Abstract
Purpose
The aim of this study is to investigate the effect of hearing loss during early childhood on the development of children according to the age of diagnosis, amplification and training.
Methods
In the study, a total of 169 children with bilateral sensorineural hearing loss, who have the chronological average age of 26.4 months, have been examined. All children are unilateral cochlear implant users and have no known additional impairments and/or diseases other than their hearing loss. The development of children with hearing loss, divided into three groups according to age of diagnosis, amplification, and training has been identified using the Denver Development Screening Test-II (DDST-II), and then, general development and sub-development results of these age characteristics have been compared accordingly.
Results
As a result of the study, 105 (62.1%) out of 169 children identified with DDST-II have been found to be normal, 48 (28.4%) of them suspicious, and 16 (9.5%) children are found to be abnormal. It appears that the children who have been diagnosed before 6 months, instrumented between 3 and 6 months, and started to auditory-verbal training are revealed to have normal skills in their personal–social, language, fine, and gross motor field capabilities. As the age of diagnosis and intervention is delayed, the rate of delay in the development domains seems to be increasing, which is statistically significant (p < 0.001).
Conclusions
Children with hearing loss develop similar outcomes in comparison with their normal auditory peers once they are diagnosed before 6 months and benefit from early intervention services.
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References
Shojaei E, Jafari Z, Gholami M (2016) Effect of early intervention on language development in hearing-impaired children. Iran J Otorhinolaryngol 28(84):13–21
Briscoe J, Norbury CF, Bishop DV (2001) Phonological processing, language and literacy: A comparison of child with mild to moderate sensorineural hearing and those with specific language impairment. J Child Psycholpsychiat 42(3):329–340
Chapman RS (2000) Children’s language learning: an intractionist prespective. J Child Pycholpsychiat 41(1):33–54
Kushalanagar P, Mathur G, Rathmann C (2010) Infants and children with hearing loss need early language access. J Clin Ethics 21(2):143–154
Ching YC, Crowe K, Martin V, Day J, Mahler N, Youn S et al (2010) Language development and every day functioning of children with hearing loss assessed at 3 years of age. Int J Speech Lang Path 12(2):124–131
Meinzen-Derr J, Wiley S, Choll ID (2011) Impact of early intervention on expressive and receptive language development among young children with permanent hearing loss. Am Ann Deaf 155(5):580–591
Joint Committee on Infant Hearing (JCIH) (2007) Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics 120:898–921
Blaiser K (2012) Supporting communicative development of infants and toddlers with hearing loss. Semin Speech Lang 33:273–279. https://doi.org/10.1055/s-0032-1326911
Murria A, Guerzonia L, Fabrizib E, Marian V (2014) Preschool children have better spoken language when early implanted. Int J Pediatoto Rhinoloryngol 78(8):1327–1331
Kasai N, Fukushima K, Omori K, Ojima T (2012) Effects of early identification and intervention on language development in Japanese children with prelingual severe to profound hearing impairment. Ann Otol Rhinolaryngol 121(4):16–20
Bush ML, Bianchi K, Lester C, Shinn JB, Gal TJ, Fardo DW, Schoenberg N (2014) Delays in diagnosis of congenital hearing loss in Rural children. J Pediat 164(2):393–397
Dammeyer J (2010) Psychosocial development in a Danish population of children with cochlear implants and deaf and hard-of-hearing children. J Deaf Stud Deaf Educ 15(1):50–58
Hogan A, Shipley M, Strazdins L, Purcell A, Baker E (2011) Communication and behavioural disorders among children with hearing loss increases risk of mental health disorders. Aust N Z J Public Health 35(4):377–383. https://doi.org/10.1111/j.1753-6405.2011.00744.x
Tharpe AM (2008) Unilateral and mild bilateral hearing loss in children: PAST and current perspectives. Trends Amplif 12(1):7–15. https://doi.org/10.1177/1084713807304668
Hintermair M (2007) Prevalence of socioemotional problems in deaf and hard of hearing children in Germany. Am Ann Deaf 152(3):320–330
Van Eldik T, Treffers PDA, Veerman JW, Verhulst FC (2004) Mental health problems of deaf Dutch children as indicated by parents' responses to the child behavior checklist. Am Ann Deaf 148(5):390–395
Eisenberg LS (2007) Current state of knowledge: speech recognition and production in children with hearing impairment. Ear Hear 28(6):766–772. https://doi.org/10.1097/AUD.0b013e318157f01f
