2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
3/02/2021 | 3:40 PM - 4:00 PM | Intensity of early intervention services for infants and toddlers who are deaf/hard of hearing | Topical Breakout
Intensity of early intervention services for infants and toddlers who are deaf/hard of hearing
Background
We previously reported on early intervention (EI) service dosage (cumulative exposure hours) and identified “habilitative services for hearing loss” (HABHL) as important for outcomes for children who are deaf/hard of hearing (DHH). Little is understood regarding EI service intensity. Objective: To evaluate EI service dosage and intensity for children during the first EI year.
Methods
Data across statewide systems were linked to examine the influence of factors on service dosage and intensity, focusing primarily on specialized DHH services in EI (“habilitative services for hearing loss”-HABHL). We included 1262 infants (born 2008-2014) enrolled in EI. We evaluated EI service dosage (hours of cumulative exposure) and EI intensity (median hours per month) for the first year in EI for HABHL and top 10 services.
Results
In the first EI year, infants/toddlers received ~23.2 hrs [IQR 13.6-39.5] of top EI services; 21% received >4hrs/month. 754 (60%) received HABHL services in Year 1 with median cumulative HABHL exposure of 9 hours [5.2-12.0]. Children received ~45 min/month of HABHL services; 11% received <30 min/month, 6.5% received >2hrs/month. Children who received any HABHL in year 1 (vs. none) were more likely to have met EHDI benchmarks, have private insurance, higher parental education; less likely to have HL risk indicators or identified communication delays. Children received higher HABHL intensity (hrs/month) during first EI year if they had bilateral, severe/profound HL, communication delays. Although EI entry age was not correlated with year 1 cumulative exposure (r=-0.01) or hours/month (r=0.001), 15% of children who enrolled >12m received >2hrs/month compared to 5% of earlier enrolled children.
Conclusion
EI is a critical service supporting infants/toddlers who are DHH. Understanding dosage and service intensity impact, particularly for specific DHH services, may have implications on Part C EI practices and policies. Evaluating the impact on developmental outcomes is our next step.
- Understand dosage and intensity of EI service types provided to children who are DHH in Early Intervention
- Identify demographic and child characteristics associated with intensity of specialized DHH services
- Recognize possible associations between intensity of specialized DHH services and child outcomes
Presentation:
23278_13597JareenMeinzen-Derr.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Jareen Meinzen-Derr
(), Cincinnati Children's Hospital Medical Center, jareen.meinzen-derr@cchmc.org;
Dr. Meinzen-Derr is quantitative epidemiologist at the Cincinnati Children's Hospital Medical Center. She has focused her research on outcomes of children who are deaf or hard of hearing, and specifically those who have additional developmental disabilities.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Meredith Tabangin
(), Cincinnati Children's Hospital Medical Center, meredith.tabangin@cchmc.org;
Ms. Tabangin is an epidemiologist with Cincinnati Children's Hospital Medical Center
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Susan Wiley
(), Cincinnati Children's Hospital Medical Center, susan.wiley@cchmc.org;
Dr. Susan Wiley is a developmental pediatrician with extensive expertise in children who are deaf/hard of hearing. She has many years of experience serving children with multiple disabilities. Dr Wiley provides leadership and guidance to the National American Academy of Pediatrics, the Ohio Department of Health Early Hearing Detection and Intervention Program, the Ohio Center for Deaf-Blind Education, and the Outreach Center for Deafness and Blindness in the Ohio Center for Low Incidence.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Mekibib Altaye
(), Cincinnati Children's Hospital Medical Center, mekibib.altaye@cchmc.org;
Dr. Altaye is a biostatistician at Cincinnati Children's Hospital Medical Center
ASHA DISCLOSURE:
Financial -
Nonfinancial -