Auditory and language outcomes in children with unilateral hearing loss

Fitzpatrick, Elizabeth; Gaboury, Isabelle; Durieux‐Smith, Andrée; Coyle, Doug; Whittingham, JoAnne; Nassrallah, Flora

doi:10.1016/j.heares.2018.03.015

Cited by 68 publications

(68 citation statements)

References 25 publications

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“…It is important to note that this was not the case for all families involved in this study, but it was clear there was a lack of understanding, knowledge and effective communication between clinicians and parents. These mixed messages were also reported by Fitzpatrick et al (2019). This lack of information was not unique to the participants of this study; Young et al (2006) report that parents of children with hearing loss are not given information on all support options, especially where clinicians favour one mode over another.…”

Section: Discussionmentioning

confidence: 79%

“…Similarities between this study and ours included barriers to services and support from professionals including schools. Although screening and diagnostic processes exist to identify hearing loss from an early age, it is the consistency in support that is required by parents in being able to make informed decisions for their child (Fitzpatrick et al 2019). Decisions about unilateral hearing loss are not linear and they are a product of iterative assessments of their child's progress over time, as opposed to the often time dependent decisions of children with bilateral hearing loss, which are focussed on communication mode (Porter et al 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Unilateral hearing loss (UHL) in children may impact aspects of speech and language development, social-emotional development, academic performance and quality of life (Lieu 2018;Purcell et al 2016;Roland et al 2016) although there is variation in the extent of impact on children (e.g. Fitzpatrick et al 2019). In England, children with UHL are typically identified through the National Health Service (NHS) newborn hearing-screening programme, the school entry hearing screen or via parental concern (Bamford, Uus, and Davis 2005;Bamford et al 2007;Fortnum et al 2016;Watkin and Baldwin 2012;Wood, Sutton, and Davis 2015).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Exploring how parents of children with unilateral hearing loss make habilitation decisions: a qualitative study

Hussain

Pryce

Neary

et al. 2020

International Journal of Audiology

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Objective: This study sought to explore the decision making needs of parents managing the hearing and communication needs of children with unilateral hearing loss. Design: An inductive, qualitative method was used. The data were analysed using a constant comparative approach, consistent with Grounded Theory method. Study sample: Twenty one families participated in interviews yielding data on twenty two children. Each of these families had at least one child with unilateral hearing loss. The age range of the children varied from four months to sixteen years old. All parents were English speaking and received care from National Health Service Audiology departments across the United Kingdom. Results: Parents valued professionals' opinions, but information provision was inconsistent. As their children mature, parents increasingly valued their child's input. Parent-child discussions focussed on how different management strategies fit their child's preferences. Parents were proactive in obtaining professional advice, and integrating this with their own iterative assessment of their child's performance. Conclusions: Decision making is an iterative process. Parents make nuanced decisions which aim to preserve a sense of what is normal for them. Clinicians need to recognise the parental view, including where it may contrast with a medicalised or clinical view.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring how parents of children with unilateral hearing loss make habilitation decisions: a qualitative study

Hussain

Pryce

Neary

et al. 2020

International Journal of Audiology

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“…Some studies have also included limited data on mild unilateral hearing loss, but those studies have typically recruited through neonatal screening and, consequently, the samples have been very small (e.g. Fitzpatrick et al 2019). Since there is a continuum of hearing sensitivity in either ear of children with PTA ≤ 40 dB HL, we used the term 'Asymmetric' hearing loss in this study.…”

Section: Asymmetric Hearing Lossmentioning

confidence: 99%

Minimal and mild hearing loss in children: Association with auditory perception, cognition, and communication problems

