title: Hearing devices for children with unilateral hearing loss: Patient- and parent-reported perspectives.
abstract: OBJECTIVE
  Management of children with unilateral hearing loss is not standardized. The primary goal of this study was to elicit patient- and parent-reported perspectives regarding usage of hearing devices in pediatric UHL and to suggest a basic algorithmic approach to management.
  
  
  METHODS
  Our tertiary care center recruited families of youth ages 5-19 years with unilateral hearing loss from January 2014 through October 2015. Parents of all youths completed a 36-item survey, and some youth ages 11-19 years participated in hour-long interviews. We assessed patterns of hearing device usage among participants, and performed qualitative data analysis to understand factors considered by youths when deciding whether or not to use a hearing device.
  
  
  RESULTS
  Survey information was collected for 50 patients. Distribution of hearing loss severity in affected ear was mild 14%, moderate 26%, severe 22%, and profound 38%. The majority of children had sensorineural hearing loss (57%), followed by mixed (32%), and then conductive (11%). 34 children (68%) had tried a hearing device; 20 continued to use the device. Retention rates were similar among children with different degrees of hearing loss: mild 66%, moderate 50%, severe 60%, profound 64%. Sixteen children tried a wireless contralateral routing of signal (CROS) device, and 15 tried a behind-the-ear (BTE) hearing aid. Retention rates for CROS and BTE devices were 69% and 47%, respectively. The most common reason for cessation of use was discomfort, followed by lack of benefit.
  
  
  CONCLUSIONS
  A majority of children with unilateral hearing loss who tried a hearing device continued to use it, and retention rates were similar across all degrees of hearing loss. These findings suggest that personal hearing devices should be included in management protocols.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, WA, USA. Electronic address: plpurcel@uw.edu.
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Purcell
authors.affiliation: Division of Otolaryngology, Seattle Children's Hospital, Seattle WA, USA.
authors.forename: Rose
authors.initials: R
authors.lastname: Jones-Goodrich
authors.affiliation: Division of Audiology, Seattle Children's Hospital, Seattle, WA, USA.
authors.forename: Meghan
authors.initials: M
authors.lastname: Wisneski
authors.affiliation: Department of Health Services, University of Washington, Seattle, WA, USA.
authors.forename: Todd C
authors.initials: TC
authors.lastname: Edwards
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, WA, USA; Division of Otolaryngology, Seattle Children's Hospital, Seattle WA, USA.
authors.forename: Kathleen C Y
authors.initials: KC
authors.lastname: Sie
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D002675:Child, Preschool; D005260:Female; D006310:Hearing Aids; D006314:Hearing Loss, Conductive / Q000523:psychology / Q000534:rehabilitation*; D046089:Hearing Loss, Mixed Conductive-Sensorineural / Q000523:psychology / Q000534:rehabilitation; D006319:Hearing Loss, Sensorineural / Q000523:psychology / Q000534:rehabilitation*; D046088:Hearing Loss, Unilateral / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D010290:Parents; D010349:Patient Compliance; D036301:Qualitative Research; D012720:Severity of Illness Index; D013067:Speech Perception; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Amplification; Hearing device; Unilateral hearing loss