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Should Newborn Hearing Screening be the Standard of Care in the United States

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Why Is there so much concern about the possibility that newborn hearing ... soon proves incorrect, can engender lasting anxiety on the part of certain ... – PowerPoint PPT presentation

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Title: Should Newborn Hearing Screening be the Standard of Care in the United States


1
Parental Anxiety Associated with Newborn Hearing
Screening
Karl R. White, PhD National Center for Hearing
Assessment and Management Utah State
University www.infanthearing.org
2
Percentage of Newborns Screened Prior to
Discharge
3
Why Is there so much concern about the
possibility that newborn hearing screening may
cause parental anxiety?
Statements of prominent clinicians and
researchers Evidence from other types of
screening programs Research with newborn hearing
screening programs
4
What do leading clinicians and researchers say?
There is much evidence from studies of other
types of newborn screening that identifying a
child as abnormal in the newborn period, even
when that identification soon proves incorrect,
can engender lasting anxiety on the part of
certain parents and can have long-term adverse
effects on parent-child relationships and on
childrens later psychological development.
--- Paradise, 1999
The cost of universal screening in both monetary
and emotional terms are substantial, while the
real world benefits have, as of yet, to be
determined. It is likely that some families are
actually harmed emotionally due to the
significant high false-postive rates.
--- Luterman, 1999
Confronting parents with the news that their
child did not pass the screen even when this
possibility is not born out by further testing,
may have significant long-term sequelae for both
parents and children. ---
Clayton and Tharpe, 1997
5
Parental Concern Associated with Newborn
Screening for Conditions other than Hearing Loss
6
Parental Concern Associated with Newborn
Screening for Conditions other than Hearing
Loss(continued)
7
Parental Concern Associated with Newborn
Screening for Hearing Loss
8
Parental Concern Associated with Newborn
Screening for Hearing Loss(continued)
9
Parental Concern Associated with Newborn
Screening for Hearing Loss(continued)
10
SummaryParental Concern Associated with Newborn
Screening for Hearing Loss
11
Directions for Future Research
  • Are parents more worried about newborn hearing
    screening than other conditions?
  • Eating and sleeping concerns
  • Growth and development
  • Other screening and health concerns
  • Immediate versus long-term concerns
  • Comparison of parents of babies who passed and
    failed screening
  • Inclusions of fathers

12
Take Home Messages
  • Better research is needed
  • There is some evidence, that newborn screening
    for conditions such as cystic fibrosis can cause
    higher levels of parent anxiety
  • There is no convincing evidence that newborn
    hearing screening increases parent anxiety

13
www.infanthearing.org
14
www.babyhearing.org
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