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Phillips J, Tomlin D, Graydon K, Sarant J. Family-Perceived Barriers and Facilitators Toward a Tele-Audiology Infant Diagnostic Testing Approach in Victoria, Australia. Telemed J E Health 2024; 30:1834-1841. [PMID: 38527282 DOI: 10.1089/tmj.2023.0652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/27/2024] Open
Abstract
Background: Universal newborn hearing screening programs allow for early identification of congenital hearing loss. However, some families experience difficulties accessing diagnostic audiology services following a refer screen result. Methods: This study aimed to assess the opinions of families who had experienced infant diagnostic audiology assessments regarding a telehealth option for these appointments within Victoria, Australia. Families who attended in-person infant diagnostic audiology appointments were sent a questionnaire exploring their experiences of the service and their opinion regarding a proposed telehealth option for infant diagnostic audiology (50 responses received). These results were also compared to those of families who were surveyed following testing in 2020, where the audiologist conducted the appointment remotely to comply with COVID-19-related social distancing recommendations at the time (10 responses received). Results: There were not significant differences between the duration or number of appointments, perceived understanding of results, or concerns regarding a tele-audiology model between families who experienced face-to-face and tele-audiology infant diagnostic audiology appointments. Opinions of infant diagnostic audiology appointments utilizing telehealth technology were largely positive, and minimal technological difficulties were identified. Conclusion: Overall positive attitudes of many families with infant diagnostic appointment experiences toward a tele-audiology option of this service suggest that offering a telehealth model of appointments may be an appropriate model to improve service access for families requiring infant diagnostic audiology in Victoria.
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Affiliation(s)
- Jocelyn Phillips
- Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Australia
| | - Dani Tomlin
- Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Australia
| | - Kelley Graydon
- Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Australia
| | - Julia Sarant
- Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Australia
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Exploring the Stories of Parents' Experiences With Infant Hearing-Loss Screening and Diagnosis in the United States. Ear Hear 2022; 44:518-529. [PMID: 36534640 DOI: 10.1097/aud.0000000000001294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVES For the past 20 years, birthing hospitals in the United States have required newborns to undergo a hearing-loss screening before leaving the hospital. Since the initial newborn hearing screening mandates, there has been much outcome research documenting the successes and barriers of the programs. However, we know little about the experiences of their parents during the time between screening and diagnosis. We propose that elucidating the parents' experiences with newborn hearing-loss screening and diagnosis-via their own stories-is a first step toward understanding their varied experiences and has the potential to ultimately improve hearing healthcare for both children and their families. Thus, to better understand the early hearing screening and detection experience from hearing parents' perspectives, we asked the following research question: what are parents' experiences with their newborns' hearing-loss screening and diagnosis in the United States? DESIGN The present study employed a prospective, cross-sectional qualitative design. Specifically, we gathered stories from 13 hearing parents who each have a child born in the United States and diagnosed with hearing loss no later than 14 mo of age between the years of 2016 and 2020. We used thematic analysis to uncover common themes across parent narratives. Saturation was reached at interview no. 4; thus no further sampling was needed. FINDINGS Two major themes emerged from the data: (1) hearing healthcare experiences and (2) parents' early experiences during the period between their child's newborn hearing-loss screening and diagnosis. Subthemes were also uncovered. Three emergent subthemes related to health-care experiences included: (1) downplayed newborn hearing screening referrals, (2) clinician-centered care, and (3) medical expenses and health coverage. The three subthemes of the second theme were as follows: (1) parent-to-parent support, (2) "mom guilt," and (3) a new reality. CONCLUSION The present study's narrative accounts from parents about their infants' early hearing detection experiences revealed several, different subthemes that emerged from the same, mandated newborn experience in US families. These findings highlight important moments throughout the hearing-loss screening and detection process, which could benefit from more effective, family-centered hearing healthcare. This knowledge also facilitates the field's move toward improved education of future and current providers and regarding family-centered approach, which could address concerns and expectations of new parents at the very start of their newborns' hearing-loss journeys.
