Impact of Meeting Early Hearing Detection and Intervention Benchmarks on Spoken Language

Abstract

This study compared preschool spoken language outcomes for children with hearing loss who met the Early Hearing Detection and Intervention (EHDI) guidelines to those who did not, as well as compared outcomes for those who met the current EHDI guidelines to those who met the earlier benchmarks. Finally, the predictive role of meeting each component of the guidelines was evaluated relative to language outcomes. Children who met the EHDI guidelines had higher language scores than those who did not; however, there was no difference between children who met the current guidelines and those who met the earlier benchmarks. Entering early intervention by 6 months of age was the only unique predictor of spoken language outcomes. The findings suggest that EHDI programs should target increasing the number of children with hearing loss who meet the current 1-3-6 benchmarks with a particular focus on enrollment in early intervention by 6 months.

Keywords

hearing loss spoken language early hearing detection and intervention early intervention

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References

Awad

Oropeza

Uhler

K. M.

(2019). Meeting the Joint Committee on Infant Hearing Standards in a large metropolitan children’s hospital: Barriers and next steps. American Journal of Audiology, 28, 251–259. https://doi.org/10.1044/2019_AJA-18-0001

Ben-Itzhak

Greenstein

Kishon-Rabin

(2014). Parent report of the development of auditory skills in infants and toddlers who use hearing aids. Ear & Hearing, 35, e262–e271. https://doi.org10.1097/AUD.0000000000000059

Brice Heath

. (1983). Ways with words: Language, life and work in communities and classrooms. Cambridge University Press.

Bush

M. L.

Bianchi

Lester

Shinn

Gal

Fardo

Schoenberg

(2014). Delays in diagnosis of congenital hearing loss in rural children. The Journal of Pediatrics, 164, 393–397. https://doi.org/10.1016/j.jpeds.2013.09.047

Bush

M. L.

Hardin

Rayle

Lester

Studts

C. R.

Shinn

J. B.

(2015). Rural barriers to early diagnosis and treatment of infant hearing loss in Appalachia. Otology & Neurotology, 36, 93–98. https://doi.org/10.1097/MAO.0000000000000636

Ching

T. Y. C.

Dillon

Button

Seeto

Van Buynder

Marnane

Cupples

Leigh

(2017). Age at intervention for permanent hearing loss and 5-year language outcomes. Pediatrics, 140(3), Article e20164274. https://doi.org/10.1542/peds.2016-4274

Cole

E. B.

Flexer

(2016). Children with hearing loss: Developing listening and talking, birth to six (3rd ed.). Plural Publishing.

Crouch

Probst

Bennett

Carroll

(2017). Evaluating loss to follow-up in newborn hearing screening in a southern state. Journal of Early Hearing Detection and Intervention, 2, 40–47. https://doi.org/10.15142/T3T33Z

Division for Early Childhood. (2014). DEC recommended practices in early intervention early childhood special education. http://www.dec-sped.org/recommendedpractices

10.

Dollaghan

C. A.

Campbell

T. F.

Paradise

J. L.

Feldman

H. M.

Janosky

J. E.

Pitcairn

D. N.

Kurs-Lasky

(1999). Maternal education and measures of early speech and language. Journal of Speech, Language, and Hearing Research, 42, 1432–1443. https://doi.org/10.1044/jslhr.4206/1432

11.

Dunn

D. M.

(2019). Peabody picture vocabulary test (5th ed.). NCS Pearson.

12.

Dunn

L. M.

Dunn

D. M.

(2007). Peabody picture vocabulary test (4th ed.). NCS Pearson.

13.

Ehrler

McGhee

(2008). Primary test of nonverbal intelligence. ProEd.

14.

Fitzpatrick

E. M.

Crawford

Durieux-Smith

(2011). A descriptive analysis of language and speech skills in 4- to 5-year-old children with hearing loss. Ear and Hearing, 32, 605–616. https://doi.org/10.1097/AUD.0b013e31821348ae

15.

Fitzpatrick

E. M.

Durieux-Smith

Eriks-Brophy

Olds

Gaines

(2007). The impact of newborn hearing screening on communication development. Journal of Medical Screening, 14, 123–131. https://doi.org/10.1258/096914107782066248

16.

Fulcher

Purcell

A. A.

Baker

Munro

. (2012). Listen up: Children with early identified hearing loss achieve age-appropriate speech/language outcomes by 3 years-of-age. International Journal of Pediatric Otorhinolaryngology, 76, 1785–1794. https://doi.org/10.1016/j.ijporl.2012.09.001

17.

Grant

Isakson

E. A.

(2013). Regional variations in early intervention utilization for children with developmental delay. Maternal and Child Health Journal, 17, 1252–1259. https://doi.org/10.1007/s10995-012-1119-3

18.

Harris

Taylor

Thielke

Payne

Gonzalez

Conde

(2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381. https://doi.org/10.1016/j.jbi.2008.08.010

19.

Holte

Walker

Oleson

Spratford

Moeller

M. P.

Roush

Tomblin

J. B.

(2012). Factors influencing follow-up to newborn hearing screening for infants who are hard-of-hearing. American Journal of Audiology, 21, 163–174. https://doi.org/10.1044/1059-0889(2012/12-0016)

20.

Hresko

Reid

Hammill

(1999). Test of early language development (3rd ed.). ProEd.

21.

Hresko

Reid

Hammill

(2018). Test of early language development (4th ed.). ProEd.

22.

Joint Committee on Infant Hearing. (2019). Year 2019 position statement: Principles and guidelines for early hearing detection and intervention programs. The Journal of Early Hearing Detection and Intervention, 4, 1–44. https://doi.org/10.15142/fptk-b748

23.

