrent otitis media (OM) and subsequent behavioural problems in children at the age of 10 years. METHODS Data from the Raine Study, a longitudinal pregnancy cohort, were used to categorise children into those with three or more episodes of OM (rOM group) and those without a history of recurrent OM in the first 3 years of life (reference group). The parent report Strengths and Difficulties Questionnaire was used to assess child behaviour at the age of 10 years. Parental questionnaires were used to report past and present diagnoses of various mental health and developmental conditions, including attention, anxiety, depression, learning, and speech-language problems. Multiple linear and logistic models were used to analyse the data and were adjusted for a fixed set of key confounding variables. RESULTS The linear regression analysis revealed significant, independent associations between a history of recurrent OM and higher Strengths and Difficulties Questionnaire scores, including total, internalising, externalising, emotional, attention/hyperactivity and peer problems subscales. Logistic regression analyses revealed an independent increased likelihood for children in the rOM group to have a diagnosis of attention, anxiety, learning and speech-language problems. CONCLUSION Children at 10 years of age with an early history of recurrent OM are more likely to exhibit attentional and behavioural problems when compared to children without a history of recurrent OM. These findings highlight the association between early-life recurrent OM and later behavioural problems that may require professional allied health-care interventions.
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Affiliation(s)
- Ali AH Altamimi
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of MedicineThe University of Western AustraliaPerthWestern AustraliaAustralia
- Faculty of Life SciencesKuwait UniversityKuwait CityKuwait
| | - Monique Robinson
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
| | - Eman MA Alenezi
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of MedicineThe University of Western AustraliaPerthWestern AustraliaAustralia
- Faculty of Allied Health SciencesKuwait UniversityKuwait CityKuwait
| | - Tamara Veselinović
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of Human SciencesThe University of Western AustraliaPerthWestern AustraliaAustralia
| | - Robyn SM Choi
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of Human SciencesThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of Allied HealthFaculty of Health Sciences, Curtin UniversityPerthWestern AustraliaAustralia
| | - Christopher G Brennan‐Jones
- Telethon Kids InstituteThe University of Western AustraliaPerthWestern AustraliaAustralia
- School of MedicineThe University of Western AustraliaPerthWestern AustraliaAustralia
- Audiology DepartmentPerth Children's HospitalPerthWestern AustraliaAustralia
- School of Allied HealthFaculty of Health Sciences, Curtin UniversityPerthWestern AustraliaAustralia
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Altamimi AAH, Robinson M, McKinnon EJ, Alenezi EMA, Veselinović T, Choi RSM, Brennan-Jones CG. The association between otitis media in early childhood with later behaviour and attention problems: A longitudinal pregnancy cohort. Int J Pediatr Otorhinolaryngol 2023; 168:111545. [PMID: 37043962 DOI: 10.1016/j.ijporl.2023.111545] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 03/09/2023] [Accepted: 04/02/2023] [Indexed: 04/14/2023]
Abstract
OBJECTIVES The present study aims to investigate the association between an early history of recurrent otitis media (OM) with or without ventilation tube insertion (VTI) and later behavioural problems in childhood and adolescence. METHODS Parental reports in a longitudinal pregnancy cohort were used to classify children into three groups; recurrent OM without VTI (rOM group; n = 276), recurrent OM with VTI (VTI group; n = 62), and no history of early-life recurrent OM as a reference group (n = 1485). The Child Behaviour Checklist (CBCL) was administered at ages 5, 8, 10, and 13 years and data were analysed for psychological wellbeing. Mixed-effects regression modelling was used to investigate the associations between a history of rOM and CBCL T-scores across all ages for rOM and VTI groups compared to the reference group. All analyses were controlled for a wide range of confounding variables. RESULTS The analyses revealed a significant association between recurrent OM and behavioural problems. While there was a general decline in scores (i.e. improvement) observed over the duration of the follow-up period, children in the rOM group displayed significantly higher scores for internalising and externalising behaviours at ages five, eight and 10 years. Attention scores were significantly higher across all ages in the rOM group. A transient increase in internalising behaviour was observed in the VTI group at ages eight and 10 years. Logistic regression models showed an increased overall likelihood for the rOM group only to fall within the abnormal clinical range for internalising and externalising behaviours. CONCLUSION Early-life recurrent OM with and without VTI was associated with increased behavioural and attention problems in early and late childhood. This suggests that recurrent OM can have a significant impact on children's behaviour and attention that can persist into early adolescence.
