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Related Experiment Videos

Hearing and vision screening program for school-aged children.

Alex R Kemper1, Kathryn E Fant, David Bruckman

  • 1Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan, Ann Arbor, Michigan, USA. kempera@med.umich.edu

American Journal of Preventive Medicine
|January 31, 2004
PubMed
Summary

Most children received follow-up and treatment after abnormal hearing and vision screening, according to parent reports. This highlights the importance of school sensory impairment screening programs.

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Area of Science:

  • Public Health
  • Pediatric Health
  • Ophthalmology
  • Audiology

Background:

  • School-based hearing and vision screening programs are widespread but their effectiveness is not well-documented.
  • Limited understanding exists regarding the impact of these public health initiatives on children's health outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of Michigan's statewide school-based hearing and vision screening program.
  • Assess the implementation and outcomes of standardized screening protocols used by local health departments (LHDs).

Main Methods:

  • Multi-phase study involving interviews with LHD officials and screening technicians.
  • Audit of LHD records for screening outcomes during the 2000-2001 school year.

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  • Telephone interviews with parents of children who received abnormal screening results.

    • Main Results:

    • Significant variations in program implementation across LHDs were observed, including outcome tracking and follow-up care.
    • LHD records showed low documentation of follow-up (27% hearing, 25% vision), contrasting with high parent-reported follow-up rates (74% hearing, 76% vision).
    • Parent reports indicated that a majority of children received treatment post-screening (50% hearing, 74% vision), with follow-up not associated with socioeconomic factors but decreasing with grade level for hearing screening.

    Conclusions:

    • Parent-reported data suggest that school-based hearing and vision screening effectively leads to necessary follow-up and treatment for affected children.
    • The findings underscore the critical role of screening school-aged children for sensory impairments as a vital public health function.