Preschool hearing screening: pass/refer rates for children enrolled in a head start program in eastern North Carolina

American Journal of Audiology
Rose L AllenSaravanan Elangovan

Abstract

This 4-year project investigated the pass/refer rates of preschool children in a hearing screening program. Three- and 4-year-old children who attended Head Start centers in rural, traditionally medically underserved, eastern North Carolina participated (n = 1,462). Screening procedures and pass/refer criteria were based on the Guidelines for Audiologic Screening (American Speech-Language-Hearing Association [ASHA], Panel on Audiologic Assessment, 1997). Only 54% (n = 787) of children passed the initial screening (i.e., passed all three of the screening components, which included pure-tone audiometry, tympanometry, and otoscopy), and an additional 22% (n = 323) passed the rescreening, for an overall pass rate of 76%. The initial pass rate was 90%, 71%, and 71% for otoscopy, tympanometry, and pure-tone audiometry, respectively. After the initial screening, 675 children were referred (i.e., 83%, 2%, and 15% for audiologic rescreening, medical evaluation, or both, respectively). About 71% (n = 478) received the recommended evaluation. Follow-up assessment compliance after the rescreening was poor. Slightly more than 10% of children were evaluated. The hearing status of 267 (i.e., 18.3%) children was never determined. Six (i.e., 0....Continue Reading

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Citations

Mar 14, 2014·Journal of Medical Screening·Anna Chi Shan KamMichael Chi Fai Tong
Aug 5, 2014·American Journal of Audiology·Jeanne Dodd-MurphyFred H Bess
Mar 29, 2020·Language, Speech, and Hearing Services in Schools·Annette HurleySara Mills
Jan 10, 2016·International Journal of Pediatric Otorhinolaryngology·Maj-Britt Glenn LauritsenJørgen Lous

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