American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review

Centers for Disease Control
Loss to Follow-up in Newborn Hearing Screening Programs: A Systematic Review of the Evidence

Mullen, R., Frymark, T., et al. (2008).
American Speech-Language-Hearing Association. Loss to Follow-Up in Early Hearing Detection and Intervention [Technical Report].

Indicators of Review Quality:

The review addresses a clearly focused question Yes
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes

Description: This systematic review examines the current state of the evidence pertaining to loss to follow-up after initial identification of newborn hearing loss.

Question(s) Addressed:

  1. What characteristics of individuals, families, or populations have been found to be associated with risk of delays or loss to follow-up for children with positive initial screen for hearing loss and in need of an audiologic evaluation by three months?
  2. What characteristics of individuals, families, or populations have been found to be associated with risk of delays or loss to follow-up for children with a positive diagnosis of hearing loss and in need of an audiologic intervention by six months?
  3. What has been the effectiveness of initiatives designed to increase follow-up for appropriate audiologic evaluation by three months of age?
  4. What has been the effectiveness of initiatives designed to increase follow-up for appropriate audiologic intervention by six months of age?

Population: Infants less than 6 months of age

Intervention/Assessment: Hearing screening, audiological evaluation, and interventions to reduce loss to follow up.

Number of Studies Included: 14

Years Included: 1990 - 2008

Findings:

Conclusions:

Inconsistent/mixed findings from a small number of studies reporting characteristics of patients/families at risk of loss to follow-up and interventions used to prevent/reduce loss to follow up were found. Additionally included studies had a number of methodological concerns limited their utility.

Keywords: Deafness, Hearing Loss, Early Hearing Detection and Intervention

Access the Review

Note:

Note: This systematic review is part of ASHA's technical report on Loss to Follow-Up in Early Hearing and Detection Intervention

Added to Compendium: February 2012

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