ABSTRACT There is a strong association between access to early intervention (EI) services by 6 months of age and improved speech and language outcomes for children with permanent hearing loss (PHL). This study identified factors impacting on age of engagement and timing of engagement in EI services by families of 377 children with PHL. This retrospective cohort study included a group of children diagnosed with PHL born between 2011 and 2013 in Brisbane, Australia. The study investigated the association of demographic, social and diagnostic characteristics of children with age of engagement and timing of engagement in EI services. Factors significantly associated with later age of engagement, longer time between diagnosis and engagement, and no engagement with EI services included premature birth, unilateral hearing loss, mild hearing loss and not using a hearing aid. This study provided evidence for the efficacy of tailored support for families to achieve the best possible communication outcomes for their children with PHL.

中文翻译：

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永久性听力损失儿童参与早期干预服务的障碍

摘要 在 6 个月大时获得早期干预 (EI) 服务与改善永久性听力损失 (PHL) 儿童的言语和语言结果之间存在很强的关联。本研究确定了影响 377 名 PHL 儿童家庭参与 EI 服务的年龄和时间的因素。这项回顾性队列研究包括一组 2011 年至 2013 年在澳大利亚布里斯班出生的被诊断患有 PHL 的儿童。该研究调查了儿童的人口统计、社会和诊断特征与参与年龄和参与 EI 服务时间的关联。与较晚的参与年龄、诊断和参与之间的较长时间以及不参与 EI 服务显着相关的因素包括早产、单侧听力损失、轻度听力损失和不使用助听器。这项研究为家庭定制支持的有效性提供了证据，以实现他们的 PHL 儿童的最佳沟通结果。