The Evaluation of the effectiveness of newborn hearing screening program: A center in Turkey
The present study aimed to analyze the effects of newborn hearing screening program in Turkey based on the age of diagnosis, amplification and initiation of education between 2000 and 2017. The study was designed as a retrospective study. The files of 997 children registered with a research and education center for children with hearing loss were analyzed. The findings indicated that the age of diagnosis, amplification and initiation of education significantly decreased after the national newborn hearing screening program was introduced throughout the years. However, the recommended universal standards were achieved only for a minority of children in terms of timely diagnosis and early intervention. Delay in amplification mostly observed in children with mild-moderate loses and late diagnosis, was found as related to the testing in more than two different clinics. The findings on late initiation of education were discussed based on the reports in relevant literature and monitoring problems after the diagnosis and the problems observed in early education system in Turkey.
Al-Sayed, A. A., & AlSanosi, A. (2017). Cochlear implants in children: A cross-sectional investigation on the influence of geographic location in Saudi Ara-bia. Journal of Family and Community Medicine, 24(2), 118. doi: 10.4103/jfcm.JFCM_142_15
Altınyay, Ş., & Ertürk, B.B. (2012). Eğitim Odyolojisi ve işitme engellilerde özel eğitim süreci [Educational audiology and the special education process for persons with hearing impairment.] Journal of Turkish Clinics ENT Special Topics, 5(2), 100-110.
American Academy of Pediatrics. (2007). Joint Committee on Infant Hearing Year 2007Position Statement: Princi-ples and guidelines for early hearing detection and intervention programs. Pediatrics, 120(4), 898-921. Retrieved from https://pediatrics.aappublications.org/content/pediatrics/131/4/e1324.full.pdf
Aras-Öztürk, S. E., Aktaş, S., Karakurt, L. T., Develioğlu, Ö. N., Murat, Z., Çetinkaya, F., & Güleç, S. G. (2018). The follow-up results of newborn hear-ing screening of Gaziosmanpasa Taksim Research and Training Hospi-tal. Turkish Archives of Pediatrics/Türk Pediatri Arşivi, 53(1), 10. doi:10.5152/TurkPediatriArs.2018.5389
Aurélio, F. S., & Tochetto, T. M. (2010). Newborn hearing screening: Experi-ences of different countries. Arquivos Internacionais de Otorrinolaringologia, 14(03), 355-363. doi: 10.1590/S1809-48722010000300014
Barker, M. J., Hughes, E. K., & Wake, M. (2013). NICU-Only versus universal screening for newborn hearing loss: Population audit. Journal of Pediatrics and Child Health, 49(1), E74-E79. doi:10.1111/j.1440-1754.2012.02472.x
Baş, N., Turan, Z. ve Uzuner, Y. (2019). Ulusal yenidoğan işitme tarama prog-ramının aile ve sağlık çalışanları görüş-lerine göre incelenmesi: Durum araş-tırması. [Investigation of the National Newborn Hearing Screening Program Based on Family and Health Workers’ Opinions: A Case Study] Eğitimde Nitel Araştırmalar Dergisi [Journal of Qualita-tive Research in Education], 7(1), 134-160. doi:10.14689/issn.2148-2624.1.7c1s.6m
Bruijnzeel, H., Bezdjian, A., Lesinski-Schiedat, A., Illg, A., Tzifa, K., Mon-teiro, L., ... Topsakal, V. (2017). Evalu-ation of pediatric cochlear implant care throughout Europe: Is European pedi-atric cochlear implant care performed according to guidelines? Cochlear Im-plants International, 18(6), 287-296.doi:10.1080/14670100.2017.1375238
Burke, M. J., Shenton, R. C., & Taylor, M. J. (2012). The economics of screening infants at risk of hearing impairment: An international analysis. International Journal of Pediatric Otorhinolaryngolo-gy, 76(2), 212-218. doi:10.1016/j.ijporl.2011.11.004
Cavalcanti, H. G., & Guerra, R. O. (2012). The role of maternal socioeconomic factors in the commitment to universal newborn hearing screening in the Northeastern region of Brazil. Interna-tional Journal of Pediatric Otorhinolar-yngology, 76(11), 1661-1667. doi:10.1016/j.ijporl.2012.07.041
Chen, X., Yuan, M., Lu, J., Zhang, Q., Sun, M., & Chang, F. (2017). Assessment of universal newborn hearing screening and intervention in Shanghai, China. In-ternational Journal of Technology As-sessment in Health Care, 33(2), 206-214. doi:10.1017/S0266462317000344
Ching, T.Y. (2015). Is early intervention ef-fective in improving spoken language outcomes of children with congenital hearing loss? American Journal of Au-diology, 24(3), 345-348. doi:10.1044/2015_AJA-15-0007
Cohen, J.W. (1988). Statistical power analy-sis for the behavioral sciences (2nd edi-tion). United States of America: Law-rence Erlbaum Associates.
