Promotion of early pediatric hearing detection through patient navigation: A randomized controlled clinical trial

Matthew L. Bush, Zachary R. Taylor, Bryce Noblitt, Taylor Shackleford, Thomas J. Gal, Jennifer B. Shinn, Liza M. Creel, Cathy Lester, Philip M. Westgate, Julie A. Jacobs, Christina R. Studts

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Objectives/Hypothesis: To assess the efficacy of a patient navigator intervention to decrease nonadherence to obtain audiological testing following failed screening, compared to those receiving the standard of care. Methods: Using a randomized controlled design, guardian-infant dyads, in which the infants had abnormal newborn hearing screening, were recruited within the first week after birth. All participants were referred for definitive audiological diagnostic testing. Dyads were randomized into a patient navigator study arm or standard of care arm. The primary outcome was the percentage of patients with follow-up nonadherence to obtain diagnostic testing. Secondary outcomes were parental knowledge of infant hearing testing recommendations and barriers in obtaining follow-up testing. Results: Sixty-one dyads were enrolled in the study (patient navigator arm = 27, standard of care arm = 34). The percentage of participants nonadherent to diagnostic follow-up during the first 6 months after birth was significantly lower in the patient navigator arm compared with the standard of care arm (7.4% vs. 38.2%) (P =.005). The timing of initial follow-up was significantly lower in the navigator arm compared with the standard of care arm (67.9 days after birth vs. 105.9 days, P =.010). Patient navigation increased baseline knowledge regarding infant hearing loss diagnosis recommendations compared with the standard of care (P =.004). Conclusions: Patient navigation decreases nonadherence rates following abnormal infant hearing screening and improves knowledge of follow-up recommendations. This intervention has the potential to improve the timeliness of delivery of infant hearing healthcare; future research is needed to assess the cost and feasibility of larger scale implementation. Level of Evidence: 1b. Laryngoscope, 127:S1–S13, 2017.

Original languageEnglish
Pages (from-to)S1-S13
JournalLaryngoscope
Volume127
DOIs
StatePublished - Nov 2017

Bibliographical note

Publisher Copyright:
© 2017 The American Laryngological, Rhinological and Otological Society, Inc.

Keywords

  • Patient navigation
  • congenital hearing loss
  • early hearing detection and intervention
  • randomized controlled clinical trial

ASJC Scopus subject areas

  • Otorhinolaryngology

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