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Hamzah NFA, Umat C, Harithasan D, Goh BS. Challenges faced by parents when seeking diagnosis for children with sensorineural hearing loss. Int J Pediatr Otorhinolaryngol 2021; 143:110656. [PMID: 33662710 DOI: 10.1016/j.ijporl.2021.110656] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Revised: 02/03/2021] [Accepted: 02/14/2021] [Indexed: 10/22/2022]
Abstract
INTRODUCTION The Joint Committee of Infant Hearing (JCIH) recommended hearing screening by one month of age, diagnosis of hearing loss by three months of age, and intervention initiated by six months of age. In Malaysia however, the age of diagnosis of hearing loss in children is relatively late. This study aimed to identify the challenges faced by parents in seeking a diagnosis of hearing loss for their children. METHOD The study utilized a semi-structured interview with open-ended questions to obtain information about parents' experiences during the diagnosis period and their challenges when going through that process. In this study, a total of 16 parents of children who were diagnosed with moderate to profound sensorineural hearing loss and received intervention within three years at the time of the study participated. Ten of the children were cochlear implant users, and six were hearing aid users. RESULTS Thematic analysis was used to analyse themes generated from the data according to the study objective. Four main themes and 17 subthemes were identified from this study. The four main themes were 1) Parents' emotion; 2) Parental knowledge; 3) Others; 4) Profesional services. Challenges that parents faced often include emotional behaviours such as feeling guilty and devastated during the diagnosis, lack of information-sharing from healthcare givers, lack of knowledge on childhood hearing loss among parents, support from families, seek for a second opinion, worry about others' acceptance, longer time for diagnosis to confirm, late referral to other related profesionals and no priority for the appointment. CONCLUSION Emotion is identified as the biggest challenge faced by parents in the process of diagnosis for their children with hearing loss. Hence, management of parental emotion needs to be emphasized by health profesionals as it influences the acceptance of parents towards their child's diagnosis.
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Affiliation(s)
- Nur Fatihah Ainun Hamzah
- Center for Rehabilitation & Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Cila Umat
- Center for Rehabilitation & Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
| | - Deepashini Harithasan
- Center for Rehabilitation & Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Bee See Goh
- Department of Otorhinolaryngology-Head & Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
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Nickbakht M, Meyer C, Scarinci N, Beswick R. Family-Centered Care in the Transition to Early Hearing Intervention. JOURNAL OF DEAF STUDIES AND DEAF EDUCATION 2021; 26:21-45. [PMID: 32783059 DOI: 10.1093/deafed/enaa026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Revised: 07/07/2020] [Accepted: 07/14/2020] [Indexed: 06/11/2023]
Abstract
This study aimed to explore and compare families' and professionals' perspectives on the implementation of family-centered care (FCC) (Moeller, Carr, Seaver, Stredler-Brown, & Holzinger, 2013) during the period between diagnosis of hearing loss (HL) and enrollment in early intervention (EI). A convergent mixed-methods study incorporating self-report questionnaires and semistructured in-depth interviews was used. Seventeen family members of children with HL and the 11 professionals who support these families participated in this study. The results suggested that the services engaged during the transition period partially adhered to the principles of FCC, including the provision of timely access to EI services and provision of emotional and social support. However, areas for improvement identified include strengthening family/professional partnerships, shared decision-making processes, collaborative teamwork, program monitoring, and consistency in the provision of information and support. Qualitative and quantitative research findings also indicated a lack of consistency in service provision during the transition period.
