Resource List: Keeping Hearing Aids on Young Children...

It's surely no surprise that keeping hearing aids (HA) and/or cochlear implant (CI) on little ones is a near impossible feat...

According to research reported by Anderson & Madell (2014), only about 10% of children achieve full time hearing aid wear (defined as 12 hours/day) & 40% of children wear their hearing aids 4 hours or less per day!! These numbers make me want to rip my hair out... if the kids aren't wearing their equipment, then they aren't hearing ... and if they aren't hearing then how will they ever to listen & speak? Figuring out how to keep the hearing equipment on little ones is an ongoing struggle and continues to be the #1 discussion that I have with caregivers.

The Anderson & Madell article linked above has some really awesome printable brochures for families that are full of fantastic ideas for how to keep hearing aids on children birth-kindergarten. Their list of retention ideas is also great -- they include parent ratings of different products & lots of detailed information about the development of listening skills from infancy through kindergarten age.

Below, I've compiled my own list of resources for products to help keep hearing aids on young children including commercially produced, handmade & DIY solutions ... in terms of ages, the effectiveness & appropriateness of the solutions listed will vary greatly from child to child - again see Anderson & Madell (2014) for a parent review of effectiveness & suggestions by age group. Now onto my list...

Most simply, there are four primary categories of 'hearing equipment retainers' for children:

1. Caps/Hats
2. Cords/Clips 
3. Headbands 
4. Adhesive/Tape

Caps & Hats
For very young children, one of the first suggestions frequently is a tight fitting 'pilot' cap style hat that covers the ears & hearing equipment and ties securely. This makes it more difficult for babies to pull their hearing aids out... but not impossible! Look for a tight fitting cap made of light weight material & strings long enough to tie securely.

Commercially Available Pilot Caps: 

Hannah Anderson 

Handmade Pilot Caps: 

Anchor Your Hearing on Etsy

Emmifaye Boutique on Etsy
Hearing Halo on Etsy 

LilCleo on Etsy

Lil'Nell's on Etsy

Silkawear.com

WhatAboutTheBoys on Etsy

DIY Options:

Fibers & Twigs Pattern on Etsy

Sew Liberated FREE pilot cap pattern

Sew Liberated FREE pixie hat pattern

Cords & Clips
This options is pretty simple -- a cord (i.e. string) of some sort attaches to the child's hearing equipment and then is secured to the child's clothing. If the equipment comes off, it doesn't go far!

Commercially Available Options: 

Ear Gear
Huggie Aids

Jr. Clip by Phonak

OtoClips by Westone

Handmade Options:

Angel Wear on Facebook

Bebop Shop on Etsy

DIY Options:

Dental Floss & Safety Pin

Sunglasses Holder & Safety Pin

Headbands
Headbands for behind-the-ear (BTE) hearing aid & CI's are specially designed with loops and/or pockets to hold the behind-the-ear portion - that is often too heavy for the tiny ears of an infant or toddler. Look for light weight materials and avoid covering the microphone area of the HA/CI.

Handmade Options 

Harry's Ears Headband on Etsy

Hearing Henry Headband

World Piece Elastic Headband on Etsy 

DIY Options 

Cochlear Loops DIY Headband 

Thin Elastic DIY Headband

Toupee/Wig & Medical  Tape 
Toupee/wig and medical tape are adhesives that are specially designed for use on the skin - but can potentially be irritating to sensitive skin. Toupee/wig tape (i.e. double sided tape) can be trimmed to size then placed on a BTE hearing aid or CI processor - on the side that rests against the head. Medical tape (i.e. single sided tape) can be placed over the earmold portion of the hearing aid - over the entire outer ear. Used alone, adhesive options are not especially reliable, but are a nice addition to other methods. (affiliate links below for your convenience)

Toupee/Wig Tape

Lace Fx A Curve Adhesive Strips

Roll Clear 3/4" Toupee Tape

Toupee Tape Non Glare 1"x3"

Medical Tape

Nexcare Clear Tape 3/4"

References: 
Anderson K, J Madell. Improving hearing and hearing aid retention for infants and young children. Hearing Review. 2014;21(2): 16-20.

In the News: Hearing Aids Improve Outcomes...

Well.... yeah! A recent study indicates that when children with hearing loss wear hearing aids, their speech & language abilities improve - seems kind of like a no-brainer, but it's a little piece of tangible evidence to support what many speech, language and hearing professionals have known for years. The more that kids wear their hearing aids, the better they do!

The study looked at a relatively small group of 180 three to five year old children with mild-moderate and moderate-severe hearing loss - the study did not include children in in the severe-profound range.  The researchers collected information on speech, language & articulation performance, hearing loss degree and hearing aid wear time. Two important facts were noted in their results:

1. Children who received the most benefit from their hearing aids showed higher speech & language scores. 
2. And, duration of hearing aid wear improved outcomes -- especially in children who received the most benefit from their hearing aids. 

