{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:34:18Z","timestamp":1761006858613,"version":"build-2065373602"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T00:00:00Z","timestamp":1739750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the efficacy and feasibility of a Utah Department of Health and Human Services (DHHS) program providing telehealth auditory brainstem response (tele\u2010ABR) testing to rural families in order to reduce disparities in hearing loss (HL) diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>In\u2010person ABRs were conducted at Primary Children's Hospital in Salt Lake City, UT. Tele\u2010ABRs were conducted at the DHSS satellite site in Roosevelt, UT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Outcomes measured included demographics, age at testing, and distance traveled. <jats:italic>t<\/jats:italic>\u2010Tests and <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> tests were used to compare in\u2010person and tele\u2010ABR groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 125 infants who failed the NBHS, 66 (52.8%) underwent tele\u2010ABR. Tele\u2010ABR participants were more likely to be American Indian (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05). Distance traveled was lower for the tele\u2010ABR group: 13.1 miles vs. 102.8 miles (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Age at testing was earlier for the in\u2010person group (35.7 vs 47.2 days, <jats:italic>P<\/jats:italic>\u2009=\u2009.04), but there was no difference in adherence to the Early Hearing Detection and Intervention (EHDI) guideline of testing within 3 months (<jats:italic>P<\/jats:italic>\u2009=\u2009.19).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Tele\u2010ABR participants benefited from shorter travel distances compared to in\u2010person participants while still receiving timely diagnosis. Given that the tele\u2010ABR group included more American Indians, this approach may enable evaluation of an underserved population. Tele\u2010ABR is a viable diagnostic tool to reduce barriers to timely testing.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.1171","type":"journal-article","created":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T08:54:26Z","timestamp":1739782466000},"page":"1761-1767","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Feasibility of Tele\u2010Audiology in Rural Communities to Reduce Care Disparities for At\u2010Risk Newborns"],"prefix":"10.1002","volume":"172","author":[{"given":"Eliza","family":"Broadbent","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maeher","family":"Grewal","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zach","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon","family":"Wnek","sequence":"additional","affiliation":[{"name":"Utah Department of Health and Human Services Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie Browning","family":"McVicar","sequence":"additional","affiliation":[{"name":"Utah Department of Health and Human Services Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Sidesinger","sequence":"additional","affiliation":[{"name":"Utah Department of Health and Human Services Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamella","family":"Black","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marissa","family":"Diener","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9089-3014","authenticated-orcid":false,"given":"Albert H.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah School of Medicine Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,17]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Centers for Disease Control and Prevention. 2019 summary of national CDC EHDI data. August 2023. Accessed December 11 2024.https:\/\/www.cdc.gov\/ncbddd\/hearingloss\/2019-data\/01-data-summary.html"},{"issue":"12","key":"e_1_2_8_3_1","first-page":"10","article-title":"Improved health and development of children who are deaf and hard of hearing following early intervention","volume":"37","author":"Hayes D","year":"2008","journal-title":"Ann Acad Med Singapore"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2014.11.005"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000219"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.3.e43"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.102.5.1161"},{"key":"e_1_2_8_8_1","first-page":"9","article-title":"The effects of hearing status of the family and age of intervention on receptive and expressive oral language skills in hearing\u2010impaired infants","volume":"26","author":"White SJ","year":"1987","journal-title":"ASHA Monogr"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/03005369509076750"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1083710"},{"key":"e_1_2_8_11_1","unstructured":"Economic Research Service. Rural definitions. September 2007. Accessed December 12 2024.https:\/\/www.ers.usda.gov\/data-products\/rural-definitions\/"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000388"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.09.047"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6911a6"},{"key":"e_1_2_8_15_1","unstructured":"Economic Research Service. American Indians remain disproportionally rural. December 2014. Accessed December 12 2024.https:\/\/www.ers.usda.gov\/data-products\/chart-gallery\/gallery\/chart-detail\/?chartId=77893"},{"key":"e_1_2_8_16_1","unstructured":"United States Census Bureau. Utah was the fastest\u2010growing state from 2010 to 2020. August 2021. Accessed December 12 2024.https:\/\/www.census.gov\/library\/stories\/state-by-state\/utah-population-change-between-census-decade.html"},{"key":"e_1_2_8_17_1","unstructured":"US Department of Health and Human Services. Overview of the state\u2014Utah\u20142021. Accessed December 12 2024.https:\/\/mchb.tvisdata.hrsa.gov\/Narratives\/Overview\/b659aee2-3530-4e9f-ba55-07f91d6cf75f"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41996-021-00095-0"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2019.1584681"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2009.0111"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2007.070612"},{"issue":"1","key":"e_1_2_8_22_1","first-page":"e1","article-title":"Evaluating the feasibility of a tele\u2010diagnostic auditory brainstem response service in a rural context","volume":"71","author":"Sithi D","year":"2024","journal-title":"S Afr J Commun Disord"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.2877"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31829e83ad"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2021.788103"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102614"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.08.016"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0000000000001232"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2015.0001"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.07.028"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.1171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:31:36Z","timestamp":1760956296000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.1171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,17]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/ohn.1171"],"URL":"https:\/\/doi.org\/10.1002\/ohn.1171","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2025,2,17]]},"assertion":[{"value":"2024-10-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}