Update on newborn hearing screening programs.

Amy Nagorski Johnson

PubMed · 12087648

Update on newborn hearing screening programs.

Abstract

As a result of legislation supporting the position statement of the American Academy of Pediatrics (AAP) Joint Committee on Hearing, newborn hearing screening programs have become a protocol of care in hospital nurseries throughout the United States. The current goals are to screen all infants by 1 month of age, confirm hearing loss with audiologic examination by 3 months of age, and treat with comprehensive early intervention services before 6 months of age. This article will review the development of the Joint Committee on Infant Hearing position statements, examine legislation and health policy initiatives for universal newborn hearing screening, and determine nursing's role in meeting the goals.

Explore related subjects

Early Intervention, Educational Health Priorities Hearing Disorders Hearing Tests Humans Infant, Newborn Neonatal Screening Nurseries, Hospital Organizational Objectives Pediatrics Practice Guidelines as Topic Societies, Medical United States Journal Article Review

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

Amy Nagorski Johnson. Update on newborn hearing screening programs.. https://pubmed.ncbi.nlm.nih.gov/12087648/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2003

The current status of EHDI programs in the United States.

The importance of identifying congenital hearing loss during the first few months of life has been recognized for almost 60 years. Unfortunately, until more effective newborn hearing screening equipment and procedures were developed in the late 1980s, it was not practical to implement programs for identifying hearing loss during the first few months of life. This paper reviews the activities implemented by the federal government in the last 15 years to promote more effective Early Hearing Detection and Intervention (EHDI) programs, and summarizes legislation passed by states related to universal newborn hearing screening. In surveys conducted in 1998 and 2001, State EHDI Coordinators were asked to rate the degree to which various issues were obstacles to implementing effective EHDI programs. The most serious obstacles are the shortage of qualified pediatric audiologists, inadequate reimbursement for screening and diagnosis, and lack of knowledge among primary health care providers about EHDI issues. Opposition to EHDI programs by hospital administrators was rated substantially lower in 2001 than in 1998. State EHDI Coordinators were also surveyed about how well their EHDI program is addressing issues related to screening, diagnosis, early intervention, linkages to medical home providers, tracking and data management, and family support programs. Although substantial progress has been made, many gaps remain with current EHDI programs.

Early Intervention, Educational↗

PubMed2002

[Motor rehabilitation].

The child's rehabilitation objectives are the same of the early intervention. The early intervention include motor approaches to facilitate the unique way of the newborn's expression: the movement and with it his holistic development. The motor approach is a classic aspect of early intervention but it is not itself early intervention. When the treatment objective is a term or preterm newborn or neonate the motor approach may be the principal method to facilitate perceptions experiences and basic habits. This intervention is not made with a specific physiotherapeutic technique. It is a sequential stimulation or development, without forget that the child must be taken as a whole. This point of view has special importance the first days of life and must be included in perinatal approach routines. In this paper we expose the work method of a Child Rehabilitation Team liked to a Newborn Unit.

Early Intervention, Educational↗

PubMed1996

[Early intervention for very-low-birth-weight infant].

In order to establish an early intervention (EI) system for very-low-birth-weight infants, we designed a randomized trial at multiple institutions in Japan. We also reviewed the concept and history of early intervention in USA. Eight medical institutions in different locations were selected for participation. Sixty-two EI group patients and 48 controls without neurological abnormalities (age 2 years) were selected for study. The developmental quotient (DQ) by the revised Kyoto-K method and 15 questionnaire items were monitored twice, at the age of 2 and after one year of EI (3 years). Improvements in behavioral problems, circadian rhythm, and speech were significantly greater in the EI group than in the control group. (P < 0.01). Data on all patients are being collected, and further evaluation and analysis of DQ are planned. The most effective EI method in each specific location and the financial support of its official institutions are required for the success of the EI program for very-low-birth-weight infants.

Early Intervention, Educational↗