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Affiliation(s)
- Mansoureh Nickbakht
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Carly Meyer
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- The HEARing CRC, Melbourne, Australia
| | - Nerina Scarinci
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- The HEARing CRC, Melbourne, Australia
| | - Rachael Beswick
- Children's Health Queensland Hospital and Health Service, Healthy Hearing, Brisbane, Australia
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Pearson T, Wagner S, Schmidt G. Parental perspective: Factors that played a role in facilitating or impeding the parents' understanding of their child's developmental diagnostic assessment. Child Care Health Dev 2020; 46:320-326. [PMID: 31984529 DOI: 10.1111/cch.12751] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 01/15/2020] [Accepted: 01/19/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Full parental understanding of a child's diagnosis of a developmental disability is critical to be able to ensure the best health outcome for their child. Yet factors that parents perceived as influencing their comprehension during the final diagnostic meeting have not been well identified. METHOD This study used a qualitative interpretive description approach. Seventeen parents were interviewed who received a child's developmental diagnosis from one of the clinical multidisciplinary teams located in northern British Columbia. The interviews focused on the factors that played a role in facilitating or impeding the parents' understanding of their child's diagnosis, and on the identification of factors that influenced the way in which the child's clinical recommendations were pursued. RESULTS Two overarching themes with nine subthemes emerged from parents' reported experiences of receiving their child's developmental diagnosis. The themes and subthemes included (a) clinical encounter (including the subthemes structural considerations, professional diversity and new insights, questions regarding the assessment process, and validation) and (b) manner of the delivery of the diagnosis (emotional impact, impact on parenting practices, professionalism, professional language, and quantity of information). CONCLUSIONS Parents' accounts established and clarified the positive and negative parental determinants that aided or challenged their ability to understand their child's developmental diagnosis during the final clinical interaction with the multidisciplinary team.
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Affiliation(s)
- Tammy Pearson
- School of Social Work, University of Northern British Columbia, Prince George, BC, Canada
| | - Shannon Wagner
- School of Health Sciences, College of Arts, Social and Health, University of Northern British Columbia, Prince George, BC, Canada
| | - Glen Schmidt
- School of Social Work, University of Northern British Columbia, Prince George, BC, Canada
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Zaitoun M, Nuseir A. Parents' satisfaction with a trial of a newborn hearing screening programme in Jordan. Int J Pediatr Otorhinolaryngol 2020; 130:109845. [PMID: 31887568 DOI: 10.1016/j.ijporl.2019.109845] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Revised: 12/16/2019] [Accepted: 12/19/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study examines parents' satisfaction level toward a trial of a newborn hearing screening programme (NHSP) that was applied in King Abdullah II University Hospital (KAUH) in Jordan over one year. This is the first study that investigated parents' satisfaction toward a hearing screening programme in the Arab countries, and the results will improve any future screening programmes in the Arabian region. METHOD The main tool for this study was a questionnaire that was translated and modified from the original version of the Parental Satisfaction with the Newborn Hearing Screening Programme (PSQ-NHSPs1). The questionnaire consisted of 19 items covering five main aspects of the NHSP. The parents' responses were not anonymously given where the parents whose children had undergone the hearing screening were contacted by phone using the data record of the hospital. RESULTS The majority of the parents were very satisfied with the programme overall and showed great support and appreciation for the effort in testing their babies and increasing their awareness. The satisfaction levels varied among the specific aspects of the programme. Good portion of the parents did not receive the brochure containing information about the screening, and almost half of them did not know the results of the hearing screening. CONCLUSION Parents were overall satisfied with neonatal hearing screening programme that was conducted at KAUH. However, parents were less satisfied with information related to the test procedure and results. Parents' responses in this study could be used to improve any future hearing screening program in Jordan or in the Arab countries.
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Affiliation(s)
- Maha Zaitoun
- Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science & Technology, P.O.Box 3030, Irbid, 22110, Jordan.
| | - Amjad Nuseir
- Department of Special Surgery-Clinical Faculty Member, Faculty of Medicine, Jordan University of Science & Technology, P.O.Box 3030, Irbid, 22110, Jordan.
