Newborn Hearing Screenings in the Latino Population in Utah

URLEND Leadership Project 2012Vance GunnellBlake HansenKaylyn HumKrish SilvaVanesa WebbFaculty Member: Rich Harward

Purpose

Determine if there is a problem with lost to follow up for newborn hearing screenings in the Latino population in Utah

If a problem does exist, what are the reasons for the lost to follow up?

Newborn Hearing Screening 1011. Before a newborn is discharged, a hearing screening with at least an Otoacoustic Emission (OAE) is obtainedWhich results in either a pass or fail2. When an infant fails, they are asked to return for a second screening3. If the infant fails the second screening, a diagnostic Auditory Brainstem Response is then scheduled.- any of the gold font items are times that the family can be “lost-to-follow-up”

http://www.cdc.gov/Features/NewbornHearing/

BackgroundJoint Committee on Infant Hearing (JCIH) recommended goal of 1, 3, 6

by 1 month of age: identification of hearing loss

by 3 months of age: diagnosis of hearing loss

by 6 months of age: implementation of intervention for hearing loss

Early Hearing Detection and Intervention also works towards these goals, nationally and by individual states

Methods55 Audiologists and Newborn Hearing Screening Coordinators contact information was obtained

These were divided among group members

Generated a letter for the contacts

6 questions were developed to collect anecdotal information

http://www.surveymonkey.com/s/BRSFK9N

Group members sent the letter, including the survey link, to the Audiologists and Coordinators via e-mail

What is your role in the screening

process?

Results What percentage of the Latino

population do you serve?

Role Percentage

Screening Coordinator

60.0%

Audiologists

26.7%

Other 13.3%

Pediatrician 0%

Range Percentage

>15% 33.3%

16-30% 46.7%

31-45% 13.3%

46-60% 6.7%

What is the most common reason

patients don’t return, listed?

Previous experience with families who

didn’t return

Range Percentage

Lack of Transportation

25.0%

The family is uneducated on importance of

screening

15.6%

The family has moved

18.8%

Lost contact with the family

18.8%

Family is apathetic

15.6%

Family is resistant to screening

6.3%

Share any ideas that may help the

problem

What is the most common reason patients don’t return,

not listed?

Future Directions

Coincide outpatient screening appointment with another appointment

Providing education sessions for screeners at the Community Health Clinics

Educating professionals on the cultural differences to “meet-in-the-middle” and working together for a common cause

Special Thanks...

Dr. Karen Muñoz

Steven Jensen, AuD

Elizabeth Preston, AuD

Teresa Shaffer

Rich Harward, AuD

Faculty Mentors

Feedback: Kaylyn

Enjoyed:

opportunities to attend conferences

clinical observations and PDC to apply family-centered care

Suggestions for improvements:

Earlier start with orientation

Clarification of hours- what counts as didactic vs clinical vs leadership/research

Feedback: VanesaWhat I liked:

Clinic opportunities

SM, Refugee

Seminars

PDCs

opportunities

Suggested Changes:

more information about clinics

specific goals and objectives

Feedback: Vance

Liked:

Clinical observations

Working with other disciplines

Seminars

Suggestions:

A calendar that shows available clinical opportunities

Feedback: KrishWhat I enjoyed:

I really enjoyed attending the various clinics

Getting to know how multidisciplinary teams work and the benefits

Family centered services

The Leadership skills and

The knowledge from the seminars

What I would like in the future

Possibility of adding sites from developing countries to have more opportunities for those trainees

Feedback: BlakeWhat I liked:

Clinic visits were great

Forced out of my comfort zone:

research project

present to families on topics requiring background research

For the future:

consider informing guest presenters on their audience

branch out to other universities in Utah and other states