Figure 1. Newborn Hearing Screening Analytic Framework

Notes:
*Early intervention: Hearing aids or other amplification, American Sign Language and/or English instruction, speech & language therapy, family education & support.
Numbers refer to key questions (KQ) as follows: (1a) Can UNHS accurately diagnose moderate-to-profound
sensorineural hearing impairment? (1b) In UNHS programs, how many children are identified and treated before 6
months? (2) Does identification and treatment prior to 6 months improve language and communication? (3) What are the
potential adverse effects of screening and early treatment?
ABR indicates auditory brainstem response; OAE, Otoacoustic emissions.
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