Access Challenge Index: A Novel Disparity Measure Predictive of Language Outcomes in Children Who Are Deaf/Hard of Hearing

التفاصيل البيبلوغرافية
العنوان: Access Challenge Index: A Novel Disparity Measure Predictive of Language Outcomes in Children Who Are Deaf/Hard of Hearing
المؤلفون: Molly Eiseman, Madeleine P. Strohl, Anna K. Meyer, Dylan K. Chan, Melissa Ho, C Sayard Benvenuti, Chiara Scarpelli, Michelle M Florentine
المصدر: Otolaryngology–Head and Neck Surgery. 167:170-177
بيانات النشر: Wiley, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Male, medicine.medical_specialty, Index (economics), business.industry, Measure (physics), Deafness, Audiology, Cochlear Implantation, Language Development, Cochlear Implants, Hearing, Otorhinolaryngology, Child, Preschool, Cohort, otorhinolaryngologic diseases, Humans, Medicine, Female, Surgery, Deaf hard of hearing, Child, Hearing Loss, business, Language, Retrospective Studies
الوصف: To evaluate the effect of demographic disparities on language outcomes in a diverse group of children who are deaf or hard of hearing.Retrospective cohort study.UCSF Benioff Children's Hospital (a tertiary care center).Forty-four patients aged18 years were identified with sensorineural hearing loss managed with a behind-the-ear hearing aid or cochlear implant. Demographic and clinical data were extracted from the medical record. The primary outcome measure was the Preschool Language Scales-5 at least 6 months after intervention. Predictors of language outcome were assessed: hearing level at the time of hearing intervention, cochlear implant status, age of identification and intervention, travel time to site of hearing care, home language, race/ethnicity, insurance type, and Access Challenge Index-a novel measure of educational environment and family support based on the Child Cochlear Implant Profile. Multivariate and univariate analysis assessed predictors for association with intervention and receptive, expressive, and total language scores.Overall 82% of patients had cochlear implants. The median age at hearing intervention was 12 months. The sample was 59% female, 52% non-White, and 61% publicly insured, and 20% had a non-English primary home language. Accounting for multiple demographic and clinical predictors, a high Access Challenge Index score was independently associated with longer time to intervention (Access Challenge Index-a novel comprehensive measure of educational and family environment-is a strong independent predictor of language outcomes in children who are deaf or hard of hearing.
تدمد: 1097-6817
0194-5998
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6686242149b1659be1192fb2b6a9b76c
https://doi.org/10.1177/01945998211040017
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....6686242149b1659be1192fb2b6a9b76c
قاعدة البيانات: OpenAIRE