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Rahimi V, Tavanai E, Taghavi SMR, Khalili ME. Uncovering the effects of pandemic conditions on hearing aid experiences: a dual perspective from audiologists and hearing aid users. Disabil Rehabil Assist Technol 2024:1-11. [PMID: 39374325 DOI: 10.1080/17483107.2024.2405557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 07/03/2024] [Accepted: 09/06/2024] [Indexed: 10/09/2024]
Abstract
Purpose: This study examines the effects of the pandemic on hearing aid experiences from the perspectives of audiologists and patients, as well as communication challenges faced by both users and non-users of hearing aids. Materials and Methods: The study consisted of two phases: a longitudinal study examining the services provided by audiologists during the peak of the COVID-19 pandemic and after the first vaccination dose. The second phase involved a survey of 120 elderly individuals with hearing loss, divided into hearing aid users and non-users for assessing communication challenges. Data was collected from comprehensive audiology clinics using a series of checklists. Results: Analysis of the frequency of services related to hearing aids revealed that during the peak period, the majority of visits were for acquiring batteries and hearing aids, while fewer visits were for fitting and fine-tuning the devices. After vaccination the pattern was changed. In the second phase, significant differences were observed between the hearing aid users and non-users with regards to their ability to comprehend speech while wearing mask, communicating at a safe distance, and following TV news. Conclusions: The distribution of requested services differed during the peak period and the post-vaccination period. There was a noticeable increase in the purchase and fitting of hearing aids after vaccination. However, patients encountered difficulties due to the limited availability of tele-audiology services and delayed services from hearing aid companies. The benefits of hearing aids were impacted by the pandemic as many people did not seek adjustments for their devices.
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Affiliation(s)
- Vida Rahimi
- Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - Elham Tavanai
- Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
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Malmberg M, Hagberg J. Short- and long-term effects of remote synchronous fine-tuning for first-time hearing aid users: a randomised controlled trial. Int J Audiol 2024:1-9. [PMID: 39030719 DOI: 10.1080/14992027.2024.2378798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 07/03/2024] [Indexed: 07/21/2024]
Abstract
OBJECTIVE To evaluate the short- and long-term effect of remote synchronous fine-tuning and follow-up visits on hearing-related problems and hearing aid (HA) benefits for first-time HA users. DESIGN A randomised controlled trial. STUDY SAMPLE Patients at public tax-funded HA clinics in Sweden due for aural rehabilitation (AR) were randomised to either an intervention group (n = 33) or a control group (n = 36). Both groups completed the conventional AR process, but the intervention group received synchronous remote fine-tuning of HAs and online follow-up visits. Outcome measures were used before and after intervention, and 6 months and 1 year after intervention. RESULTS Both groups improved hearing-related problems measured with the Hearing Handicap Inventory for the Elderly/Adults over time, and no significant differences were found between the groups. Such improvements were also found for the Abbreviated Profile of Hearing Aid Benefit except for the subscale aversiveness. Both groups decreased the use of HAs in hours/day over time. The intervention group reported significant improvements in activity limitation when measured directly after the intervention, compared to the control group. CONCLUSION Synchronous remote fine-tuning and follow-ups for first-time HA users did not influence the outcomes of hearing-related problems and HA benefits differently from standard care at our clinic.
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Affiliation(s)
- Milijana Malmberg
- Region Västra Götaland, Habilitation & Health, Hearing Organisation, Göteborg, Sweden
- Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Göteborg, Göteborg, Sweden
| | - Jennie Hagberg
- Region Västra Götaland, Habilitation & Health, Hearing Organisation, Göteborg, Sweden
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3
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Malmberg M, Hagberg J. Synchronous remote fine-tuning and follow-up within aural rehabilitation: a randomised controlled trial. Int J Audiol 2024; 63:458-466. [PMID: 36971711 DOI: 10.1080/14992027.2023.2188437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 02/24/2023] [Accepted: 03/01/2023] [Indexed: 03/29/2023]
Abstract
OBJECTIVE The objective of the study was to evaluate the effect of including synchronous remote fine-tuning and follow-up as a part of the aural rehabilitation process. DESIGN A randomised controlled trial (RCT). STUDY SAMPLE Experienced hearing aid users who were due for renewed aural rehabilitation were randomised to either an intervention group (n = 46) or a control group (n = 49). Both groups underwent all stages of the conventional renewed aural rehabilitation process within our clinics, but the intervention group was also offered remote follow-up visits, including an opportunity for synchronous remote fine-tuning of hearing aids. The Hearing Handicap Inventory for the Elderly/Adults (HHIE/A), the Abbreviated Profile of Hearing Aid Benefit (APHAB), and the International Outcome Intervention for Hearing Aid Users (IOI-HA) were used as outcome measures. RESULTS Both groups improved in self-rated hearing difficulties and hearing aid benefits measured with HHIE/A and APHAB. No significant differences were found between the intervention and the control group. CONCLUSION Including synchronous remote follow-up and fine-tuning as a part of an aural rehabilitation process may effectively complement clinical visits. Additionally, the synchronous remote follow-up has the potential to further develop person-centred care by enabling hearing aid users to identify individual needs directly in an everyday environment.
