Minimal Hearing Loss: From a Failure-Based Approach to Evidence-Based Practice Purpose A representative sample of the literature on minimal hearing loss (MHL) was reviewed to provide evidence of challenges faced by children with MHL and to establish the need for evidence-based options for early intervention. Method Research articles published from 1950 to 2013 were searched in the Medline ... Review Article
Review Article  |   September 01, 2016
Minimal Hearing Loss: From a Failure-Based Approach to Evidence-Based Practice
 
Author Affiliations & Notes
  • Allison M. Winiger
    Indiana University, Bloomington
  • Joshua M. Alexander
    Purdue Univeristy, West Lafayette, IN
  • Allan O. Diefendorf
    Butler University, Indianapolis, IN
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Allison M. Winiger: awiniger@iu.edu
  • Editor and Associate Editor: Larry Humes
    Editor and Associate Editor: Larry Humes×
Article Information
Hearing & Speech Perception / Hearing Disorders / Hearing Aids, Cochlear Implants & Assistive Technology / Special Populations / Early Identification & Intervention / School-Based Settings / Review Articles
Review Article   |   September 01, 2016
Minimal Hearing Loss: From a Failure-Based Approach to Evidence-Based Practice
American Journal of Audiology, September 2016, Vol. 25, 232-245. doi:10.1044/2016_AJA-15-0060
History: Received September 30, 2015 , Revised February 11, 2016 , Accepted February 17, 2016
 
American Journal of Audiology, September 2016, Vol. 25, 232-245. doi:10.1044/2016_AJA-15-0060
History: Received September 30, 2015; Revised February 11, 2016; Accepted February 17, 2016
Web of Science® Times Cited: 4

Purpose A representative sample of the literature on minimal hearing loss (MHL) was reviewed to provide evidence of challenges faced by children with MHL and to establish the need for evidence-based options for early intervention.

Method Research articles published from 1950 to 2013 were searched in the Medline database using the keywords minimal hearing loss, unilateral hearing loss, and mild hearing loss. References cited in retrieved articles were also reviewed.

Results In total, 69 articles contained relevant information about pediatric outcomes and/or intervention for unilateral hearing loss, 50 for mild hearing loss, and 6 for high-frequency hearing loss. Six challenges associated with MHL emerged, and 6 interventions were indicated. Evidence indicates that although some individuals may appear to have no observable speech-language or academic difficulties, others experience considerable difficulties. It also indicates that even though children with MHL may appear to catch up in some areas, difficulties in select domains continue into adulthood.

Conclusions Evidence indicates significant risks associated with untreated MHL. Evidence also demonstrates the need for early intervention and identifies several appropriate intervention strategies; however, no single protocol is appropriate for all children. Therefore, families should be educated about the impact of MHL and about available interventions so that informed decisions can be made.

Acknowledgments
Thanks to Dr. Lata Krishnan for her thoughtful input throughout the project, as well as her extensive help during the revision process.
Order a Subscription
Pay Per View
Entire American Journal of Audiology content & archive
24-hour access
This Article
24-hour access