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Nickbakht M, Meyer C, Scarinci N, Beswick R. A qualitative investigation of families' needs in the transition to early intervention after diagnosis of hearing loss. Child Care Health Dev 2019; 45:670-680. [PMID: 31209907 DOI: 10.1111/cch.12697] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 05/21/2019] [Accepted: 06/07/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Families of children with hearing loss must make a number of decisions during the transition from diagnosis of hearing loss to enrolment in early intervention and thus require a wealth of information and support. This study aimed to investigate families' needs during this period and explore how these needs might differ for families of children with hearing loss who have additional disabilities. METHODS An exploratory qualitative study incorporating semistructured in-depth interviews and thematic analysis was used. A total of 28 participants from two groups were involved: (a) family members of children with hearing loss (n = 17) and (b) professionals who support these families during the transition period from diagnosis of hearing loss to enrolment in early intervention (n = 11). RESULTS Analysis of qualitative data revealed four major themes: (a) families require information that meet their specific needs; (b) families require supportive professionals to "walk the journey" with them; (c) some families want to connect with other families who "are in the same boat"; and (d) professional support needs differ for children with hearing loss who have additional disabilities. CONCLUSIONS Families and professionals in this study identified a wide range of family needs during the transition to early intervention. The results highlighted the importance of providing individualized services and considering families' needs when providing family-centred services.
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Affiliation(s)
- Mansoureh Nickbakht
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia
| | - Carly Meyer
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.,The HEARing CRC, Melbourne, Victoria, Australia
| | - Nerina Scarinci
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.,The HEARing CRC, Melbourne, Victoria, Australia
| | - Rachael Beswick
- Healthy Hearing, Children's Health Queensland Hospital and Health Service, Brisbane, Queensland, Australia
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Parental anxiety towards 'refer' results in newborn hearing screening (NHS) in south India: A hospital based study. Int J Pediatr Otorhinolaryngol 2019; 116:25-29. [PMID: 30554702 DOI: 10.1016/j.ijporl.2018.10.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 10/01/2018] [Accepted: 10/11/2018] [Indexed: 11/21/2022]
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Parent Cognitive Satisfaction and Demand Research of Neonatal Hearing Screening. J Craniofac Surg 2018; 30:e24-e26. [PMID: 30358748 DOI: 10.1097/scs.0000000000004928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The primary aim of the present study was to investigate parent cognitive satisfaction and demand by using a valid and reliable questionnaire developed for this purpose (Parent Cognitive Satisfaction and Demand Questionnaire with Neonatal Hearing Screening Program, PCSDQ-NHSP). About 1000 parents whose children received hearing screening participated in this study. The satisfaction questionnaire was found to be a useful instrument for identifying service shortfalls, and the routine use of the PCSDQ-NHSP in other neonatal hearing screening programs is recommended. Overall, parents focused their attention to the neonatal hearing screening results and had high levels of expectations. They also longed for more information about relevant knowledge. Screening ability differed in different areas of Guangdong province where grass-roots hospitals had poor ability to perform this well. More preappointment information leaflets or brochures should be sent to parents. Regular training for neonatal hearing screening test is needed in primary hospitals. We can establish a neonatal hearing screening network to link as many hospitals as possible, and develop a standardized neonatal hearing screening system.
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The child doesn't hear? On breaking bad news as perceived by parents and audiologists. Int J Pediatr Otorhinolaryngol 2018; 112:113-120. [PMID: 30055719 DOI: 10.1016/j.ijporl.2018.06.044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 06/26/2018] [Accepted: 06/26/2018] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The object of this study was to explore how parents experienced receiving the news of their child's hearing loss, and how audiologists experienced the situation of conveying the diagnosis, in order to examine improvements to the current process. METHOD A questionnaire regarding different aspects of breaking the news was developed. 48 Arabic and Hebrew speaking parents of hearing impaired children answered the questionnaire. A similar questionnaire was filled out by 31 audiologists. RESULTS Findings demonstrate parents' general satisfaction with the manner in which the diagnosis was delivered. According to the parents' reports, receiving the diagnosis evoked negative feelings of fear, depression and difficulty believing the diagnosis. Parents' feelings were influenced by their cultural background, such as their ethnic identity, religious practice and difficulties due to language barriers. The audiologists described concern and anxiety when breaking bad news, but they felt they were able to present the diagnosis. The audiologists felt that they were not trained in this aspect, and the ability was acquired through experience. Both parents and audiologists agreed that the audiologist should be the professional to deliver the diagnosis. All emphasized sensitivity and professionalism as necessary qualities. Whereas audiologists were of the opinion that the most important information to transmit was the type of hearing loss, the parents were most interested in discussing their feelings, the rehabilitation process, and talking to other parents. CONCLUSIONS Overall, results reveal that breaking bad news of a child's hearing loss has been done fairly well. Due to the parents' reports of the need for emotional support, it is suggested that audiologists receive further training and adjust to personal and cultural differences. Recommendations include establishing an appropriate setting and ensuring that an interpreter is available when necessary. Further emotional support may be provided through establishment of a family support network.
