Listening-Related Fatigue in Children With Hearing Loss: Perspectives of Children, Parents, and School Professionals

2021 ◽  
pp. 1-12
Author(s):  
Hilary Davis ◽  
David Schlundt ◽  
Kemberlee Bonnet ◽  
Stephen Camarata ◽  
Benjamin Hornsby ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Focus Groups ◽  
Process Analysis ◽  
Pediatric Population ◽  
Theoretical Framework ◽  
Negative Consequences ◽  
Profound Hearing Loss ◽  
School Professionals ◽  
Stakeholder Groups ◽  
Children With Hearing Loss

Purpose Children with hearing loss (CHL) are considered at risk for listening-related fatigue and its negative consequences. We collected data via focus groups and interviews from three stakeholder groups—CHL, their parents, and teachers/school professionals—in order to define the construct of listening-related fatigue from the perspective of CHL and key stakeholders. This is an important first step in our long-term goal to construct and validate a measure (i.e., scale) of listening-related fatigue for the pediatric population, with a focus on CHL. This article provides an overview of the data gathering process, analysis of qualitative reports, and the development of a theoretical framework for understanding the experience of listening-related fatigue in CHL. Method We conducted focus groups and interviews in school-age children exhibiting bilateral, moderate-to-profound hearing loss ( n = 43), their parents ( n = 17), and school professionals who work with CHL ( n = 28). The discussions were audio-recorded, transcribed, and coded using a hierarchical coding system. Qualitative analysis was conducted using an iterative inductive–deductive approach. Results We identified primary themes from the focus group/interview discussions to develop a theoretical framework of listening-related fatigue in CHL. The framework demonstrates the complex interaction among situational determinants that impact fatigue, symptoms or manifestations of fatigue, and the utilization of, and barriers to, coping strategies to reduce listening-related fatigue. Conclusions Participant discussion suggests that listening-related fatigue is a significant problem for many, but not all, CHL. Qualitative data obtained from these stakeholder groups help define the construct and provide a framework for better understanding listening-related fatigue in children.

What Do We Want Them To Be When They Grow Up?

2010 ◽  
Vol 20 (1) ◽  
pp. 27-31
Author(s):  
Lyn Robertson
Keyword(s):  
Hearing Loss ◽  
Social Development ◽  
Young Women ◽  
Hearing Aids ◽  
Test Scores ◽  
Spoken Language ◽  
Language Therapy ◽  
Profound Hearing Loss ◽  
Children With Hearing Loss ◽  
Learning To Listen

Abstract Learning to listen and speak are well-established preludes for reading, writing, and succeeding in mainstream educational settings. Intangibles beyond the ubiquitous test scores that typically serve as markers for progress in children with hearing loss are embedded in descriptions of the educational and social development of four young women. All were diagnosed with severe-to-profound or profound hearing loss as toddlers, and all were fitted with hearing aids and given listening and spoken language therapy. Compiling stories across the life span provides insights into what we can be doing in the lives of young children with hearing loss.

scholarly journals Hearing Norton Sound: mixed methods protocol of a community randomised trial to address childhood hearing loss in rural Alaska

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023081 ◽  
Author(s):  
Susan D Emmett ◽  
Samantha Kleindienst Robler ◽  
Joseph J Gallo ◽  
Nae-Yuh Wang ◽  
Alain Labrique ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Mixed Methods ◽  
Focus Groups ◽  
Randomised Trial ◽  
Trial Registration ◽  
Community Leaders ◽  
Stakeholder Groups ◽  
Study Results ◽  
Rural Alaska ◽  
Childhood Hearing Loss

IntroductionChildhood hearing loss has implications for school achievement, economic outcomes and quality of life. This study will engage rural Alaska communities in research to improve the school hearing screening and referral process, partnering with stakeholders to develop a locally derived, evidence-based solution to improve timely identification and treatment of childhood hearing loss.Methods and analysisMixed methods community randomised trial in 15 communities in the Norton Sound region of northwest Alaska. Data collection will span from April 2017 until February 2020. Qualitative and mixed methods components are described in this protocol and the community randomised trial in the companion protocol. Focus groups and community events will be held leading up to the randomised trial to obtain community perspectives on childhood hearing loss in Alaska and elicit community input during trial protocol refinement (exploratory sequential stage). Stakeholder groups, including parents, children, teachers, school administrators and community health aides, will participate, along with community leaders, tribal leaders and community members. The randomised trial will be combined with qualitative, semi-structured interviews to elicit stakeholder perspectives on the intervention (explanatory sequential stage). The five stakeholder groups described above will participate in interviews. The study will conclude with additional focus groups and community events to discuss results and provide community insight for future implementation. Concluding focus groups will include policymakers, healthcare administrators, and tribal and community leaders in addition to the stakeholder groups. Informed consent and child assent will be required. Recordings will be transcribed and deidentified, with only stakeholder group recorded. Analyses will include categorical coding as well as narrative and thematic analysis.Ethics and disseminationThe Hearing Norton Sound study has been approved by the Institutional Review Boards of Alaska Area, Norton Sound, and Duke University, with trial registration on clinicaltrials.gov. Study results will be distributed with equal emphasis on scientific and community dissemination.Trial registration numberNCT03309553; Results.

