A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol Recommendations for Policy, Practice, and Research Supplement Article
Supplement Article  |   December 01, 2005
A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol
 
Author Affiliations & Notes
  • Judith S. Gravel
    Albert Einstein College of Medicine and Jacobi Medical Center, Bronx, NY
  • Karl R. White
    National Center for Hearing Assessment and Management, Utah State University, Logan
  • Jean L. Johnson
    University of Hawaiì, Honolulu
  • Judith E. Widen
    University of Kansas Medical Center, Kansas City
  • Betty R. Vohr
    Women and Infants Hospital, Providence, RI
  • Michele James
    Arnold Palmer Hospital for Children and Women, Orlando, FL
  • Teresa Kennalley
    Via Christi Regional Medical Center, Wichita, KS
  • Antonia B. Maxon
    New England Center for Hearing Rehabilitation, Hampton, CT
  • Lynn Spivak
    Long Island Jewish Medical Center, New Hyde Park, NY
  • Maureen Sullivan-Mahoney
    Good Samaritan Hospital, Cincinnati, OH
  • Yusnita Weirather
    Kapiòlani Medical Center for Women and Infants, Honolulu, HI
  • Sally Meyer
    National Center for Hearing Assessment and Management, Utah State University, Logan
  • Corresponding author: e-mail: gravel@email.chop.edu
Article Information
Hearing Disorders / Special Populations / Early Identification & Intervention / Supplement: A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol
Supplement Article   |   December 01, 2005
A Multisite Study to Examine the Efficacy of the Otoacoustic Emission/Automated Auditory Brainstem Response Newborn Hearing Screening Protocol
American Journal of Audiology, December 2005, Vol. 14, S217-S228. doi:10.1044/1059-0889(2005/023)
History: Received June 13, 2005 , Accepted November 14, 2005
 
American Journal of Audiology, December 2005, Vol. 14, S217-S228. doi:10.1044/1059-0889(2005/023)
History: Received June 13, 2005; Accepted November 14, 2005

Purpose: This article examines whether changes in hearing screening practices are warranted based on the results of the recent series of studies by J. L. Johnson, K. R. White, J. E. Widen, J. S. Gravel, B. R. Vohr, M. James, T. Kennalley, A. B. Maxon, L. Spivak, M. Sullivan-Mahoney, Y. Weirather, and S. Meyer (Johnson, White, Widen, Gravel, James, et al., 2005; Johnson, White, Widen, Gravel, Vohr, et al., 2005; White et al., 2005; Widen et al., 2005) that found a significant number of infants who passed an automated auditory brainstem response (A-ABR) screening after failing an initial otoacoustic emission (OAE) screening later were found to have permanent hearing loss in one or both ears.

Method: Similar to the approach used by F. H. Bess and J. Paradise (1994), this article addresses the public health tenets that need to be in place before screening programs, or in this case, a change in screening practice (use of a 2-step screening protocol) can be justified.

Results: There are no data to suggest that a 2-step OAE/A-ABR screening protocol should be avoided.

Conclusion: Research is needed before any change in public policy and practice surrounding current early hearing detection and intervention programs could be supported.

Acknowledgments
This study was made possible through a Cooperative Agreement between the Centers for Disease Control and Prevention (CDC) and the Association of Teachers of Preventive Medicine (ATPM), Award U50/CCU300860 TS-523. The contents of the study are the sole responsibility of the authors and do not necessarily reflect the official views of the CDC or the ATPM. An abbreviated version of the four articles in this series was previously published in the September 2005 issue of Pediatrics (Johnson, White, Widen, Gravel, James, et al., 2005). The contributed resources of the National Center for Hearing Assessment and Management were indispensable in the successful completion of the study. Justus Randolph, Danhui Zhang, and Maria Hovak were critical assets in the management and analysis of the data. The authors express their heartfelt appreciation to the pediatric audiologists who performed the diagnostic assessments. Finally, we thank the 973 families who returned for the diagnostic evaluation.
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