2025 Early Hearing Detection & Intervention Conference

March 9-11, 2025 • Pittsburgh, PA

DAVID L. LAWRENCE CONVENTION CENTER

| KLiP: An Innovative Online Tool for Screening Potential Hearing Loss in Children Aged 3 to 6

KLiP: An Innovative Online Tool for Screening Potential Hearing Loss in Children Aged 3 to 6

Despite the high screening rate of Universal Newborn Hearing Screening (UNHS) in Taiwan, some children with minimal or late-onset hearing loss (HL) remain unidentified. While Preschool Hearing Screening (PHS) can identify these children, it is not universally implemented in Taiwan due to barriers such as cost, limited trained personnel, and insufficient resources. To address this gap, the Kid’s Listening Performance (KLiP) Checklist has been developed, which is a quick and accessible online tool designed for parents and preschool teachers to identify children who may have potential hearing difficulties. The KLiP Checklist was developed based on a comprehensive literature review. In addition, seven experts reviewed the checklist, resulting in an initial set of 29 items. The validation study included two participant groups: (1) parents and preschool teachers of 202 typically developing children aged 3 to 6 years, and (2) parents of 139 children, also aged 3 to 6, with HL identified around the time of recruitment, who had not yet been fitted with hearing devices. Including only items with high inter-rater reliability and strong discriminant validity, the final KLiP Checklist consisted of six clinical background questions and eight items evaluating listening performance. Furthermore, an artificial neural network model using a back-propagation algorithm was constructed based on data from the pilot study. The model effectively distinguishes children with HL from their hearing peers, with a sensitivity of 90% and a specificity of 97%. The KLiP Checklist has been implemented as a user-friendly, low-cost, and accessible online tool. Moreover, users receive immediate results which can be easily saved and shared with family members or professionals for further evaluation. As Taiwan progresses toward the implementation of universal PHS, the KLiP Checklist offers an interim solution for parents and preschool teachers to identify children with potential hearing difficulties and seek early consultation with hearing professionals.

Explain the role and function of the Kid’s Listening Performance (KLiP) Checklist in identifying potential hearing difficulties in children aged 3 to 6 years.
Describe the barriers to the implementation of universal Preschool Hearing Screening (PHS) in Taiwan and how the KLiP Checklist addresses these challenges.
Discuss how the KLiP Checklist can be used by parents and preschool teachers as a user-friendly tool for early detection of potential hearing issues, and how it fits into the broader context of hearing health initiatives in Taiwan.

Presentation:
3545975_18147Yi-pingChang.pdf

Handouts:
Handout is not Available

Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference

Presenters/Authors

Yi-ping Chang (Primary Presenter,Author), Children's Hearing Foundation, yipingchang@chfn.org.tw;
Yi-ping Chang received the Ph.D. degree in Biomedical Engineering from University of Southern California (USC), Los Angeles, CA, U.S., in 2009; and the Graduate Certificate in Educational Studies with a specialization in Listening and Spoken Language from University of Newcastle, Australia, in 2014. From 2009 to 2010, she was a postdoctoral researcher in House Ear Institute (HEI) in Los Angeles, CA, U.S. Since 2011, she has been with the Children’s Hearing Foundation (CHF), Taipei, Taiwan, where she is currently the co-director of CHF’s Speech and Hearing Science Research Institute. Since 2015, she has been an Adjunct Assistant Professor in the Department of Audiology and Speech Language Pathology at Mackay Medical College, New Taipei, Taiwan. Her research interests include speech perception in cochlear implants (CI), bimodal hearing, and assessment of listening and spoken language development of children with hearing loss.

ASHA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

AAA DISCLOSURE:

Financial -
No relevant financial relationship exists.

Nonfinancial -
No relevant nonfinancial relationship exists.

Yu-Chen Hung (Author), Children's Hearing Foundation, yuchenhung@chfn.org.tw;
Dr. Yu-Chen Hung obtained her Ph.D. in Neurolinguistics from Johannes Gutenberg University in Mainz, Germany in 2011. She currently serves as a researcher and director at the Speech and Hearing Science Research Institute at the Children’s Hearing Foundation in Taiwan. Her expertise lies in language learning in children with hearing loss. Since 2020, she has been an Adjunct Assistant Professor in the Department of Special Education at Chung Yuan Christian University, Taoyuan City, Taiwan.

ASHA DISCLOSURE:

Financial -

Nonfinancial -