Eliza Broadbent, Maeher Grewal, Zach Hansen, Shi Liang, Shannon Wnek, Stephanie Browning McVicar, Max Sidesinger, Pamella Black, Marissa Diener, Albert H Park
{"title":"探讨远程听力学在农村社区降低高危新生儿护理差距的可行性。","authors":"Eliza Broadbent, Maeher Grewal, Zach Hansen, Shi Liang, Shannon Wnek, Stephanie Browning McVicar, Max Sidesinger, Pamella Black, Marissa Diener, Albert H Park","doi":"10.1002/ohn.1171","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and feasibility of a Utah Department of Health and Human Services (DHHS) program providing telehealth auditory brainstem response (tele-ABR) testing to rural families in order to reduce disparities in hearing loss (HL) diagnosis.</p><p><strong>Study design: </strong>This was a retrospective analysis of infants born at the Uintah Basin Medical Center from 2006 to 2021 who failed the newborn hearing screen (NBHS) and underwent ABR.</p><p><strong>Setting: </strong>In-person ABRs were conducted at Primary Children's Hospital in Salt Lake City, UT. Tele-ABRs were conducted at the DHSS satellite site in Roosevelt, UT.</p><p><strong>Methods: </strong>Outcomes measured included demographics, age at testing, and distance traveled. t-Tests and χ<sup>2</sup> tests were used to compare in-person and tele-ABR groups.</p><p><strong>Results: </strong>Of 125 infants who failed the NBHS, 66 (52.8%) underwent tele-ABR. Tele-ABR participants were more likely to be American Indian (P < .05). Distance traveled was lower for the tele-ABR group: 13.1 miles vs. 102.8 miles (P < .001). Age at testing was earlier for the in-person group (35.7 vs 47.2 days, P = .04), but there was no difference in adherence to the Early Hearing Detection and Intervention (EHDI) guideline of testing within 3 months (P = .19).</p><p><strong>Conclusion: </strong>Tele-ABR participants benefited from shorter travel distances compared to in-person participants while still receiving timely diagnosis. Given that the tele-ABR group included more American Indians, this approach may enable evaluation of an underserved population. Tele-ABR is a viable diagnostic tool to reduce barriers to timely testing.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1761-1767"},"PeriodicalIF":2.6000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring the Feasibility of Tele-Audiology in Rural Communities to Reduce Care Disparities for At-Risk Newborns.\",\"authors\":\"Eliza Broadbent, Maeher Grewal, Zach Hansen, Shi Liang, Shannon Wnek, Stephanie Browning McVicar, Max Sidesinger, Pamella Black, Marissa Diener, Albert H Park\",\"doi\":\"10.1002/ohn.1171\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the efficacy and feasibility of a Utah Department of Health and Human Services (DHHS) program providing telehealth auditory brainstem response (tele-ABR) testing to rural families in order to reduce disparities in hearing loss (HL) diagnosis.</p><p><strong>Study design: </strong>This was a retrospective analysis of infants born at the Uintah Basin Medical Center from 2006 to 2021 who failed the newborn hearing screen (NBHS) and underwent ABR.</p><p><strong>Setting: </strong>In-person ABRs were conducted at Primary Children's Hospital in Salt Lake City, UT. Tele-ABRs were conducted at the DHSS satellite site in Roosevelt, UT.</p><p><strong>Methods: </strong>Outcomes measured included demographics, age at testing, and distance traveled. t-Tests and χ<sup>2</sup> tests were used to compare in-person and tele-ABR groups.</p><p><strong>Results: </strong>Of 125 infants who failed the NBHS, 66 (52.8%) underwent tele-ABR. Tele-ABR participants were more likely to be American Indian (P < .05). Distance traveled was lower for the tele-ABR group: 13.1 miles vs. 102.8 miles (P < .001). Age at testing was earlier for the in-person group (35.7 vs 47.2 days, P = .04), but there was no difference in adherence to the Early Hearing Detection and Intervention (EHDI) guideline of testing within 3 months (P = .19).</p><p><strong>Conclusion: </strong>Tele-ABR participants benefited from shorter travel distances compared to in-person participants while still receiving timely diagnosis. Given that the tele-ABR group included more American Indians, this approach may enable evaluation of an underserved population. Tele-ABR is a viable diagnostic tool to reduce barriers to timely testing.</p>\",\"PeriodicalId\":19707,\"journal\":{\"name\":\"Otolaryngology- Head and Neck Surgery\",\"volume\":\" \",\"pages\":\"1761-1767\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Otolaryngology- Head and Neck Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/ohn.1171\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/17 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otolaryngology- Head and Neck Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ohn.1171","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/17 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Exploring the Feasibility of Tele-Audiology in Rural Communities to Reduce Care Disparities for At-Risk Newborns.
Objective: To evaluate the efficacy and feasibility of a Utah Department of Health and Human Services (DHHS) program providing telehealth auditory brainstem response (tele-ABR) testing to rural families in order to reduce disparities in hearing loss (HL) diagnosis.
Study design: This was a retrospective analysis of infants born at the Uintah Basin Medical Center from 2006 to 2021 who failed the newborn hearing screen (NBHS) and underwent ABR.
Setting: In-person ABRs were conducted at Primary Children's Hospital in Salt Lake City, UT. Tele-ABRs were conducted at the DHSS satellite site in Roosevelt, UT.
Methods: Outcomes measured included demographics, age at testing, and distance traveled. t-Tests and χ2 tests were used to compare in-person and tele-ABR groups.
Results: Of 125 infants who failed the NBHS, 66 (52.8%) underwent tele-ABR. Tele-ABR participants were more likely to be American Indian (P < .05). Distance traveled was lower for the tele-ABR group: 13.1 miles vs. 102.8 miles (P < .001). Age at testing was earlier for the in-person group (35.7 vs 47.2 days, P = .04), but there was no difference in adherence to the Early Hearing Detection and Intervention (EHDI) guideline of testing within 3 months (P = .19).
Conclusion: Tele-ABR participants benefited from shorter travel distances compared to in-person participants while still receiving timely diagnosis. Given that the tele-ABR group included more American Indians, this approach may enable evaluation of an underserved population. Tele-ABR is a viable diagnostic tool to reduce barriers to timely testing.
期刊介绍：
Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.
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