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Affiliation(s)
- Ali A H Altamimi
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia; The University of Western Australia, Perth, Western Australia, Australia; Faculty of Life Sciences, Kuwait University, Kuwait.
| | - Monique Robinson
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
| | - Elizabeth J McKinnon
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia
| | - Eman M A Alenezi
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia; The University of Western Australia, Perth, Western Australia, Australia; Faculty of Allied Health Sciences, Kuwait University, Kuwait
| | - Tamara Veselinović
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia; The University of Western Australia, Perth, Western Australia, Australia
| | - Robyn S M Choi
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia; The University of Western Australia, Perth, Western Australia, Australia
| | - Christopher G Brennan-Jones
- Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia; The University of Western Australia, Perth, Western Australia, Australia; Perth Children's Hospital, Perth, Western Australia, Australia; School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
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Slykerman RF, Neumann D, Underwood L, Hobbs M, Waldie KE. Age at first exposure to antibiotics and neurodevelopmental outcomes in childhood. Psychopharmacology (Berl) 2023; 240:1143-1150. [PMID: 36930273 PMCID: PMC10101895 DOI: 10.1007/s00213-023-06351-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 03/02/2023] [Indexed: 03/18/2023]
Abstract
RATIONALE Viral illnesses in children are common and are frequently treated with antibiotic medication. Antibiotics reduce the diversity and composition of the gut microbiota, leading to poor developmental outcomes. OBJECTIVES To investigate the relationship between age at first exposure to antibiotics and cognitive and behavioural development at 4.5 years while controlling for multiple confounders, including otitis media. METHODS Study participants were 5589 children enrolled in the broadly generalisable Growing Up in New Zealand cohort study, with antibiotic exposure data, maternal antenatal information, and age 4.5-year behaviour and cognitive outcome data. Children were categorised as first exposed to antibiotics according to the following mutually exclusive ages: 0-2 months; 3-5 months; 6-8 months; 9-11 months; 12-54 months or not exposed by 54 months. Developmental outcome measures included the Strengths and Difficulties Questionnaire, Luria hand clap task, and the Peabody Picture Vocabulary Test-III. RESULTS In univariate analysis, there was an evident dose-response relationship where earlier exposure to antibiotics in the first year of life was associated with behavioural difficulties, lower executive function scores, and lower receptive language ability. After adjusting for confounders, pairwise comparisons showed that first antibiotic exposure between birth and 3 months or between 6 and 9 months was associated with lower receptive vocabulary. Antibiotic exposure at any age prior to 12 months was associated with increases in behavioural difficulties scores at 4.5 years. CONCLUSIONS Following adjustment for socioeconomic factors and otitis media, there is evidence that antibiotic exposure during potentially sensitive windows of development is associated with receptive language and behaviour later in childhood.
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Affiliation(s)
- Rebecca F Slykerman
- Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Building 507, 22-30 Park Avenue, Grafton, Auckland, 1023, New Zealand.
