Biomedical subjects

Carole E Johnson

Publications and source records attributed to Carole E Johnson.

6 recordsLinked to original sources

PubMed2006

A case study of an emerging community-based early hearing detection and intervention program: part I. Parents' compliance.

PURPOSE: This is the first of a 2-part series of articles that describe and assess an emerging community-based early hearing detection and intervention program. This study investigated parents' compliance for accessing services for their infants at 5 levels in the process from referrals through subsequent follow-up during a 3-year period. Compliance was defined as parents' follow-through with professionals' recommendations and appointments for their infants' hearing health care. METHOD: Investigators retrospectively reviewed the charts of 51 infants who were referred from a regional hospital's newborn hearing screening program to a private practice office and were seen from March 2000 to February 2003. RESULTS: Compliance was 100% for initial hospital inpatient screening and for outpatient rescreening but decreased throughout the referral process. All of the parents of babies with hearing loss complied, and their infants were diagnosed by age 3 months and received audiologic or otologic intervention by age 6 months. Only half of those who needed and opted for hearing aids complied and began habilitative intervention by age 6 months. CONCLUSIONS: Although compliance for initial and follow-up screening was excellent and met goals for national benchmarks, compliance for intervention services showed room for improvement.

Auditory Threshold↗

PubMed2006

A case study of an emerging community-based early hearing detection and intervention program: part II. Team building with otolaryngologists and pediatricians using a survey approach.

PURPOSE: Physicians are vital team members of early hearing detection and intervention programs (EHDIPs), particularly in encouraging parents to comply with recommendations for follow-up services for their infants in universal newborn hearing screening programs (UNHSPs). This study describes a survey approach to help audiologists partner with otolaryngologists and pediatricians in EHDIPs. METHOD: We developed and mailed a 19-item questionnaire to all 12 otolaryngologists and 66 pediatricians potentially involved in a community-based EHDIP. The questionnaire assessed respondents' demographic data and knowledge of, experiences with, and attitudes toward the service-delivery continuum of UNHSPs. RESULTS: The overall response rate was 45%; all 12 otolaryngologists responded (100%; data from 7 were analyzed), and 23 pediatricians responded (34.8%; all were analyzed). Generally, they were positive toward and knowledgeable about UNHSPs and believed that (a) parent/infant bonding is unaffected by screening, (b) hearing reevaluations following medical services are important, (c) audiologists perform their role adequately, (d) it is important that hearing losses be identified and interventions begun before infants reach 6 months of age, (e) UNHSPs deserve funding, and (f) their role is important, but the physicians also wanted improvements in parent education and referral/follow-ups. CONCLUSION: The survey method was effective in identifying participating physicians' informational needs and attitudes toward UNHSPs, and in designing outreach programs for them.

Attitude of Health Personnel↗

PubMed2006

A systematic review of the nonacoustic benefits of bone-anchored hearing AIDS.

OBJECTIVE: This study completed an evidence-based practice systematic review of the nonacoustic benefits for adult patients receiving bone-anchored hearing aid(s) (BAHAs) relative to other forms of amplification (i.e., none, bone-conduction hearing aids [BCHAs], or air-conduction hearing aids [ACHAs]). DESIGN: Systematic review. METHODS: ComDisDome and PubMed were used to perform a comprehensive search for studies that were of at least level III of evidence. Three independent reviewers completed the search, quality assessment, and data extraction. RESULTS: Out of 28 studies, seven studies were identified, three of which were prospective and four of which were retrospective within-subject comparison designs. Nearly all of the studies were of small sample size and/or limited methodological quality, primarily because of logistics (e.g., heterogeneity of subject samples and prior experience with amplification). CONCLUSIONS: The evidence identified in this review is limited regarding the nonacoustic benefits of BAHAs compared with unaided conditions or other types of amplification. Professionals should use caution when counseling patients about the quality of life (QOL) benefits of these devices. Routine use of QOL outcome measures and standardized methods for reporting findings are critical in demonstrating the nonacoustic benefits of BAHAs.

Adolescent↗

PubMed2006

Parents' perceptions of an emerging community-based newborn hearing screening program: A case study.

Thirty-six parents of 106 children (34% response rate) born between March 2000 and February 2003 retrospectively completed the "Probe of Parents' Perceptions: An Early Hearing Detection and Intervention (EHDI) Outcome Measure" (PPP) assessing their participation in an emerging community-based newborn hearing screening program (NHSP) involving three hospitals in Santa Barbara County, California. The PPP, an 11-item questionnaire (in both English and Spanish versions), asks parents about their impressions of the explanations of the purpose of the screening and of the results, and the referral process. The parents were generally positive about all phases of the NHSP; nearly all parents said the program had no negative effects on their ability to bond with their babies, and they would recommend NHSPs to others. These parents' positive impressions in this case study of an emerging community/private practice-based NHSP were consistent with those from studies involving parents participating in hospital-based programs.

Adult↗

PubMed2005

The "hearing aid effect" 2005: a rigorous test of the visibility of new hearing aid styles.

PURPOSE: The visibility of open ear (OE) styles of hearing instruments was rigorously investigated for their potential to reduce the stigma of wearing hearing aids. METHOD: Three groups of 50 young adults (150 total) rated the visibility of 6 hearing aid styles-OE, invisible completely-in-the-canal (CIC), mini in-the-canal (m-ITC), half- and full-shell in-the-ear (ITE), and behind-the-ear (BTE)-worn by a peer model with revealing hairstyle, photographed from 2 ft and at 3 different angles (45 degrees, 90 degrees, and 135 degrees). RESULTS: CIC was rated significantly most "invisible" at 45 degrees and 90 degrees, OE and m-ITC were next at those angles, and OE and BTE were least invisible at 135 degrees. CONCLUSIONS: The findings have implications for counseling potential users who are reluctant to try hearing aids for cosmetic reasons.

Adolescent↗

PubMedDate not supplied

A national survey of pediatric otolaryngologists and early hearing detection and intervention programs.

Follow-up rates for babies identified for hearing loss from early hearing detection and intervention programs (EHDIPs) and newborn hearing screening programs (NHSPs) in the United States do not meet the goals posited by the Centers for Disease Control. Pediatric otolaryngologists (PED-ENTs) play a vital role in EHDIPs and can positively influence parents' compliance with professionals' recommendations for their babies. This national study used a 19-item questionnaire and postal survey to assess PED-ENTs' knowledge about, experience with, and attitudes toward NHSPs. Of 565 surveys mailed (36 were undeliverable), 233 were returned for a 44% response rate. Most of these PED-ENTs had adequate knowledge about, participated in, and expressed positive attitudes toward NHSPs; however, some could benefit from additional information about national EHDI benchmarks and poor follow-up rates. Audiologists should ally with PED-ENTs locally and nationally to strengthen EHDIPs and prevent loss of children with hearing impairment to follow-up.

Audiology↗