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Affiliation(s)
- Milijana Malmberg
- Region Västra Götaland, Habilitation & Health, Hearing Organization, Gothenburg, Sweden
- Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Jennie Hagberg
- Region Västra Götaland, Habilitation & Health, Hearing Organization, Gothenburg, Sweden
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Lin MJ, Chen CK. Breaking Sound Barriers: Exploring Tele-Audiology's Impact on Hearing Healthcare. Diagnostics (Basel) 2024; 14:856. [PMID: 38667501 PMCID: PMC11049182 DOI: 10.3390/diagnostics14080856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Revised: 04/09/2024] [Accepted: 04/18/2024] [Indexed: 04/28/2024] Open
Abstract
Hearing impairment is a global issue, affecting billions of people; however, there is a gap between the population affected by hearing loss and those able to access hearing healthcare. Tele-audiology, the application of telemedicine in audiology, serves as a new form of technology which aims to provide synchronous or asynchronous hearing healthcare. In this article, we reviewed some recent studies of tele-audiology-related topics to have a glimpse of the current development, associated challenges, and future advancement. Through the utilization of tele-audiology, patients can conveniently access hearing healthcare, and thus save travel costs and time. Recent studies indicate that remote hearing screening and intervention are non-inferior to the performance of traditional clinical pathways. However, despite its potential benefits, the implementation of tele-audiology faces numerous challenges, and audiologists have varying attitudes on this technology. Overcoming obstacles such as high infrastructure costs, limited reimbursement, and the lack of quality standards calls for concerted efforts to develop effective strategies. Ethical concerns, reimbursement, and patient privacy are all crucial aspects requiring in-depth discussion. Enhancing the education and training of students and healthcare workers, along with providing relevant resources, will contribute to a more efficient, systematic hearing healthcare. Future research will aim to develop integrated models with evidence-based protocols and incorporating AI to enhance the affordability and accessibility of hearing healthcare.
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Affiliation(s)
- Mien-Jen Lin
- School of Medicine, College of Medicine, Chang Gung University, Taoyuan 333323, Taiwan;
| | - Chin-Kuo Chen
- Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Keelung 204201, Taiwan
- School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 333323, Taiwan
- Department of Otolaryngology-Head and Neck Surgery and Communication Enhancement Center, Chang Gung Memorial Hospital, Taoyuan 333423, Taiwan
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Lett C, Welch D, Dobson R. Remote or in-clinic? The effect of service delivery mode on hearing aid output: study protocol for a double-blinded, randomised trial in adults with mild to moderate sensorineural hearing loss. Trials 2024; 25:256. [PMID: 38610038 PMCID: PMC11010415 DOI: 10.1186/s13063-024-08068-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 03/20/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Teleaudiology can potentially improve access to hearing healthcare services. Remote hearing aid fittings offer a new mode of service delivery that removes barriers of geography and access to an audiologist. Real-ear measurements (REMs) are the gold standard for hearing aid output verification but require in-clinic appointments. This study will investigate whether remote hearing aid fittings can provide clinically equivalent outcomes when compared to current, in-clinic, best practice guidelines. RESEARCH DESIGN A repeated measure, double-blinded crossover design will be used. Participants will be randomly allocated to one of two groups to determine order of intervention, balanced for degree of hearing loss. STUDY SAMPLE Sixty adults with mild to moderate hearing loss and at least 1 year of experience with hearing aids will be recruited. DATA COLLECTION AND ANALYSIS Participants will complete two hearing aid fitting protocols, one using an in-clinic fitting process and the other using a remote (at-home) fitting process. In-clinic fittings will include REMs with adjustments to standard (NAL-NL2) prescription targets. The two fitting protocols will then be randomly assigned to participants in a crossover design, so participants and researchers will be blinded to the order of the two fitting protocols. Participants will then have a 4-week period with follow-up appointments for participant-directed gain adjustment. For each fitting protocol, participants will complete objective measurements of final hearing aid output with REMs, speech-in-noise testing, subjective measurements of hearing aid performance, and quality of life measurements. They will then begin an identical period of living with, adjusting, and objective assessment with the other fitting protocol. Data will be analysed as repeated measures with statistical control for potential confounding variables. RESULTS Data will compare the four-frequency average real-ear aided response (4FREAR) for hearing aids programmed in-clinic and hearing aids programmed remotely, after participant-directed gain adjustments. Secondary measures will assess clinically significant differences in estimated speech intelligibility, hearing-related quality of life, hearing aid benefit, sound quality and preference, and speech-in-noise ability. CONCLUSIONS This study will inform the development of best practice guidelines for remote hearing aid fittings. If no clinically significant differences are found between in-clinic and remote fit hearing aids, it has the potential to expand teleaudiology initiatives. TRIAL REGISTRATION Australian New Zealand Clinical Trial Registry, ACTRN12623000028606p . Date of registration: 12 January 2023.
