All Waking Hours: Strategies for Caregivers. Michelle Graham, MS, CED, LSLS Cert. AVEd Lauren Bauer, MSDE, CED

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1 All Waking Hours: Strategies for Caregivers Michelle Graham, MS, CED, LSLS Cert. AVEd Lauren Bauer, MSDE, CED

2 Objectives Participants will gain an understanding of the importance of daily device usage Participants will examine case studies utilizing the coaching model and adult learning theory Participants will acquire strategies to increase device wear-time

3

4 Optimal benefit from amplification may only be achieved with consistentand appropriate hearing aid use. -Moeller, et. al 2009

5 The National Sleep Foundation: Sleep Duration Recommendations February 2015 Newborns: hours Infants: hours Toddlers: hours Preschoolers: hours SJI Copyright 2015

6 What quantifies all waking hours? Newborn: 7-10 hours Infant: 9-12 hours Toddler: hours Pre-K: hours

7 In an average 14-hour waking day, a child spoken to 50times per hour will hear 700utterances, a child spoken to 800 times per hour will hear more than 11,000.. In a year that equates to exposure to 250 thousand versus 4 million utterances -Hart & Risely, 1995

8 Trials and Tribulations Car rides Forget Not enough time between activities Difficulty with acceptance Fear that they will get ruined Tired Sick Resistance Removal Various Caregivers

9 Conventional Accessories Ear gear Hanna Andersson Caps SafeNSound Sticky wrap/wig tape Critter clips Huggie aids Hearing aid sweatband

10 Children need access to the full range of speech sounds during all waking hours, making daily hearing aid management a fundamental component for effective intervention -Munoz, Preston, Hicken 2014

11 Provider Behavior/Skill Family Behavior/Skill Child Outcomes

12 Coaching and Adult Learning Theory Active Involvement Real-Life experiences Relevant and Applicable Practice Driven Reflection

13 Case study Bilateral moderate hearing loss Fit with hearing aids at 8 months of age February (Fit) August October November January

14 Case study Bilateral moderate to severe hearing loss Fit with hearing aids at 2 months of age August October December February April June August October May

15 Questions, Comments, or Ideas! Michelle Graham, MS CED LSLS Cert. AVEd Listening and Spoken Language Specialist St. Joseph Institute for the Deaf SJI Copyright 2015

16 Anderson K, J Madell. Improving hearing and hearing aid retention for infants and young children. Hearing Review. 2014;21(2): Bagatto, M. et al (2011). A critical review of audiological outcome measures for infants and children. Trends in Amplification 25 August Elder, T. & Neumann, S. (2013, September. A year in the life early cochlear implantation. Hearts for Hearing. Lecture conducted from Oklahoma City, Oklahoma. Goldberg, D. (2013, October). Identifying and managing pediatric hearing loss. AG Bell. Lecture conducted from College of Wooster. Jones, C. & Launer, S. (2010). Pediatric Fittings in 2010: The sound foundations cuper project. A sound foundation through early amplification National Sleep Foundation (2015). Expert Panel Recommends New Sleep Durations. Sleep Health: The Official Journal of the National Sleep Foundation. Moeller, M.P., Hoover, B., Peterson, B., & Stelmachowiz, P. (2009). Consistency of hearing aid use in infants with early identified hearing loss. American Journal of Audiology, 18(1), Mueller, H.G. (2007). Data logging: It s popular, but how can this feature be used to help patients? The Hearing Journal, 60(10), Raab, M.,Dunst,C.J., Trivette,C. M., (2010) Adult learning process for promoting caregiver adoption of everyday child language learning practices: Revised and updated, Practically Speaking 1, (2).1-8. Sherma, A., & Campbell, J. (2011). A sensitive period for cochlear implantation in deaf children. The Journal of Maternal-Fetal and Neonatal Medicine 24(1), Tharpe, A.M. (2014, January). Current issues in pediatric audiology. Vanderbilt s online journal club. Lecture conducted on Audiology Online. Walker, E., Spratford, M., Moeller, M.P., Oleson, J., Ou, H., Roush, P., & Jacobs, S. (2013). Predictors of hearing aid use time in children with mild-to-severe hearing loss. Language, Speech, and Hearing Services in Schools, (44), Yoshinaga-Itano, C., Sedey, A., Coulter, D., & Mehl, A. (1999). Language of Early-and-Later-identified children with Hearing Loss. Pediatrics 102(5),

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