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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Improving early audiological intervention via newborn hearing screening in Belgium

Authors: Bénédicte Vos, Christelle Senterre, Michel Boutsen, Raphaël Lagasse, Alain Levêque

Published in: BMC Health Services Research | Issue 1/2018

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Abstract

Background

Newborn hearing screening programs aim to lower the ages at audiological intervention among hearing-impaired children. In Wallonia and Brussels (Belgium), audiological intervention data are not collected in the screening program, and the ages at initiating audiological care have never been assessed. This study aimed to assess the evolution in the ages at initiating audiological intervention in the context of a newborn hearing screening program implementation.

Methods

This population-based descriptive study used data from the Belgian healthcare billing database. The main outcomes were the children’s ages at the initial audiological assessment, hearing-aid fitting, and cochlear implantation. Results were compared to the same outcomes from another Belgian regional program (Flanders) that was implemented one decade earlier. Annual birth cohorts from 2006 to 2011 were included in the study.

Results

In Wallonia-Brussels, the median ages for all outcomes tended to decrease over time but remained higher than in Flanders for each birth cohort. For all outcomes except the hearing-aid fitting, differences in median ages between the two regions became less pronounced during the study period. In 2006, < 23% of the children from Wallonia-Brussels received any audiological care before the age of 12 months and these proportions were approximately 2-fold greater in the subsequent birth cohorts. For all outcomes, early care (< 12 months) was typically delivered less frequently in Wallonia-Brussels, compared to the delivery in Flanders. These region-specific differences exhibited a decreasing trend over time, and statistically significant differences were less common in the later birth cohorts.