Jones

Atkinson

Marshall

Botting

St Clair

M. C.

Morgan

(2020). Expressive vocabulary predicts nonverbal executive function: A 2-year longitudinal study of deaf and hearing children. Child Development, 91, e400–e414. https://doi.org/10.1111/cdev.13226

24.

Kennedy

C. R.

McCann

D. C.

Campbell

M. J.

Law

C. M.

Mullee

Petrou

Watkin

Worsfold

Yuen

H. M.

Stevenson

(2006). Language ability after early detection of permanent childhood hearing impairment. The New England Journal of Medicine, 354, 2131–2141. https://doi.org/10.1056/NEJMoa054915

25.

Korver

A. M. H.

Konings

Dekker

F. W.

Beers

Wever

C. C.

Frijns

J. H. M.

Oudesluys-Murphy

A. M.

(2010). Newborn hearing screening vs later hearing screening and developmental outcomes in children with permanent childhood hearing impairment. Journal American Medical Association, 304, 1701–1708. https://doi.org/10.1001/jama.2010.1501

26.

Liu

C. L.

Farrell

MacNeil

J. R.

Stone

Barfield

(2008). Evaluating loss to follow-up in newborn hearing screening in Massachusetts. Pediatrics, 121, e335–e343. https://doi.org/10.1542/peds.2006-3540

27.

Lund

(2019). Comparing word characteristic effects on the vocabulary of children with cochlear implants. Journal of Deaf Studies and Deaf Education, 24, 424–434. https://doi.org/10.1093/deafed/enz015

28.

Lund

(2020). The relation between vocabulary knowledge and phonological awareness in children with cochlear implants. Journal of Speech, Language, and Hearing Research, 63, 2386–2402. https://doi.org/10.1044/2020_JSLHR-19-00259

29.

Madigan

McArthur

B. A.

Andhorn

Eirich

Christakas

(2020). Associations between screen use and child language skills. JAMA Pediatrics, 174, 665–675. https://doi.org/10.1001/jamapediatrics.2020.0327

30.

Martin

N. A.

Brownell

(2011). Expressive one-word picture vocabulary test (4th ed.). Academic Therapy Publications.

31.

McDaniel

Benítez-Barrera

C. R.

Soares

A. C.

Vargas

Camarata

(2019). Bilingual versus monolingual vocabulary instruction for bilingual children with hearing loss. The Journal of Deaf Studies and Deaf Education, 24, 142–160. https://doi.org/10.1093/deafed/eny042

32.

McLean

T. J.

Ware

R. S.

Heussler

H. S.

Harris

S. M.

Beswick

(2019). Barriers to engagement in early intervention services be children with permanent hearing loss. Deafness & Educational International, 21, 25–39. https://doi.org/10.1080/14643154.2018.1528745

33.

Meinzen-Derr

Wiley

Choo

D. I.

(2011). Impact of early intervention on expressive and receptive language development among young children with permanent hearing loss. American Annals of the Deaf, 155, 580–591. https://doi.org/10.1353/aad.2011.0010

34.

Moeller

M. P.

(2000). Early intervention and language development in children who are deaf and hard of hearing. Pediatrics, 106, Article e43. https://doi.org/10.1542/peds.106.3.e43

35.

National Institute of Deafness and Other Communication Disorders. (2017). Speech and language developmental milestones. https://www.nidcd.nih.gov/health/speech-and-language

36.

National Institute of Health. (1993, March 1–3). Early identification of hearing impairment in infants and young children [Conference session]. National Institutes of Health Consensus Development Conference Statement, Bethesda, MD, United States. https://consensus.nih.gov/1993/1993hearinginfantschildren092html.htm

37.

Pynnonen

M. A.

Handlesman

J. A.

King

M. D.

Singer

D. C.

Davis

M. M.

Lesperance

M. M.

(2016). Parent perception of newborn hearing screening results of a US National Survey. JAMA Otolaryngology: Head and Neck Survery, 142, 538–543. https://doi.org/10.1001/kamaoto.2015.3948

38.

Shulman

Besculides

Saltzman

Ireys

White

K. R.

Forsman

(2010). Evaluation of the universal newborn hearing screening and intervention program. Pediatrics, 126, S19–S27. https://doi.org/10.1542/peds.2010-0354F

39.

Tomblin

J. B.

Harrison

Ambrose

S. E.

Walker

E. A.

Oleson

J. J.

Moeller

(2015). Language outcomes in young children with mild to severe hearing loss. Ear and Hearing, 36, 76S–91S. https://doi.org/10.1097/AUD.0000000000000219

40.

U.S. Department of Education. (2001). Twenty-third annual report to Congress on the implementation of the Individuals with Disabilities Education Act.

41.

Vohr

Jodoin-Krauzyk

Tucker

Topol

Johnson

M. J.

Ahlgren

St Pierre

(2011). Expressive vocabulary of children with hearing loss in the first two years of life: Impact of early intervention. Journal of Perinatology, 31, 274–280. https://doi.org/10.1038/jp.2010.110

42.

Wake

Poulakis

Hughes

E. K.

Carey-Sargeant

Rickards

F. W.

(2005). Hearing impairment: A population study of age at diagnosis, severity, and language outcomes at 7–8 years. Archives of Disease in Childhood, 90, 238–244. https://doi.org/10.1136/adc.2003.039354

43.

Yoshinaga-Itano

Sedey

A. L.

Coulter

D. K.

Mehl

A. L.

(1998). Language of early- and later-identified children with hearing loss. Pediatrics, 102, 1161–1171. https://doi.org/10.1542/peds.102.5.1161

44.

Yoshinaga-Itano

Sedey

A. L.

Wiggin

Chung

(2017). Early hearing detection and vocabulary of children with hearing loss. Pediatrics, 140, Article e20162964. https://doi.org/10.1542/peds.2016-2964