DeLuzio J, Girolametto L (2011) Peer interactions of preschool children with and without hearing loss. J Speech Lang Hear Res 54(4):1197–1210. https://doi.org/10.1044/1092-4388(2010/10-0099)
Bredekamp S (2015) Erken Çocukluk Eğitiminde Etkili Uygulamalar. (Effective Practices in Early Childhood Education, 2nd Edition). (Çev. Hatice Zeynep Inan ve Taskın Inan). Nobel Yayıncılık, Ankara, pp 343–345
UNICEF (2003) The State Of The World’s Children. https://www.unicef.org/sowc03/contents/pdf/SOWC03-eng.pdf. Accessed 24 June 2017
World Health Organization (WHO) (2016) Childhood Hearing Loss, Department for Management of NCDs, Disability, Violence and Injury Prevention (NVI). https://www.who.int/pbd/deafness/worldhearingday/WHD2016_Brochure_EN_2.pdf. Accessed 21 Feb 2018
Frankenburg WK, Dodds J, Archer P, Shapiro H, Bresnick B (1992) The Denver II: a major revision and restandardization of the Denver Developmental Screening Test. Pediatr 89:91–97
Anlar B, Yalaz K (1996) Denver II Gelişimsel Tarama Testi (DGTT-II). Türk çocuklarına uyarlanması ve standardizasyonu, Hacettepe Çocuk Nörolojisi Gelişimsel Tıp Araştırmaları Grubu Yayını, Ankara
Yalaz K, Anlar B, Bayoğlı B (2009) Denver II Gelişimsel Tarama Testi, Türk Çocukları Standardizasyonu. Gelişimsel Çocuk Nöroloji Derneği, Ankara
Inscoe JR, Bones C (2016) Additional difficulties associated with aetiologies of deafness: outcomes from a parent questionnaire of 540 children using cochlear implants. Cochlear Implants Int 17(1):21–30. https://doi.org/10.1179/1754762815Y.0000000017
Hitchins A, Hogan S (2018) Outcomes of early intervention for deaf children with additional needs following an Auditory Verbal approach to communication. Int J Pediatr Otorhinolaryngol 115:125–132
American Speech‑Language‑Hearing Association (ASHA) (2004) Guidelines for the audiologic assessment of children from birth to 5 years of age. https://doi.org/10.1044/policy.GL2004-00002. www.asha.org/policy
Tuli IP, Pal I, Sengupta S, Bhutia C (2012) Role of early audiological screening and intervention. Indian J Otol 18:148–153
Yoshinaga-Itano C, Sedey AL, Wiggin M, Mason AC (2018) Language outcomes improved through early hearing detection and earlier cochlear implantation. Otol Neurotol 39:1256–1263
Verhaert N, Willems M, Van Kerschaver E, Desloovere C (2008) Impact of early hearing screening and treatment on language development and education level: evaluation of 6 years of universal newborn hearing screening (Algo1) in Flanders, Belgium. Int J Pediatr Otorhinolaryngol 72(5):599–608
Fulcher AN, Purcell A, Baker E, Munro N (2015) Factors influencing speech and language outcomes of children with early identified severe/profound hearing loss: clinician-identified facilitators and barriers. Int J Speech Lang Pathol 17(3):325–333. https://doi.org/10.3109/17549507.2015.1032351
Goldman R, Fristoe M (2000) Goldman-Fristoe-2 test of articulation. Pearson Assessments, Minneapolis
Yoshinaga-Itano C, Coulter D, Thomson V (2000) The Colorado newborn hearing screening project: Effects on speech and language development for children with hearing loss. J Perinatol Suppl 8:S132–S137
Bess F, Dodd Murphy J, Parker R (1998) Children with minimal sensorineural hearing loss: Prevalence, educational performance, and functional status. Ear Hear 19:339–354
Fulcher A, Purcell A, Baker E, Munro N (2012) Listen up: children with early identified hearing loss achieve age-appropriate speech/language outcomes by 3 years of-age. Int J Pediatr Otorhinolaryngol 76:1785–1794
Philips B, Corthals P, De Raeve L, D’haenens W, Maes L, Bockstael A, Keppler H, Swinnen F, De Vel E, Vinck B, Dhooge I (2009) Impact of newborn hearing screening: comparing outcomes in pediatric cochlear implant users. Laryngoscope 119(5):974–979. https://doi.org/10.1002/lary.20188
Cupples L, Ching TYC, Buton L, Leigh G, Marnane V, Whitfield J, Gunnourie M, Martin L (2018) Language and speech outcomes of children with hearing loss and additional disabilities: identifying the variables that influence performance at five years of age. Int J Audiol 57(Supp 2):93–104. https://doi.org/10.1080/14992027.2016.1228127
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standard. Besides, the ethics approval for the clinical trial of the study was obtained from the Education Council of Specialty in Medicine (Date and number of decision: 13/2019).
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Sahli, A.S. Developments of children with hearing loss according to the age of diagnosis, amplification, and training in the early childhood period. Eur Arch Otorhinolaryngol 276, 2457–2463 (2019). https://doi.org/10.1007/s00405-019-05501-w
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DOI: https://doi.org/10.1007/s00405-019-05501-w