Evaluation of the effectiveness of newborn hearing screening program: A center in Turkey.

Year 2019, , 141 - 153, 20.12.2019

Zerrin Turan , Nagihan Baş

https://doi.org/10.20489/intjecse.670470

Abstract

The present study aimed to analyze the effects of newborn hearing screening program in Turkey based on the age of diagnosis, amplification and initiation of education between 2000 and 2017. The study was designed as a retrospective study. The files of 997 children registered with a research and education center for children with hearing loss were analyzed. The findings indicated that the age of diagnosis, amplification and initiation of education significantly decreased after the national newborn hearing screening program was introduced throughout the years. However, the recommended universal standards were achieved only for a minority of children in terms of timely diagnosis and early intervention. Delay in amplification mostly observed in children with mild-moderate loses and late diagnosis, was found as related to the testing in more than two different clinics. The findings on late initiation of education were discussed based on the reports in relevant literature and monitoring problems after the diagnosis and the problems observed in early education system in Turkey.

Keywords

newborn hearing screening, age of the diagnosis, intervention age, obstacles to early intervention, loss to follow-up

References

• Al-Sayed, A. A., & AlSanosi, A. (2017). Cochlear implants in children: A cross-sectional investigation on the influence of geographic location in Saudi Arabia. Journal of Family and Community Medicine, 24(2), 118. doi: 10.4103/jfcm.JFCM_142_15
• Altınyay, Ş., & Ertürk, B.B. (2012). Eğitim Odyolojisi ve işitme engellilerde özel eğitim süreci [Educational audiology and the special education process for persons with hearing impairment.] Journal of Turkish Clinics ENT Special Topics, 5(2), 100-110.
• American Academy of Pediatrics. (2007). Joint Committee on Infant Hearing Year 2007Position Statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics, 120(4), 898-921. Retrieved from https://pediatrics.aappublications.org/content/pediatrics/131/4/e1324.full.pdf
• Aras-Öztürk, S. E., Aktaş, S., Karakurt, L. T., Develioğlu, Ö. N., Murat, Z., Çetinkaya, F., & Güleç, S. G. (2018). The follow-up results of newborn hearing screening of Gaziosmanpasa Taksim Research and Training Hospital. Turkish Archives of Pediatrics/Türk Pediatri Arşivi, 53(1), 10. doi:10.5152/TurkPediatriArs.2018.5389
• Aurélio, F. S., & Tochetto, T. M. (2010). Newborn hearing screening: Experiences of different countries. Arquivos Internacionais de Otorrinolaringologia, 14(03), 355-363. doi: 10.1590/S1809-48722010000300014
• Barker, M. J., Hughes, E. K., & Wake, M. (2013). NICU-Only versus universal screening for newborn hearing loss: Population audit. Journal of Pediatrics and Child Health, 49(1), E74-E79. doi:10.1111/j.1440-1754.2012.02472.x
• Baş, N., Turan, Z. ve Uzuner, Y. (2019). Ulusal yenidoğan işitme tarama programının aile ve sağlık çalışanları görüşlerine göre incelenmesi: Durum araştırması. [Investigation of the National Newborn Hearing Screening Program Based on Family and Health Workers’ Opinions: A Case Study] Eğitimde Nitel Araştırmalar Dergisi [Journal of Qualitative Research in Education], 7(1), 134-160. doi:10.14689/issn.2148-2624.1.7c1s.6m
• Bruijnzeel, H., Bezdjian, A., Lesinski-Schiedat, A., Illg, A., Tzifa, K., Monteiro, L., ... Topsakal, V. (2017). Evaluation of pediatric cochlear implant care throughout Europe: Is European pediatric cochlear implant care performed according to guidelines? Cochlear Implants International, 18(6), 287-296.doi:10.1080/14670100.2017.1375238
