Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual Model

At least two per thousand newborns are affected by hearing loss, with up to 40% with an additional disability. Early identification by universal newborn hearing screening and early intervention services are available in many countries around the world, with limited data on their effectiveness and a...

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Bibliographic Details
Published in:Journal of clinical medicine 2022-03, Vol.11 (6), p.1548
Main Authors: Holzinger, Daniel, Hofer, Johannes, Dall, Magdalena, Fellinger, Johannes
Format: Article
Language:English
Subjects:
Age
Child development
Children & youth
Cochlear implants
Cognition & reasoning
Early intervention
Families & family life
Hearing aids
Hearing loss
Language
Medical screening
Otolaryngology
Parents & parenting
Pediatrics
Reading comprehension
Review
Standard deviation
Transplants & implants
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Summary:At least two per thousand newborns are affected by hearing loss, with up to 40% with an additional disability. Early identification by universal newborn hearing screening and early intervention services are available in many countries around the world, with limited data on their effectiveness and a lack of knowledge about specific intervention-related determinants of child and family outcomes. This concept paper aimed to better understand the mechanisms by which multi-dimensional family-centred early intervention influences child outcomes, through parent behaviour, targeted by intervention by a review of the literature, primarily in the field of childhood hearing loss, supplemented by research findings on physiological and atypical child development. We present a conceptual model of influences of multi-disciplinary family-centred early intervention on family coping/functioning and parent-child interaction, with effects on child psycho-social and cognitive outcomes. Social communication and language skills are postulated as mediators between parent-child interaction and non-verbal child outcomes. Multi-disciplinary networks of professionals trained in family-centred practice and the evaluation of existing services, with respect to best practice guidelines for family-centred early intervention, are recommended. There is a need for longitudinal epidemiological studies, including specific intervention measures, family behaviours and multidimensional child outcomes.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11061548