| | - Denise Neumann
- School of Psychology, Faculty of Science, University of Auckland, Auckland, New Zealand
| | - Lisa Underwood
- Growing UP in New Zealand, Centre for Longitudinal Research, University of Auckland, Auckland, New Zealand
| | - Mark Hobbs
- Growing UP in New Zealand, Centre for Longitudinal Research, University of Auckland, Auckland, New Zealand
| | - Karen E Waldie
- School of Psychology, Faculty of Science, University of Auckland, Auckland, New Zealand
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Alenezi EM, Veselinović T, Tao KF, Altamimi AA, Tran TT, Herbert H, Kuthubutheen J, McAullay D, Richmond PC, Eikelboom RH, Brennan-Jones CG. Ear Portal: An urban-based ear, nose, and throat, and audiology referral telehealth portal to improve access to specialist ear-health services for children. J Telemed Telecare 2023:1357633X231158839. [PMID: 36916156 DOI: 10.1177/1357633x231158839] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023]
Abstract
INTRODUCTION Shortage of ear, nose, and throat specialists in public hospitals can result in delays in the detection and management of otitis media. This study introduced a new hospital-based telehealth service, named the Ear Portal, and investigated its role in improving access to specialist care. METHODS The study included 87 children (aged 6 months to 6 years) referred to a tertiary children's hospital due to otitis media-related concerns. A specialist multidisciplinary team met fortnightly to review pre-recorded data and provide care plans. RESULTS The service resulted in a median waiting time of 28 days to receive a diagnosis and care plan by the multidisciplinary team, compared to a mean waiting time of 450 days for a reference group receiving standard healthcare services. Most children (90.3%) received bilateral ear diagnosis. Normal findings were found in 43.9%. However, the majority required further ear, nose, and throat with or without audiology face-to-face follow-up due to a diagnosis of middle-ear disease, unknown hearing status, or concerns not related to ears. The mean time required for clinical assessments completion by research assistants and multidisciplinary team review was 37.6 and 5.1 min per participant, respectively. DISCUSSION Children in the Ear Portal service received a diagnosis and care plan in a median of 28 days, which is within the clinically recommended timeframes. With sufficient clinical information, this service can provide faster access to specialist care than the standard healthcare pathway. The service can reduce the time required by the specialist to provide a diagnosis and care plan which may help increase the specialists' capacity.
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Affiliation(s)
- Eman Ma Alenezi
- Medical School, 2720The University of Western Australia, Perth, WA, Australia.,Ear Health, 117610Telethon Kids Institute, 2720The University of Western Australia, Nedlands, WA, Australia.,Faculty of Allied Health Sciences, Kuwait University, Kuwait
| | - Tamara Veselinović
- Medical School, 2720The University of Western Australia, Perth, WA, Australia.,Ear Health, 117610Telethon Kids Institute, 2720The University of Western Australia, Nedlands, WA, Australia
| | - Karina Fm Tao
- Ear Health, 117610Telethon Kids Institute, 2720The University of Western Australia, Nedlands, WA, Australia.,60081Perth Children's Hospital, Nedlands, WA, Australia
| | - Ali Ah Altamimi
- Medical School, 2720The University of Western Australia, Perth, WA, Australia.,Ear Health, 117610Telethon Kids Institute, 2720The University of Western Australia, Nedlands, WA, Australia.,Faculty of Life Sciences, Kuwait University, Kuwait
| | - Tu Trang Tran
- 60081Perth Children's Hospital, Nedlands, WA, Australia
| | - Hayley Herbert
- Medical School, 2720The University of Western Australia, Perth, WA, Australia.,60081Perth Children's Hospital, Nedlands, WA, Australia
| | - Jafri Kuthubutheen
- Medical School, 2720The University of Western Australia, Perth, WA, Australia.,60081Perth Children's Hospital, Nedlands, WA, Australia
| | - Daniel McAullay
- Medical School, 2720The University of Western Australia, Perth, WA, Australia.,Kurongkurl Katitjin, 2498Edith Cowan University, Joondalup, WA, Australia
| | - Peter C Richmond
- Medical School, 2720The University of Western Australia, Perth, WA, Australia.,Ear Health, 117610Telethon Kids Institute, 2720The University of Western Australia, Nedlands, WA, Australia.,60081Perth Children's Hospital, Nedlands, WA, Australia
| | - Robert H Eikelboom
- Faculty of Health Sciences, Curtin University, Perth, WA, Australia.,Ear Science Institute Australia, Subiaco, WA, Australia.,Centre for Ear Sciences, 2720The University of Western Australia, Nedlands, WA, Australia.,Department of Speech Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Christopher G Brennan-Jones
- Medical School, 2720The University of Western Australia, Perth, WA, Australia.,Ear Health, 117610Telethon Kids Institute, 2720The University of Western Australia, Nedlands, WA, Australia.,60081Perth Children's Hospital, Nedlands, WA, Australia.,Faculty of Health Sciences, Curtin University, Perth, WA, Australia
