Kindergarten Readiness in Children Who Are Deaf or Hard of Hearing Who Received Early Intervention
| Autor: | Jareen Meinzen-Derr, Susan Wiley, Georgina Peacock, Mekibib Altaye, Marcus Gaffney, Alonzo T. Folger, Ashley Satterfield-Nash, Wendy Grove, Coleen A. Boyle |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Hearing loss education Deafness Logistic regression Language Development Article Early Medical Intervention Intervention (counseling) Academic Performance Humans Medicine Correction of Hearing Impairment Early childhood Child Hearing Disorders Ohio business.industry Age Factors Infant Odds ratio Confidence interval Language development Child Preschool Pediatrics Perinatology and Child Health Cohort Female medicine.symptom business Demography |
| Zdroj: | Pediatrics |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.2020-0557 |
| Popis: | BACKGROUND: Children who are deaf or hard of hearing (D/HH) have improved language outcomes when enrolled in early intervention (EI) before the age of 6 months. Little is understood about the long-term impact of EI on outcomes of kindergarten readiness (K-readiness). The study objective was to evaluate the impact of EI before the age of 6 months (early) versus after 6 months (later) on K-readiness in children who are D/HH. METHODS: In this study, we leveraged data from the Ohio Early Hearing Detection and Intervention Data Linkage Project, which linked records of 1746 infants identified with permanent hearing loss born from 2008 to 2014 across 3 Ohio state agencies; 417 had kindergarten records. The Kindergarten Readiness Assessment was used to identify children as ready for kindergarten; 385 had Kindergarten Readiness Assessment scores available. Multiple logistic regression was used to investigate the relationship between K-readiness and early EI entry while controlling for confounders (eg, hearing loss severity and disability status). RESULTS: Children who were D/HH and entered EI early (n = 222; 57.7% of the cohort) were more likely to demonstrate K-readiness compared with children who entered EI later (33.8% vs 20.9%; P = .005). Children who entered early had similar levels of K-readiness as all Ohio students (39.9%). After controlling for confounders, children who entered EI early were more likely to be ready for kindergarten compared with children who entered later (odds ratio: 2.02; 95% confidence interval 1.18–3.45). CONCLUSIONS: These findings support the sustained effects of early EI services on early educational outcomes among children who are D/HH. EI entry before the age of 6 months may establish healthy trajectories of early childhood development, reducing the risk for later academic struggles. |
| Databáze: | OpenAIRE |
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