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Modeling Lost to Intervention in Early Hearing Detection and Intervention: A Modified eDelphi Study.

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Title: Modeling Lost to Intervention in Early Hearing Detection and Intervention: A Modified eDelphi Study.
Authors: Woodruff-Gautherin, Torri Ann1 torri.woodruff@uconn.edu, Cienkowski, Kathleen M.2
Source: American Journal of Audiology. Sep2023, Vol. 32 Issue 3, p543-559. 17p. 2 Diagrams, 7 Charts.
Subject Terms: *Treatment of hearing disorders, *Health services accessibility, *Qualitative research, *Theory, *Delphi method, Social determinants of health, Mathematical models, Surveys, Health equity, Data analysis software, Thematic analysis, Early medical intervention, Telemedicine
Abstract: Purpose: The purpose of this study was to develop a functional model of the drivers behind why families may decline early intervention services following the identification of a child as D/deaf or hard of hearing. Method: This model was developed using a modified eDelphi method. Invited experts (N = 155) were provided proposed models of why families may decline early intervention services in accordance with current literature. In the first phase of feedback, participants (n = 23) provided changes they would make to the model to be more in line with their perceptions of lost to intervention. These changes were implemented, and a second phase of feedback with participants (n = 25) moved to accept the model as presented. Results: Agreement was reached on five main barriers to early intervention access for children who have been identified as D/deaf or hard of hearing (family experience, family culture, perceived vulnerability, perceived benefits, and perceived barriers). Each of these main barriers has associated examples of how they may manifest across different early intervention programs and situations. Conclusions: This is the first theoretical model of why loss to intervention happens within early hearing detection and intervention. Having a model provides the opportunity for future work to implement novel approaches to support families during the early intervention enrollment process. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Modeling Lost to Intervention in Early Hearing Detection and Intervention: A Modified eDelphi Study.
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Sep2023, Vol. 32 Issue 3, p543-559. 17p. 2 Diagrams, 7 Charts.
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  Data: Purpose: The purpose of this study was to develop a functional model of the drivers behind why families may decline early intervention services following the identification of a child as D/deaf or hard of hearing. Method: This model was developed using a modified eDelphi method. Invited experts (N = 155) were provided proposed models of why families may decline early intervention services in accordance with current literature. In the first phase of feedback, participants (n = 23) provided changes they would make to the model to be more in line with their perceptions of lost to intervention. These changes were implemented, and a second phase of feedback with participants (n = 25) moved to accept the model as presented. Results: Agreement was reached on five main barriers to early intervention access for children who have been identified as D/deaf or hard of hearing (family experience, family culture, perceived vulnerability, perceived benefits, and perceived barriers). Each of these main barriers has associated examples of how they may manifest across different early intervention programs and situations. Conclusions: This is the first theoretical model of why loss to intervention happens within early hearing detection and intervention. Having a model provides the opportunity for future work to implement novel approaches to support families during the early intervention enrollment process. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1044/2023_AJA-22-00046
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        Text: English
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      – SubjectFull: Treatment of hearing disorders
        Type: general
      – SubjectFull: Health services accessibility
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      – SubjectFull: Qualitative research
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      – SubjectFull: Social determinants of health
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        Type: general
      – SubjectFull: Surveys
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      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Telemedicine
        Type: general
    Titles:
      – TitleFull: Modeling Lost to Intervention in Early Hearing Detection and Intervention: A Modified eDelphi Study.
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              Text: Sep2023
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