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Thorsen J, Pedersen TM, Mora-Jensen ARC, Bjarnadóttir E, Bager SC, Bisgaard H, Stokholm J. Middle ear effusion, ventilation tubes and neurological development in childhood. PLoS One 2023; 18:e0280199. [PMID: 36638109 PMCID: PMC9838841 DOI: 10.1371/journal.pone.0280199] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 12/22/2022] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Otitis media with middle ear effusion (MEE) can be treated with ventilation tubes (VT) insertion, and it has been speculated that prolonged MEE in childhood can affect neurological development, which in turn may be important for later academic achievements. OBJECTIVE To investigate the association between middle ear effusion (MEE), treatment with ventilation tubes (VT) and childhood neurological development. STUDY DESIGN We examined 663 children from the Copenhagen Prospective Studies on Asthma in Childhood 2010 (COPSAC2010) unselected mother-child cohort study. Children were followed by study pediatricians with regular visits from pregnancy until 3 years of age. MEE was diagnosed using tympanometry at age 1, 2 and 3 years. Information regarding VT from age 0-3 years was obtained from national registries. We assessed age at achievement of gross motor milestones from birth, language scores at 1 and 2 years, cognitive score at 2.5 years and general development score at age 3 years using standardized quantitative tests. RESULTS Children with MEE had a lower 1-year word production vs. children with no disease: (median 2, IQR [0-6] vs. 4, IQR [1-7]; p = 0.017), and a lower 1-year word comprehension (median 36; IQR [21-63] vs. 47, IQR [27-84]; p = 0.03). Children with VT had a lower 2-5-year cognitive score vs. children with no disease; estimate -2.34; 95% CI [-4.56;-0.12]; p = 0.039. No differences were found between children with vs. without middle ear disease regarding age at achievement of gross motor milestones, word production at 2 years or the general developmental score at 3 years. CONCLUSION Our study supports the previous findings of an association between MEE and concurrent early language development, but not later neurological endpoints up to the age of 3. As VT can be a treatment of those with symptoms of delayed development, we cannot conclude whether treatment with VT had positive or negative effects on neurodevelopment.
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Affiliation(s)
- Jonathan Thorsen
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Tine Marie Pedersen
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Department of Pediatrics, Naestved Hospital, Naestved, Denmark
| | - Anna-Rosa Cecilie Mora-Jensen
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Department of Pediatrics, Naestved Hospital, Naestved, Denmark
| | - Elín Bjarnadóttir
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Department of Pediatrics, Naestved Hospital, Naestved, Denmark
| | - Søren Christensen Bager
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Department of Pediatrics, Naestved Hospital, Naestved, Denmark
| | - Hans Bisgaard
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Jakob Stokholm
- COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
- Department of Pediatrics, Naestved Hospital, Naestved, Denmark
- * E-mail:
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Kishida Y, Brennan-Jones CG, Runions K, Vithiatharan R, Hancock K, Brown M, Eikelboom RH, Coffin J, Kickett-Tucker C, Li IW, Epstein M, Falconer SE, Cross D. Supporting the Social-Emotional Well-Being of Elementary School Students Who Are Deaf and Hard of Hearing: A Pilot Study. Lang Speech Hear Serv Sch 2022; 53:1037-1050. [PMID: 35914020 DOI: 10.1044/2022_lshss-21-00178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE Children who are Deaf and Hard of Hearing (DHH), their parents, Teachers of the Deaf, and other community stakeholders were involved in co-designing a web-based resource to support students' social-emotional well-being. The resource was designed to provide families and teachers with strategies to enhance the social and emotional well-being of Grade 4-6 students who are DHH. This study reports outcomes of a pilot study of the web-based resource intervention. METHOD A pre-post pilot study was conducted to quantitatively examine reported anxiety, well-being, social relationships, school experience, student-teacher relationship, and parent and teacher self-efficacy. A total of 37 students, their parents (n = 37), and their classroom teachers (n = 40) participated in the intervention program and were provided access to the resource. RESULTS In total, 19 students, 22 parents, and 17 teachers completed both pre- and postsurvey measures. Paired t tests revealed that there was a statistically significant increase in parents' self-efficacy scores from pre- to posttest. Multivariate analysis of covariance revealed a significant association between parent use of the website and student-reported improved peer support and reduced school loneliness. No other statistically significant differences were found. CONCLUSIONS The use of a web-based resource codeveloped with students who are DHH, their parents, and teachers could potentially be beneficial for the well-being of students who are DHH as well as parents' self-efficacy. Further research is needed to confirm the benefits.