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Affiliation(s)
- Craig Lett
- School of Population Health, University of Auckland, Auckland, New Zealand.
| | - David Welch
- School of Population Health, University of Auckland, Auckland, New Zealand
| | - Rosie Dobson
- School of Population Health, University of Auckland, Auckland, New Zealand
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Blyth M, Saunders GH. Remote hearing-aid delivery and support: perspectives of patients and their hearing care providers. Int J Audiol 2024:1-9. [PMID: 38284791 DOI: 10.1080/14992027.2024.2304585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 01/05/2024] [Indexed: 01/30/2024]
Abstract
OBJECTIVE To explore the perspectives of patients and hearing care providers (HCPs) about an adult remote hearing-aid delivery service implemented during the COVID-19 pandemic. DESIGN Service evaluation via surveys. The patient survey measured satisfaction with the service, perceived hearing-aid handling skills, and preferences for future services. The HCP survey explored the impact of teleaudiology on outcomes compared to in-person care and factors important for successful teleaudiology. STUDY SAMPLE 378 patients and 14 HCPs. RESULTS Patients were highly satisfied with the service and self-reported good hearing-aid handling skills. However, 2 in 3 patients said they would prefer a future hearing-aid fitting to be in-person rather than remote. HCPs thought teleaudiology had positive impacts on convenience, accessibility, and flexibility, but negative impacts on communication, rapport, and the quality of care. HCPs considered computer literacy and individual preferences to be important for successful remote care; the age of the patient was considered less important. CONCLUSIONS Patients were generally highly satisfied with the service and for 1 in 3 it was their preferred mode of future hearing-aid fitting. Future services should be aware that a one-size-fits-all approach will not satisfy all patients and that teleaudiology should be offered on the basis of individual preference.
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Affiliation(s)
- Matthew Blyth
- Manchester Centre for Audiology and Deafness, University of Manchester, Manchester, UK
- Chime Social Enterprise, Exeter, UK
| | - Gabrielle H Saunders
- Manchester Centre for Audiology and Deafness, University of Manchester, Manchester, UK
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Dillard LK, Der CM, Laplante-Lévesque A, Swanepoel DW, Thorne PR, McPherson B, de Andrade V, Newall J, Ramos HD, Kaspar A, Nieman CL, Clark JL, Chadha S. Service delivery approaches related to hearing aids in low- and middle-income countries or resource-limited settings: A systematic scoping review. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0002823. [PMID: 38266001 PMCID: PMC10807760 DOI: 10.1371/journal.pgph.0002823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 12/18/2023] [Indexed: 01/26/2024]
Abstract
Hearing loss is an important global public health issue which can be alleviated through treatment with hearing aids. However, most people who would benefit from hearing aids do not receive them, in part due to challenges in accessing hearing aids and related services, which are most salient in low- and middle-income countries (LMIC) and other resource-limited settings. Innovative approaches for hearing aid service delivery can overcome many of the challenges related to access, including that of limited human resources trained to provide ear and hearing care. The purpose of this systematic scoping review is to synthesize evidence on service delivery approaches for hearing aid provision in LMIC and resource-limited settings. We searched 3 databases (PubMed, Scopus, Ovid MEDLINE) for peer-reviewed articles from 2000 to 2022 that focused on service delivery approaches related to hearing aids in LMIC or resource-limited settings. Fifteen peer-reviewed articles were included, which described hospital-based (3 studies), large-scale donation program (1 studies), community-based (7 studies), and remote (telehealth; 4 studies) service delivery approaches. Key findings are that hearing aid services can be successfully delivered in hospital- and community-based settings, and remotely, and that both qualified hearing care providers and trained non-specialists can provide quality hearing aid services. Service delivery approaches focused on community-based and remote care, and task sharing among qualified hearing care providers and trained non-specialists can likely improve access to hearing aids worldwide, thereby reducing the burden of untreated hearing loss.
