2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
3/14/2022 | 9:30 AM - 10:30 AM | Barriers to and Facilitators of EHDI: Learning from our Past for a Better Future | Room 1
Barriers to and Facilitators of EHDI: Learning from our Past for a Better Future
Completion rates for infant newborn hearing screening in the United States have been consistently high since the inception of state-specific universal newborn hearing screening programs. Unfortunately, rates for diagnostic follow-up and early intervention (EI) enrollment continue to lag behind screening rates, despite approximately 20 years of program evolution in most states. This presentation will synthesize what we have learned from a meta-analysis spanning literature from 1990 to 2021 regarding barriers to loss-to-follow up at critical early hearing detection and intervention (EHDI) time points. Specific barriers, including screening and diagnostic results interpretation, lack of monitoring for risk factors, limited access to quality diagnostic assessment and EI, under-reporting of diagnostic results, under-referral to EI services, and lack of primary care support will be highlighted along with sociodemographic factors that might contribute to loss-to-follow-up. Additionally, we will discuss factors that promote achieving the primary EHDI goals of timely hearing detection and intervention, including adhering to screening and diagnostic protocol standards, cross-disciplinary care coordination, parent-to-parent support, and multi-faceted outreach efforts. Implementing evidence-based facilitators of EHDI goals will promote timely and accurate diagnosis and timely enrollment in EI, which will in turn lead to optimal developmental outcomes in infants and children who are deaf and hard-of-hearing.
- Attendees will be able to identify barriers to timely early hearing detection and intervention.
- Attendees will be able to discuss successful facilitators of timely diagnosis and early intervention enrollment.
- Attendees will be able to implement evidence-based quality improvement measures in their own programs to facilitate EHDI.
Presentation:
3353554_14942UrsulaFindlen.pdf
Handouts:
3353554_14942UrsulaFindlen.pdf
3353554_14942UrsulaFindlen_1.pdf
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Ursula Findlen
(InPerson), Nationwide Children's Hospital, ursula.findlen@nationwidechildrens.org;
Ursula M. Findlen, Ph.D., is the Director of Audiology Research in the Division of Clinical Therapies- Audiology Department at Nationwide Children’s Hospital and an Assistant Professor-Clinical at The Ohio State University College of Medicine, Department of Otolaryngology- Head and Neck Surgery. Dr. Findlen engages in clinical practice and research endeavors related to pediatric (re)habilitative audiology, particularly in regards to a multidisciplinary team approach to family-centered care. Her research interests include infant diagnostics and improving outcomes of children with hearing loss through systematic quality improvement and population health endeavors.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Carrie Davenport
(), The Ohio State University College of Medicine, carrie.davenport@osumc.edu;
Carrie Davenport, Ph.D., is a Postdoctoral Researcher in the Department of Otolaryngology at The Ohio State University Wexner Medical Center. Carrie is a teacher of the deaf by training with a Master's degree in Family-Centered Early Education from Gallaudet University. She earned her doctorate in special education at OSU in 2017. Prior to entering the PhD program at OSU, she was the Early Childhood Consultant for the Center for Outreach Services at the Ohio School for the Deaf. Carrie is a founding Board member of Ohio Hands & Voices. Her research interests include parental self-efficacy, parent-to-parent support, and parent-infant interaction. She is especially interested in building academic-community partnerships with families with deaf/hard-of-hearing children and other stakeholders.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Derek Houston
(), University of Connecticut, derek.houston@uconn.edu;
Derek M. Houston, PhD, received his doctorate in cognitive psychology from Johns Hopkins University in 2000, focusing on how typically developing infants segment words from fluent speech and recognize words across different talkers. After graduating, he constructed the world's first laboratory to investigate the speech perception and language skills of deaf infants who receive cochlear implants at Indiana University. Since then, his work (supported by NIDCD) has investigated the role of early auditory experience and parent-child interactions on cognitive, linguistic, and social building blocks of language development. He also engages in community-based participatory research aimed at addressing barriers families face in obtaining high-quality early intervention services for their children.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Rachael Frush Holt
(), The Ohio State University – Department of Speech and Hearing Science, holt.339@osu.edu;
Rachael Frush Holt, Ph.D. is Professor of Speech and Hearing Science at the Ohio State University. Her research focuses on the development of spoken language in children, including those who are deaf and hard-of-hearing. Her primary focus is on the role that environmental factors, such as the child’s family, play in spoken language and executive function outcomes in deaf and hard-of-hearing children with sensory aids.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Lisa Hunter
(), Cincinnati Children's Hospital, lisa.hunter@cchmc.org;
Lisa Hunter is Scientific Director of Audiology and Professor at Cincinnati Children's Hospital Medical Center and the University of Cincinnati. She collaborates on a number of funded studies including evaluating physiologic factors associated with risks for hearing loss and understanding mechanisms for improved follow-up with newborn hearing screening in high risk famlies. She is a faculty with the Leadership Education in Neurodevelopmental and related Disabilities at Cincinnati Children's Hospital Medical Center.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.