Cole, E. B., & Flexer, C. (2019). Children with hearing loss: Developing listening and talking: Birth to six (4th edition). San Diego: Plural Publishing
Dalzell, L., Orlando, M., MacDonald, M., Berg, A., Bradley, M., Cacace, A., … Beth, P. (2000). The New York State universal newborn hearing screening demonstration project: Ages of hear-ing loss identification, hearing aid fit-ting, and enrollment in early interven-tion. Ear and Hearing, 21(2), 118-130. doi:10.1097/00003446-200004000-00006
Davis, A., Smith, P., Ferguson, M., Ste-phens, D., & Gianopoulos, I. (2007). Acceptability, benefit and costs of ear-ly screening for hearing disability: A study of potential screening tests and models. Health Technology Assess-ment, 11(4), 1-7.
Dettman, S. J., Dowell, R. C., Choo, D., Arnott, W., Abrahams, Y., Davis, A., ... Briggs, R. J. (2016). Long-term com-munication outcomes for children re-ceiving cochlear implants younger than 12 months: A multicenter study. Otolo-gy and Neurotology, 37(2), e82-e95. doi: 10.1097/MAO.0000000000000915
Diken, I. H., Bayhan, P., Turan, F., Sipal, R. F., Sucuoglu, B., Ceber-Bakkaloglu, H., ... Kara, O. K. (2012). Early child-hood intervention and early childhood special education in Turkey within the scope of the developmental system approach. Infants and Young Children, 25(4), 346-353. doi: 10.1097/IYC.0b013e318268541d
Fitzpatrick, E., Angus, D., Durieux-Smith, A., Graham, I. D., & Coyle, D. (2008). Parents’ needs following identification of childhood hearing loss. American Journal of Audiology, 17(1), 38-49. doi: https://doi.org/10.1044/1059-0889(2008/005)
Fitzpatrick, E., Grandpierre, V., Durieux-Smith, A., Gaboury, I., Coyle, D., Na, E., & Sallam, N. (2016). Children with mild bilateral and unilateral hearing loss: Parents’ reflections on experi-ences and outcomes. Journal of Deaf Studies and Deaf Education, 21(1), 34-43. doi:10.1093/deafed/env047
Genç, A. G., Ertürk, B.B., & Belgin, E. (2005). Yenidoğan işitme taraması: Başlangıçtan günümüze [Newborn Hearing Test: From the beginning to present]. Çocuk Sağlığı ve Hastalıkları Dergisi [Journal of Child Health and Disease], 48, 109-118. Retrieved from http://www.cshd.org.tr/uploads/pdf_CSH_137.pdf
Genç, G. A., Konukseven, Ö., Muluk, N. B., Kirkim, G., Başar, F. S., Tuncer, Ü., … Belgin, E. (2013). Features of unilateral hearing loss detected by newborn hearing screening programme in dif-ferent regions of Turkey. Auris Nasus Larynx, 40(3), 251-259. doi: https://doi.org/10.1016/j.anl.2012.09.003
Gopal, R., Hugo, S. R., & Louw, B. (2001). Identification and follow-up of children with hearing loss in Mauritius. Interna-tional Journal of Pediatric Otorhinolar-yngology, 57(2), 99-113. doi: https://doi.org/10.1016/S0165-5876(00)00434-1
Harrison, M., Roush, J., & Wallace, J. (2003). Trends in age of identification and intervention in infants with hearing loss. Ear and Hearing, 24(1), 89-95. doi:10.1097/01.AUD.0000051749.40991.1F
Hess, D. R. (2004). Retrospective studies and chart reviews. Respiratory Care, 49(10), 1171-1174. Retrieved from http://rc.rcjournal.com/content/49/10/1171/tab-pdf
Holte, L., Walker, E., Oleson, J., Spratford, M., Moeller, M. P., Roush, P., ... Tom-blin, J. B. (2012). Factors influencing follow-up to newborn hearing screen-ing for infants who are hard of hearing. American Journal of Audiology, 21(2), 163-174. doi: 10.1044/1059-0889(2012/12-0016)