Conclusions

We conclude that the hearing screening program in Wallonia and Brussels promoted earlier audiological intervention among hearing-impaired children. However, milestones recommended by experts for an early intervention were not totally encountered. We also recommend collecting audiological intervention data as part of this program, which can facilitate more accurate and regular program evaluation.
Literature
1.
Erenberg A, Lemons J, Sia C, Trunkel D, Ziring P. Newborn and infant hearing loss: detection and intervention. American Academy of Pediatrics. Task force on newborn and infant hearing, 1998-1999. Pediatrics. 1999;103:527–30.CrossRefPubMed
2.
Kaye CI, Accurso F, La Franchi S, Lane PA, Hope N, Sonya P, et al. Newborn screening fact sheets. Pediatrics. 2006;118:e934–63.CrossRefPubMed
3.
Sloot F, Hoeve HL, de Kroon M, Goedegebure A, Carlton J, Griffiths HJ, et al. Inventory of current EU paediatric vision and hearing screening programmes. J Med Screen. 2015;22:55–64.CrossRefPubMed
4.
Williams TR, Alam S, Gaffney M. Progress in identifying infants with hearing loss-United States, 2006-2012. MMWR Morb Mortal Wkly Rep. 2015;64:351–6.PubMedPubMedCentral
5.
Durieux-Smith A, Fitzpatrick E, Whittingham J. Universal newborn hearing screening: a question of evidence. Int J Audiol. 2008;47:1–10.CrossRefPubMed
6.
Sininger YS, Martinez A, Eisenberg L, Christensen E, Grimes A, Hu J. Newborn hearing screening speeds diagnosis and access to intervention by 20-25 months. J Am Acad Audiol. 2009;20:49–57.CrossRefPubMed
7.
Halpin KS, Smith KY, Widen JE, Chertoff ME. Effects of universal newborn hearing screening on an early intervention program for children with hearing loss, birth to 3 yr of age. J Am Acad Audiol. 2010;21:169–75.CrossRefPubMed
8.
Weichbold V, Nekahm-Heis D, Welzl-Mueller K. Ten-year outcome of newborn hearing screening in Austria. Int J Pediatr Otorhinolaryngol. 2006;70:235–40.CrossRefPubMed
9.
Joint Committee on Infant Hearing. Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2007;120:898–921.CrossRef
10.
Moeller MP. Early intervention and language development in children who are deaf and hard of hearing. Pediatrics. 2000;106:e43.CrossRefPubMed
11.
Yoshinaga-Itano C. Levels of evidence: universal newborn hearing screening (UNHS) and early hearing detection and intervention systems (EHDI). J Commun Disord. 2004;37:451–65.CrossRefPubMed
12.
Fulcher A, Purcell AA, Baker E, Munro N. Listen up: children with early identified hearing loss achieve age-appropriate speech/language outcomes by 3 years-of-age. Int J Pediatr Otorhinolaryngol. 2012;76:1785–94.CrossRefPubMed
13.
Boons T, Brokx J, Frijns J, Philips B, Vermeulen A, Wouters J, et al. Newborn hearing screening and cochlear implantation: impact on spoken language development. B-ENT. 2013;9(Suppl 21):91–8.
14.
Vohr B, Jodoin-Krauzyk J, Tucker R, Johnson MJ, Topol D, Ahlgren M. Early language outcomes of early-identified infants with permanent hearing loss at 12 to 16 months of age. Pediatrics. 2008;122:535–44.CrossRefPubMed
15.
Meinzen-Derr J, Wiley S, Choo DI. Impact of early intervention on expressive and receptive language development among young children with permanent hearing loss. Am Ann Deaf. 2011;155:580–91.CrossRefPubMed
16.
Vohr B, Jodoin-Krauzyk J, Tucker R, Topol D, Johnson MJ, Ahlgren M, et al. Expressive vocabulary of children with hearing loss in the first 2 years of life: impact of early intervention. J Perinatol. 2011;31:274–80.CrossRefPubMed
17.
Stika CJ, Eisenberg LS, Johnson KC, Henning SC, Colson BG, Ganguly DH, et al. Developmental outcomes of early-identified children who are hard of hearing at 12 to 18 months of age. Early Hum Dev. 2015;91:47–55.CrossRefPubMed
18.
Yoshinaga-Itano C, Sedey AL, Wiggin M, Chung W. Early hearing detection and vocabulary of children with hearing loss. Pediatrics. 2017;140:2.CrossRef
19.
Vos B, Lagasse R, Leveque A. The organisation of universal newborn hearing screening in the Wallonia-Brussels Federation. B-ENT. 2013;(Suppl 21):9–15.
20.
Van Kerschaver E, Boudewyns AN, Stappaerts L, Wuyts FL, Van de Heyning PH. Organisation of a universal newborn hearing screening programme in Flanders. B-ENT. 2007;3:185–90.PubMed
21.
Raffle A, Gray M. Screening: evidence and practice. New York: Oxford University Press; 2007.CrossRef
22.
Muse C, Harrison J, Yoshinaga-Itano C, Grimes A, Brookhouser PE, Epstein S, et al. Supplement to the JCIH 2007 position statement: principles and guidelines for early intervention after confirmation that a child is deaf or hard of hearing. Pediatrics. 2013;131:e1324–49.CrossRefPubMed
23.
Fitzpatrick EM, Johnson E, Durieux-Smith A. Exploring factors that affect the age of cochlear implantation in children. Int J Pediatr Otorhinolaryngol. 2011;75:1082–7.CrossRefPubMed
24.
le Roux T, de Swanepoel W, Louw A, Vinck B, Tshifularo M. Profound childhood hearing loss in a South Africa cohort: risk profile, diagnosis and age of intervention. Int J Pediatr Otorhinolaryngol. 2015;79:8–14.CrossRefPubMed
25.
Holte L, Walker E, Oleson J, Spratford M, Moeller MP, Roush P, et al. Factors influencing follow-up to newborn hearing screening for infants who are hard of hearing. Am J Audiol. 2012;21:163–74.CrossRefPubMedPubMedCentral
26.
Larsen R, Munoz K, DesGeorges J, Nelson L, Kennedy S. Early hearing detection and intervention: parent experiences with the diagnostic hearing assessment. Am J Audiol. 2012;21:91–9.CrossRefPubMed
27.
Armstrong M, Maresh A, Buxton C, Craun P, Wowroski L, Reilly B, et al. Barriers to early pediatric cochlear implantation. Int J Pediatr Otorhinolaryngol. 2013;77:1869–72.CrossRefPubMed
28.
Serville MN, Demanez L, Demanez JP. Diagnosis of hearing impairment: factors of delay. Acta Otorhinolaryngol Belg. 2004;58:53–9.PubMed
29.
Vos B, Lagasse R, Levêque A. Main outcomes of a newborn hearing screening program in Belgium over six years. Int J Pediatr Otorhinolaryngol. 2014;78:1496–502.CrossRefPubMed
30.
Weichbold V, Nekahm-Heis D, Welzl-Mueller K. Universal newborn hearing screening and postnatal hearing loss. Pediatrics. 2006;117:e631–6.CrossRefPubMed
31.
Watkin PM, Baldwin M. Identifying deafness in early childhood: requirements after the newborn hearing screen. Arch Dis Child. 2011;96:62–6.CrossRefPubMed
32.
Young NM, Reilly BK, Burke L. Limitations of universal newborn hearing screening in early identification of pediatric cochlear implant candidates. Arch Otolaryngol Head Neck Surg. 2011;137:230–4.CrossRefPubMed
Metadata
Title
Improving early audiological intervention via newborn hearing screening in Belgium
Authors
Bénédicte Vos
Christelle Senterre
Michel Boutsen
Raphaël Lagasse
Alain Levêque
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-2878-3

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