These results provide a strong rationale for children with a mild hearing loss to receive & wear hearing aids - as they stand to benefit the most! For children with a moderate-severe hearing loss, it provides support to double & triple check hearing aid programing in order to ensure maximum gain - the more access to sound that these children receive from their hearing aids, the greater the potential long term outcomes!

Whether you're a parent or a teacher, the next time you hear (or think): 'He does fine without his hearing aids - why fight this battle?' remember this study! As a teacher who deals with this issue frequently, I often counter with my own question: How much better could he do if he could hear like you do?  

Check out the Reuters article for more information or the original article from the JAMA Otolaryngology - Head & Neck Surgery.


References: 
Doyle, K. (13 Apr. 2014). Hearing aids for kids could improve speech and language. Reuters Online. Retrieved from: http://www.reuters.com/article/2014/04/07/us-hearing-aids-idUSBREA361HJ20140407

Tomblin J, Oleson JJ, Ambrose SE, Walker E, Moeller M. (2014). The influence of hearing aids on the speech and language development of children with hearing loss. JAMA Otolaryngol Head Neck Surg. doi:10.1001/jamaoto.2014.267.

Baby Dolls & Hearing Aids {Peek @ the Week}

I finally got around to adding hearing aids to all of our classroom dolls...

Some of our dolls already had hearing equipment, but they needed a little fixing up and newer dolls needed devices added... 

It was mostly a simple process  - just a little fabric paint in the shape of a hearing aid and/or cochlear implant on the dolls' ear(s) left to dry overnight. And a piece of felt, some hot glue & some craft foam to make the BAHA hearing aid. The kids LOVE the addition & were completely amazed that the dolls are the same as they are!

Do your dolls have any adaptations to match your students?

Listen! I hear audiobooks...

Over the last couple of months, I've purchased quite a few audiobooks through our school's Scholastic book orders and have been trying to figure out how to best set up a listening center for my preschool students who have varying degrees of hearing loss AND different amplification devices. Some of the audiobooks have been pretty good, with music and/or sound effects that compliment the story while others, have been awful renditions! Here's what I came up with so far:

I dug out my old iPhone, cleared off the content & set it up with some of the audiobook mp3 files. Since it was an old iPhone 3, I was unable to upgrade to the newest operating system, so I moved all of the icons except for the 'music' icon off to the 2nd and 3rd screen (on newer devices, you can 'drag them on top' of each other to put them into other 'folders.') I also went into settings & restricted internet, email & camera access to make the phone less functional - so my kids could only use it for the purpose intended. This is much easier on newer devices and can easily be set under the accessibility menu to only grant access to a single function at a time. I used the internet to add cover art to each of the audio tracks so that my non-reading Prek students could easily figure out which audio file matched the book they wanted to read.

With the help of our audiologist, I collected audio accessory cables & other connectors for the array of hearing aids that my students have including Phonak, Oticon & Cochlear Ltd. products. I also had to get a headphone jack adapter because of the recessed headphone jack in the old iPhone made it impossible to plug in the audio cords - my techie husband helped me out with this! Here's a picture of all of the listening center supplies in their box (I found these great Lego storage boxes on clearance at my local Walmart - they're just the right size for a bunch of books!)

We've experimented with the audio cables for direct input - which has been interesting. Some of the kids like the direct input, while others seem to prefer to hold them up to their 'ear' like a telephone. Some students have even quite accurately named this activity the 'book phone.'

I was a bit surprised by how much my students engaged with this activity! Most of my students are doing very well with it & find it fun - however, I think that it's worth noting that all of the students who have found it enjoyable also have pretty good auditory comprehension & receptive language skills - but not necessarily 'mild' hearing loss; some of the students that like this the most actually have a severe-profound loss & have to work VERY hard to understand what they're hearing! For students who have lower receptive language skills, I think that I will be working on recording alternates with simplified language, no sound effects & integration of learning to listen sounds/simple songs.

I also MUST mention that listening activities like this are absolutely NOT a substitute for having high quality conversations & interactions with young children who have hearing loss. The use of these audiobooks isn't necessarily intended to improve their language skills, but rather provide an interesting opportunity to engage with technology in a way similar to my students' hearing peers. I'd venture to guess that most preschoolers have probably played a game on a caregiver's phone or tablet from time to time - but my students, while they've all likely engaged with technology, have probably missed out on a significant portion of the music and sound effects that go with it. Listening centers are a way for my students who have hearing loss to engage in experience with technology more like their hearing peers do - and if we end up working on language skills - great!

Since setting up the first listening center, I've located two additional older iPhones from family & friends and I'm working on also setting them up for use in my classroom!  This is definitely something that we'll continue to explore in the classroom... check back for more of our experiences with these listening centers.