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BENITO-OREJAS JI, PONCELA-BLANCO M, GARCÍA-VICARIO F, BENITO-GONZÁLEZ F, MARTÍN-SIGÜENZA G, SAN ROMÁN-CARBAJO J. ¿Es fácil encargarse de coordinar un «Programa de Hipoacusia Infantil»? REVISTA ORL 2016. [DOI: 10.14201/orl201672.14237] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Donald AJ, Kelly-Campbell RJ. Pediatric Audiology Report: Assessment and Revision of an Audiology Report Written to Parents of Children With Hearing Impairment. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2016; 59:359-372. [PMID: 27111466 DOI: 10.1044/2015_jslhr-h-15-0120] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2015] [Accepted: 09/10/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVE The purpose of this study was twofold: first, to evaluate a typical pediatric diagnostic audiology report to establish its readability and comprehensibility for parents and, second, to revise the report to improve its readability, as well as the comprehension, sense of self-efficacy, and positive opinions of parent readers. METHOD In Experiment 1, a mock audiology report was evaluated via a readability analysis and semistructured interviews with 5 parents. In Experiment 2, the report was revised using best practice guidelines and parental recommendations from Experiment 1. The revision was verified by randomly assigning 32 new parent participants to read either the revised or unrevised report before their comprehension, self-efficacy, and opinions were assessed. RESULTS In Experiment 1, results confirmed that the report was difficult to read and understand. In Experiment 2, parents who read the revised report had significantly greater comprehension, self-efficacy, and opinion ratings than those who read the unrevised report. In addition, the readability of the revised report was markedly improved compared with the unrevised report. CONCLUSIONS This study shows that pediatric diagnostic audiology reports can be revised to adhere to best practice guidelines and yield improved readability, in addition to improving the comprehension, sense of self-efficacy, and positive opinions of parents of children with hearing impairment.
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Fitzpatrick E, Grandpierre V, Durieux-Smith A, Gaboury I, Coyle D, Na E, Sallam N. Children With Mild Bilateral and Unilateral Hearing Loss: Parents' Reflections on Experiences and Outcomes. JOURNAL OF DEAF STUDIES AND DEAF EDUCATION 2016; 21:34-43. [PMID: 26433195 PMCID: PMC5892135 DOI: 10.1093/deafed/env047] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2015] [Revised: 08/21/2015] [Accepted: 09/09/2015] [Indexed: 05/05/2023]
Abstract
Children with mild bilateral and unilateral hearing loss are now commonly identified early through newborn hearing screening initiatives. There remains considerable uncertainty about how to support parents and about which services to provide for children with mild bilateral and unilateral hearing loss. The goal of this study was to learn about parents' experiences and understand, from their perspectives, the impact of hearing loss in the mild range on the child's functioning. Parents of 20 children in Ontario, Canada, participated in the study. The median age of identification of hearing loss was 4.6 months (interquartile range: 3.6, 10.8). Parents appreciated learning early about hearing loss, but their experiences with the early process were mixed. Parents felt that professionals minimized the importance of milder hearing loss. There was substantial uncertainty about the need for hearing aids and the findings suggest that parents need specific guidance. Parents expressed concerns about the potential impact of hearing loss on their child's development, particularly at later ages.
