15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
| - | 6 - Follow-up, Tracking and Data Management
Modifiable Risk Factors of Late Diagnosis after Infants Refer on Newborn Hearing Screening
Every year, approximately 2 per 1,000 newborns in Mississippi are born with a hearing impairment. Many studies have shown the importance of early diagnosis of hearing loss for successful intervention and subsequent development of speech, language, and social skills. The goal of the Early Hearing Detection and Intervention Program (EHDI) is to conduct hearing screenings for all newborns within one month of age, provide an audiological evaluation for all infants who failed the hearing screening within three months of age, and deliver Early Intervention Services (EIS) to children diagnosed with a hearing loss within six months of age. Late diagnosis, i.e., a diagnosis completed after 3 months of age, is the most common reason for late enrollment in EIS in Mississippi, i.e., after 6 months of age; in Mississippi half of the children with hearing impairments who enrolled in EIS after 6 months of age were children who received a diagnosis after 3 months of age. This retrospective study assesses whether the factors most associated with late diagnosis are amenable to change. We reviewed the Mississippi State Department of Health (MSDH) EHDI database from 2013-2015 and identified infants who failed a newborn hearing screening and received a subsequent diagnosis of hearing loss. A logistic regression analysis was conducted to determine the relationship between late diagnosis and individual static and variable factors including gender, mother’s race, final screening after 30 days, NICU greater than 30 days, middle ear dysfunction, no show for 3rd outpatient screening, family missed multiple appointments, unable to test due to activity, family missed/rescheduled one appointment, and diagnosis date entry error. The results of the data analysis revealed many factors significantly associated with late diagnosis are modifiable. We will present the findings from this study and discuss implications at the state and local levels to improve timely diagnosis.
- To identify risk factors associated with diagnosis after 3 months of age, including those that are modifiable
- To discuss implications at the state and local levels to improve timely diagnosis and enrollment in early intervention services
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Presenters/Authors
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Changhong Wen
(Author), Mississippi Early Hearing Detection and Intervention Program, changhong.wen@msdh.ms.gov;
Changhong Wen, MPH, serves as Research Biostatistician/Data Manager of Early Hearing Detection and Intervention Program (EHDI) at Mississippi State Department of Health (MSDH). Changhong joined EHDI team in 2013. She is responsible for surveillance database management, quality control, and data analytic activities of the EHDI database. She generates surveillance reports and handles all data inquiry. She holds a Master of Public Health degree in Epidemiology and Biostatistics from the University of Southern Mississippi.
ASHA DISCLOSURE:
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
Lei Zhang
(Author), Office of Health Data and Research, lei.zhang@msdh.ms.gov;
Dr. Lei Zhang is Director of the Office of Health Data and Research at the Mississippi State Department of Health. He is responsible for directing and providing data and research support to the Maternal and Child Health, Oral Health, Chronic Disease, and Tobacco Control Programs. He has also held adjunct academic appointments at the University of Mississippi Medical Center, the University of Southern Mississippi, and Jackson State University.
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Stacy Callender
(Primary Presenter,Author,POC), Mississippi First Steps Early Intervention Program, stacy.callender@msdh.ms.gov;
Stacy Callender serves as the Part C Coordinator for the Mississippi First Steps Early Intervention Program and the Interim Director of the Early Hearing Detection and Intervention Program in Mississippi (EHDI-M).
Before joining the MSDH, she served as the 619 Coordinator for Early Childhood Special Education with the Mississippi Department of Education (MDE), the first Executive Director of the State Early Childhood Advisory Council (SECAC) to the Governor, and a Research Associate with the Early Childhood Institute at Mississippi State University (MSU). In addition, she has been a lecturer in the Department of Counseling, Educational Psychology, and Special Education at MSU, an assessor for the National Head Start CARES Study, a member of an Early Intervention evaluation team with the T. K. Martin Center for Technology and Disability, and a school-based mental health therapist and preschool day-treatment behavioral specialist with Region 8 Community Mental Health services.
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Beryl Polk
(Author), Mississippi State Department of Health, Beryl.Polk@msdh.ms.gov;
Beryl Polk is the Director of the Office of Child and Adolescent Health for the Mississippi State Department of Health. She oversees the Children's Medical Program, the Bureau of Early Intervention, the Bureau of Genetics (Newborn Screening), and the Adolescent Health Services Program. Dr. Polk has 30 years of experience in the public and private sectors. She received a Doctorate in Education with an emphasis in Leadership and Management from Jackson State University. She is a Certified Public Manager, member of Maternal and Child Health City Leaders Program, and the Past Chairperson of the South Central Public Health Leadership Institute (SCPHLI).
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