scholarly journals The Efficacy of Auditory, Visual, and Tactile Feedback in Improving Speech and Intelligibility Skills of People with Severe to Profound Hearing Loss Across Varying Age Levels

2018 ◽  
Author(s):  
Marie Partyka ◽  
Cheri Carrico
Keyword(s):  
Hearing Loss ◽  
Speech Intelligibility ◽  
Sensory Feedback ◽  
Tactile Feedback ◽  
Feedback Systems ◽  
Profound Hearing Loss ◽  
School Aged Children ◽  
Positive Effects ◽  
Alternative Means ◽  
Children With Hearing Loss

Introduction Enhanced auditory, tactile, and visual feedback systems have been researched as alternative means of sensory feedback for people with severe to profound hearing loss to improve articulation and intelligibility of speech. The general consensus is that children with hearing loss are on average 20% intelligible, which translates to one word out of every five is understood by the listener. As children enter school, their speech intelligibility is often considered an indication of their abilities, meaning that low intelligibility could result in underestimation of potential. For adults who experience hearing loss, articulation has been shown to dramatically decrease over time, resulting in lowered intelligibility. Purpose The purpose of this research is to compare each form of feedback to determine which form of sensory feedback provides the highest levels of efficacy for preschool aged children (3 to 5 years), school aged children (6 to 17 years), and adults (18+ years). Conclusion A combination of biofeedback types is suggested for school aged children and adults, as each form demonstrated improvement for differing areas of speech. Visual and tactile are not recommended for the preschool children, as it is assumed these forms of feedback are too complex to be translated at this age. Tactile is not recommended for school aged children as there were inconclusive findings. For adults, each of the feedback systems demonstrated positive effects, indicating the three systems should be paired for optimal and most efficient results.

scholarly journals Dartanan: Prototype evaluations of a serious game to engage children in the calibration of their hearing aid functionalities

2021 ◽  
Vol 8 ◽  
pp. 205566832110215
Author(s):  
Madeline Hallewell ◽  
Davide Salanitri ◽  
Mirabelle D’Cruz ◽  
Sue Cobb ◽  
Lorenzo Picinali ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Focus Groups ◽  
Hearing Aids ◽  
Online Survey ◽  
Hearing Aid ◽  
Serious Game ◽  
Summative Evaluation ◽  
User Evaluations ◽  
Children With Hearing Loss ◽  
The Uk

Introduction It is notoriously difficult to obtain a perfect fitting of hearing aids (HAs) for children as they often struggle to understand their hearing loss well enough to discuss the fitting adequately with their audiologist. Dartanan is an ‘edutainment’ game developed to help children understand the functions of their HA in different sound contexts. Dartanan also has elements of a leisure game for all children, in order to create an inclusive activity. Methods Game prototypes were evaluated during two formative evaluations and a summative evaluation. In total 106 children with and without hearing loss in Italy, Spain and the UK played Dartanan. A built-in virtual HA enabled children with hearing loss to use headphones to play. Results and conclusions: During the formative stages, feedback was discussed during focus groups on factors such as the audiological aspects, the extent to which children learned about HA functions, accessibility and usability, and this feedback was presented to the developers. After redevelopment, a summative evaluation was performed using an online survey. It was concluded that the game had met the goals of helping children understand their HA functionalities and providing an inclusive activity. User-evaluations were crucial in the development of the app into a useful and useable service.

scholarly journals A future without drivers? Comparing users', urban planners' and developers' assumptions, hopes, and concerns about autonomous vehicles

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Helena Strömberg ◽  
Érika Martins Silva Ramos ◽  
MariAnne Karlsson ◽  
Mikael Johansson ◽  
Fredrick Ekman ◽  
...  
Keyword(s):  
Focus Groups ◽  
Transport System ◽  
Thematic Analysis ◽  
Autonomous Vehicles ◽  
Travel Demand ◽  
Autonomous Vehicle ◽  
Negative Consequences ◽  
Stakeholder Groups ◽  
The City ◽  
Detrimental Impact