Moore

Zobay

Ferguson

2019

Preprint

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Objectives: 'Minimal' and 'mild' hearing loss are the most common but least understood forms of hearing loss in children. Children with better ear hearing level as low as 30 dB HL have a global language impairment and, according to the World Health Organization, a "disabling level of hearing loss". We examined in a population of 6 -11 year olds how hearing level ≤ 40.0 dB HL (1 and 4 kHz pure tone average, PTA, threshold) related to auditory perception, cognition and communication. Design: School children (n=1638) were recruited in four centres across the UK. They completed a battery of hearing (audiometry, filter width, temporal envelope, speech-in-noise) and cognitive (IQ, attention, verbal memory, receptive language, reading) tests. Caregivers assessed their children's communication and listening skills. Children included in this study (702 male; 752 female) had four reliable tone thresholds (1, 4 kHz each ear), and no caregiver reported medical or intellectual disorder. Normal hearing children (n=1124, 77.1%) had all four thresholds and PTA < 15 dB HL. Children with ≥ 15 dB HL for at least one threshold, and PTA < 20 dB (n=245, 16.8%) had Minimal hearing loss. Children with 20 ≤ PTA < 40 dB HL (n=88, 6.0%) had Mild hearing loss. Interaural Asymmetric hearing loss (|Left PTA -Right PTA| ≥ 10 dB) was found in 28.9% of those with Minimal and 39.8% of those with Mild hearing loss. Results: Speech perception in noise, indexed by VCV pseudoword repetition in speech modulated noise, was impaired in children with Minimal and Mild hearing loss, relative to Normal hearing children. Effect size was largest (d=0.63) in Asymmetric Mild hearing loss and smallest (d=0.21) in Symmetric Minimal hearing loss.Spectral (filter width) and temporal (backward masking) perception were impaired in children with both forms of hearing loss, but supra-threshold perception generally related only weakly to PTA. Speech-in-noise (nonsense syllables) and language (pseudoword repetition) were also impaired in both forms of hearing loss and correlated more strongly with PTA. Children with Mild hearing loss were additionally impaired in working memory (digit span) and reading, and generally performed more poorly than those with Minimal loss. Asymmetric hearing loss produced as much impairment overall on both auditory and cognitive tasks as Symmetric hearing loss. Nonverbal IQ, attention and caregiver-rated listening and communication were not significantly impaired in children with hearing loss. Modelling suggested that 15 dB HL is objectively an appropriate lower audibility limit for diagnosis of hearing loss. Conclusions:Hearing loss between 15 -30 dB PTA is, at ~20%, much more prevalent in 6-11 y.o. children than most current estimates. Key aspects of auditory and cognitive skills are impaired in both symmetric and asymmetric minimal and mild hearing loss. Hearing loss < 30 dB HL is most closely related to speech perception in noise, and to cognitive abilities underpinning language and reading. The results suggest wider use of speech-innoise...

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“…As reported more recently, at later preschool ages, these children performed on average at lower levels in some areas of communication development compared with the normal-hearing study control group. In particular, children with unilateral hearing loss showed gaps in receptive and expressive language skills at age 48 months (Fitzpatrick et al 2018). In addition to the negative consequences for language development, attention to these milder losses is warranted because of the risk of progressive hearing loss.…”

Section: Introductionmentioning

confidence: 99%

Service Preferences of Parents of Children With Mild Bilateral or Unilateral Hearing Loss: A Conjoint Analysis Study

et al. 2019

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Conjoint analysis was used to quantify parents' preferences for service attributes. Parents' values provide insights into the aspects of a service model that should receive consideration in the development of intervention programs for young children with mild bilateral or unilateral hearing loss and their families. Although parents of young children with mild bilateral or unilateral hearing loss valued several components of care, they indicated a clear preference for speech-language support compared with support for amplification use.

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Auditory and language outcomes in children with unilateral hearing loss

Cited by 68 publications

References 25 publications

Exploring how parents of children with unilateral hearing loss make habilitation decisions: a qualitative study

Exploring how parents of children with unilateral hearing loss make habilitation decisions: a qualitative study

Minimal and mild hearing loss in children: Association with auditory perception, cognition, and communication problems

Service Preferences of Parents of Children With Mild Bilateral or Unilateral Hearing Loss: A Conjoint Analysis Study

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