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Audiological Assessment and Management of Unilateral Hearing Loss in Children Marlene Bagatto Western University

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Audiological Assessment and Management of Unilateral Hearing Loss in Children Marlene Bagatto Western University Western Washington University Western CEDAR Communication Sciences and Disorders Social and Behavioral Sciences 9-5-2019 Consensus Practice Parameter: Audiological Assessment and Management of Unilateral Hearing Loss in Children Marlene Bagatto Western University, Janet DesGeorges Hands & Voices Alison King Australian Hearing, Paediatric Services Padraig Kitterick University of Nottingham Diana Laurnagaray Hospital Privado del Sur See next page for additional authors Follow this and additional works at: https://cedar.wwu.edu/csd_facpubs Part of the Speech and Hearing Science Commons Recommended Citation Bagatto, Marlene; DesGeorges, Janet; King, Alison; Kitterick, Padraig; Laurnagaray, Diana; Lewis, Dawna; Roush, Patricia; Sladen, Douglas P.; and Tharpe, Anne Marie, "Consensus Practice Parameter: Audiological Assessment and Management of Unilateral Hearing Loss in Children" (2019). Communication Sciences and Disorders. 3. https://cedar.wwu.edu/csd_facpubs/3 This Article is brought to you for free and open access by the Social and Behavioral Sciences at Western CEDAR. It has been accepted for inclusion in Communication Sciences and Disorders by an authorized administrator of Western CEDAR. For more information, please contact [email protected]. Authors Marlene Bagatto, Janet DesGeorges, Alison King, Padraig Kitterick, Diana Laurnagaray, Dawna Lewis, Patricia Roush, Douglas P. Sladen, and Anne Marie Tharpe This article is available at Western CEDAR: https://cedar.wwu.edu/csd_facpubs/3 International Journal of Audiology ISSN: 1499-2027 (Print) 1708-8186 (Online) Journal homepage: https://www.tandfonline.com/loi/iija20 Consensus practice parameter: audiological assessment and management of unilateral hearing loss in children Marlene Bagatto, Janet DesGeorges, Alison King, Padraig Kitterick, Diana Laurnagaray, Dawna Lewis, Patricia Roush, Douglas P. Sladen & Anne Marie Tharpe To cite this article: Marlene Bagatto, Janet DesGeorges, Alison King, Padraig Kitterick, Diana Laurnagaray, Dawna Lewis, Patricia Roush, Douglas P. Sladen & Anne Marie Tharpe (2019): Consensus practice parameter: audiological assessment and management of unilateral hearing loss in children, International Journal of Audiology, DOI: 10.1080/14992027.2019.1654620 To link to this article: https://doi.org/10.1080/14992027.2019.1654620 © 2019 The Authors. Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of British Society of Audiology, International Society of Audiology, and Nordic Audiological Society Published online: 05 Sep 2019. Submit your article to this journal View related articles View Crossmark data Full Terms & Conditions of access and use can be found at https://www.tandfonline.com/action/journalInformation?journalCode=iija20 INTERNATIONAL JOURNAL OF AUDIOLOGY https://doi.org/10.1080/14992027.2019.1654620 REVIEW ARTICLE Consensus practice parameter: audiological assessment and management of unilateral hearing loss in children Marlene Bagattoa, Janet DesGeorgesb, Alison Kingc, Padraig Kitterickd , Diana Laurnagaraye, Dawna Lewisf, Patricia Roushg, Douglas P. Sladenh and Anne Marie Tharpei aSchool of Communication Sciences and Disorders, Western University, London, Canada; bHands & Voices, Boulder, CO, USA; cAustralian Hearing, Paediatric Services, Box Hill, Australia; dHearing Sciences, University of Nottingham; eNeonatology Service, Hospital Privado del Sur; fCenter for Hearing Research, Boys Town National Research Hospital; gDepartment of Otolaryngology, University of North Carolina; hDepartment of Communication Sciences and Disorders, Western Washington University; iDepartment of Hearing and Speech Sciences, Vanderbilt University School of Medicine ABSTRACT ARTICLE HISTORY Objective: Provide recommendations to audiologists for the management of children with unilateral hear- Received 16 October 2018 ing loss (UHL) and for needed research that can lend further insight into important unanswered questions. Revised 31 July 2019 Design: An international panel of experts on children with UHL was convened following a day and a half Accepted 2 August 2019 of presentations on the same. The evidence reviewed for this parameter was gathered through web- KEYWORDS based literature searches specifically designed for academic and health care resources, recent systematic Unilateral hearing loss; reviews of literature, and new research presented at the conference that underwent peer review for publi- remote microphone cation by the time of this writing. systems; CROS hearing