{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:13:44Z","timestamp":1788884024089,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T00:00:00Z","timestamp":1692057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Universal newborn hearing screening (UNHS) is effective in identifying newborns with possible hearing loss (HL). Outpatient follow-up for newborns referred after hospital-based screening remains a potential area of improvement. In this study, we evaluate the efficacy of a community health worker (CHW) intervention in promoting adherence to outpatient rescreening for newborns referred after initial UNHS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A mixed prospective-retrospective cohort study was performed to evaluate a CHW intervention at an academic medical center. Caregivers of referred newborns were contacted by CHWs prior to discharge and educated about HL and the importance of follow-up screening. The CHW outreach intervention was performed for 297 referred newborns between May 2020 and June 2021 and compared to a cohort of 238 newborns without the CHW intervention between March 2019 and June 2021. Statistical analyses were conducted using 2\u2009\u00d7\u20092 Chi-square tests, two-tailed unpaired t-tests, multinomial logistic regression, and multiple linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In the intervention group, 236 of 297 newborns (79.5%) completed their outpatient follow-up rescreening; in the comparison group, 170 of 238 newborns (71.4%) completed their follow-up rescreening ( P\u2009=\u2009.031, OR\u2009=\u20091.55 with regression P\u2009=\u2009.04). In the intervention group, the average time to follow-up was 13.4\u2009days versus 12.5\u2009days for the comparison group ( P\u2009=\u2009.449, multiple R\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009.02 with P\u2009=\u2009.78).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>CHW outreach intervention may increase adherence to outpatient follow-up rescreening for newborns referred after initial, hospital-based UNHS. Expansion of nursery teams to include CHWs may thus improve completion of recommended follow-up hearing screens.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894231191314","type":"journal-article","created":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T00:49:18Z","timestamp":1692146958000},"page":"129-135","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Community Health Worker Intervention for Newborns Not Passing Initial Universal Hearing Screening"],"prefix":"10.1177","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6833-5072","authenticated-orcid":false,"given":"Stephen","family":"Leong","sequence":"first","affiliation":[{"name":"Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristy","family":"Medina","sequence":"additional","affiliation":[{"name":"Division of Community and Population Health, NewYork-Presbyterian\/Columbia University Irving Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia J.","family":"Peretz","sequence":"additional","affiliation":[{"name":"Division of Community and Population Health, NewYork-Presbyterian\/Columbia University Irving Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria I.","family":"Olmeda-Jenkins","sequence":"additional","affiliation":[{"name":"Early Hearing Detection & Intervention, NewYork-Presbyterian\/Columbia University Irving Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Oliver","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head & Neck Surgery, NewYork-Presbyterian\/Columbia University Irving Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Kuhlmey","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head & Neck Surgery, NewYork-Presbyterian\/Columbia University Irving Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8039-2520","authenticated-orcid":false,"given":"Stacey A.","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head & Neck Surgery, NewYork-Presbyterian\/Columbia University Irving Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fajah","family":"Ferrer","sequence":"additional","affiliation":[{"name":"Northern Manhattan Perinatal Partnership, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luz Adriana","family":"Matiz","sequence":"additional","affiliation":[{"name":"Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil K.","family":"Lalwani","sequence":"additional","affiliation":[{"name":"Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA"},{"name":"Department of Otolaryngology\u2014Head & Neck Surgery, NewYork-Presbyterian\/Columbia University Irving Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,15]]},"reference":[{"key":"bibr1-00034894231191314","unstructured":"Centers for Disease Control and Prevention (CDC). 2019 Hearing screening summaryCenters for Disease Control and Prevention. 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