Huang, H. M., Chiang, S. H., Shiau, Y. S., Yeh, W. Y., Ho, H. C., Wang, L., ... Yang, M. C. (2013). The universal new-born hearing screening program of Taipei City. International Journal of Pe-diatric Otorhinolaryngology, 77(10), 1734-1737. doi:10.1016/j.ijporl.2013.08.004
Hyde, M. L. (2005). Newborn hearing screening programs: Overview. Journal of Otolaryngology, 34(2), 70-78. Re-trieved from http://www.mountsinai.on.ca/care/infant-hearing-program/documents/hydearticle.pdf
Jeddi, Z., Jafari, Z., & Motasaddi Zarandy, M. (2012). Ages of hearing loss diag-nosis and cochlear implantation in hearing impaired children. Bimonthly Audiology-Tehran University of Medical Sciences, 21(2), 78-86. Retrieved from http://aud.tums.ac.ir/files/site1/user_files_b0104b/tums-A-10-25-46-75156d0.pdf
John, R., Lytle, L., Nussbaum, D., & Shoup, A. (2015). Getting started: Hearing screening, evaluation, and next steps. In M. Sass-Lehrer (Eds.), Early intervention for deaf and hard-of-hearing infants, toodlers, and their fami-lies (pp. 169-198). Oxford: Oxford University Press.
Kasai, N., Fukushima, K., Omori, K., Sugaya, A., & Ojima, T. (2012). Effects of early identification and intervention on language development in Japanese children with prelingual severe to pro-found hearing impairment. Annals of Otology, Rhinology & Laryngology, 121(4), 16-20. Retrieved from https://journals.sagepub.com/doi/pdf/10.1177/000348941212100402
Kemaloğlu, Y.K. (2015). Yenidoğan işitme taramaları [Newborn Hearing Screening Tests]. In E. Belgin, and S. Şahlı (Eds.), Temel odyoloji (pp.191-217). Ankara: Güneş Tıp Kitabevleri.
Kemaloğlu, Y. K., Gökdoğan, Ç., Gündüz, B., Önal, E. E., Türkyılmaz, C., & Ata-lay, Y. (2016). Newborn hearing scree-ning outcomes during the first decade of the program in a reference hospital from Turkey. European Archives of Oto-Rhino-Laryngology, 273(5), 1143-1149. doi: 10.1007/s00405-015-3654-1
Kemaloğlu, Y.K. (2018). Retrospective view to the newborn hearing screening in Turkey based on the published data. Journal of Hearing Science, 8(2), 98-99. Retrieved from http://eds.b.ebscohost.com/eds/pdfviewer/pdfviewer?vid=0&sid=aebe90e5-5ba3-4a32-b990-abb89340a891%40pdc-v-sessmgr05
Konukseven, O., Kaya, S., Genc, A., Muluk, N. B., Basar, F. S., Kirkim, G., ... Dincol, I. (2017). Regional differ-ences of Turkey in risk factors of new-born hearing loss. International Journal of Pediatric Otorhinolaryngology, 102, 49-55. https://doi.org/10.1016/j.ijporl.2017.08.028
Korver A.M.H, Konings S, Dekker FW, Beers, M., Wever, C., Frijns, J.H.M., … Oudesluys-Murphy, A. M. (2010). New-born hearing screening vs later hearing screening and developmental out-comes in children with permanent childhood hearing Impairment. The Journal of American Medical Associa-tion, 304(15), 1701–1708. doi:10.1001/jama.2010.1501
Kumaş, Ö. A. & Sümer, H. M. (2018). Early childhood special education services in Turkey. European Journal of Educa-tion Studies, 4(3), 125-137. doi:10.5281/zenodo.119394
Külekçi-Uğur, A. (2018, December). New-born hearing screening test protocols. Paper session presented at the meet-ing of Newborn hearing screening test and children with hearing loss from past to today, Ankara.
