INS NYC 2024 Program

Poster	Poster Session 11 Program Schedule 02/17/2024 10:45 am - 12:00 pm Room: Shubert Complex (Posters 1-60) Poster Session 11: Cultural Neuropsychology \| Education/Training \| Professional Practice Issues Final Abstract #38 Profiles of Parent Ratings on the BASC-3 and BRIEF-2 in Deaf/Hard of Hearing Children: Impact of Laterality of Hearing Loss and Opportunity Level Amber Graham, Department of Psychiatry, Boston Children's Hospital, Boston, United States Megan Herlihy, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, United States Samantha Hasenbalg, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, United States Rachel Cozzens, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, United States Emily Taketa, School of Medicine, University of California San Francisco, San Francisco, United States Hae-Young Kim, Biostatistics and Research Design Center, Institutional Centers for Clinical and Translation Research, Boston Children's Hospital, Boston, United States Matthew Fasano-McCarron, Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, United States Peter Isquith, Department of Psychiatry, Harvard Medical School, Boston, United States Rachel Landsman, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, United States Category: Inclusion and Diversity/Multiculturalism Keyword 1: executive functions Keyword 2: assessment Keyword 3: anxiety Objective: Contextual factors have major implications for identifying and managing hearing loss (HL; Vasconcellos et al., 2014; Kingsbury et al., 2022). Families of deaf/hard of hearing (DHH) children are more likely to live below the poverty line, utilize public health insurance, live in single parent households, report poorer health status, and use health services with less frequency (Boss et al., 2011). Additionally, treatment, such as cochlear implantation, is more likely delayed due to sociodemographic factors (Liao et al., 2023). Laterality of HL also plays an important role. Children with unilateral hearing loss (UHL) are often identified later than those with bilateral hearing loss (BHL) though both are at high risk for cognitive, language, communication, and social/emotional difficulties (Rohlfs et al., 2017). Yet few studies examined the impact of individual and contextual factors simultaneously on outcomes. The current study examined the impact of hearing laterality (UHL vs BHL) and contextual factors (childhood opportunity level) on social, emotional, and executive functioning in a diverse clinical sample of DHH children. Participants and Methods: 89 DHH children (M_age = 10.40 years, 51.7% Male; 74.1% White) whose parent(s) completed rating scales of social-emotional and adaptive functioning (BASC-3) and executive functioning (BRIEF-2) as part on an outpatient neuropsychological evaluation were included in the study. All participants were part of a larger, ongoing prospective database of children evaluated through a Deaf and Hard of Hearing Program within an academic medical center. Hearing laterality was determined via audiologic exam. Environmental opportunity was assessed via the Childhood Opportunity Index (COI; Noelke et al., 2020). Two participants (2.25%) were classified as UHL and Low/Very Low COI (UL), 13 (14.61%) BHL and Low/Very Low COI (BL), 3 (3.37%) as UHL and Moderate COI (UM), 9 (10.11%) as BHL and Moderate COI (BM), 16 (17.98%) as UHL and High/Very High COI (UH), and 46 (51.69%) as BHL and High/Very High COI (BH). Profiles were examined via repeated measures ANOVA. Results: Analyses indicated no statistically significant group effects for COI and HL laterality on BASC-3 subscales (F(85, 1406) = 1.09, p = 0.28); however, there was a trend towards higher ratings of Anxiety for children in the UL and UM groups compared to children in other groups (p = .06), with mean scores in the At-Risk range. There was also a trend for children in the UL group to be rated as more impaired than the UM group on the BRIEF-2 Shift and Working Memory scales (F(60,864) = 1.31, p = 0.06). Conclusions: Results highlight the importance of examining both individual and contextual factors in evaluating social, emotional, and executive functioning outcomes in DHH children. Although there were few children in some groups, these findings suggest it is important to evaluate and support children with UHL and DHH children with fewer resources. Future studies utilizing larger samples are needed to fully elucidate these findings and better understand the relationship between HL and contextual factors.