• Burke, M. J., Shenton, R. C., & Taylor, M. J. (2012). The economics of screening infants at risk of hearing impairment: An international analysis. International Journal of Pediatric Otorhinolaryngology, 76(2), 212-218. doi:10.1016/j.ijporl.2011.11.004
• Cavalcanti, H. G., & Guerra, R. O. (2012). The role of maternal socioeconomic factors in the commitment to universal newborn hearing screening in the Northeastern region of Brazil. International Journal of Pediatric Otorhinolaryngology, 76(11), 1661-1667. doi:10.1016/j.ijporl.2012.07.041
• Chen, X., Yuan, M., Lu, J., Zhang, Q., Sun, M., & Chang, F. (2017). Assessment of universal newborn hearing screening and intervention in Shanghai, China. International Journal of Technology Assessment in Health Care, 33(2), 206-214. doi:10.1017/S0266462317000344
• Ching, T.Y. (2015). Is early intervention effective in improving spoken language outcomes of children with congenital hearing loss? American Journal of Audiology, 24(3), 345-348. doi:10.1044/2015_AJA-15-0007 Cohen, J.W. (1988). Statistical power analysis for the behavioral sciences (2nd edition). United States of America: Lawrence Erlbaum Associates.
• Cole, E. B., & Flexer, C. (2019). Children with hearing loss: Developing listening and talking: Birth to six (4th edition). San Diego: Plural Publishing
• Dalzell, L., Orlando, M., MacDonald, M., Berg, A., Bradley, M., Cacace, A., … Beth, P. (2000). The New York State universal newborn hearing screening demonstration project: Ages of hearing loss identification, hearing aid fitting, and enrollment in early intervention. Ear and Hearing, 21(2), 118-130. doi:10.1097/00003446-200004000-00006
• Davis, A., Smith, P., Ferguson, M., Stephens, D., & Gianopoulos, I. (2007). Acceptability, benefit and costs of early screening for hearing disability: A study of potential screening tests and models. Health Technology Assessment, 11(4), 1-7.
• Dettman, S. J., Dowell, R. C., Choo, D., Arnott, W., Abrahams, Y., Davis, A., ... Briggs, R. J. (2016). Long-term communication outcomes for children receiving cochlear implants younger than 12 months: A multicenter study. Otology and Neurotology, 37(2), e82-e95. doi: 10.1097/MAO.0000000000000915
• Diken, I. H., Bayhan, P., Turan, F., Sipal, R. F., Sucuoglu, B., Ceber-Bakkaloglu, H., ... Kara, O. K. (2012). Early childhood intervention and early childhood special education in Turkey within the scope of the developmental system approach. Infants and Young Children, 25(4), 346-353. doi: 10.1097/IYC.0b013e318268541d
• Fitzpatrick, E., Angus, D., Durieux-Smith, A., Graham, I. D., & Coyle, D. (2008). Parents’ needs following identification of childhood hearing loss. American Journal of Audiology, 17(1), 38-49. doi: https://doi.org/10.1044/1059-0889(2008/005)
• Fitzpatrick, E., Grandpierre, V., Durieux-Smith, A., Gaboury, I., Coyle, D., Na, E., & Sallam, N. (2016). Children with mild bilateral and unilateral hearing loss: Parents’ reflections on experiences and outcomes. Journal of Deaf Studies and Deaf Education, 21(1), 34-43. doi:10.1093/deafed/env047
• Genç, A. G., Ertürk, B.B., & Belgin, E. (2005). Yenidoğan işitme taraması: Başlangıçtan günümüze [Newborn Hearing Test: From the beginning to present]. Çocuk Sağlığı ve Hastalıkları Dergisi [Journal of Child Health and Disease], 48, 109-118. Retrieved from http://www.cshd.org.tr/uploads/pdf_CSH_137.pdf
• Genç, G. A., Konukseven, Ö., Muluk, N. B., Kirkim, G., Başar, F. S., Tuncer, Ü., … Belgin, E. (2013). Features of unilateral hearing loss detected by newborn hearing screening programme in different regions of Turkey. Auris Nasus Larynx, 40(3), 251-259. doi: https://doi.org/10.1016/j.anl.2012.09.003
• Gopal, R., Hugo, S. R., & Louw, B. (2001). Identification and follow-up of children with hearing loss in Mauritius. International Journal of Pediatric Otorhinolaryngology, 57(2), 99-113. doi: https://doi.org/10.1016/S0165-5876(00)00434-1
