Timeliness of service delivery for children with later-identified mild-to-severe hearing loss.
Timeliness of service delivery for children with later-identified mild-to-severe hearing loss.
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DOI：
10.1044/1059-0889(2013/13-0031
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发表时间：
2014-03
影响因子：
1.8
通讯作者：
Harrison M
中科院分区：
文献类型：
--
作者：
Walker EA;Holte L;Spratford M;Oleson J;Welhaven A;Harrison M
本研究探讨了诊断和干预服务的儿童确定与听力损失（HL）后，新生儿期。我们比较了57名后来发现的HL儿童和193名新生儿听力筛查（NHS）评估儿童的服务提供年龄和服务提供步骤之间的延迟时间。只有后来确定的儿童，回归模型被用来调查预测变量和服务提供相关的因变量之间的关系。从NHS转介的儿童在比后来确定的儿童更小的年龄接受后续服务。与从NHS转诊的儿童相比，后来确定的儿童从进入早期干预到HL确认之间的延迟时间明显更长。对于后来确定的儿童，HL程度预测随访临床服务的年龄。与轻度HL儿童相比，重度HL儿童接受服务的年龄更小。性别预测确认进入早期干预之间的延迟时间，女性表现出较短的延迟。目前的结果支持新生儿期后持续听力监测计划的必要性，特别是当儿童因语言/发育迟缓而进入早期干预计划时。
This study examined diagnostic and intervention services for children identified with hearing loss (HL) after the newborn period. We 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 between entry into early intervention to HL confirmation, 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 between confirmation to entry into early intervention, with females 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.