Moderators and Outcomes in Children With Mild to Severe Hearing Impairment

轻度至重度听力障碍儿童的调节因素和结果

• 批准号: 7898912
• 负责人: Mary Pat Moeller
• 金额: $ 181.38万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-01 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7898912
• 关键词: Address; Affect; Age; Auditory; Behavioral; Characteristics; Child; Childhood; Clinical Management; Clinical Research; Clinical Services; Cognitive; Communication; Communities; Complex; Data; Development; Developmental Delay Disorders; Early Intervention; Early identification; Early treatment; Education; Effectiveness; Effectiveness of Interventions; Equation; Evaluation; Evidence based practice; Family; Foundations; Frequencies; Generations; Goals; Health Services Accessibility; Hearing; Hearing Aids; Home environment; Income; Interdisciplinary Study; Intervention; Language; Linguistics; Literature; Measures; Modeling; Nature; Neighborhoods; Newborn Infant; Outcome; Outcome Study; Parenting behavior; Partner in relationship; Performance; Policies; Procedures; Process; Production; Provider; Quality of life; Research; Risk; Role; Sampling; Services; Siblings; Speech; Speech Development; Structure; Subgroup; System; Technology; Temperament; Time; Variant; Work; abstracting; child well being; community intervention; comparison group; early childhood; experience; functional outcomes; hearing impairment; hearing screening; improved; insight; intervention program; language perception; meetings; programs; psychological outcomes; psychosocial; residence; satisfaction; service intervention; skills; social; socioeconomics

ABSTRACT While previous studies have shown that children with mild-to-severe hearing loss are at risk for poorer language, academic, social and psychological outcomes, these studies were conducted prior to the implementation of universal newborn hearing screening and recent technological advances in amplification. Early identification of hearing loss, improved amplification technologies, and access to quality early intervention programs have the potential to improve the performance of this group of children. The requisite clinical studies needed to provide optimal intervention to this subgroup of children with hearing loss have not been conducted. The proposed research will address this gap. Specifically, there is a critical need to examine outcomes in a large group of children who have benefited from these advances. Thus, the overall goal of the proposed studies is to examine a range of longitudinal outcomes of this subgroup of children with hearing loss. Multi- center, multi-disciplinary evaluations will be conducted in order to gain a comprehensive understanding of the impact of mild to severe hearing loss on these children and their families. It is critical to determine the constellation of factors that support the early development of speech, language, cognitive, and psychosocial skills as well as quality of life issues within the family. A comprehensive set of child outcomes (e.g., speech production and perception, language, academic, psychosocial, cognitive) and family outcomes (e.g., parenting, quality of life, and satisfaction with services) will be examined and compared to results from normal-hearing children with similar backgrounds. One of the largest known contributors to outcomes in children with hearing loss is reduced auditory/linguistic experience. Therefore, the focus of the proposed work will be on variations in receipt and effectiveness of early interventions (e.g., hearing aid use, educational programs) that are intended to enhance auditory/linguistic experiences. In so doing we believe that it is also important to identify barriers to service access and other factors that influence intervention compliance. Educational service provision for children with mild to severe hearing loss may vary in critical ways (e.g., accessibility, intensity and provider specialization). Further, it is likely that family (community of residence, parenting, income) and child (temperament, communication skills, degree of hearing loss) factors will interact with intervention features to influence outcomes. The planned recruitment of a large, representative sample will support the use of multivariate procedures, including Structural Equation Modeling, to examine the ways in which child, home/community and intervention characteristics combine to affect outcomes. Moderators and Functional Outcomes in Children with Mild to Severe Hearing Loss Narrative This project will obtain critical information regarding the extent to which mild to severe hearing loss in early childhood threatens the well-being of children. The project also will provide important insight into the effectiveness of interventions concerned with mitigating the hearing loss and its negative consequences. These data will, therefore, form the foundation for evidenced based practice and policy for the clinical management of children with hearing loss.

抽象的 虽然先前的研究表明，有轻度至重度听力损失的儿童有较差的风险 语言，学术，社会和心理成果，这些研究是在 通用新生儿听力筛查的实施以及放大方面的最新技术进步。 早期识别听力损失，改进的放大技术以及获得质量的早期干预 计划有可能提高这组儿童的表现。必要的临床研究 尚未进行听力损失儿童的最佳干预措施。 拟议的研究将解决这一差距。具体而言，在一个迫切需要检查一个结果 从这些进步中受益的大量儿童。因此，提议的总体目标 研究是为了检查听力损失儿童亚组的一系列纵向结局。多- 中心，将进行多学科评估，以便对 轻度至重度听力损失对这些儿童及其家人的影响。确定 支持言语，语言，认知和社会心理的早期发展的因素星座 家庭中的技能和生活质量问题。一组全面的儿童成果（例如，语音 生产和感知，语言，学术，社会心理，认知）和家庭成果（例如，育儿， 将检查生活质量和对服务的满意），并将其与正常听觉的结果进行比较 背景相似的孩子。听证儿童的最大贡献者之一 损失减少了听觉/语言经验。因此，拟议的工作的重点将放在变化上 在早期干预措施（例如助听器使用，教育计划）的收据和有效性中 旨在增强听觉/语言体验。这样做我们认为，识别也很重要 服务访问的障碍和其他影响干预依从性的因素。教育服务 为轻度到重度听力损失的儿童提供的规定可能会因关键方式而异（例如，可访问性，强度和强度和 提供者专业化）。此外，家庭（居住社区，育儿，收入社区）和儿童很可能 （气质，沟通技巧，听力损失程度）因素将与干预特征相互作用 影响结果。计划招募大型代表样本将支持使用 多元程序，包括结构方程建模，以检查儿童的方式， 家庭/社区和干预特征结合了影响结果。轻度至重度听力损失儿童的主持人和功能结果 叙述 该项目将获得有关早期轻度至重度听力损失程度的关键信息 童年威胁着儿童的福祉。该项目还将为 有关减轻听力损失及其负面后果的干预措施的有效性。 因此，这些数据将构成基于临床的基于证据的实践和政策的基础 听力损失儿童的管理。