Limited feasibility and efficiency of newborn hearing screening due to suboptimal examination conditions (e.g. awake or restless infant), which may lead to prolonged examination time or the need for repeat testing.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Infants presenting for their first newborn hearing screening at the clinic and their legal guardians. Written informed consent from parents. Sufficient ability to communicate with the parents (with interpreter if necessary).
Exclusion criteria
Exclusion criteria: Severe underlying conditions of the infant (e.g. epilepsy as a contraindication for sleep deprivation, tracheostomy, active malignancy), acute infection on the day of examination, absence of a legal guardian able to provide consent, inability to communicate even with an interpreter, known familial hearing impairment with non-verbal communication, or technical issues preventing measurement.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| WHAT: Successful completion of newborn hearing screening at the first appointment, defined as a fully evaluable measurement (OAE and AABR, supplemented by tympanometry if required) without interruption and without the need for immediate rescheduling. WHEN: Assessed on the day of examination during the initial appointment. HOW: Documented by the examiner using the standardized clinical measurement protocol. | — |
Secondary
| Measure | Time frame |
|---|---|
| Screening duration, time to fall asleep, sleep behavior and sleep duration of the child, need for melatonin administration, influencing factors affecting the examination (e.g. technical issues, noise, parental non-compliance), implementation of preparation instructions by parents, functional health literacy (HLS19-Q12), socioeconomic status (Winkler Index), and subjective parental language proficiency. Data are collected on the day of examination and partly during the preparatory telephone call and via standardized questionnaires. | — |
Countries
Germany
Contacts
Universitätsklinikum Frankfurt