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Affiliation(s)
- Lauren K. Dillard
- Department of Otolaryngology- Head & Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, United States of America
| | - Carolina M. Der
- Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland
| | - Ariane Laplante-Lévesque
- Health Workforce and Service Delivery Unit, Division of Country Health Policies and Systems, World Health Organization Regional Office for Europe, Copenhagen, Denmark
- Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden
| | - De Wet Swanepoel
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
- Department of Otolaryngology—Head & Neck Surgery, University of Colorado School of Medicine, Aurora, Colorado, United States of America
| | - Peter R. Thorne
- Section of Audiology and Eisdell Moore Centre, University of Auckland, Auckland, New Zealand
| | - Bradley McPherson
- Centre for Hearing Research, School of Health & Rehabilitation Sciences, University of Queensland, Brisbane, Australia
| | - Victor de Andrade
- Department of Speech Pathology and Audiology School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa
| | - John Newall
- Department of Linguistics, Macquarie University, Sydney, Australia
| | - Hubert D. Ramos
- Master in Clinical Audiology Program, Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines
| | | | - Carrie L. Nieman
- Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
| | - Jackie L. Clark
- University of Texas at Dallas–AuD Program, Dallas, Texas, United States of America
| | - Shelly Chadha
- Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland
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Soares A, de Almeida K. Development of an Internet-based system to guide and telemonitor hearing aid users. Codas 2023; 35:e20220162. [PMID: 38055411 PMCID: PMC10750822 DOI: 10.1590/2317-1782/20232022162pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 03/13/2023] [Indexed: 12/08/2023] Open
Abstract
PURPOSE To develop and verify the usability of an internet-based system for telemonitoring and guidance of the hearing aid user as well as monitoring the long-term performance in a pilot group. METHODS The system "I can hear, but I can't understand" was developed based on recommendations in the literature regarding layout, design, and content for guidance and advice. Three stages were followed: planning, design and content development, and pilot testing. The sample consisted of 43 adults and older adults with any type and degree of hearing loss, who had been regularly using a hearing aid for at least 30 days and at most 24 months, with reading skills and no evidence of cognitive impairments. The individuals were followed up for 8 to 12 months. The users' performance was monitored with the Speech, Spatial and Qualities of Hearing Scale. The usability of this material was assessed with the System Usability Scale. RESULTS Improved performance and increased self-reported daily use of the hearing aid were observed after the period of guidance and telemonitoring via the system for all research participants. In all analyzes of the SUS scale, it was possible to observe a performance superior to 70 points, demonstrating good usability of the system. In the analysis of the performance of the SSQ, in the three moments of the research, a positive response was observed in all domains, thus showing progress in the use of hearing aids, with significant data for the domain of Hearing Speech. CONCLUSION The system "I can hear, but I can't understand" proved to be an easy-to-use and effective tool to telemonitor hearing aid users.
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Affiliation(s)
- Andrea Soares
- Faculdade de Ciências Médicas da Santa Casa de São Paulo – FCMSCSP - São Paulo (SP), Brasil.
| | - Katia de Almeida
- Faculdade de Ciências Médicas da Santa Casa de São Paulo – FCMSCSP - São Paulo (SP), Brasil.
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Bennett RJ, Kelsall-Foreman I, Barr C, Campbell E, Coles T, Paton M, Vitkovic J. Barriers and facilitators to tele-audiology service delivery in Australia during the COVID-19 pandemic: perspectives of hearing healthcare clinicians. Int J Audiol 2023; 62:1145-1154. [PMID: 36194040 DOI: 10.1080/14992027.2022.2128446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 09/15/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To explore the utilisation, safety, cost, and patient outcomes of delivering tele-audiology services during the COVID-19 pandemic. DESIGN A national cross-sectional self-report online survey asking participants to reflect on interactions with hearing services between April and October 2020. Data were analysed using descriptive statistics. The COM-B model of behaviour change guided survey creation and the presentation of a subset of the results. STUDY SAMPLE 249 Australia-based hearing healthcare clinicians (age range 23-74 years; 162 female). RESULTS Clinicians reported an increase in the use of tele-audiology services, with key drivers relating to keeping their patients safe and keeping businesses running. Clinicians generally viewed the provision of tele-audiology services as successful and resulting in improved patient outcomes. Overall, clinicians were highly motivated to provide tele-audiology services, and they expressed being confident in their knowledge and understanding of tele-audiology service delivery. Barriers to providing tele-audiology services included concerns about the reliability of the results obtained from remote assessments, as well as concerns around information security and privacy issues. CONCLUSIONS Clinicians' motivations to use tele-audiology services appeared to be driven by their desire to maintain COVID-safe practices during the pandemic and by the COVID-driven increase in availability of funding for tele-audiology services.
