Universität zu Köln

Screening mit dem LittlEARS®(MED-EL)-Hörfragebogen - Eine empirische Untersuchung zur Möglichkeit eines zweiten Hörscreenings für Kinder im Alter von 10-12 Monaten im Rahmen der Früherkennungsuntersuchung U6

Schäfer, Karolin (2013) Screening mit dem LittlEARS®(MED-EL)-Hörfragebogen - Eine empirische Untersuchung zur Möglichkeit eines zweiten Hörscreenings für Kinder im Alter von 10-12 Monaten im Rahmen der Früherkennungsuntersuchung U6. PhD thesis, Universität zu Köln.

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    Abstract

    Neonatal hearing screening (NHS) has been a major step forward in the effective management of hearing loss in infants. Nevertheless, monitoring of listening skills of very young infants needs to be continued, because progressive or acquired hearing loss due to trauma or disease (genetic, progressive) will not be detected with NHS. First experiences with NHS in Germany have shown that there are some limitations like false negatives or drop-outs in the follow-up procedure as well as infants who are still not screened at all. The aim of this study was to develop and test a system for “second hearing screening” at the age of twelve months as an addition to NHS. The LittlEARS® auditory questionnaire which is based on reference data of normal hearing infants was used to detect hearing loss at a very young age. The questionnaire was originally designed to monitor the progress of developing listening skills in infants from 0-24 months who received hearing aids or cochlear implants. It consists of 35 yes-or-no questions that can easily be answered within ten minutes. The age of twelve months was chosen to screen infants at a regular pediatrician check-up visit which is commonly accepted in Germany. A total of n=5320 questionnaires from more than 50 pediatricians who took part in the study was analysed. On basis of the questionnaires, six infants with permanent hearing loss were identified, as well as several infants with frequent otitis media, infants with speech or other developmental dysfunctions like autism and cognitive deficits. It seems that LittlEARS® is not only sensitive to hearing disorders but also to other developmental delays that are associated with early hearing and communication deficits. This could be a chance to detect as many infants as possible who are not developing regular listening or communicative skills and offer rehabilitation services to them at a very young age.

    Item Type: Thesis (PhD thesis)
    Creators:
    CreatorsEmail
    Schäfer, Karolinkarolin.schaefer@uni-koeln.de
    URN: urn:nbn:de:hbz:38-52357
    Subjects: no entry
    Uncontrolled Keywords:
    KeywordsLanguage
    FrüherkennungGerman
    HörstörungenGerman
    HörscreeningGerman
    Faculty: Humanwissenschaftliche Fakultät
    Divisions: Humanwissenschaftliche Fakultät > Department für Heilpädagogik und Rehabilitation
    Language: German
    Date: 21 July 2013
    Date Type: Publication
    Date of oral exam: 03 July 2013
    Full Text Status: Public
    Date Deposited: 09 Aug 2013 13:07:00
    Referee
    NameAcademic Title
    Coninx, FransProf. Dr. Ir.
    Neumann, KatrinProf. Dr. Med.
    URI: http://kups.ub.uni-koeln.de/id/eprint/5235

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