Factors Affecting Early Services for Children Who Are Hard of Hearing

Melody Harrison; Thomas A Page; Jacob Oleson; Meredith Spratford; Lauren Unflat Berry; Barbara Peterson; Anne Welhaven; Richard M Arenas; Mary Pat Moeller

doi:10.1044/2015_LSHSS-14-0078

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Factors Affecting Early Services for Children Who Are Hard of Hearing

Journal article

Open access

Peer reviewed

Factors Affecting Early Services for Children Who Are Hard of Hearing

Melody Harrison, Thomas A Page, Jacob Oleson, Meredith Spratford, Lauren Unflat Berry, Barbara Peterson, Anne Welhaven, Richard M Arenas and Mary Pat Moeller

Language, speech & hearing services in schools, Vol.47(1), pp.16-30

01/2016

DOI: 10.1044/2015_LSHSS-14-0078

PMCID: PMC4766183

PMID: 26440475

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https://doi.org/10.1044/2015_LSHSS-14-0078View

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Abstract

To describe factors affecting early intervention (EI) for children who are hard of hearing, we analyzed (a) service setting(s) and the relationship of setting to families' frequency of participation, and (b) provider preparation, caseload composition, and experience in relation to comfort with skills that support spoken language for children who are deaf and hard of hearing (CDHH). Participants included 122 EI professionals who completed an online questionnaire annually and 131 parents who participated in annual telephone interviews. Most families received EI in the home. Family participation in this setting was significantly higher than in services provided elsewhere. EI professionals were primarily teachers of CDHH or speech-language pathologists. Caseload composition was correlated moderately to strongly with most provider comfort levels. Level of preparation to support spoken language weakly to moderately correlated with provider comfort with 18 specific skills. Results suggest family involvement is highest when EI is home-based, which supports the need for EI in the home whenever possible. Access to hands-on experience with this population, reflected in a high percentage of CDHH on providers' current caseloads, contributed to professional comfort. Specialized preparation made a modest contribution to comfort level.

Attitude of Health Personnel

Health Services Accessibility - statistics & numerical data

Humans

Child, Preschool

Infant

Male

Hearing Loss - complications

Patient Acceptance of Health Care - statistics & numerical data

Early Intervention (Education) - organization & administration

Language Disorders - prevention & control

Speech Disorders - psychology

Clinical Competence - statistics & numerical data

Early Intervention (Education) - statistics & numerical data

Hearing Loss - rehabilitation

Family

Female

Surveys and Questionnaires

Early Intervention (Education) - methods

Details

Title: Subtitle: Factors Affecting Early Services for Children Who Are Hard of Hearing
Creators: Melody Harrison
Thomas A Page
Jacob Oleson
Meredith Spratford
Lauren Unflat Berry
Barbara Peterson
Anne Welhaven
Richard M Arenas
Mary Pat Moeller
Resource Type: Journal article
Publication Details: Language, speech & hearing services in schools, Vol.47(1), pp.16-30
DOI: 10.1044/2015_LSHSS-14-0078
PMID: 26440475
PMCID: PMC4766183
NLM abbreviation: Lang Speech Hear Serv Sch
ISSN: 0161-1461
eISSN: 1558-9129
Publisher: United States
Grant note: R01 DC009560 / NIDCD NIH HHS
Language: English
Date published: 01/2016
Academic Unit: Communication Sciences and Disorders; Biostatistics
Record Identifier: 9983997446202771

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