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Affiliation(s)
- Rebecca J Bennett
- Brain and Hearing, University of Western Australia, Crawley, Western Australia, Australia
- Ear Science Institute Australia, 1 Salvado Road, Subiaco, Western Australia, Australia
| | - India Kelsall-Foreman
- Brain and Hearing, University of Western Australia, Crawley, Western Australia, Australia
- Ear Science Institute Australia, 1 Salvado Road, Subiaco, Western Australia, Australia
| | - Caitlin Barr
- Soundfair Australia Ltd, Melbourne, Victoria, Australia
| | | | - Tony Coles
- Audiology Australia, Cremorne, Victoria, Australia
| | - Mark Paton
- Australian College of Audiology (ACAud), Spring Hill, Queensland, Australia
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Kokkonen J, Kaski H, Mäkinen S, Svärd F. Remote hearing aid renewal using pre-existing audiograms during the covid-19 pandemic. Int J Audiol 2023; 62:767-775. [PMID: 35675896 DOI: 10.1080/14992027.2022.2082329] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 05/16/2022] [Accepted: 05/20/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVE During the ongoing Covid-19 pandemic, many patients cancelled their scheduled hearing aid renewal. We offered to send them new hearing aids programmed according to the audiometric data on file. In this study we compared remote hearing aid renewal to a conventional renewal with a recent audiogram based on scores from the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaire. We also examined the need for a physical visit for hearing aid adjustment in the remote group and analysed the accuracy of the pre-existing audiogram correction method using data from the control group. DESIGN Retrospective chart review. STUDY SAMPLE 51 patients who underwent remote hearing aid renewal and 22 control patients who received office-based hearing aid renewal. RESULTS IOI-HA scores were lower in the remote fitted group, but comparison with data from a Swedish nationwide database had no clinically significant differences. A follow-up physical appointment was required in only 20% of the remote group. The intraclass correlation coefficient (ICC) between the pure tone averages of the corrected former audiogram and measured audiogram was high. CONCLUSIONS Remote hearing aid renewal using existing audiometric data is feasible, and most physical visits can be avoided.
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Affiliation(s)
- Jukka Kokkonen
- Department of Otorhinolaryngology, North Karelia Central Hospital, Joensuu, Finland
| | - Heidi Kaski
- Department of Otorhinolaryngology, North Karelia Central Hospital, Joensuu, Finland
- Department of Otorhinolaryngology - Head and Neck Surgery, Oulu University Hospital, Oulu, Finland
| | - Sampo Mäkinen
- Department of Otorhinolaryngology, North Karelia Central Hospital, Joensuu, Finland
- Department of Otorhinolaryngology - Head and Neck Surgery, Turku University Hospital, Turku, Finland
| | - Fanni Svärd
- Department of Otorhinolaryngology, North Karelia Central Hospital, Joensuu, Finland
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Ferguson MA, Eikelboom RH, Sucher CM, Maidment DW, Bennett RJ. Remote Technologies to Enhance Service Delivery for Adults: Clinical Research Perspectives. Semin Hear 2023; 44:328-350. [PMID: 37484990 PMCID: PMC10361795 DOI: 10.1055/s-0043-1769742] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2023] Open
Abstract
There are many examples of remote technologies that are clinically effective and provide numerous benefits to adults with hearing loss. Despite this, the uptake of remote technologies for hearing healthcare has been both low and slow until the onset of the COVID-19 pandemic, which has been a key driver for change globally. The time is now right to take advantage of the many benefits that remote technologies offer, through clinical, consumer, or hybrid services and channels. These include greater access and choice, better interactivity and engagement, and tailoring of technologies to individual needs, leading to clients who are better informed, enabled, and empowered to self-manage their hearing loss. This article provides an overview of the clinical research evidence-base across a range of remote technologies along the hearing health journey. This includes qualitative, as well as quantitative, methods to ensure the end-users' voice is at the core of the research, thereby promoting person-centered principles. Most of these remote technologies are available and some are already in use, albeit not widespread. Finally, whenever new technologies or processes are implemented into services, be they clinical, hybrid, or consumer, careful consideration needs to be given to the required behavior change of the key people (e.g., clients and service providers) to facilitate and optimize implementation.
