18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL
Adherence to 1-3-6 Guidelines and Parental Preferred Language in a Diverse, Urban Clinic
In 2007 the Joint Committee on Infant Hearing proposed “1-3-6” Early Hearing Detection and Intervention (EHDI) guidelines, stipulating that screening, diagnostic confirmation of hearing loss, and Early Intervention service enrollment occur by 1, 3, and 6 months of age, respectively. Although almost every child born in the U.S. receives a newborn hearing screening, adherence to these guidelines (particularly the “3” and “6”) varies widely among states and specific program. While rates of screening do not significantly differ by ethnicity, the percentage of babies who receive a diagnostic test after referring on a newborn screening is lower among those who identify as Hispanic than non-Hispanic (CDC, 2017). Additionally, there is some evidence that parental limited English proficiency may act independently of race and ethnicity in determining health outcomes of children. In particular, children with special health care needs with parents who have limited English proficiency are more likely to experience poor access to and quality of healthcare, regardless of their ethnicity or socioeconomic status (Eneriz-Weimer et al., 2014). The goal of this project is to assess the compliance of the Rose F. Kennedy Center’s hearing aid population (born since 2007) with the EHDI 1-3-6 guidelines through retrospective chart review, as well as to determine if parental primary language (English vs. non-English) impacts adherence to these guidelines. The RFK Center is located in the Bronx, NY, the poorest urban county in the U.S., where 34% of residents are foreign born, and 58% of residents over the age of 5 speak a language other than English at home. Analyses will help determine how to improve timely service provision in our area as well our communication with parents who speak languages other than English. Our findings may be applicable to audiology clinics in other urban, diverse, and low SES areas in the U.S.
- To examine the adherence of a diverse, urban clinic population to the EHDI 1-3-6 guidelines for diagnosis and intervention for hearing loss.
- To determine whether or not parental preferred language affects the timeliness of hearing loss diagnosis and intervention.
- Start conversations on how to improve service provision to families whose primary language is not English.
Poster:
18878_10263SarahEllis.pdf
Presenter: Sarah Ellis
Sarah Ellis is a pediatric audiologist and preceptor for audiology trainees at the Kennedy Krieger Institute in Baltimore, MD. She is a graduate of the Au.D. program at the University of North Carolina at Chapel Hill.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Chana Pinkerson, Au.D., is a graduate of the CUNY Graduate Center and has been practicing as a pediatric audiologist at the RFK Children's Evaluation and Rehabilitation Center in the Bronx, NY for 5 years. She specializes in audiologic testing for children with developmental disabilities.
ASHA DISCLOSURE:
Financial -
Nonfinancial -