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Affiliation(s)
- Elizabeth Fitzpatrick
- University of Ottawa, Children's Hospital of Eastern Ontario Research Institute, and
| | - Viviane Grandpierre
- University of Ottawa, Children's Hospital of Eastern Ontario Research Institute, and
| | - Andrée Durieux-Smith
- University of Ottawa, Children's Hospital of Eastern Ontario Research Institute, and
| | | | | | - Eunjung Na
- University of Ottawa, Children's Hospital of Eastern Ontario Research Institute, and
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Khoza-Shangase K, Harbinson S. Evaluation of universal newborn hearing screening in South African primary care. Afr J Prim Health Care Fam Med 2015; 7:769. [PMID: 26245605 PMCID: PMC4564907 DOI: 10.4102/phcfm.v7i1.769] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 01/23/2015] [Accepted: 02/05/2015] [Indexed: 11/02/2022] Open
Abstract
BACKGROUND Universal Newborn Hearing Screening (UNHC) is the gold standard toward early hearing detection and intervention, hence the importance of its deliberation within the South African context. AIM To determine the feasibility of screening in low-risk neonates, using Otoacoustic Emissions (OAEs), within the Midwife Obstetric Unit (MOU) three-day assessment clinic at a Community Health Centre (CHC), at various test times following birth. METHOD Within a quantitative, prospective design, 272 neonates were included. Case history interviews, otoscopic examinations and Distortion Product OAEs (DPOAEs) screening were conducted at two sessions (within six hours and approximately three days after birth). Data were analysed via descriptive statistics. RESULTS Based on current staffing profile and practice, efficient and comprehensive screening is not successful within hours of birth, but is more so at the MOU three-day assessment clinic. Significantly higher numbers of infants were screened at session 2, with significantly less false-positive results. At session 1, only 38.1% of the neonates were screened, as opposed to more than 100% at session 2. Session 1 yielded an 82.1% rate of false positive findings, a rate that not only has important implications for the emotional well-being of the parents; but also for resource-stricken environments where expenditure has to be accounted for carefully. CONCLUSION Current findings highlight the importance of studying methodologies to ensure effective reach for hearing screening within the South African context. These findings argue for UNHS initiatives to include the MOU three-day assessment to ensure that a higher number of neonates are reached and confounding variables such as vernix have been eliminated.
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Neurocognitive development in congenitally deaf children. THE HUMAN AUDITORY SYSTEM - FUNDAMENTAL ORGANIZATION AND CLINICAL DISORDERS 2015; 129:335-56. [DOI: 10.1016/b978-0-444-62630-1.00019-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
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The Otolaryngologist's Role in Newborn Hearing Screening and Early Intervention. Otolaryngol Clin North Am 2014; 47:631-49. [DOI: 10.1016/j.otc.2014.06.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Mazlan R, Ting TL, Mukari SZMS, Abdullah A. A questionnaire-based study on parental satisfaction with a universal newborn hearing screening program in Kuala Lumpur, Malaysia. Int J Pediatr Otorhinolaryngol 2014; 78:348-53. [PMID: 24380662 DOI: 10.1016/j.ijporl.2013.12.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2013] [Revised: 12/07/2013] [Accepted: 12/10/2013] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The present study aimed to determine levels of parents' satisfaction associated with the universal newborn hearing screening process in a university hospital setting in Kuala Lumpur, Malaysia. METHODS Parents whose babies had undergone a hearing screening test at the Pusat Perubatan Universiti Kebangsaan (Universiti Kebangsaan Malaysia Medical Center), Kuala Lumpur, Malaysia, participated in this study. In this study, the original English version of the Parent Satisfaction Questionnaire with Neonatal Hearing Screening Program (PSQ-NHSP) was translated and adapted into Malay language. Thus, this self-administered Malay version of PSQ-NHSP was used to measure parents' satisfaction on information of newborn hearing screening program, personnel in charge of the hearing testing, hearing screening activities, and overall satisfaction. RESULTS Of the 200 questionnaires distributed, 119 parents (59.5%) responded. Overall, more than 80% of parents were satisfied with the program. The highest percentage of satisfaction (95.6%) was related to the contents of an information leaflet. However, parents were not satisfied with items measuring communication aspect of personnel in charge of the hearing screening. In specific, 38.1% of parents were not satisfied with the explanations and information provided by the screeners on the test procedures, while 26.1% of parents found that the information they received on the test results was insufficient. CONCLUSIONS The findings of the present study revealed that parents were generally satisfied with the UNHS program. However, further intervention is required to improve the communication aspects of the personnel in charge of the hearing testing. Results suggest that the questionnaire is easily employed and effective tool for assessing parental satisfaction with newborn hearing screening programs. Additionally, this study has demonstrated the survey tool to be useful in identifying areas that need changes or improvements.