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Affiliation(s)
- Melanie A. Ferguson
- Ear Science Institute Australia, Perth, Australia
- School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Robert H. Eikelboom
- Ear Science Institute Australia, Perth, Australia
- School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia
- Centre for Ear Sciences, Medical School, The University of Western Australia, Perth, Australia
- Department of Speech Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Cathy M. Sucher
- Ear Science Institute Australia, Perth, Australia
- School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia
- Centre for Ear Sciences, Medical School, The University of Western Australia, Perth, Australia
| | - David W. Maidment
- School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, United Kingdom
| | - Rebecca J. Bennett
- Ear Science Institute Australia, Perth, Australia
- School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia
- Centre for Ear Sciences, Medical School, The University of Western Australia, Perth, Australia
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Duckworth Z, Beckman A, Heinrich A. Did Changes to Adult Hearing Aid Pathways Due to COVID-19 Affect Patient Outcomes? A Service Evaluation. Am J Audiol 2022; 31:876-891. [DOI: 10.1044/2022_aja-21-00195] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objective:
The objective of this study was to determine whether changes to adult hearing aid provision during COVID-19 affected patient outcomes or service efficiency.
Design:
A service evaluation compared three cohorts: patients who had hearing aid provision prior to the COVID-19 pandemic (the conventional pathway); patients who had hearing aid provision during the initial national lockdown (remote fittings); and patients who had hearing aid provision during the gradual reopening phase (a blended service with both face-to-face and remote service provision). Outcomes measured the effectiveness and efficiency of the service, using the Glasgow Hearing Aid Benefit/Difference Profiles (GHABP/DP) and number of follow-up appointments required. Results were assessed using descriptive statistics and error bars, separately for new and existing users.
Sample:
This study included 240 hearing aid users.
Results:
Remote fittings adversely impacted the effectiveness of provision for new hearing aid users with a reduction in all GHABP domains. While new users' benefit was equally as good for blended and conventional service provision, blended provision was less efficient and required more follow-up visits. For existing hearing aid users, no differences were seen in GHADP outcomes of different pathways and remote fittings increased service efficiency.
Conclusions:
Remote hearing aid fittings are less effective for new users than hearing aids fitted using standard face-to-face service provision or service provision using a blended model of remote and face-to-face care. Current pathways using a blended model of care are less efficient but equally effective for new hearing aid users compared with provision prior to COVID-19 and result in equivalent patient outcomes in terms of benefit.
Supplemental Material:
https://doi.org/10.23641/asha.21067585
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Affiliation(s)
- Zoe Duckworth
- Manchester Centre for Audiology and Deafness, School of Healthcare Science, The University of Manchester, United Kingdom
- University Hospitals Plymouth NHS Trust, United Kingdom
| | - Adam Beckman
- University Hospitals Plymouth NHS Trust, United Kingdom
| | - Antje Heinrich
- Manchester Centre for Audiology and Deafness, School of Healthcare Science, The University of Manchester, United Kingdom
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Abrams HB, Callahan C. Health Behavior and Motivational Engagement Models Can Explain and Modify Teleaudiology Uptake. Am J Audiol 2022; 31:1043-1051. [PMID: 36048627 DOI: 10.1044/2022_aja-21-00204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The remote delivery of health care services (i.e., telehealth) has steadily increased across the health care landscape over the past decade with a dramatic increase following the onset of the COVID-19 pandemic. Remote audiology delivery (i.e., teleaudiology), by contrast, has traditionally been characterized by relatively low utilization. While teleaudiology services increased during the COVID-19 lockdown period, most of those services were generally limited to follow-up care and postfitting consultations to existing patients. Furthermore, there is reason to believe that, despite the benefits that remote care provides, the use of teleaudiology services has decreased as in-person care has increased following the lifting of mandatory COVID-related lockdowns. The purpose of this viewpoint article is to posit that existing theories of health behavior, usually applied to patient-specific behaviors (e.g., hearing aid uptake) may explain the reluctance of audiologists to "uptake" a teleaudiology model of care. We also explore the potential of motivational engagement strategies as a means to allow audiologists to examine their sources of ambivalence as they consider adopting a remote service-delivery model. CONCLUSIONS Health behavior models such as the Health Belief, Transtheoretical, and capability, opportunity, motivation, and behavior (COM-B) models represent theories that may help to explain audiologists' resistance to adopting remote delivery services. Motivational engagement strategies, such as decisional balance, can provide useful tools for audiologists to examine their attitudes toward the adoption of teleaudiology.