aids; Study sample: Expert opinions and electronic databases including Cumulative Index to Nursing and single-sided deafness; Allied Health Literature (CINAHL), Cochrane Library, Education Resources Information Centre (ERIC), children with hearing loss Google Scholar, PsycINFO, PubMed, ScienceDirect, and Turning Research into Practice (TRIP) Database. Results: The resulting practice parameter requires a personalised, family-centred process: (1) routine surveillance of speech-language, psychosocial, auditory, and academic or pre-academic development; (2) medical assessments for determination of aetiology of hearing loss; (3) assessment of hearing tech- nologies; and (4) considerations for family-centred counselling. Conclusions: This practice parameter provides guidance to clinical audiologists on individualising the management of children with UHL. In addition, the paper concludes with recommendations for research priorities. Introduction Much of the guidance for children with UHL applies to all chil- dren with hearing loss – those with unilateral or bilateral loss. Unilateral hearing loss (UHL), once considered to be a nuisance Therefore, a brief summary of available published guidelines for and not taken seriously by hearing professionals, has been shown assessment and management of children with hearing loss appears in recent decades to put children at risk for academic, speech and at the beginning of this document followed by more specific con- language, and social and/or behavioural deficits (e.g. Bess and Tharpe 1986; Lieu 2004; Lieu 2013). Despite increased understand- siderations for children with UHL and their families. ing of these problems, there exists little evidence of effective inter- ventions that ameliorate these deficits. This practice parameter reviews the available empirical Definitions evidence, considers expert opinion, and provides specific – recommendations for the management of children with UHL. The a. Unilateral hearing loss (UHL) any degree of permanent approach described requires a personalised, family-centred pro- hearing loss in one ear (pure-tone average [0.5, 1.0. cess: (1) routine developmental surveillance of speech-language, 2.0 kHz] > 15 dB for children), regardless of aetiology, with 1 psychosocial, auditory skill, and academic or pre-academic devel- normal hearing in the opposite ear. opment; and (2) assessments of hearing technologies specific to a b. Paediatric population – for purposes of this guideline, refers variety of listening environments. In addition, although a number to children birth through 18 years of age. of important developments in the area of UHL have emerged over c. Contralateral routeing of signal (CROS) hearing aid – a type the past several decades, there remains a need for continued of hearing aid that is intended for use by those with normal research. Recommendations are made for future research endeav- or near-normal hearing in one ear and an opposite side un- ours to enhance our understanding of and improve our manage- aidable ear. Sound is transmitted from the side of the un- ment of children with UHL. aidable ear to the ear with better hearing. CONTACT Anne Marie Tharpe [email protected] Department of Hearing and Speech Sciences, Vanderbilt University School of Medicine, 1215 21st Ave. South, 6308 Medical Center East, South Tower Nashville, TN 37232-8718, USA ß 2019 The Authors. Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of British Society of Audiology, International Society of Audiology, and Nordic Audiological Society This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 2 M. BAGATTO ET AL. Table 1. Auditory-related subjective outcome evaluation tools. Target population/ Measure Purpose of instrument degree of HL Respondent Age range Authors Auditory Behaviour in Evaluate auditory Mild-profound Parent 4–14 years Purdy et al. (2002) Everyday Life behaviour in hearing loss ABEL everyday life Children’s Home Inventory Monitor a child’s listening All Parent and child Parent 3–12 years Anderson and for Listening Difficulties skills in the home versions Child 7þ years Smaldino (2011) C.H.I.L.D. environment Early Listening Function Evaluate functional use Infants and toddlers Parent and 5 months–3 years Anderson (2002) ELF of hearing with hearing audiologist impairment Hearing Environments and Measure condition-specific All Child 7–12 years Umansky, Jeffe, and Reflection on Quality of quality of life Lieu (2011) Life HEAR-QL-26 Listening Inventory for Identify challenging All Child and teacher 6 þ years Anderson, Smaldino, and Education classroom versions Spangler (2011) LIFE-R listening situations Listening Situations Identify benefit and Parent and child 7þ years Grimshaw (1996) Questionnaire satisfaction of versions LSQ amplification LittlEARS
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