Timeliness of service delivery for children with later-identified mild-to-severe hearing loss

Elizabeth A. Walker, Lenore Holte, Meredith Spratford, Jacob Oleson, Anne Welhaven, Melody Harrison

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Purpose: In this study, the authors examined diagnostic and intervention services for children identified with hearing loss (HL) after the newborn period. Method: The authors compared ages at service delivery and length of delays between service delivery steps for 57 lateridentified children with HL and 193 children who referred for assessment from the newborn hearing screen (NHS). For only later-identified children, regression models were used to investigate relationships among predictor variables and dependent variables related to service delivery. Results: Children who referred from the NHS received follow-up services at younger ages than later-identified children. Later-identified children had significantly longer delays from entry into early intervention to HL confirmation, compared to children who referred from the NHS. For lateridentified children, degree of HL predicted ages at follow-up clinical services. Children with more severe HL received services at younger ages compared with children with milder HL. Gender predicted the length of the delay from confirmation to entry into early intervention, with girls demonstrating shorter delays. Conclusions: The current results lend support to the need for ongoing hearing monitoring programs after the neonatal period, particularly when children enter early intervention programs because of language/developmental delays.

Original languageEnglish (US)
Pages (from-to)116-128
Number of pages13
JournalAmerican journal of audiology
Issue number1
StatePublished - Mar 2014
Externally publishedYes


  • Children
  • Early intervention
  • Hearing loss

ASJC Scopus subject areas

  • Speech and Hearing


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