• Harrison, M., Roush, J., & Wallace, J. (2003). Trends in age of identification and intervention in infants with hearing loss. Ear and Hearing, 24(1), 89-95. doi:10.1097/01.AUD.0000051749.40991.1F
• Hess, D. R. (2004). Retrospective studies and chart reviews. Respiratory Care, 49(10), 1171-1174. Retrieved from http://rc.rcjournal.com/content/49/10/1171/tab-pdf
• Holte, L., Walker, E., Oleson, J., Spratford, M., Moeller, M. P., Roush, P., ... Tomblin, J. B. (2012). Factors influencing follow-up to newborn hearing screening for infants who are hard of hearing. American Journal of Audiology, 21(2), 163-174. doi: 10.1044/1059-0889(2012/12-0016)
• Huang, H. M., Chiang, S. H., Shiau, Y. S., Yeh, W. Y., Ho, H. C., Wang, L., ... Yang, M. C. (2013). The universal newborn hearing screening program of Taipei City. International Journal of Pediatric Otorhinolaryngology, 77(10), 1734-1737. doi:10.1016/j.ijporl.2013.08.004
• Hyde, M. L. (2005). Newborn hearing screening programs: Overview. Journal of Otolaryngology, 34(2), 70-78. Retrieved from http://www.mountsinai.on.ca/care/infant-hearing-program/documents/hydearticle.pdf
• Jeddi, Z., Jafari, Z., & Motasaddi Zarandy, M. (2012). Ages of hearing loss diagnosis and cochlear implantation in hearing impaired children. Bimonthly Audiology-Tehran University of Medical Sciences, 21(2), 78-86. Retrieved from http://aud.tums.ac.ir/files/site1/user_files_b0104b/tums-A-10-25-46-75156d0.pdf
• John, R., Lytle, L., Nussbaum, D., & Shoup, A. (2015). Getting started: Hearing screening, evaluation, and next steps. In M. Sass-Lehrer (Eds.), Early intervention for deaf and hard-of-hearing infants, toodlers, and their families (pp. 169-198). Oxford: Oxford University Press.
• Kasai, N., Fukushima, K., Omori, K., Sugaya, A., & Ojima, T. (2012). Effects of early identification and intervention on language development in Japanese children with prelingual severe to profound hearing impairment. Annals of Otology, Rhinology & Laryngology, 121(4), 16-20. Retrieved from https://journals.sagepub.com/doi/pdf/10.1177/000348941212100402
• Kemaloğlu, Y.K. (2015). Yenidoğan işitme taramaları [Newborn Hearing Screening Tests]. In E. Belgin, and S. Şahlı (Eds.), Temel odyoloji (pp.191-217). Ankara: Güneş Tıp Kitabevleri.
• Kemaloğlu, Y. K., Gökdoğan, Ç., Gündüz, B., Önal, E. E., Türkyılmaz, C., & Atalay, Y. (2016). Newborn hearing screening outcomes during the first decade of the program in a reference hospital from Turkey. European Archives of Oto-Rhino-Laryngology, 273(5), 1143-1149. doi: 10.1007/s00405-015-3654-1
• Kemaloğlu, Y.K. (2018). Retrospective view to the newborn hearing screening in Turkey based on the published data. Journal of Hearing Science, 8(2), 98-99. Retrieved from http://eds.b.ebscohost.com/eds/pdfviewer/pdfviewer?vid=0&sid=aebe90e5-5ba3-4a32-b990-abb89340a891%40pdc-v-sessmgr05
• Konukseven, O., Kaya, S., Genc, A., Muluk, N. B., Basar, F. S., Kirkim, G., ... Dincol, I. (2017). Regional differences of Turkey in risk factors of newborn hearing loss. International Journal of Pediatric Otorhinolaryngology, 102, 49-55. https://doi.org/10.1016/j.ijporl.2017.08.028
• Korver A.M.H, Konings S, Dekker FW, Beers, M., Wever, C., Frijns, J.H.M., … Oudesluys-Murphy, A. M. (2010). Newborn hearing screening vs later hearing screening and developmental outcomes in children with permanent childhood hearing Impairment. The Journal of American Medical Association, 304(15), 1701–1708. doi:10.1001/jama.2010.1501
• Kumaş, Ö. A. & Sümer, H. M. (2018). Early childhood special education services in Turkey. European Journal of Education Studies, 4(3), 125-137. doi:10.5281/zenodo.119394
• Külekçi-Uğur, A. (2018, December). Newborn hearing screening test protocols. Paper session presented at the meeting of Newborn hearing screening test and children with hearing loss from past to today, Ankara.