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Affiliation(s)
- Yuriko Kishida
- Telethon Kids Institute, Perth, Western Australia, Australia.,Telethon Speech & Hearing, Perth, Western Australia, Australia.,Macquarie University, Sydney, New South Wales, Australia.,Curtin University, Perth, Western Australia, Australia
| | - Christopher G Brennan-Jones
- Telethon Kids Institute, Perth, Western Australia, Australia.,Curtin University, Perth, Western Australia, Australia.,Perth Children's Hospital, Child and Adolescent Health Service, Western Australia, Australia.,The University of Western Australia, Perth, Australia
| | - Kevin Runions
- Telethon Kids Institute, Perth, Western Australia, Australia.,The University of Western Australia, Perth, Australia
| | | | - Kirsten Hancock
- Telethon Kids Institute, Perth, Western Australia, Australia
| | - Michelle Brown
- Department of Education, School of Special Education Needs: Sensory, Perth, Western Australia, Australia
| | - Robert H Eikelboom
- Curtin University, Perth, Western Australia, Australia.,The University of Western Australia, Perth, Australia.,Ear Science Institute, Perth, Western Australia, Australia.,Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
| | - Juli Coffin
- Telethon Kids Institute, Perth, Western Australia, Australia.,The University of Western Australia, Perth, Australia
| | | | - Ian W Li
- The University of Western Australia, Perth, Australia
| | - Melanie Epstein
- Telethon Kids Institute, Perth, Western Australia, Australia
| | | | - Donna Cross
- Telethon Kids Institute, Perth, Western Australia, Australia.,The University of Western Australia, Perth, Australia
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Children with Secondary Care Episodes for Otitis Media Have Poor Literacy and Numeracy Outcomes: A Data Linkage Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010822. [PMID: 34682568 PMCID: PMC8535982 DOI: 10.3390/ijerph182010822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 10/08/2021] [Accepted: 10/12/2021] [Indexed: 11/17/2022]
Abstract
We examined the association between otitis media (OM) and educational attainment in a retrospective population cohort of Western Australian children who participated in the grade 3 National Assessment Program—Literacy and Numeracy in 2012 (N = 19,262). Literacy and numeracy scores were linked to administrative hospital and emergency department data to identify secondary care episodes for OM. Results of multivariate multilevel models showed that children with OM episodes had increased odds of poor performance on literacy and numeracy tests, compared to children without OM episodes (46–79% increase in odds for Aboriginal children; 20–31% increase in odds for non-Aboriginal children). There were no significant effects found for age at the first episode, nor for OM episode frequency (all ps > 0.05). Regardless of the timing or frequency of episodes, children with OM episodes are at risk of poor literacy and numeracy attainment. Aboriginal children with OM appeared to be particularly at risk of poor literacy and numeracy achievement. Intervention to reduce the prevalence of otitis media in young children, and early treatment of OM, are important for limiting the negative effects on academic outcomes.
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Alenezi EMA, Jajko K, Reid A, Locatelli-Smith A, Tao KFM, Bright T, Richmond PC, Eikelboom RH, Brennan-Jones CG. The reliability of video otoscopy recordings and still images in the asynchronous diagnosis of middle-ear disease. Int J Audiol 2021; 61:917-923. [PMID: 34596478 DOI: 10.1080/14992027.2021.1983217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To compare the asynchronous assessment of video otoscopic still images to recordings by an audiologist and ear, nose and throat surgeon (ENT) for diagnostic reliability and agreement in identifying middle-ear disease. DESIGN A prospective cross-sectional study, asynchronously assessing video otoscopy, tympanometry and case history (Dx1). A subset was re-diagnosed (Dx2). STUDY SAMPLE Video otoscopy and data from 146 children recruited at two public community events; a sub-set of 47 were re-assessed. RESULTS The intra-rater diagnostic agreement between Dx1 and Dx2 was moderate (k = 0.445-0.552) for the ENT surgeon, and almost-perfect (k = 0.928) for the audiologist, in both procedures. The agreement between the two procedures was substantial (k = 0.624) and moderate (k = 0.416) for the ENT surgeon in Dx1 and Dx2 respectively, and almost-perfect for the audiologist (k = 0.854-0.978) in both rounds. In Dx1, the inter-rater agreement between the clinicians was substantial using still images (k = 0.672) and moderate using recordings (k = 0.593); in Dx2 it was moderate using both procedures (k = 0.477-0.488). CONCLUSION Both video otoscopic procedures, in addition to tympanometry and case history information, can be reliably used for asynchronous diagnosis of childhood middle-ear disease. An audiologist has a potential role in triaging children with middle-ear abnormalities and, therefore, improving access to ear-health services.