Fun FREE App for PreK!

I'm always on the look out for high quality, affordable apps that have a valid learning purpose for the classroom... recently I discovered two FREE apps - 123 Ninja and ABC Ninja from Alligator Apps that I just LOVE!


ABC Ninja is just like that other addictive fruit slicing app that so many adults have mindlessly played... I think that this, however, is a great learning tool to reinforce letter names AND sounds! I don't feel guilty letting my three year old play this on the commute to and from work and my students just about beg to play the 'ninja game!' The sound effects and music are subtle and not annoying in the least -- and are even minimalist compared to some apps, which is great for my students who have hearing loss; too much background noise & sound effects can be overwhelming and confusing! The game play is customizable with three different levels of difficulty (easy, medium, hard), can be adjusted to focus on capital, lowercase letter names and sounds and can be set for a time limit from 1-10 minutes! At the end of each session, data is displayed but cannot be emailed - I've used the screenshot function on my iPad to capture data when I need it.

123 Ninja is the exact same concept, except it focuses on numbers 0-99. Again, a hit with my students and my own child. It's customizable with different levels of play, the ability to select target numerals and time limits.

With both apps being free to download & also free of in-app purchase opportunities, it's really a win all around!

The only thing that might make this set of apps better would be to have the letter/number repeated somehow, as my students sometimes miss the target when it's announced. And the ability to email data after the game is played by a student and/or the ability to set up individual student profiles so that you don't have to go back and forth changing the settings every time a new child comes to play would be great. I'd also like to see this game expanded to include a version for shapes and colors - my youngest preschoolers would really love reinforcing options for practicing listening & basic concepts!

p.s. just for the record, I was not asked to write this review and did not receive any sort of compensation for my opinion.

Snow Day & Snowmen

Snow day off school and my toddler is napping ... it's a perfect opportunity to catch up on blogging - or my lack of blogging during the past week. I've been busy with preschool shenanigans, university end-of-semester tasks and holiday preparations at home. Managed to get our Christmas tree up - while not as organized as usual, it's up and my toddler LOVED decorating it - that's all that matters really!

We've been reading lots of Christmas books at our house lately. I had wanted to post a whole 25 days of Christmas reading, but couldn't get it together fast enough. However, we will be doing a '12 Days of Christmas Books' with some great vintage books and some new favorites ... stay tuned beginning December 13 -- I'll be sharing our favorite books in posts between the 13th and 25th of the month... probably a few at a time rather than one every day (I'm just not that organized to write a post a day!)

As for what's been going on at preschool, here are a few of our pictures from last week that I never got around to posting....

 We made a big ball of sparkly snow play-doh roughly using the microwave dough recipe from a while back.  I can't say we were champs at measuring this time, but it worked out well - microwaving did take extra time because we made a quadruple size batch! I put out assorted odds and ends for making a snowman and let the kids go to town.

Check out the biggest snowman with the black beads on the sides of its head -- those are hearing aids! I've got a student who has recently become very aware of his hearing aids and has started putting hearing aids on all of his drawings, sculptures ect.

The sparkles in the dough were about a cup or two of Buffalo Snow that I picked up on clearance somewhere last year. It makes a heck of a mess by itself, but in playdoh, it's really quite charming!

I also changed out the materials for light play and introduced a couple of sheets of cheap snowflake window clings. The kids are still getting the idea of the whole 'light play' thing... and many of them just aren't all that interested in it yet, but we'll keep trying to find just the right materials that catch their interest...

We sang "Five Little Snowflakes" (to the tune of "Twinkle Twinkle") with the snowflakes, adding one at a time with each verse, and overhead that went something like this:

One little snowflake with nothing to do 

along came another, then there were two 

Two little snowflakes playing with me

along came another, then there were three 

Three little snowflakes calling for more

along came another, then there were four

Four little snowflakes dip and dive

along came another, then there were five 

Five little snowflakes having so much fun

whoooo! went the wind, then there were none!

I can't say that I remember where it came from, but there are similar versions all over the internet!

Lastly, we made this simple letter craft. S is for snow ... or snowballs. Pretty simple.

I have to say that I've enjoyed my day off... catching up on house work, laundry, blogging, time with my own child... They're calling for more snow late tonight and early tomorrow morning... two snow days in a row? We'll see...

Short and sweet tonight...

I've been working on some materials about cochlear implants and hearing aids for my students. I recently created a short mini-book for a student who won't wear his implant and needs to get comfortable with the idea of just putting it on. I designed a printable mini-book called "I Put on my CI" that can be used as a coloring book or as a reusable book with cut-out cochlear implants for the student to put on the boy in the book. Check it out in my TpT store and see the preview for the cover, first page and printable CI pieces.