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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Main Authors: Daniel Holzinger, Johannes Hofer, Magdalena Dall, Johannes Fellinger
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/6/1548
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author Daniel Holzinger
Johannes Hofer
Magdalena Dall
Johannes Fellinger
author_facet Daniel Holzinger
Johannes Hofer
Magdalena Dall
Johannes Fellinger
author_sort Daniel Holzinger
collection DOAJ
description 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.
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spelling doaj.art-0ecc726e03764d6babd2951af36938632023-11-24T01:48:02ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01116154810.3390/jcm11061548Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual ModelDaniel Holzinger0Johannes Hofer1Magdalena Dall2Johannes Fellinger3Research Institute for Developmental Medicine, Johannes Kepler University Linz, 4020 Linz, AustriaResearch Institute for Developmental Medicine, Johannes Kepler University Linz, 4020 Linz, AustriaResearch Institute for Developmental Medicine, Johannes Kepler University Linz, 4020 Linz, AustriaResearch Institute for Developmental Medicine, Johannes Kepler University Linz, 4020 Linz, AustriaAt 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.https://www.mdpi.com/2077-0383/11/6/1548hearing lossdeafearly interventionfamily-centredconceptual modelworking mechanism
spellingShingle Daniel Holzinger
Johannes Hofer
Magdalena Dall
Johannes Fellinger
Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual Model
Journal of Clinical Medicine
hearing loss
deaf
early intervention
family-centred
conceptual model
working mechanism
title Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual Model
title_full Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual Model
title_fullStr Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual Model
title_full_unstemmed Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual Model
title_short Multidimensional Family-Centred Early Intervention in Children with Hearing Loss: A Conceptual Model
title_sort multidimensional family centred early intervention in children with hearing loss a conceptual model
topic hearing loss
deaf
early intervention
family-centred
conceptual model
working mechanism
url https://www.mdpi.com/2077-0383/11/6/1548
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AT johanneshofer multidimensionalfamilycentredearlyinterventioninchildrenwithhearinglossaconceptualmodel
AT magdalenadall multidimensionalfamilycentredearlyinterventioninchildrenwithhearinglossaconceptualmodel
AT johannesfellinger multidimensionalfamilycentredearlyinterventioninchildrenwithhearinglossaconceptualmodel