Elliott Kayla, Vears Danya F, Sung Valerie, Poulakis Zeffie, Sheehan Jane
Prevention Innovation Research Group, Murdoch Children's Research Institute, Parkville 3052, Australia.
Department of Paediatrics, University of Melbourne, Parkville 3052, Australia.
J Clin Med. 2022 Mar 3;11(5):1389. doi: 10.3390/jcm11051389.
Universal newborn hearing screening (UNHS) facilitates early detection of permanent congenital hearing loss in newborns. In recognition of specific needs among parents, support services have been established within some UNHS programs, including the Victorian Infant Hearing Screening Program (VIHSP). Despite this, there is limited research about how to best support parents in the context of well-established UNHS programs. This project aims to retrospectively explore parental support needs between the newborn hearing screen and enrolment into early intervention services. We used semi-structured interviews with parents three- to- six-months post confirmation of their newborn's diagnosis of bilateral moderate-profound sensorineural hearing loss. Data were analysed using inductive content analysis. Thirteen parents of ten children were interviewed. Parents described high satisfaction with the support they received. Some parents felt unprepared for a diagnosis of hearing loss, having been reassured that transient causes such as middle ear fluid caused the hearing screen result. Parents reported mixed responses regarding the value of parent-mentor support along the pathway and some parents described needing additional psychological input to adjust to their child's diagnosis. These findings provide insights into how a well-established UNHS program, VIHSP, supports parents along the hearing diagnosis pathway and how support can be further enriched.
新生儿听力普遍筛查(UNHS)有助于早期发现新生儿永久性先天性听力损失。鉴于家长的特定需求,一些UNHS项目,包括维多利亚州婴儿听力筛查项目(VIHSP),已经建立了支持服务。尽管如此,在成熟的UNHS项目背景下,关于如何最好地支持家长的研究仍然有限。本项目旨在回顾性探索新生儿听力筛查与纳入早期干预服务之间家长的支持需求。我们对新生儿被确诊为双侧中度至重度感音神经性听力损失后三到六个月的家长进行了半结构化访谈。采用归纳性内容分析法对数据进行分析。采访了10名儿童的13位家长。家长们对所获得的支持表示高度满意。一些家长对听力损失的诊断毫无准备,因为此前他们一直得到保证,诸如中耳积液等短暂性原因导致了听力筛查结果。家长们对沿途家长导师支持的价值反应不一,一些家长表示需要更多心理支持来适应孩子的诊断。这些发现为成熟的UNHS项目VIHSP如何在听力诊断过程中支持家长以及如何进一步丰富支持提供了见解。