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Affiliation(s)
- Eman M A Alenezi
- Division of Paediatrics, The University of Western Australia, Nedlands, Western Australia.,Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia
| | - Kathryn Jajko
- Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia
| | - Allison Reid
- Division of Ear, Nose, and Throat, Perth Children's Hospital, Perth, Western Australia
| | | | - Karina F M Tao
- Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia
| | - Tess Bright
- International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, Keppel St, London
| | - Peter C Richmond
- Division of Paediatrics, The University of Western Australia, Nedlands, Western Australia.,Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia.,Division of Ear, Nose, and Throat, Perth Children's Hospital, Perth, Western Australia
| | - Robert H Eikelboom
- Department of Clinical Research, Ear Science Institute Australia, Subiaco, Western Australia.,Ear Sciences Centre, The University of Western Australia, Nedlands, Western Australia.,Department of Speech Language Pathology and Audiology, University of Pretoria, South Africa.,Faculty of Health Sciences, Curtin University, Perth, Western Australia
| | - Christopher G Brennan-Jones
- Division of Paediatrics, The University of Western Australia, Nedlands, Western Australia.,Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia.,Division of Ear, Nose, and Throat, Perth Children's Hospital, Perth, Western Australia.,Faculty of Health Sciences, Curtin University, Perth, Western Australia
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11
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Leach AJ, Morris PS, Coates HL, Nelson S, O'Leary SJ, Richmond PC, Gunasekera H, Harkus S, Kong K, Brennan-Jones CG, Brophy-Williams S, Currie K, Das SK, Isaacs D, Jarosz K, Lehmann D, Pak J, Patel H, Perry C, Reath JS, Sommer J, Torzillo PJ. Otitis media guidelines for Australian Aboriginal and Torres Strait Islander children: summary of recommendations. Med J Aust 2021; 214:228-233. [PMID: 33641192 PMCID: PMC7985866 DOI: 10.5694/mja2.50953] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Accepted: 08/26/2020] [Indexed: 11/20/2022]
Abstract
Introduction The 2001 Recommendations for clinical care guidelines on the management of otitis media in Aboriginal and Torres Islander populations were revised in 2010. This 2020 update by the Centre of Research Excellence in Ear and Hearing Health of Aboriginal and Torres Strait Islander Children used for the first time the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Main recommendations We performed systematic reviews of evidence across prevention, diagnosis, prognosis and management. We report ten algorithms to guide diagnosis and clinical management of all forms of otitis media. The guidelines include 14 prevention and 37 treatment strategies addressing 191 questions. Changes in management as a result of the guidelines A GRADE approach is used. Targeted recommendations for both high and low risk children. New tympanostomy tube otorrhoea section. New Priority 5 for health services: annual and catch‐up ear health checks for at‐risk children. Antibiotics are strongly recommended for persistent otitis media with effusion in high risk children. Azithromycin is strongly recommended for acute otitis media where adherence is difficult or there is no access to refrigeration. Concurrent audiology and surgical referrals are recommended where delays are likely. Surgical referral is recommended for chronic suppurative otitis media at the time of diagnosis. The use of autoinflation devices is recommended for some children with persistent otitis media with effusion. Definitions for mild (21–30 dB) and moderate (> 30 dB) hearing impairment have been updated. New “OMapp” enables free fast access to the guidelines, plus images, animations, and multiple Aboriginal and Torres Strait Islander language audio translations to aid communication with families.
