15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA

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  |   -   |  6 - Follow-up, Tracking and Data Management

Factors that influence parental follow-up after newborn hearing screening in Colorado

One of the current national Early Hearing Detection and Intervention goals is to ensure that infants who do not pass their newborn hearing screening process will have a diagnostic evaluation completed before three months of age. However data collected by the Center for Disease Control and Prevention in 2011 indicated that states could not document that diagnostic evaluations were completed within this time frame for 43.1% of infants who needed them. The purpose of this study was to identify the factors that affect the ability of parents/guardians in Colorado to obtain a re-screening after their infant's initial newborn hearing screening was not passed. Further, this study sought to identify the specific factors that affect the ability of parents/guardians to obtain an audiologic diagnostic evaluation after a subsequent hearing re-screening was not passed in Colorado. A survey was developed as a factor analysis instrument for parents/guardians in Colorado whose infant did not pass the initial newborn hearing screening and/or re-screening in 2014. The surveys consisted of demographic questions as well as a series of questions prompting parents to respond regarding their experience with their infant's screening and follow-up. After a trial administration was completed the survey was mailed by the Colorado Department of Public Health and Environment to 445 parents. A total of 15% (n= 67) of the surveys were returned as undeliverable. Of the 23 completed and returned surveys, 43% (n=10) represented families who had already obtained appropriate follow-up. Therefore, only 57% (n=13) of the surveys were included in the data analysis. The planned factor analysis could not be implemented due to the poor response rate and small number of actual respondents. A summary of survey responses and parent comments highlighting case examples will be provided. The challenge of conducting research on this population will also be discussed.

  • Identify factors that may influence a parent's ability to obtain a hearing re-screening and/or an audiologic evaluation for their infant, once the initial hearing screening is not passed.
  • Gain an understanding of parent perspective regarding EHDI in Colorado.
  • Recognize the challenges of obtaining accurate and timely follow-up data from parents whose infant did not pass their initial newborn hearing screening.

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Presenters/Authors

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Jamie Walter (Primary Presenter), University of Northern Colorado, walt7654@bears.unco.edu;
Jamie Walter is a third year Doctorate of Audiology student at the University of Northern Colorado. While she is interested in nearly every facet of audiology, she is particularly passionate about the areas of early hearing detection and intervention and educational audiology. Her undergraduate honors thesis evaluated parental self-efficacy, and instilled within her a deep interest in pediatric audiology and the vital place that parents play in the lives of children with hearing loss. A rewarding experience with newborn hearing screenings further inspired her goal to become a pediatric audiologist, with the intent to provide children and families with crucial access to early hearing detection and intervention services. Jamie is immensely grateful for the support of her research advisers and the Colorado Department of Public Health and Environment.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.


Deanna K Meinke (Author), University of Northern COlorado, deanna.meinke@unco.edu;
Dr. Meinke is a professor at the University of Northern Colorado and Co-director of Dangerous Decibels. Her current research is focused on the prevention and early detection of noise-induced hearing loss in children and adults.

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Vickie Thomson (Author), University of Colorado , Vickie.Thomson@ucdenver.edu;
Vickie Thomson, PhD, served at the Director of the Colorado Newborn Hearing Program at the Colorado Department of Public Health and Environment from 1991 to 2012. She received her master’s degree in audiology from the University of Northern Colorado in 1978 and her doctorate degree from the University of Colorado Boulder in 2007. As a clinical audiologist Vickie started one of the first infant hearing programs at Boulder Community Hospital. She has provided technical assistance in developing screening programs in Colorado and in other states and countries. She has written numerous articles on the importance of early identification and intervention of hearing loss in infants. She currently is the principle investigator if the HRSA EHDI grant and is a consultant to the National Center on Hearing Assessment and Management.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.


Jennifer Weber (Author), University of Northern Colorado, jenny.weber@unco.edu ;
Dr. Weber is a Professor at the University of Northern Colorado and the Program Coordinator of the Audiology and Speech-Language Sciences program. Her research interests include aural rehabilitation, amplification, and pediatric and diagnostic audiology.

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