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Affiliation(s)
- Rafidah Mazlan
- Audiology Programme, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; Department of Otorhinolaryngology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
| | - Tan Lee Ting
- Audiology Programme, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; Department of Otorhinolaryngology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Siti Zamratol-Mai Sarah Mukari
- Audiology Programme, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Asma Abdullah
- Department of Otorhinolaryngology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
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Tochetto TM, Petry T, Gonçalves MS, Silva ML, Pedroso FS. Sentimentos manifestados por mães frente à triagem auditiva neonatal. REVISTA CEFAC 2008. [DOI: 10.1590/s1516-18462008000400017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJETIVOS: identificar os sentimentos das mães em relação à Triagem Auditiva Neonatal (TAN) durante a testagem de seu filho; verificar a suficiência de informações prestadas sobre o tema; conhecer sua opinião quanto à possibilidade de o filho apresentar deficiência auditiva. MÉTODOS: durante três meses foram entrevistadas 75 mães de crianças nascidas no Hospital Universitário de Santa Maria, que compareceram, para realização da Triagem Auditiva Opcional. Foram prestadas informações sobre objetivos e procedimentos da TAN e ressaltada a importância do retorno da criança entre oito e 12 meses de idade. Foi aplicado um questionário de forma individual por graduandos em Fonoaudiologia, relacionado aos objetivos da pesquisa. RESULTADOS: 58 (77,3%) mães afirmaram que a TAN é uma maneira de identificar a deficiência auditiva cedo; 64 (85,3%) consideraram suficientes as informações recebidas; 27 (36%) referiram sentimentos positivos enquanto o filho está sendo avaliado, 23 (30,7%) apontaram sentimentos negativos e 25 (33,3%) sentimentos mistos (tanto negativos quanto positivos). Quanto à possibilidade de o filho apresentar deficiência auditiva 57 (76%) mães opinaram negativamente. CONCLUSÕES: a grande maioria das mães entrevistada soube responder corretamente o que é a TAN e as informações por elas recebidas foram consideradas suficientes; houve predomínio de sentimentos positivos durante a realização do exame; a possibilidade de o filho apresentar deficiência auditiva foi considerada nula por três quartos das mães estudadas.
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Dalzell J, Nelson H, Haigh C, Williams A, Monti P. Involving families who have deaf children using a Family Needs Survey: a multi-agency perspective. Child Care Health Dev 2007; 33:576-85. [PMID: 17725780 DOI: 10.1111/j.1365-2214.2007.00761.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Meeting the needs of deaf children and their families is multidisciplinary. Models of multi-agency working are diverse, and there is little evidence on outcome for family and child. Effective collaboration is an essential part of multi-agency working, and how this is achieved is an area that warrants research. METHODS An approach was developed to identify family needs using a need identification tool called a Family Needs Survey (FNS) in conjunction with a multi-agency meeting. The FNS was introduced in a pilot study to involve parents of deaf children with services and to identify their needs from their perspective. RESULTS AND CONCLUSIONS A clear pathway was determined for application of the FNS. A model of multi-agency working was developed that involves families directly with different services at one time. Outcomes were measured by uptake of the FNS, parental attendance at multi-agency meetings, and completion of a parent evaluation questionnaire. Discussion of the FNS at a multi-agency meeting facilitates communication between professionals and between professionals and parents. There is some evidence that the FNS may be a useful tool. The majority of parents completed a FNS before multi-agency meetings and have indicated they are happy to share the information with other professionals.
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Affiliation(s)
- J Dalzell
- Department of Child Health, Moston Lodge Children's Centre, Cheshire, UK.
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