Poster

02/17/2024
10:45 am - 12:00 pm
Room: Shubert Complex (Posters 1-60)

Poster Session 11: Cultural Neuropsychology | Education/Training | Professional Practice Issues

Final Abstract #38

Profiles of Parent Ratings on the BASC-3 and BRIEF-2 in Deaf/Hard of Hearing Children: Impact of Laterality of Hearing Loss and Opportunity Level

Amber Graham, Department of Psychiatry, Boston Children's Hospital, Boston, United States
Megan Herlihy, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, United States
Samantha Hasenbalg, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, United States
Rachel Cozzens, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, United States
Emily Taketa, School of Medicine, University of California San Francisco, San Francisco, United States
Hae-Young Kim, Biostatistics and Research Design Center, Institutional Centers for Clinical and Translation Research, Boston Children's Hospital, Boston, United States
Matthew Fasano-McCarron, Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, United States
Peter Isquith, Department of Psychiatry, Harvard Medical School, Boston, United States
Rachel Landsman, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, United States

Category: Inclusion and Diversity/Multiculturalism

Keyword 1: executive functions
Keyword 2: assessment
Keyword 3: anxiety

Objective:

Contextual factors have major implications for identifying and managing hearing loss (HL; Vasconcellos et al., 2014; Kingsbury et al., 2022). Families of deaf/hard of hearing (DHH) children are more likely to live below the poverty line, utilize public health insurance, live in single parent households, report poorer health status, and use health services with less frequency (Boss et al., 2011). Additionally, treatment, such as cochlear implantation, is more likely delayed due to sociodemographic factors (Liao et al., 2023). Laterality of HL also plays an important role. Children with unilateral hearing loss (UHL) are often identified later than those with bilateral hearing loss (BHL) though both are at high risk for cognitive, language, communication, and social/emotional difficulties (Rohlfs et al., 2017). Yet few studies examined the impact of individual and contextual factors simultaneously on outcomes. The current study examined the impact of hearing laterality (UHL vs BHL) and contextual factors (childhood opportunity level) on social, emotional, and executive functioning in a diverse clinical sample of DHH children.

Participants and Methods:

89 DHH children (M_age = 10.40 years, 51.7% Male; 74.1% White) whose parent(s) completed rating scales of social-emotional and adaptive functioning (BASC-3) and executive functioning (BRIEF-2) as part on an outpatient neuropsychological evaluation were included in the study. All participants were part of a larger, ongoing prospective database of children evaluated through a Deaf and Hard of Hearing Program within an academic medical center. Hearing laterality was determined via audiologic exam. Environmental opportunity was assessed via the Childhood Opportunity Index (COI; Noelke et al., 2020). Two participants (2.25%) were classified as UHL and Low/Very Low COI (UL), 13 (14.61%) BHL and Low/Very Low COI (BL), 3 (3.37%) as UHL and Moderate COI (UM), 9 (10.11%) as BHL and Moderate COI (BM), 16 (17.98%) as UHL and High/Very High COI (UH), and 46 (51.69%) as BHL and High/Very High COI (BH). Profiles were examined via repeated measures ANOVA.

Results:

Analyses indicated no statistically significant group effects for COI and HL laterality on BASC-3 subscales (F(85, 1406) = 1.09, p = 0.28); however, there was a trend towards higher ratings of Anxiety for children in the UL and UM groups compared to children in other groups (p = .06), with mean scores in the At-Risk range. There was also a trend for children in the UL group to be rated as more impaired than the UM group on the BRIEF-2 Shift and Working Memory scales (F(60,864) = 1.31, p = 0.06).

Conclusions:

Results highlight the importance of examining both individual and contextual factors in evaluating social, emotional, and executive functioning outcomes in DHH children. Although there were few children in some groups, these findings suggest it is important to evaluate and support children with UHL and DHH children with fewer resources. Future studies utilizing larger samples are needed to fully elucidate these findings and better understand the relationship between HL and contextual factors.