Krishnan, L. A., & Van Hyfte, S. (2014). Effects of policy changes to universal newborn hearing screening follow-up in a university clinic. American Journal of Audiology, 23(3), 282-292. doi: 10.1044/2014_AJA-14-0008
Langagne, T., Leveque, M., Schmidt, P., & Chays, A. (2010). Universal newborn hearing screening in the Champagne-Ardenne region: A 4-year follow-up af-ter early diagnosis of hearing impair-ment. International Journal of Pediatric Otorhinolaryngology, 74(10), 1164-1170. doi:https://doi.org/10.1016/j.ijporl.2010.07.005
Lin, H. C., Shu, M. T., Chang, K. C., & Bru-na, S. M. (2002). A universal newborn hearing screening program in Taiwan. International Journal of Pediatric Oto-rhinolaryngology, 63(3), 209-218. doi:10.1016/S0165-5876(02)00011-3
McLean, T. J., Ware, R. S., Heussler, H. S., Harris, S. M., & Beswick, R. (2019). Barriers to engagement in early inter-vention services by children with per-manent hearing loss. Deafness & Edu-cation International, 21(1), 25-39. https://doi.org/10.1080/14643154.2018.1528745
Moeller, M. P. (2000). Early intervention and language development in children who are deaf and hard of hearing. Pediat-rics, 106(1-9). doi: 10.1542/peds.106.3.e43
Moeller, M. P., Carr, G., Seaver, L., Stredler-Brown, A., & Holzinger, D. (2013). Best practices in family-centered early intervention for children who are deaf or hard of hearing: An in-ternational consensus statement. The Journal of Deaf Studies and Deaf Edu-cation, 18(4), 429-445. https://doi.org/10.1093/deafed/ent034
Nelson, H. D., Bougatsos, C., & Nygren, P. (2008). Universal newborn hearing screening: Systematic review to up-date the 2001 US Preventive Services Task Force Recommendation. Pediat-rics, 122(1), e266-e276.
Nicholas, J. G., & Geers, A. E. (2007). Will they catch up? The role of age at cochlear implantation in the spoken language development of children with severe to profound hearing loss. Jour-nal of Speech, Language, and Hearing Research, 50(4), 1048-1062. https://doi.org/10.1044/1092-4388(2007/073)
Nikolopoulos, T. P. (2015). Neonatal hear-ing screening: What we have achieved and what needs to be improved. Inter-national Journal of Pediatric Otorhino-laryngology, 79, 635-637. doi: 10.1016/j.ijporl.2015.02.010
Olusanya, B. O. (2008). Priorities for early hearing detection and intervention in Sub-Saharan Africa. International Jour-nal of Audiology, 47(1), 3-13. https://doi.org/10.1080/14992020802287143
Özcebe E, Sevinc S., & Belgin E. (2005). The ages of suspicion, identification, amplification and intervention in chil-dren with hearing loss. International Journal of Pediatric Otorhinolaryngolo-gy, 69(8), 1081-1087. https://doi.org/10.1016/j.ijporl.2005.03.002
Percy-Smith, L., Hallstrøm, M., Josvassen, J. L., Mikkelsen, J. H., Nissen, L., Die-leman, E., & Cayé-Thomasen, P. (2018). Differences and similarities in early vocabulary development between children with hearing aids and children with cochlear implant enrolled in 3-year auditory verbal intervention. Interna-tional Journal of Pediatric Otorhinolar-yngology, 108, 67-72. doi: https://doi.org/10.1016/j.ijporl.2018.02.030
Perkins-Dock, R. E., Battle, T. R., Edger-ton, J. M., & McNeill, J. N. (2015). A survey of barriers to employment for individuals who are deaf. Journal of the American Deafness & Rehabilitation Association (JADARA), 49(2), 66-85. Retrieved from http://eds.a.ebscohost.com/eds/pdfviewer/pdfviewer?vid=0&sid=46ad1984-95d7-410c-962e-e50b883d1762%40sessionmgr4007
Rodrigues, G. R. I., Loiola-Barreiro, C. M., Pereira, T., & Pomilio, M. C. A. (2015). Does newborn hearing screening antic-ipate the diagnosis and the interven-tion in children with hearing loss? Au-diology-Communication Research, 20(3), 246-254. http://dx.doi.org/10.1590/S2317-64312015000200001453
Saki, N., Abshirini, H., Bayat, A., Ni-kakhlagh, S., Fahimi, A., Heidari, M., & Riahi, M. (2018). Factors affecting age of diagnosis and rehabilitation inter-vention in children receiving cochlear implant. The International Tinnitus Journal, 22(2), 123-127.
