All Waking Hours: Strategies for

Caregivers

Michelle Graham, MS, CED, LSLS Cert. AVEd

Lauren Bauer, MSDE, CED

Objectives

• Participants will gain an understanding of the

importance of daily device usage

• Participants will examine case studies utilizing

the coaching model and adult learning theory

• Participants will acquire strategies to increase

device wear-time

Optimal benefit from amplification

may only be achieved with

consistent and appropriate hearing aid use.

-Moeller, et. al 2009

The National Sleep Foundation:

Sleep Duration Recommendations February 2015

Newborns: 14 – 17 hours

Infants: 12 – 15 hours

Toddlers: 11 – 14 hours

Preschoolers: 10 – 13 hours

SJI Copyright 2015

What quantifies “all waking hours”?

Newborn: 7 - 10 hours

Infant: 9 - 12 hours

Toddler: 10 - 13 hours

Pre-K: 11 - 14 hours

“In an average 14-hour waking day, a child spoken to 50 times per hour will hear 700 utterances, a child spoken to 800 times per hour will hear more than 11,000”…..

-Hart & Risely, 1995

In a year that equates

to exposure to

250 thousand

versus

4 million utterances

Trials and Tribulations

• Tired

• Sick

• Resistance

• Removal

• Various Caregivers

• Car rides

• Forget

• Not enough time between activities

• Difficulty with acceptance

• Fear that they will get ruined

Conventional Accessories

• Ear gear

• Hanna Andersson Caps

• SafeNSound

• Sticky wrap/wig tape

• Critter clips

• Huggie aids

• Hearing aid sweatband

Children need access to the full range of

speech sounds during all waking hours,

making daily hearing aid management a

fundamental component for effective

intervention

-Munoz, Preston, Hicken 2014

Provider Behavior/Skill

Family Behavior/Skill

Child Outcomes

Coaching and Adult Learning Theory

• Active Involvement

• Real-Life experiences

• Relevant and Applicable

• Practice Driven

• Reflection

Case study• Bilateral moderate hearing loss

• Fit with hearing aids at 8 months of age

0

1

2

3

4

5

6

7

8

February (Fit) August October November January

00.3

4.8

7.7

6.8

Case study • Bilateral moderate to severe hearing loss

• Fit with hearing aids at 2 months of age

0

2

4

6

8

10

12

14

August October December February April June August October May

Questions, Comments, or Ideas!

Michelle Graham, MS CED LSLS Cert. AVEd

Listening and Spoken Language Specialist

mgraham@sjid.org

St. Joseph Institute for the Deaf

636-532-3211

SJI Copyright 2015

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