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Timeliness of service delivery for children with later-identified mild-to-severe hearing loss
Journal article   Open access   Peer reviewed

Timeliness of service delivery for children with later-identified mild-to-severe hearing loss

Elizabeth A Walker, Lenore Holte, Meredith Spratford, Jacob Oleson, Anne Welhaven and Melody Harrison
American journal of audiology, Vol.23(1), pp.116-128
03/2014
DOI: 10.1044/1059-0889(2013/13-0031)
PMCID: PMC3950303
PMID: 24018573
url
https://doi.org/10.1044/1059-0889(2013/13-0031)View
Published (Version of record) Open Access

Abstract

In this study, the authors examined diagnostic and intervention services for children identified with hearing loss (HL) after the newborn period. The authors compared ages at service delivery and length of delays between service delivery steps for 57 later-identified children with HL and 193 children who referred for assessment from the newborn hearing screen (NHS). For only later-identified children, regression models were used to investigate relationships among predictor variables and dependent variables related to service delivery. Children who referred from the NHS received follow-up services at younger ages than later-identified children. Later-identified children had significantly longer delays from HL confirmation to entry into early intervention, compared to children who referred from the NHS. For later-identified children, degree of HL predicted ages at follow-up clinical services. Children with more severe HL received services at younger ages compared to children with milder HL. Gender predicted the length of the delay from confirmation to entry into early intervention, with girls demonstrating shorter delays. The current results lend support to the need for ongoing hearing monitoring programs after the neonatal period, particularly when children enter early intervention programs because of language/developmental delays.
Severity of Illness Index Hearing Loss - diagnosis Time-to-Treatment - statistics & numerical data Humans Hearing Loss - rehabilitation Female Infant Male Retrospective Studies Delayed Diagnosis Neonatal Screening Infant, Newborn

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