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Affiliation(s)
- Harvey B Abrams
- Department of Communication Sciences and Disorders, University of South Florida, Tampa, FL.,Lively Hearing Corporation, New York, NY
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14
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Petrarca KA, Worthington M. Pediatric Amplification: A Proposed Protocol for In-Person Hearing Aid Fittings and Virtual Follow-Ups. Am J Audiol 2022; 31:864-875. [PMID: 35868291 DOI: 10.1044/2022_aja-21-00192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Children with hearing loss and their families face many financial and logistical barriers to accessing audiological care. At Rush University's Student Community Outreach Program of Excellence (SCOPE), a pediatric hearing loss outreach program is under development to address and overcome those barriers through in-person hearing aid fittings and virtual follow-up appointments. OBJECTIVES The goal of this clinical focus article was to develop a proposed protocol for SCOPE's pediatric hearing loss outreach program that would detail the use of a bimodal model of service delivery for pediatric amplification services. This clinical focus article provides a general description of the proposed protocol. METHOD The proposed protocol was developed as a guideline for future service delivery within SCOPE's pediatric hearing loss outreach program. Categories and details within the protocol were derived from previously published protocols and clinically relevant research. RESULTS The final protocol is composed of six sections, which detail the rationale and target population, necessary equipment, procedures for in-person hearing aid fittings, procedures for virtual follow-ups, outcome measures, and schedule of appointments. DISCUSSION On the national level, access to audiological care for pediatric patients and their families is restricted by both financial and logistical barriers. A telehealth model of service delivery has been shown to be effective in providing high-quality patient care while addressing these barriers. A clinical program using a bimodal model of service delivery will be implemented to address these barriers in Chicago, Illinois. Future investigation is required to monitor the efficacy of the program and develop program-specific materials.
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Affiliation(s)
- Kirsten A Petrarca
- Department of Communication Disorders and Sciences, Rush University, Chicago, IL
| | - Megan Worthington
- Department of Communication Disorders and Sciences, Rush University, Chicago, IL
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15
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Bhamjee A, le Roux T, Swanepoel DW, Graham MA, Schlemmer K, Mahomed-Asmail F. Perceptions of Telehealth Services for Hearing Loss in South Africa's Public Healthcare System. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:7780. [PMID: 35805438 PMCID: PMC9265507 DOI: 10.3390/ijerph19137780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 06/14/2022] [Accepted: 06/17/2022] [Indexed: 11/17/2022]
Abstract
Telehealth promises increased access to hearing healthcare services, primarily in areas where hearing healthcare resources are limited, such as within the South African public healthcare system. Telehealth for hearing healthcare is especially important during the COVID-19 pandemic, where physical distancing has been essential. This study aimed to describe audiologists' perceptions regarding telehealth services for hearing loss within South Africa's public healthcare system. This study was divided into two phases. During Phase 1, 97 audiologists completed an electronic survey regarding their perceptions of telehealth for hearing loss within South African public sector hospitals. Synchronous virtual focus-group discussions were conducted during Phase 2. Results indicated that audiologists recognized telehealth services' potential to improve hearing healthcare efficiency within the public sector, and most (84.1%) were willing to use it. However, telehealth's actual uptake was low despite almost doubling during the COVID-19 pandemic. Prominent perceived barriers to telehealth were primarily related to hospital resources, including the unavailability of equipment for the remote hearing/specialized assessments, internet-related barriers, and limited IT infrastructure. An increased understanding of telehealth in South Africa's public healthcare system will assist in identifying and in improving potential barriers to telehealth, including hospital resources and infrastructure.
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Affiliation(s)
- Aaqilah Bhamjee
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria 0002, South Africa; (A.B.); (T.l.R.); (D.W.S.); (K.S.)
| | - Talita le Roux
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria 0002, South Africa; (A.B.); (T.l.R.); (D.W.S.); (K.S.)
| | - De Wet Swanepoel
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria 0002, South Africa; (A.B.); (T.l.R.); (D.W.S.); (K.S.)
- Ear Science Institute Australia, Subiaco, WA 6008, Australia
- Virtual Hearing Laboratory, Collaborative Initiative between University of Colorado and the University of Pretoria, Aurora, CO 10045, USA
| | - Marien Alet Graham
- Department of Science, Mathematics and Technology Education, University of Pretoria, Pretoria 0002, South Africa;
| | - Kurt Schlemmer
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria 0002, South Africa; (A.B.); (T.l.R.); (D.W.S.); (K.S.)
- Department of ENT Head and Neck Surgery, University of Kwazulu Natal, Durban 4001, South Africa
| | - Faheema Mahomed-Asmail
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria 0002, South Africa; (A.B.); (T.l.R.); (D.W.S.); (K.S.)