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Affiliation(s)
| | - Peter S Morris
- Menzies School of Health Research, Darwin, NT.,Royal Darwin Hospital, Darwin, NT
| | - Harvey Lc Coates
- University of Western Australia, Perth, WA.,Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Perth, WA
| | - Sandra Nelson
- Department of Health, Northern Territory Government, Darwin, NT
| | - Stephen J O'Leary
- Royal Victorian Eye and Ear Hospital, University of Melbourne, Melbourne, VIC
| | - Peter C Richmond
- University of Western Australia, Perth, WA.,Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Perth, WA
| | - Hasantha Gunasekera
- University of Sydney, Sydney, NSW.,Children's Hospital at Westmead, Sydney, NSW
| | - Samantha Harkus
- Aboriginal and Torres Strait Islander Services, Hearing Australia, Sydney, NSW
| | | | - Christopher G Brennan-Jones
- University of Western Australia, Perth, WA.,Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Perth, WA
| | | | - Kathy Currie
- Department of Health, Northern Territory Government, Darwin, NT
| | - Sumon K Das
- Menzies School of Health Research, Darwin, NT
| | - David Isaacs
- University of Sydney, Sydney, NSW.,Children's Hospital at Westmead, Sydney, NSW
| | | | - Deborah Lehmann
- University of Western Australia, Perth, WA.,Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Perth, WA
| | - Jarod Pak
- Menzies School of Health Research, Darwin, NT
| | | | - Chris Perry
- Hospital and Health Services, Queensland Health, Brisbane, QLD
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12
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Brennan-Jones CG, Whitehouse AJO, Calder SD, Costa CD, Eikelboom RH, Swanepoel DW, Jamieson SE. Does Otitis Media Affect Later Language Ability? A Prospective Birth Cohort Study. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2020; 63:2441-2452. [PMID: 32539591 DOI: 10.1044/2020_jslhr-19-00005] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Purpose The aim of the study was to examine whether otitis media (OM) in early childhood has an impact on language development in later childhood. Methods We analyzed data from 1,344 second-generation (Generation 2) participants in the Raine Study, a longitudinal pregnancy cohort established in Perth, Western Australia, between 1989 and 1991. OM was assessed clinically at 6 years of age. Language development was measured using the Peabody Picture Vocabulary Test-Revised (PPVT-R) at 6 and 10 years of age and the Clinical Evaluation of Language Fundamentals-Third Edition at 10 years of age. Logistic regression analysis accounted for a wide range of social and environmental covariates. Results There was no significant relationship between bilateral OM and language ability at 6 years of age (β = -0.56 [-3.78, 2.66], p = .732). However, while scores were within the normal range for the outcome measures at both time points, there was a significant reduction in the rate of receptive vocabulary growth at 10 years of age (PPVT-R) for children with bilateral OM at 6 years of age (β = -3.17 [-6.04, -0.31], p = .030), but not for the combined unilateral or bilateral OM group (β = -1.83 [-4.04, 0.39], p = .106). Conclusions Children with OM detected at 6 years of age in this cohort had average language development scores within the normal range at 6 and 10 years of age. However, there was a small but statistically significant reduction in the rate of receptive vocabulary growth at 10 years of age (on the PPVT-R measure only) in children who had bilateral OM at 6 years of age after adjusting for a range of sociodemographic factors.
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Affiliation(s)
- Christopher G Brennan-Jones
- Telethon Kids Institute, The University of Western Australia, Perth
- Division of Paediatrics, School of Medicine, The University of Western Australia, Perth
- Department of Audiology, Perth Children's Hospital, Western Australia
| | | | - Samuel D Calder
- Faculty of Health Sciences, Curtin University, Perth, Western Australia
| | - Cheryl Da Costa
- Division of Paediatrics, School of Medicine, The University of Western Australia, Perth
| | - Robert H Eikelboom
- Ear Science Institute Australia, Perth, Western Australia
- Ear Sciences Centre, The University of Western Australia, Perth
- Department of Speech Language Pathology and Audiology, University of Pretoria, South Africa
| | - De Wet Swanepoel
- Ear Science Institute Australia, Perth, Western Australia
- Ear Sciences Centre, The University of Western Australia, Perth
- Department of Speech Language Pathology and Audiology, University of Pretoria, South Africa
| | - Sarra E Jamieson
- Telethon Kids Institute, The University of Western Australia, Perth
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