A child who is hard of hearing speaking the same passage at 3 and 7 years of age. The child's speech becomes much clearer due to consistent use of hearing aids, one of the many factors related to early identification and intervention examined in the Outcomes of Children with Hearing Loss study. This first-of-its kind study discovered that optimal, early services helped many children catch up or significantly close the gaps with their hearing peers. Researchers at the University of Iowa, Boys Town National Research Hospital, and the University of North Carolina at Chapel Hill also identified some factors and limitations in service delivery that need to be addressed to promote optimal outcomes for children who are hard of hearing. The results from the study are published in a monographic supplement to the November/December edition of the journal Ear and Hearing.