• Krishnan, L. A., & Van Hyfte, S. (2014). Effects of policy changes to universal newborn hearing screening follow-up in a university clinic. American Journal of Audiology, 23(3), 282-292. doi: 10.1044/2014_AJA-14-0008
• Langagne, T., Leveque, M., Schmidt, P., & Chays, A. (2010). Universal newborn hearing screening in the Champagne-Ardenne region: A 4-year follow-up after early diagnosis of hearing impairment. International Journal of Pediatric Otorhinolaryngology, 74(10), 1164-1170. doi:https://doi.org/10.1016/j.ijporl.2010.07.005
• Lin, H. C., Shu, M. T., Chang, K. C., & Bruna, S. M. (2002). A universal newborn hearing screening program in Taiwan. International Journal of Pediatric Otorhinolaryngology, 63(3), 209-218. doi:10.1016/S0165-5876(02)00011-3
• McLean, T. J., Ware, R. S., Heussler, H. S., Harris, S. M., & Beswick, R. (2019). Barriers to engagement in early intervention services by children with permanent hearing loss. Deafness & Education International, 21(1), 25-39. https://doi.org/10.1080/14643154.2018.1528745
• Moeller, M. P. (2000). Early intervention and language development in children who are deaf and hard of hearing. Pediatrics, 106(1-9). doi: 10.1542/peds.106.3.e43
• Moeller, M. P., Carr, G., Seaver, L., Stredler-Brown, A., & Holzinger, D. (2013). Best practices in family-centered early intervention for children who are deaf or hard of hearing: An international consensus statement. The Journal of Deaf Studies and Deaf Education, 18(4), 429-445. https://doi.org/10.1093/deafed/ent034
• Nelson, H. D., Bougatsos, C., & Nygren, P. (2008). Universal newborn hearing screening: Systematic review to update the 2001 US Preventive Services Task Force Recommendation. Pediatrics, 122(1), e266-e276.
• Nicholas, J. G., & Geers, A. E. (2007). Will they catch up? The role of age at cochlear implantation in the spoken language development of children with severe to profound hearing loss. Journal of Speech, Language, and Hearing Research, 50(4), 1048-1062. https://doi.org/10.1044/1092-4388(2007/073)
• Nikolopoulos, T. P. (2015). Neonatal hearing screening: What we have achieved and what needs to be improved. International Journal of Pediatric Otorhinolaryngology, 79, 635-637. doi: 10.1016/j.ijporl.2015.02.010
• Olusanya, B. O. (2008). Priorities for early hearing detection and intervention in Sub-Saharan Africa. International Journal of Audiology, 47(1), 3-13. https://doi.org/10.1080/14992020802287143
• Özcebe E, Sevinc S., & Belgin E. (2005). The ages of suspicion, identification, amplification and intervention in children with hearing loss. International Journal of Pediatric Otorhinolaryngology, 69(8), 1081-1087. https://doi.org/10.1016/j.ijporl.2005.03.002
• Percy-Smith, L., Hallstrøm, M., Josvassen, J. L., Mikkelsen, J. H., Nissen, L., Dieleman, E., & Cayé-Thomasen, P. (2018). Differences and similarities in early vocabulary development between children with hearing aids and children with cochlear implant enrolled in 3-year auditory verbal intervention. International Journal of Pediatric Otorhinolaryngology, 108, 67-72. doi: https://doi.org/10.1016/j.ijporl.2018.02.030
• Perkins-Dock, R. E., Battle, T. R., Edgerton, J. M., & McNeill, J. N. (2015). A survey of barriers to employment for individuals who are deaf. Journal of the American Deafness & Rehabilitation Association (JADARA), 49(2), 66-85. Retrieved from http://eds.a.ebscohost.com/eds/pdfviewer/pdfviewer?vid=0&sid=46ad1984-95d7-410c-962e-e50b883d1762%40sessionmgr4007
• Rodrigues, G. R. I., Loiola-Barreiro, C. M., Pereira, T., & Pomilio, M. C. A. (2015). Does newborn hearing screening anticipate the diagnosis and the intervention in children with hearing loss? Audiology-Communication Research, 20(3), 246-254. http://dx.doi.org/10.1590/S2317-64312015000200001453
