19th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 8-10, 2020 • Kansas City, MO
Predicting follow-up in a statewide Early Hearing Detection and Intervention program using maternal factors
Objectives. To identify a constellation of maternal factors that are predictive of loss to follow-up (LTF) from New Jersey’s Early Hearing Detection and Intervention Program at the point of rescreening, the first follow-up for babies not passing the hearing screening performed at birth.
Methods. All babies born between June 2015 and June 2017 were included in the sample. Data were obtained from the State’s Department of Health. In addition to information about the baby, maternal demographic and health information were collected. This included age, level of education, number of prior live births, and participation in the state’s Supplemental Nutrition Program for Women, Infants, and Children (WIC), post-partum depression and suicidal ideation, and the absence or presence of a range of health issues, such as depression and obesity. Logistic regression was utilized to develop the best fitting model predictive of LTF.
Results. Initial analysis indicated numerous predictors of being LTF. When controlling for all covariates, mothers who were Hispanic, older, had a Master’s degree or higher, or were WIC recipients were at lower risk for being LTF. At all ages, non-Hispanic Black mothers not participating in WIC have the highest predicted LTF rates while Hispanic WIC participants have the lowest. WIC participation reduces LTF for all racial/ethnic groups at every maternal age; however, this gap is the largest for non-Hispanic Black mothers.
The specified model was a strong predictor of LTF. Predicted probabilities were computed and then plotted to more closely examine the differences in LTF comparing race/ethnicity for non-Hispanic Whites, non-Hispanic Blacks and Hispanics by WIC participation over maternal age.
Conclusions. Being a WIC recipient is a protective factor for LTF, and more research is needed to understand the mechanisms why this is so. Elements of WIC could be utilized to reduce the State’s LTF rate.
- Identify profile of mothers whose children were most at risk for LTF
- Identify the possible mechanism by which WIC program participation impacts LTF from EHDI programs
- Identify ways to provide additional intervention to encourage follow-up with mothers who possess noted risk factors of this study
Poster:
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Presenter: Maryrose McInerney
Dr. Maryrose McInerney has been practicing audiology in New Jersey since 1981. Dr. Maryrose McInerney is an associate professor at Montclair State University.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Dr. Rachel Scheperle has been an audiologist at St. Louis Children's Hospital since July, 2019, where she also coordinates the newborn hearing screening program. She completed postdoctoral studies at Boys Town National Research Hospital and the University of Iowa after earning a doctor of philosophy in hearing science from University of Iowa and a doctor of audiology from Missouri State University. She was an assistant professor at Montclair State University from 2016-2019. She has conducted research on topics related to cochlear implant outcomes and physiological measures of auditory function. More recently she has expanded her research interests by investigating issues surrounding lack of follow-up for infants at risk for hearing loss.
ASHA DISCLOSURE:
Financial -
• Receives Salary for Employment from Montclair State University.
• Receives Salary for Employment from St. Louis Children's Hospital.
Nonfinancial -
No relevant nonfinancial relationship exist.
Dr. Wendy Zeitlin teaches classes in research methods, diversity and oppression, contemporary social issues in child advocacy, and child abuse and neglect. She served as an evaluator on the New York State Social Work Education Consortium from 2007 to 2015 and the Child Welfare Workforce Initiative, funded through the U.S. Children’s Bureau from 2008 to 2015. She continues her child welfare workforce studies in conjunction with the National Child Welfare Workforce Institute (NCWWI). Dr. Zeitlin has authored and co-authored several research articles regarding workforce issues in child welfare and evidence-based practice and has co-authored A Toolkit for Modifying Evidence-Based Practices to Increase Cultural Competence with funding from The Nathan Kline Institute and New York State's Research Foundation for Mental Hygiene. Dr. Zeitlin's research focuses on organizational research, child well-being, cultural competence, and research methods.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Kathryn Aveni received her Master's in Public Health from Columbia University and BS in Nursing from the University of Virginia. She is a Research Scientist and Data System Coordinator for Special Child Health and Early Intervention Services at the New Jersey Department of Health where she has worked since 2002. She also serves as a Regional EHDI Technical Assistant Network Consultant for the National Center for Hearing Assessment and Management.
ASHA DISCLOSURE:
Financial -
• Receives Consulting fee for Consulting from National Center for Hearing Assessment and Management.
Nonfinancial -
No relevant nonfinancial relationship exist.