Serin, G., Gürbüz, M.K., Keçik, C., İncesulu, A., & Tekin, N. (2011). Auditory screen-ing program of newborns with risk and well babies in Turkey. The Journal of International Advanced Otology, 7(3), 351-356. Retrieved from https://advancedotology.org/sayilar/74/buyuk/12-Serin.pdf
Spivak, L., Sokol, H., Auerbach, C., & Gershkovich, S. (2009). Newborn hear-ing screening follow-up: Factors af-fecting hearing aid fitting by 6 months of age. American Journal of Audiology, 18, 24-33. https://doi.org/10.1044/1059-0889(2008/08-0015)
Sugaya, A., Fukushima, K., Kasai, N., Kataoka, Y., Maeda, Y., Nagayasu, R., ... Omichi, R. (2015). Impact of early intervention on comprehensive lan-guage and academic achievement in Japanese hearing-impaired children with cochlear implants. International Journal of Pediatric Otorhinolaryngolo-gy, 79(12), 2142-2146. doi:10.1016/j.ijporl.2015.09.036
Şahlı, A. S. (2018). Significance of early diagnosis and early intervention in ear-ly childhood hearing loss. Journal of Early Childhood Studies, 2(3), 592-603. doi: 10.24130/eccd-jecs.196720182387
Turan, Z. (2018). Yenidoğan işitme tarama programlarının işitme kaybının tanı, cihazlanma ve eğitime başlama yaşına etkisi [Newborn hearing screening pro-grams and their effects on age of di-agnosis, hearing aid fitting and educa-tion]. Abant İzzet Baysal Üniversitesi Eğitim Fakültesi Dergisi [Abant İzzet Baysal University Journal of Faculty of Education], 18(2), 1156-1174.
Uhler, K., Thomson, V., Cyr, N., Gabbard, S. A., & Yoshinaga-Itano, C. (2014). State and territory EHDI databases: What we do and don't know about the hearing or audiological data from iden-tified children. American Journal of Au-diology, 23, 34-43. doi:10.1044/1059-0889(2013/13-0015)
Uus, K., & Bamford, J. (2006). Effective-ness of population-based newborn hearing screening in England: Ages of interventions and profile of cases. Pe-diatrics, 117(5), e887-e893. Retrieved from https://pediatrics.aappublications.org/content/117/5/e887.short
Uus, K., Bamford, J., & Taylor, R. (2006). An analysis of the costs of implement-ing the National Newborn Hearing Screening Programme in England. Journal of Medical Screening, 13(1), 14-19. Retrieved from https://journals.sagepub.com/doi/pdf/10.1258/096914106776179764
Vehapoğlu-Türkmen, A., Yiğit, Ö., Akkaya, E., Uğur, E., Kefeciler, Z., & Gözütok, S. (2013). İstanbul Eğitim ve Araştırma Hastanesi yenidoğan işitme taraması sonuçlarımız. İstanbul Medical Journal, 14(1), 175-80. doi:10.5152/imj.2013.47
Yılmazer, R., Yazıcı, M.Z., Erdim, İ., Kaya, H.K., Özcan Dalbudak, Ş., & Kayhan, T. F. (2016). Follow-up results of new-borns after hearing screening at a train-ing and research hospital in Turkey. The Journal of International Advanced Otology, 12(1), 55-60. doi: 10.5152/iao.2015.1736
Yoshinaga-Itano, C. (2003). From screening to early identification and intervention: Discovering predictors to successful outcomes for children with significant hearing loss. Journal of Deaf Studies and Deaf Education, 8(1), 11-30. doi:10.1093/deafed/8.1.11
Zeitlin, W., Auerbach, C., Mason, S., Spivak, L., & Erdman, A. (2019). Fac-tors predicating loss to follow-up with rescreening in early hearing detection and intervention programs. Families in Society, 100(2), 213-223. doi: 1044389419828884.
Wasser, J., Roth, D. A. E., Herzberg, O., Lerner-Geva, L., & Rubin, L. (2019). Assessing and monitoring the impact of the national newborn hearing screening program in Israel. Israel Journal of Health Policy Research, 8(30), 1-11. doi:10.1186/s13584-019-02966
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