Abstract Aim This study identifies and compares perceptions of autonomous vehicle (AV) implementation among three Swedish stakeholder groups: Future Users, Urban Planners, and Developers. Method Semi-structured comparative focus groups were conducted separately with each of the three groups of stakeholders and the transcripts were analysed in broad themes using thematic analysis. Results Assumptions, hopes, concerns, and direction of development were the main themes that emerged from the analysis. Assumptions included electrification of vehicles, changes in travel demand, and the need for regulations; Hopes included the idea that AVs will contribute to a more accessible and safer transport system; Concerns included overtrust in AV technology, a possible detrimental impact on the city in the form of congestion and higher demand for investments in infrastructure that could outcompete other modes of transport; and Direction of development and their own role, where the need for collaboration between stakeholders and implementation of AVs in connection with society’s needs were emphasised. Conclusions AVs were seen to lead to both positive and negative consequences depending on implementation and the development of society. The study shows that dialogue between different stakeholders is lacking but it is desired for the inclusive implementation of AVs.

Perception of Coarticulatory Cues in the Speech of Children With Profound Hearing Loss and Children With Normal Hearing

1994 ◽  
Vol 37 (4) ◽  
pp. 952-959 ◽  
Author(s):  
Robin S. Waldstein ◽  
Shari R. Baum
Keyword(s):  
Hearing Loss ◽  
Normal Hearing ◽  
Identification Accuracy ◽  
Profound Hearing Loss ◽  
Vowel Identification ◽  
Children With Hearing Loss ◽  
Better Than

Two experiments investigated the perception of coarticulatory cues in the speech of children with profound hearing loss and children with normal hearing. To examine anticipatory coarticulation, five repetitions of the syllables [∫i ∫u ti tu ki ku] produced by nine children with hearing loss and nine children with normal hearing were edited to include only the aperiodic consonantal portion. To explore perseveratory coarticulation, comparable segments were excised from the syllables [i∫ u∫ it ut ik uk]. The stimuli had been analyzed previously in two acoustic studies of coarticulation (Baum & Waldstein, 1991; Waldstein & Baum, 1991). Ten listeners were presented with the aperiodic segment and were asked to identify the missing vowel. Overall, listeners’ vowel identification was better for the productions by children with normal hearing than for those by children with hearing loss. In anticipatory contexts, listeners were able to identify the absent vowel with better-than-chance accuracy for all productions by both groups except the [i] tokens following [∫] produced by children with hearing loss. In perseveratory contexts, identification accuracy was significantly above chance for all except the [i] tokens preceding [t] produced by children with normal hearing, but only for [u] tokens produced by children with hearing loss. Identification accuracy was better in anticipatory than in perseveratory contexts for both speaker groups’ productions. The patterning of vowel identification, however, differed for the two speaker groups in anticipatory but not perseveratory contexts.

SOME CHARECTERISTIC EPIDEMIC OF HEARING LOSS CHILDREN UNDER 3 YEARS OLD IN NATIONAL CHILDREN HOSPITAL IN 2018-2019

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Vu Dinh Thiem ◽  
Lai Thu Ha ◽  
Phan Huu Phuc
Keyword(s):  
Hearing Loss ◽  
Cochlear Implants ◽  
Hearing Aids ◽  
Language Therapy ◽  
Profound Hearing Loss ◽  
Cross Sectional ◽  
High Risk Factors ◽  
History Of ◽  
Children With Hearing Loss ◽  
Impaired Children

A cross-sectional descriptive study was conducted on a group of 461 hearing impaired children who were diagnosed and treated at the Audiology and Speech language therapy centre at the National Children Hospital from January 2018 to August 2019. The purpose of the study is to assess the distribution of children by age group, gender, degree of hearing loss, high risk factors of hearing loss, and status of intervention in this group of children. Data were taken by using questionnaires and analyzed using Stata software. The results showed in the study group, there were 281 boys and 180 girls. Children with profound hearing loss have the highest rate with 58.4%, followed by the severe (11,9%) and the moderate to severe (6,9%). ANSD accounts for 16.7%. The majority of children with hearing loss in both ears (90,5%), only 9,5% children with hearing loss in one ear. The most common age at which children with hearing loss are detected is 13-24 months (33,2%). Among ANSD children, 73,6% had a history of jaundice in the newborn period. Only 17,6% of children had hearing aids and 8,9% of children with severe to profound hearing loss had cochlear implants.

scholarly journals Phonological Awareness at 5 years of age in Children Who Use Hearing Aids or Cochlear Implants

