Maternal anxiety and satisfaction following infant hearing screening: a comparison of the health visitor distraction test and newborn hearing screening

Background: Newborn hearing screening is currently replacing the health visitor distraction test (HVDT) conducted at eight months. Our previous research indicates that recall for further tests following newborn hearing screening can have a negative impact on the emotional well being of mothers, but it is not known if this is greater than that caused by recall following the distraction test. Objective: To compare the impact on maternal anxiety and satisfaction of recall following newborn hearing screening and the HVDT. Methods: Four groups participated: 27 mothers of babies receiving a satisfactory result and 21 mothers of babies recalled after the HVDT 26 mothers of babies receiving a satisfactory result and 16 mothers of babies recalled after newborn hearing screening. Questionnaires assessing maternal anxiety, worry and certainty about the babies' hearing, satisfaction with and attitudes towards the screening test were sent to mothers three weeks and six months following screening. Results: Comparison of the effects of receipt of different results showed no significant differences in maternal anxiety, worry and certainty between the two tests. Those mothers whose babies had a newborn hearing screening test were significantly more satisfied, regardless of the result received. Those who received a satisfactory result on the newborn hearing screening programme also had more positive attitudes towards that screening test than those receiving a satisfactory result following the HVDT. Conclusion: These results suggest that newborn hearing screening does not have a more negative emotional impact than the HVDT.

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The Impact of the National Newborn Hearing Screening Programme on Educational Services in England

Deafness & Education International ◽

10.1179/146431505790560301 ◽

2005 ◽

Vol 7 (4) ◽

pp. 179-194 ◽

Cited By ~ 2

Author(s):

Wendy McCracken ◽

Alys Young ◽

Helen Tattersall ◽

Kai Uus ◽

John Bamford

Keyword(s):

Screening Programme ◽

Hearing Screening ◽

Educational Services ◽

Newborn Hearing Screening ◽

Newborn Hearing ◽

The Impact

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Newborn Hearing Screening in Bavaria—Is It Possible to Reach the Quality Parameters?

International Journal of Neonatal Screening ◽

10.3390/ijns4030026 ◽

2018 ◽

Vol 4 (3) ◽

pp. 26

Author(s):

Inken Brockow ◽

Kristina Söhl ◽

Uta Nennstiel

Keyword(s):

Screening Test ◽

Otoacoustic Emissions ◽

Tracking System ◽

Quality Criteria ◽

Hearing Screening ◽

Screening Methods ◽

Newborn Hearing Screening ◽

Automated Auditory Brainstem Response ◽

Newborn Hearing ◽

Brainstem Response

Since the 1 January, 2009, newborn hearing screening (NHS) has been obligatory for every child in Germany. NHS is part of the Pediatrics Directive of the Federal Joint Committee. In this directive, details of the procedures and screening quality to be achieved are given. We evaluate if these quality criteria were met in Bavaria in 2016. The NHS data of children born in 2016 in Bavaria were evaluated for quality criteria, such as screening coverage in screening facilities, screening methods, referral rate (rate of failed tests at discharge) and a child’s age at the diagnosis of a hearing disorder. NHS was documented for 116,776 children born in Bavaria in 2016. In the first step, 78,904 newborns were screened with transient evoked otoacoustic emissions and 37,865 with automated auditory brainstem response. Of these, 9182 (7.8%) failed the first test in one or both ears. A second screening before discharge was performed on 53.3% of the newborns with a refer result in the first test, out of which 58.7% received a pass result. After the screening process, 4.6% of the newborns were discharged with a refer result. Only 18% of the first controls after discharge were performed by a pediatric audiologist. In 37.9% of the newborns, the screening center intervened to assure the control of any failed screening test. The median age of diagnosis for bilateral hearing loss was 5.3 months. In Bavaria, NHS was implemented successfully. A tracking system for all children who failed the hearing screening test is pivotal for early diagnosis and therapy of children with hearing deficiency.

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The Impact of Universal Newborn Hearing Screening

Qualitative Social Work ◽

10.1177/1473325004048021 ◽

2004 ◽

Vol 3 (4) ◽

pp. 367-387 ◽

Cited By ~ 4

Author(s):

Alys Young ◽

Helen Tattersall ◽

Wendy McCracken ◽

John Bamford

Keyword(s):

Hearing Screening ◽

Newborn Hearing Screening ◽

Universal Newborn Hearing Screening ◽

Newborn Hearing ◽

The Impact

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Initial outcomes from universal newborn hearing screening in Avon

The Journal of Laryngology & Otology ◽

10.1017/s0022215109005295 ◽

2009 ◽

Vol 123 (9) ◽

pp. 982-989 ◽

Cited By ~ 2

Author(s):

R J Sim ◽

S Matthew ◽

R J Foley ◽

P J Robinson

Keyword(s):

Screening Programme ◽

Hearing Screening ◽

Auditory Neuropathy ◽

Newborn Hearing Screening ◽

Term Outcome ◽

Universal Newborn Hearing Screening ◽

Newborn Hearing ◽

The Uk ◽

The Impact ◽

Area Health

AbstractObjective:The Avon Area Health Authority was a first-phase site for introduction of universal newborn screening in the UK. The aims of this study were: to review the programme's results to date; to assess the impact screening would have on other services (e.g. the cochlear implant programme); and to assess the longer term outcome for children identified by the screening programme.Patients:All children identified by the Avon universal newborn hearing screening programme between April 2002 and July 2006.Results:Fifty-four children with a bilateral hearing impairment of worse than 40 dBHL were identified from a screened population of approximately 44 000. Nine of these children were put forward for cochlear implantation, and seven had been implanted at the time of writing. Thirteen of these children were identified with possible auditory neuropathy or dys-synchrony. All the newborn hearing screening programme criteria assessed were met.Conclusions:The screening programme was effective. Some areas may need review in order to optimise patient care.

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Expanding the Role of Educational Audiologists After a Failed Newborn Hearing Screening: A Quality Improvement Study

American Journal of Audiology ◽

10.1044/2021_aja-21-00003 ◽

2021 ◽

pp. 1-11

Author(s):

Caitlin Sapp ◽

Jonathan Stirn ◽

Tammy O'Hollearn ◽

Elizabeth A. Walker

Keyword(s):

Special Education ◽

Quality Improvement ◽

The United States ◽

Auditory Brainstem ◽

Hearing Screening ◽

Newborn Hearing Screening ◽

Newborn Hearing ◽

Brainstem Response ◽

The Impact ◽

Hearing Evaluation

Purpose Lack of timely and proximal access to diagnostic hearing evaluation using auditory brainstem response (ABR) testing hampers the effectiveness of Early Hearing Detection and Intervention (EHDI) programs in the United States. This study measured the impact of a state-based quality-improvement (QI) project that provided diagnostic ABR equipment and training to educational audiologists distributed throughout Iowa in regional special education centers. Method We used de-identified administrative data generated by the state EHDI program to analyze markers of access to early hearing health care for infants in a preproject condition (“Baseline”) compared to the implementation of diagnostic ABRs at the regional special education centers (“QI Project”). Results Our findings revealed that the QI Project was associated with improvements in timeliness of first hearing evaluation, distance traveled for first hearing evaluation, and likelihood of receiving on-guideline audiology care during the first hearing evaluation. Conclusions Following the onset of the QI Project, infants and their families had greater access to initial hearing evaluation after failed newborn hearing screening. This improvement could have cascading effects on timeliness of later intervention among those with confirmed permanent childhood hearing loss.

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