• Saki, N., Abshirini, H., Bayat, A., Nikakhlagh, S., Fahimi, A., Heidari, M., & Riahi, M. (2018). Factors affecting age of diagnosis and rehabilitation intervention in children receiving cochlear implant. The International Tinnitus Journal, 22(2), 123-127. doi: 10.5935/0946-5448.20180021
• Serin, G., Gürbüz, M.K., Keçik, C., İncesulu, A., & Tekin, N. (2011). Auditory screening program of newborns with risk and well babies in Turkey. The Journal of International Advanced Otology, 7(3), 351-356. Retrieved from https://advancedotology.org/sayilar/74/buyuk/12-Serin.pdf
• Spivak, L., Sokol, H., Auerbach, C., & Gershkovich, S. (2009). Newborn hearing screening follow-up: Factors affecting hearing aid fitting by 6 months of age. American Journal of Audiology, 18, 24-33. https://doi.org/10.1044/1059-0889(2008/08-0015)
• Sugaya, A., Fukushima, K., Kasai, N., Kataoka, Y., Maeda, Y., Nagayasu, R., ... Omichi, R. (2015). Impact of early intervention on comprehensive language and academic achievement in Japanese hearing-impaired children with cochlear implants. International Journal of Pediatric Otorhinolaryngology, 79(12), 2142-2146. doi:10.1016/j.ijporl.2015.09.036
• Şahlı, A. S. (2018). Significance of early diagnosis and early intervention in early childhood hearing loss. Journal of Early Childhood Studies, 2(3), 592-603. doi: 10.24130/eccd-jecs.196720182387
• Turan, Z. (2018). Yenidoğan işitme tarama programlarının işitme kaybının tanı, cihazlanma ve eğitime başlama yaşına etkisi [Newborn hearing screening programs and their effects on age of diagnosis, hearing aid fitting and education]. Abant İzzet Baysal Üniversitesi Eğitim Fakültesi Dergisi [Abant İzzet Baysal University Journal of Faculty of Education], 18(2), 1156-1174.
• Uhler, K., Thomson, V., Cyr, N., Gabbard, S. A., & Yoshinaga-Itano, C. (2014). State and territory EHDI databases: What we do and don't know about the hearing or audiological data from identified children. American Journal of Audiology, 23, 34-43. doi:10.1044/1059-0889(2013/13-0015)
• Uus, K., & Bamford, J. (2006). Effectiveness of population-based newborn hearing screening in England: Ages of interventions and profile of cases. Pediatrics, 117(5), e887-e893. Retrieved from https://pediatrics.aappublications.org/content/117/5/e887.short
• Uus, K., Bamford, J., & Taylor, R. (2006). An analysis of the costs of implementing the National Newborn Hearing Screening Programme in England. Journal of Medical Screening, 13(1), 14-19. Retrieved from https://journals.sagepub.com/doi/pdf/10.1258/096914106776179764
• Vehapoğlu-Türkmen, A., Yiğit, Ö., Akkaya, E., Uğur, E., Kefeciler, Z., & Gözütok, S. (2013). İstanbul Eğitim ve Araştırma Hastanesi yenidoğan işitme taraması sonuçlarımız. İstanbul Medical Journal, 14(1), 175-80. doi:10.5152/imj.2013.47
• Yılmazer, R., Yazıcı, M.Z., Erdim, İ., Kaya, H.K., Özcan Dalbudak, Ş., & Kayhan, T. F. (2016). Follow-up results of newborns after hearing screening at a training and research hospital in Turkey. The Journal of International Advanced Otology, 12(1), 55-60. doi: 10.5152/iao.2015.1736
• Yoshinaga-Itano, C. (2003). From screening to early identification and intervention: Discovering predictors to successful outcomes for children with significant hearing loss. Journal of Deaf Studies and Deaf Education, 8(1), 11-30. doi:10.1093/deafed/8.1.11
• Zeitlin, W., Auerbach, C., Mason, S., Spivak, L., & Erdman, A. (2019). Factors predicating loss to follow-up with rescreening in early hearing detection and intervention programs. Families in Society, 100(2), 213-223. doi: 1044389419828884.
• Wasser, J., Roth, D. A. E., Herzberg, O., Lerner-Geva, L., & Rubin, L. (2019). Assessing and monitoring the impact of the national newborn hearing screening program in Israel. Israel Journal of Health Policy Research, 8(30), 1-11. doi:10.1186/s13584-019-02966