We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Parent Perception of Newborn Hearing Screening: Results of a US National Survey.
- Authors
Pynnonen, Melissa A.; Handelsman, Jaynee A.; King, Ericka F.; Singer, Dianne C.; Davis, Matthew M.; Lesperance, Marci M.
- Abstract
<bold>Importance: </bold>An unacceptably high number of children who do not pass universal newborn hearing screening (UNHS) are lost to follow-up.<bold>Objectives: </bold>To provide insight into parent recall of UNHS.<bold>Design, Setting, and Participants: </bold>In this nationally representative cross-sectional survey, 2144 US parent households were surveyed in May 2012 using the Knowledge Panel. Responses of parents whose children were born before vs after UNHS implementation were compared.<bold>Main Outcomes and Measures: </bold>Outcome measures included recall of hearing screen at birth, hearing screen results, and recommendations for follow-up. All outcome measures were based on parent recall and report. Descriptive statistics and multiple logistic regression analyses were used.<bold>Results: </bold>The study participants included 1539 parent households and 605 nonparent households. Of the 1539 parent households surveyed, the mean age of the parents was 38.8 years (range, 18-88 years), the mean age of the children was 10.2 years (range, 0-17 years), and the mean age of children with hearing loss was 12.1 years (range, 0-17 years). A total of 1539 parents (55.8%) were women. Only 62.9% of parents (unweighted n = 950) recalled a newborn hearing screen, and among those children with risk indicators for hearing loss (n = 587), only 68.6% (unweighted n = 385) recalled a hearing screen. Higher parent educational level (odds ratio [OR], 2.27; 95% CI, 1.17-4.41, for some college and OR, 2.41; 95% CI, 1.22-4.78, for a bachelor's degree; P = .03), younger age of the child (OR, 1.16; 95% CI, 1.11-1.23; P < .001), and the presence of any risk indicator for hearing loss (OR, 1.5; 95% CI, 1.13-2.13; P = .007) were associated with parent recall of hearing screen. Reported pass rates were higher than expected. Parent recall of follow-up recommendations was not always consistent with guidelines.<bold>Conclusions and Relevance: </bold>Although this study is inherently limited by recall bias, the findings indicate a lack of parent awareness of UNHS. Changes in the system of reporting UNHS results are necessary to improve parent recall of screen results and improve follow-up for children who do not pass the screen.
- Subjects
MICHIGAN; AUDITORY perception testing; HEALTH attitudes; NEWBORN screening; MEMORY; PARENTS; RESEARCH funding; EDUCATIONAL attainment; CROSS-sectional method
- Publication
JAMA Otolaryngology-Head & Neck Surgery, 2016, Vol 142, Issue 6, p538
- ISSN
2168-6181
- Publication type
journal article
- DOI
10.1001/jamaoto.2015.3948