Title: 'Efficient and Effective Pre-School Hearing Screening: Essential for Successful EHDI'
Track: 1 - EHDI Program Enhancement
Keyword(s): hearing screening, pre-school, Head Start, otoacoustic emissions
Learning Objectives:
  1. Identify 4 risk factors for delayed or progressive onset hearing loss
  2. Describe rationale for otoacoustic emissions (OAEs) in preschool hearing screening
  3. List 3 advantages of OAEs in preschool hearing screening


A successful EHDI program must include detection, diagnosis, and appropriate timely management of hearing loss in children beyond infancy. Children who pass newborn hearing screening may subsequently acquire hearing loss that interferes with speech and language acquisition, communication, and later educational achievement. The 2007 Joint Committee on Infant Hearing has identified 11 risk indicators for permanent congenital, delayed-onset or progressive hearing loss in children. Evidence from large-scale research studies confirms that the likelihood of permanent childhood hearing loss increases substantially in preschool years from birth to school entry. The prevalence of hearing loss in the school-age population may be two to three times higher than the prevalence in infancy. Widely accepted guidelines for preschool hearing screening are lacking. The presentation begins with a brief description of techniques available for preschool hearing screening. Then, literature on preschool hearing screening is briefly and critically reviewed. This is followed by a summary of the advantages and disadvantages of pure tone versus otoacoustic emissions techniques in hearing screening of preschool children. Transient evoked OAEs and distortion product OAEs are considered separately. The remainder of the presentation is devoted to discussion of an effective, efficient, and evidence-based strategy for hearing screening of children, especially those from age 3 years to school age.
Presentation: Watch Efficient and Effective Pre-School Hearing Screening: Essential for Successful EHDI


Handouts: Handout is not Available
CART: Topical Session 1- 1575.RTF
James Hall - Primary Presenter,POC
Salus University
     Credentials: PhD
      Biographical Sketch James W. Hall III, PhD is an internationally recognized audiologist with 40-years of clinical, teaching, research, and administrative experience. He received a Bachelor’s degree in biology from American International College, a Masters degree in speech pathology from Northwestern University and his Ph.D. in audiology from Baylor College of Medicine under the direction of James Jerger. During his career, Dr. Hall has held clinical and academic audiology positions at major medical centers. Dr. Hall now holds academic appointments as Professor at Salus University, Adjunct Professor at Nova Southeastern University, and Extraordinary Professor at the University of Pretoria in South Africa. His main interests include objective assessment of infant hearing, auditory processing disorders, and tinnitus plus disorders of reduced sound tolerance. Dr. Hall is the author of over 150 peer-reviewed journal articles, monographs, or book chapters, and eight textbooks including the 2014 Introduction to Audiology Today.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.