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Related Experiment Video

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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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[Effectiveness study of the universal newborn hearing screening].

Juliana Cristina Fernandes1, Márcia Regina Nozawa

  • 1Departamento de Enfermagem, Unicamp, Campinas, SP, 13083-887. jc.fer@valvin.net

Ciencia & Saude Coletiva
|April 24, 2010
PubMed
Summary

Mothers

Area of Science:

  • Public Health
  • Pediatrics
  • Audiology

Background:

  • Universal Newborn Hearing Screening (UNHS) is crucial for early detection of hearing loss in infants.
  • Family participation is essential throughout the UNHS diagnostic process to minimize potential damage.
  • Insufficient family engagement in UNHS follow-up evaluations poses a significant public health challenge.

Purpose of the Study:

  • To investigate the reasons behind mothers' non-attendance for a second hearing evaluation within the UNHS program.
  • To identify socio-demographic factors associated with low maternal participation in UNHS follow-up.
  • To understand the perspectives of mothers who did not return for audiological re-evaluation.

Main Methods:

  • Cross-sectional study analyzing socio-demographic profiles of mothers with infants born between May 2002 and June 2004.

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  • Qualitative interviews with three mothers who had low return rates for hearing evaluations.
  • Characterization of maternal profiles linked to non-return for audiological screening.

    • Main Results:

    • Mothers with multiple children, limited prenatal care (1-3 visits), and lacking a partner showed lower return rates for UNHS follow-up.
    • A primary reason cited for non-return was the belief that hearing loss could be observed through home-based monitoring.
    • Maternal non-attendance is influenced by social factors and cultural practices regarding infant development assessment.

    Conclusions:

    • Targeted interventions are needed to improve maternal engagement in UNHS programs.
    • Healthcare services should provide better guidance to mothers on infant development and hearing alterations.
    • Addressing socio-cultural factors is vital for enhancing participation in early hearing detection and intervention programs.