2015 ◽  
Vol 25 (2) ◽  
pp. 48-59 ◽  
Author(s):  
Teresa Y. C. Ching ◽  
Linda Cupples
Keyword(s):  
Hearing Loss ◽  
Phonological Awareness ◽  
Cochlear Implants ◽  
Hearing Aids ◽  
Profound Hearing Loss ◽  
Significant Group ◽  
Bilateral Cochlear Implants ◽  
Increase With Increase ◽  
Hearing Devices ◽  
Children With Hearing Loss

Children with hearing loss typically underachieve in reading, possibly as a result of their underdeveloped phonological skills. This study addressed the questions of (1)whether or not the development of phonological awareness (PA) is influenced by the degree of hearing loss and (2) whether or not performance of children with severe-profound hearing loss differed according to the hearing devices used. Drawing on data collected as part of the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI,www.outcomes.nal.gov.au) study, the authors found that sound-matching scores of children with hearing loss ranging from mild to profound degrees were, on average, within the normal range. The degree of hearing loss did not have a significant impact on scores, but there was a non-significant tendency for the proportion of children who achieved zero scores to increase with increase in hearing loss. For children with severe hearing loss, there was no significant group difference in scores among children who used bilateral hearing aids, bimodal fitting (a cochlear implant and a hearing aid in contralateral ears), and bilateral cochlear implants. Although there is a need for further prospective research, professionals have an important role in targeting PA skills for rehabilitation of young children with hearing loss.

The Effect of Communication Mode on Learning Outcomes for Children with Severe–Profound Hearing Loss

2020 ◽  
pp. 59-77
Author(s):  
Julia Sarant ◽  
Ann Geers
Keyword(s):  
Hearing Loss ◽  
Learning Outcomes ◽  
Cognitive Learning ◽  
Oral Communication ◽  
Communication Mode ◽  
Profound Hearing Loss ◽  
Conflicting Information ◽  
Outcomes For Children ◽  
Children With Hearing Loss ◽  
Communication Approach

Hearing loss has well-reported and significant detrimental effects on learning in children. In particular, it negatively impacts the development of language, through which most other learning occurs. It is therefore of the utmost importance for parents of children with hearing loss to determine which communication approach will give their children the best possible chance of achieving age-appropriate language. Parents are often presented with conflicting information about what their choice of communication mode should be. This chapter reviews the evidence regarding learning outcomes for children using oral communication versus oral plus signed communication across a variety of outcomes, including language, reading, speech production, speech perception, and social and academic development. The cognitive/learning differences observed between children with normal hearing and hearing loss, and between children using different communication modes, are discussed, and conclusions are drawn to assist parents and clinicians with optimizing learning opportunities for children with hearing loss.

scholarly journals Precochlear Implant Assessment: Clinical Profile and Family History of Children with Severe Bilateral Prelingual Hearing Loss

2020 ◽  
Vol 24 (04) ◽  
pp. e457-e461
Author(s):  
Syed Hashim Raza ◽  
Rehmana Waris ◽  
Samina Akhtar ◽  
Ramish Riaz
Keyword(s):  
Hearing Loss ◽  
Family History ◽  
Positive Family History ◽  
Consanguineous Marriage ◽  
Global Developmental Delay ◽  
Clinical Aspects ◽  
Profound Hearing Loss ◽  
Developmental Skills ◽  
History Of ◽  
Children With Hearing Loss

Abstract Introduction The prevalence of deafness is high in Pakistan. Knowledge regarding the clinical features of patients with profound hearing loss will not only help identify the cause but will also help in the strategic planning for public health interventions. Objective The present study was conducted to cover in detail the clinical aspects of children with hearing loss, that is, age at presentation, associated deficits and disorders, possible cause of the disease, associated family history, and role of consanguineous marriage. Methods The present study was performed from November 2016 to September 2018. All of the patients under 6 years of age with profound bilateral hearing loss who would benefit from cochlear implantation were included in the study. Detailed history was taken. The developmental skills were assessed for all areas, and the patients were scored regarding their motor, manipulative, visual, language, social and self-care skills according to the Schedule of Growing Skills II. Detailed family history was taken from the parents of the affected children. The Statistical Package for the Social Sciences (SPSS) software, version 20.0, was used for the statistical analysis. Results The mean age of the children to be treated was 3.2 ±  1.25 years. Most patients (51.5%) had a positive family history of disease. Consanguineous marriage was common; the parents of 76.9% of the patients were first-degree relatives. Most patients (90.8%) had associated language impediments. In total, four (Ł3.07%) patients had global developmental delay. Conclusion Consanguineous marriage pattern plays an important role in diseases running in families. Development in these children is strongly linked to their age at the consultation.

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