{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:03:09Z","timestamp":1790247789356,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Early identification of pediatric hearing loss is crucial for development. Only 44.5% of deaf and hard\u2010of\u2010hearing (DHH) children are enrolled in early intervention by the recommended age of 6 months. This study evaluated the impact of a patient navigator on time to intervention for pediatric hearing loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Pre\u2010post cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary children's hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We compared a prospective cohort of newly\u2010identified DHH children who received the Patient Navigator Intervention to a retrospective preintervention cohort. Study endpoints included time to (1) Enrollment in Part C Early Intervention (education intervention); (2) Medical clearance for amplification; (3) Hearing aid fitting or cochlear implant activation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      76 newly\u2010identified DHH children received the Patient Navigator Intervention and 47 children did not. Children who received the intervention had a significantly shorter time to Early Intervention enrollment (36 vs 77 days,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.011) and medical clearance for amplification (18 vs 53 days,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.001). This remained significant after controlling for hearing loss severity and neighborhood disadvantage. There was no difference in time to medical intervention. Race, household language, or health insurance were not associated with delays. The intervention was associated with a higher proportion who received timely medical clearance (55.0% vs 81.8%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.003) and enrollment in Early Intervention (57.1% vs 82.9%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.013).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A patient navigator significantly decreased the time from hearing loss identification to educational intervention and medical clearance. Additionally, the intervention increased the proportion who achieved Early Intervention services in accordance with nationally recognized Early Hearing Detection and Intervention quality milestones.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.1369","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T06:20:15Z","timestamp":1754374815000},"page":"1254-1263","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of Patient Navigation on Time to Intervention for Deaf and Hard\u2010of\u2010Hearing Children"],"prefix":"10.1002","volume":"173","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5860-6097","authenticated-orcid":false,"given":"Michael M.","family":"Lindeborg","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of California San Francisco USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendyl","family":"Naugle","sequence":"additional","affiliation":[{"name":"School of Medicine University of California San Diego USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle A.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of California San Francisco USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inderpreet K.","family":"Khalsa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihyun R.","family":"Stephans","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of California San Francisco USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Coulthurst","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of California San Francisco USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Kearns","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of California San Francisco USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan K.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of California San Francisco USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"CDC.Information About EHDI State Programs [Internet]. Centers for Disease Control and Prevention; 2021.https:\/\/www.cdc.gov\/ncbddd\/hearingloss\/ehdi-programs.html"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.102.5.1161"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2333"},{"key":"e_1_2_8_5_1","unstructured":"Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs: The Joint Committee on Infant Hearing; 2019."},{"key":"e_1_2_8_6_1","unstructured":"The IDEA Part C and Early Learning\/Early Childhood [Internet]. Individuals with Disabilities Education Act.https:\/\/sites.ed.gov\/idea\/early-learning-early-childhood\/"},{"key":"e_1_2_8_7_1","unstructured":"CDC. 2020 Annual Data Early Hearing Detection and Intervention Program [Internet]. Centers for Disease Control and Prevention; 2022.https:\/\/www.cdc.gov\/ncbddd\/hearingloss\/ehdi-data2020.html"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.517"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.574"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001534"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.322"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.07.041"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-3540"},{"key":"e_1_2_8_14_1","unstructured":"American Speech\u2010Language\u2010Hearing Association.Loss to Follow\u2010Up in Early Hearing Detection and Intervention: Technical Report. [Internet]; 2008.https:\/\/idph.iowa.gov\/Portals\/1\/Files\/EHDI\/8%20-%20Loss%20to%20Follow-Up.pdf"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1353\/aad.2012.0244"},{"key":"e_1_2_8_16_1","unstructured":"CDC\/ATSDR Social Vulnerability Index (CDC\/ATSDR SVI) [Internet]. 2024.https:\/\/www.atsdr.cdc.gov\/placeandhealth\/svi\/index.html."},{"key":"e_1_2_8_17_1","unstructured":"United States: National Archives and Records Administration: Office of the Federal Register. An act to amend the Public Health Service Act to reauthorize a program for early detection diagnosis and treatment regarding deaf and hard\u2010of\u2010hearing newborns infants and young children. [Internet]; 2017.https:\/\/www.govinfo.gov\/app\/details\/PLAW-115publ71."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc1820"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182040c22"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-024-02429-6"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1768696"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.4251\/wjgo.v16.i5.1683"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2024.05.031"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2023.0459"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248399241245059"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2022.103924"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-22-00024"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35147"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jctube.2024.100446"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2023.8145"},{"issue":"7","key":"e_1_2_8_31_1","first-page":"S1","article-title":"Promotion of early pediatric hearing detection through patient navigation: a randomized controlled clinical trial","volume":"127","author":"Bush ML","year":"2017","journal-title":"Laryngoscope"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-054548"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-015-0086-1"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/21501319221134754"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24603"},{"issue":"3","key":"e_1_2_8_36_1","first-page":"57","article-title":"Economic costs associated with mental retardation, cerebral palsy, hearing loss, and vision impairment\u2010\u2010United States, 2003","volume":"53","author":"Centers for Disease Control and Prevention (CDC)","year":"2004","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.33441"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.1123"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-024-01258-7"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.1369","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ohn.1369","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.1369","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:14:32Z","timestamp":1790244872000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.1369"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,4]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/ohn.1369"],"URL":"https:\/\/doi.org\/10.1002\/ohn.1369","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,4]]},"assertion":[{"value":"2025-02-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}