Characterizing North Carolina's Deaf and Hard of Hearing Infants and Toddlers: Predictors of Vocabulary, Diagnosis, and Intervention
Characterizing North Carolina's Deaf and Hard of Hearing Infants and Toddlers: Predictors of Vocabulary, Diagnosis, and Intervention
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描述北卡罗来纳州聋哑婴儿和幼儿的特征：词汇量、诊断和干预的预测因素
DOI：
10.1044/2022_jslhr-21-00245
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Bergelson, Elika
中科院分区：
文献类型：
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作者：
Campbell, Erin;Bergelson, Elika
目的本研究旨在（a）描述接受国家听力损失服务的聋和重听儿童（DHH）的人口统计学、听力学和干预差异;（B）识别词汇延迟的预测因素;和（c）评估影响州一级早期识别和干预工作成功和时机的因素。（4-36个月）完成MacArthur-Bates沟通发展量表，并收集有关其听力学和临床病史的详细信息。我们研究了人口统计学，临床和听力学因素对词汇结果和早期干预efforts.ResultsWe的影响，发现这个样本显示口语词汇延迟（生产）相对于听力同行，并表现出改善的早期诊断和干预率的空间。这些延迟的词汇和早期支持服务预测的重叠子集的听力，健康，和家庭相关的variables.ConclusionsIn一个不同的样本DHH儿童接受早期干预，我们确定变量预测延迟的词汇和早期支持服务，这反映了both尺寸是不变的，和那些临床医生和照顾者可以潜在地改变。我们提供了一个关于临床实践意义的讨论。补充材料https：doi.org/10.23641/asha.19449839
PurposeThis study sought to (a) characterize the demographic, audiological, and intervention variability in a population of Deaf and Hard of Hearing (DHH) children receiving state services for hearing loss; (b) identify predictors of vocabulary delays; and (c) evaluate factors influencing the success and timing of early identification and intervention efforts at a state level.MethodOne hundred DHH infants and toddlers (aged 4–36 months) enrolled in early intervention completed the MacArthur–Bates Communicative Development Inventories, and detailed information about their audiological and clinical history was collected. We examined the influence of demographic, clinical, and audiological factors on vocabulary outcomes and early intervention efforts.ResultsWe found that this sample showed spoken language vocabulary delays (production) relative to hearing peers and showed room for improvement in rates of early diagnosis and intervention. These delays in vocabulary and early support services were predicted by an overlapping subset of hearing-, health-, and home-related variables.ConclusionsIn a diverse sample of DHH children receiving early intervention, we identify variables that predict delays in vocabulary and early support services, which reflectedbothdimensions that are immutable, and those that clinicians and caretakers can potentially alter. We provide a discussion on the implications for clinical practice.Supplemental Materialhttps://doi.org/10.23641/asha.19449839