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Pediatric Hearing Aid Daily Wear Time Is Significantly Impacted by Clinician-Family Language Discordance
Nicole Brigham1, Emily C Thompson1, Erin M Picou1,2
1Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN.
Children with limited English proficiency had significantly shorter hearing aid wear times compared to their peers. Language barriers between families and audiologists impact hearing aid use in children.
Area of Science:
- Audiology
- Pediatric audiology
- Speech and hearing sciences
Background:
- Limited English proficiency (LEP) in families can present communication challenges in healthcare settings.
- Understanding factors influencing hearing aid wear time in children is crucial for effective intervention.
- Previous research has not extensively explored the impact of language discordance on pediatric hearing aid use.
Purpose of the Study:
- To investigate the association between limited English proficiency and daily hearing aid wear time in children with hearing loss.
- To determine if family-clinician language concordance influences hearing aid usage patterns.
- To identify potential disparities in hearing aid wear time based on parental language proficiency.
Main Methods:
- Retrospective chart review of children with permanent bilateral hearing loss (under 60 months at follow-up).
- Comparison of daily hearing aid wear time (data logging) between children with interpreter-mediated appointments (indicating LEP) and those without.
- Analysis of hearing aid wear time based on the presence or absence of an interpreter during audiology appointments.
Main Results:
- Children from families with limited English proficiency demonstrated significantly shorter daily hearing aid wear time (mean = 1.3 hours) compared to English-proficient peers (mean = 5.2 hours).
- The presence of an interpreter, indicating family limited English proficiency, was associated with reduced hearing aid wear time.
- A substantial difference in hearing aid usage was observed between language-concordant and language-discordant family-clinician dyads.
Conclusions:
- Family-clinician language discordance may increase the risk of shorter hearing aid wear time in children.
- Linguistic, cultural, and educational factors likely contribute to reduced hearing aid use in families with limited English proficiency.
- Accessible hearing information and culturally responsive audiology services are essential to improve hearing aid wear time for diverse populations.
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