Systematic Review of Physicians' Knowledge of, Participation in, and Attitudes toward Newborn Hearing Screening Programs

ABSTRACT

Physicians play a vital and important role in newborn hearing screening programs (NHSPs) and early hearing detection and intervention programs (EHDIPs). The information that physicians convey to parents of infants suspected of having hearing loss and the enthusiasm with which they make referrals for audiological services can greatly affect whether children are seen in a timely manner or are lost to follow-up and the perceptions of parents and others of these programs, which ultimately contributes to their overall success. It is essential that physicians have the most current and accurate knowledge of the Joint Committee on Infant Hearing Year 2007 Position Statement guidelines for screening, diagnosing, and intervening with hearing losses in children. Therefore, it is important to monitor these programs and their individual team members, especially physicians, at national, state, and local levels. This study used a systematic review as part of an evidence-based practice process to determine what types of information physicians might need to enhance their participation in NHSPs and EHDIPs. The results revealed that physicians could benefit from having additional information about this subject. Audiologists and their professional organizations should conduct physician outreach efforts to remind physicians of the important role they play in these programs and provide them with basic knowledge and updates in desired formats that meet their busy schedules. Such outreach efforts could strengthen relationships among team members, enhance the success of NHSPs and EHDIPs, and benefit all stakeholders (infants, families, physicians, and audiologists). Effective physician outreach efforts should help ensure that infants with hearing loss and their families receive necessary and appropriate diagnostic and intervention services in the most efficacious manner.

KEYWORDS

Early hearing detection and intervention programs - newborn hearing screening programs - physician outreach - systematic review

REFERENCES

• 1 Danhauer J L, Johnson C E, Finnegan D et al.. A case study of an emerging community-based early hearing detection and intervention program: part II. Team building with otolaryngologists and pediatricians using a survey approach.  Am J Audiol. 2006;  15 33-45
• 2 Danhauer J L, Johnson C E, Finnegan D et al.. A national survey of pediatric otolaryngologists and early hearing detection and intervention programs.  J Am Acad Audiol. 2006;  17 708-721
• 3 Centers for Disease Control and Prevention . Infants tested for hearing loss, United States, 1999–2001.  MMWR Morb Mortal Wkly Rep. 2003;  52 981-984
• 4 White K R. The current status of EHDI programs in the United States.  Ment Retard Dev Disabil Res Rev. 2003;  9 79-88
• 5 Directors of Speech and Hearing Programs of State Health and Welfare Agencies (DSPSHWA) .Early hearing detection and intervention programs report year 2003 with recent updates as of May 2005: version E. Available at: http://www.cdc.gov/ncbddd/ehdi/dips.htm Accessed July 30, 2008
• 6 Green D R, Gaffney M, Devine O, Grosse S D. Determining the effect of newborn hearing screening legislation: an analysis of state hearing screening rates.  Public Health Rep. 2007;  122 198-205
• 7 Mason C A, Gaffney M, Green D R, Grosse S D. Measures of follow-up in early hearing detection and intervention programs: a need for standardization.  Am J Audiol. 2008;  17 60-67
• 8 American Academy of Pediatrics: Joint Committee on Infant Hearing . Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs.  Pediatrics. 2007;  120(4) 898-921
• 9 Joint Committee on Infant Hearing . Year 2000 position statement: principles and guidelines for early hearing detection and intervention programs.  Am J Audiol. 2000;  9 9-29
• 10 The Cochrane Collaboration .2006. http://Available at: www.cochrane.org/reviews/revstruc.htm Accessed July 30, 2008
• 11 Arnold C L, Davis T C, Humiston S G et al.. Infant hearing screening: stakeholder recommendations for parent-centered communication.  Pediatrics. 2006;  117 341-354
• 12 Carron J D, Moore R B, Dhaliwal A S. Perceptions of pediatric primary care physicians on congenital hearing loss and cochlear implantation.  J Miss State Med Assoc. 2006;  47 35-41
• 13 Moeller M P, White K R, Shisler L. Primary care physicians' knowledge, attitudes, and practices related to newborn hearing screening.  Pediatrics. 2006;  118 1357-1370
• 14 Brown N C, James K, Liu J, Hatcher P A, Li Y. Newborn hearing screening: an assessment of knowledge, attitudes, and practice among Minnesota physicians.  Minn Med. 2006;  89 50-54
• 15 Wall T C, Peralta-Carcelen M, Fargason Jr C A, Evans H H, Snyder E D, Wolley A L. Support of universal newborn hearing screening among mothers and health care providers.  Ambul Child Health. 2001;  7 283-295
• 16 Wall T C, Senicz E, Evans H H, Woolley A, Hardin J M. Hearing screening practices among a national sample of primary care pediatricians.  Clin Pediatr (Phila). 2006;  45 559-566
• 17 Dorros C, Kurtzer-White E, Ahlgren M, Simon P, Vohr B. Medical home for children with hearing loss: physician perspectives and practices.  Pediatrics. 2007;  120 288-294
• 18 Nance W E. The genetics of deafness.  Ment Retard Dev Disabil Res Rev. 2003;  9 109-119