2023 Early Hearing Detection & Intervention Conference

March 5-7, 2023 • Cincinnati, OH

DUKE ENERGY CONVENTION CENTER

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 Hearing Aid Fitting Rates in Deaf/Hard of Hearing Children Identified in Louisiana

Hearing aid fittings should occur within 1 month of identification, yet few children in Louisiana are receiving them within this recommended timeline. This gap in fitting puts deaf/hard of hearing (D/HH) children who include audition in their communication strategies at greater risk of language delay. A communication strategy utilizing any degree of audition depends on adequate auditory access. For most children, this will not be possible without a hearing device. To determine timeliness of hearing aid fittings in Louisiana, we reviewed records of children born from 2017 to 2021 and identified as D/HH. Of the 599 children identified as D/HH from these birth years, only 61% had a device fitting reported at any time point. Only 35% of children for whom hearing aids were recommended received them by 6 months of age, and only 66% received them by 1 year of age. Hearing aids were not recommended for 90 children (2/3 unilateral, 1/3 bilateral). For 63 children, hearing aids were recommended, but either the parents refused hearing aids, or the child was reported lost to follow-up for the hearing aid evaluation (44% unilateral, 56% bilateral). When considering all children identified as D/HH, less than one-quarter had a hearing aid fitting by 6 months of age reported to EHDI. Despite early identification, timeliness of hearing aid fittings for D/HH children remains challenging in Louisiana. For children whose families have chosen to include audition in their communication strategies, early auditory access is crucial. Future efforts should strive toward closing the hearing aid fitting gap by identifying barriers families face to receiving timely device fittings.

  • Identify the percentage of D/HH children in Louisiana who are reported to have received a hearing device at any time point.
  • List the 3 most common reasons that newly identified D/HH children in Louisiana did not receive hearing aids.
  • Compare the laterality and hearing levels of children in Louisiana who received hearing devices to those who did not.

Poster:
3420032_15623DanielleMercer.pdf


Presenter: Danielle Mercer

Danielle Mercer, AuD System Development Coordinator


ASHA DISCLOSURE:

Financial -
• Receives Salary for Employment from Louisiana Department of Health-Early Hearing Detection and Intervention.

Nonfinancial -
No relevant nonfinancial relationship exist.

Presenter: Tri Tran

Tri Tran, MD, MPH Senior Epidemiologist


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Presenter: Dawne McCabe

Dawne McCabe, BS Data Coordinator


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Presenter: Terri Ibieta

Terri Ibieta, M.Ed. LA EHDI Program Coordinator


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Presenter: Dana Hubbard

Dana C. Hubbard, M.Ed. LA Early Hearing Detection and Intervention Program


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.