Observational studyBMJ paediatrics open2026
Delays in diagnosis and intervention for paediatric hearing loss: the role of parental psychological inflexibility in a multicentre Iranian study.
Observational study in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo characterise the Early Hearing Detection and Intervention (EHDI) timeline and assess its relationship with psychological inflexibility among parents of children with hearing loss in Khorasan Razavi Province, Iran.
designCross-sectional multicentre study.
settingMultiple hearing rehabilitation centres in Mashhad, Iran. PATIENTS: A total of 193 parents (71 fathers and 122 mothers) of children with documented congenital hearing loss.
main outcome measuresThe primary outcomes were the child's age at diagnosis, age at intervention and the diagnosis-to-intervention interval. Parental psychological inflexibility was measured using the validated Persian version of the Acceptance and Action Questionnaire-Managing Child Hearing Loss (AAQ-MCHL).
resultsThe mean age at diagnosis was 16.93±14.63 months and the mean age at intervention was 23.22±15.35 months, resulting in a mean diagnosis-to-intervention interval of 6.43±9.25 months. A weak but significant negative correlation was found between parental age and AAQ-MCHL score (r=-0.171, p=0.014). No significant correlations were found between AAQ-MCHL scores and any EHDI timeline variables (age at diagnosis, age at intervention or diagnosis-to-intervention interval; all p>0.05).
conclusionsDespite universal newborn hearing screening, substantial delays in diagnosis and intervention persist (16.9 and 23.2 months, respectively). Parental psychological inflexibility showed no meaningful association with service timing, suggesting that systemic, social and cultural barriers likely play the dominant role in EHDI delays.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.