PMID- 30785897
OWN - NLM
STAT- MEDLINE
DCOM- 20191029
LR  - 20200309
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 14
IP  - 2
DP  - 2019
TI  - Mapping the content of mothers' knowledge, attitude and practice towards 
      universal newborn hearing screening for development of a KAP survey tool.
PG  - e0210764
LID - 10.1371/journal.pone.0210764 [doi]
LID - e0210764
AB  - Understanding mother's knowledge, attitude and practice (KAP) of permanent 
      childhood hearing impairment (PCHI) is essential for the success of universal 
      newborn hearing screening (UNHS) as poor compliance and follow-up remains a 
      global challenge. To determine content area for a questionnaire that measures 
      PCHI-related KAP in rural mothers, we trained moderators who interviewed 145 
      pregnant women (17 groups) from 5 ante-natal clinics. Interviews were recorded, 
      transcribed, summarised and analysed using thematic framework analysis. Four 
      knowledge themes were identified: 1) PCHI was perceived as the malfunction of 
      hearing leading to disability; 2) a poorly-responsive/communicative child may 
      have PCHI; 3) lifestyle, hereditary and environmental factors are significant 
      causes of PCHI; 4) medical management of PCHI was doubted, with some advocating 
      birth and ancestral rituals. Two themes were identified for attitude: 1) beliefs 
      that PCHI was emotionalised due to the negative lifelong impact on the child and 
      family; 2) UNHS processes were favourable though some preferred other belief 
      systems. Three themes were identified for practice: 1) doctors were the first 
      choice followed by traditional healers; 2) willingness to continue follow-up 
      although challenges exist; 3) minimal family support during consultation. The 
      contextualised KAP of women regarding UNHS processes and PCHI provided content 
      area for the design of a KAP tool.
FAU - Graham, Christine
AU  - Graham C
AUID- ORCID: 0000-0001-9400-4499
AD  - Nelson Mandela School of Clinical Medicine, University of KwaZulu Natal, Durban, 
      South Africa.
FAU - Seeley, Janet
AU  - Seeley J
AD  - Department of Global Health and Development, London School of Hygiene and 
      Tropical Medicine, London, United Kingdom.
FAU - Gina, Ayanda
AU  - Gina A
AD  - Department of Audiology, University of KwaZulu Natal, Durban, South Africa.
FAU - Saman, Yougan
AU  - Saman Y
AD  - Nelson Mandela School of Clinical Medicine, University of KwaZulu Natal, Durban, 
      South Africa.
AD  - Ear Nose and Throat Department, University Hospitals of Leicester, Leicester, 
      United Kingdom.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20190220
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adult
MH  - Female
MH  - Hearing Tests
MH  - Humans
MH  - Infant, Newborn
MH  - *Knowledge
MH  - Male
MH  - Neonatal Screening/*methods
MH  - South Africa
MH  - *Surveys and Questionnaires
PMC - PMC6382093
COIS- The authors have declared that no competing interests exist.
EDAT- 2019/02/21 06:00
MHDA- 2019/10/30 06:00
PMCR- 2019/02/20
CRDT- 2019/02/21 06:00
PHST- 2018/09/24 00:00 [received]
PHST- 2019/01/01 00:00 [accepted]
PHST- 2019/02/21 06:00 [entrez]
PHST- 2019/02/21 06:00 [pubmed]
PHST- 2019/10/30 06:00 [medline]
PHST- 2019/02/20 00:00 [pmc-release]
AID - PONE-D-18-27836 [pii]
AID - 10.1371/journal.pone.0210764 [doi]
PST - epublish
SO  - PLoS One. 2019 Feb 20;14(2):e0210764. doi: 10.1371/journal.pone.0210764. 
      eCollection 2019.