- Virtual Hearing Laboratory, Collaborative Initiative between University of Colorado and the University of Pretoria, Aurora, CO 10045, USA
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DiFabio DL, O'Hagan R, Glista D. A Scoping Review of Technology and Infrastructure Needs in the Delivery of Virtual Hearing Aid Services. Am J Audiol 2022; 31:411-426. [PMID: 35580238 DOI: 10.1044/2022_aja-21-00247] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
PURPOSE The digital health revolution has brought forward integral technological advancements enabling virtual care as a readily accessible delivery model. Despite this forward momentum, the field of audiology still faces barriers that impede the uptake of virtual services into routine clinical practice. The aim of this study was to gather, synthesize, and summarize the literature around virtual hearing aid intervention studies and the related technology and infrastructure requirements. METHOD A scoping review was conducted using MEDLINE, CINAHL, Scopus, Nursing and Allied Health, and Web of Science databases. Objectives, inclusion criteria, and scoping review methods were specified in advance and documented in a protocol. RESULTS The 11 studies identified through this review related to virtual hearing aid services delivered by a licensed health care provider and/or facilitator(s) specific to hearing aid management, programming, verification, and validation services. Service delivery models varied according to patient population, technology experience, type(s) and time course of care, type of remote location, and technology/support requirements. Barriers and facilitators to implementation-related themes including technology access and function, client sociotechnical, convenience, education and training, interaction quality, service delivery, and technology innovation. CONCLUSIONS This scoping review provides evidence around the technology and infrastructure required for full integration of virtual hearing aid services into practice and according to care type. Low-tech versus high-tech requirements may be used to guide virtual service delivery triaging efforts. Research and development efforts in the areas of pediatrics, clinical support tools, and hearing aid/app-based solutions will support further uptake of virtual service delivery in audiology.
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Affiliation(s)
- Danielle L. DiFabio
- National Centre for Audiology, University of Western Ontario, London, Canada
- School of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Western Ontario, London, Canada
| | - Robin O'Hagan
- National Centre for Audiology, University of Western Ontario, London, Canada
| | - Danielle Glista
- National Centre for Audiology, University of Western Ontario, London, Canada
- School of Communication Sciences and Disorders, Faculty of Health Sciences, University of Western Ontario, London, Canada
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17
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Tufatulin GS, Koroleva IV. [Telerehabilitation of hearing-impaired children during COVID-19 pandemic]. Vestn Otorinolaringol 2022; 87:10-16. [PMID: 35605266 DOI: 10.17116/otorino20228702110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To evaluate advantages and effectiveness of remote rehabilitation services for hearing-impaired children at Center of Pediatric Audiology during COVID-19 pandemic. MATERIAL AND METHODS 181 children with different types and degrees of permanent hearing loss, their parents and 10 hearing care professionals (audiologists, speech-language therapists) were included in the study. 2115 rehabilitation services were provided during 3 months: video- and text consultations, video lessons with child, sending homework to parents, etc. RESULTS The results of questionnaires showed that, on specialists' and parents' opinion, remote rehabilitation care is effective tool for hearing impaired children during emergency situations. TeleCare allowed to improve parents' abilities to manage with children by themselves, their understanding goals and methods of rehabilitation, improving child's hearing and speech skills. 95% of parents were satisfied by remote rehabilitation. Advantages and problems of remote hearing rehabilitation were analyzed from the sides of professionals and parents. The most challenging activities for professionals during TeleCare were: evaluation of HA/CI effectiveness, diagnosis and developing of hearing and speech. CONCLUSIONS The experience of remote hearing rehabilitation in emergency situation allows to conclude that this type of care could be useful in clinical practice after pandemic for parents consulting and for children with motor problems.
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Affiliation(s)
- G Sh Tufatulin
- Center of Pediatric Audiology, St. Petersburg, Russia.,Mechnikov North-Western State Medical University, St. Petersburg, Russia
| | - I V Koroleva
- Center of Pediatric Audiology, St. Petersburg, Russia.,St. Petersburg Research Institute of Ear, Throat, Nose and Speech, St. Petersburg, Russia
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18
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Karah H, Karawani H. Auditory Perceptual Exercises in Adults Adapting to the Use of Hearing Aids. Front Psychol 2022; 13:832100. [PMID: 35664209 PMCID: PMC9158114 DOI: 10.3389/fpsyg.2022.832100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 04/26/2022] [Indexed: 12/30/2022] Open
Abstract
Older adults with age-related hearing loss often use hearing aids (HAs) to compensate. However, certain challenges in speech perception, especially in noise still exist, despite today's HA technology. The current study presents an evaluation of a home-based auditory exercises program that can be used during the adaptation process for HA use. The home-based program was developed at a time when telemedicine became prominent in part due to the COVID-19 pandemic. The study included 53 older adults with age-related symmetrical sensorineural hearing loss. They were divided into three groups depending on their experience using HAs. Group 1: Experienced users (participants who used bilateral HAs for at least 2 years). Group 2: New users (participants who were fitted with bilateral HAs for the first time). Group 3: Non-users. These three groups underwent auditory exercises for 3 weeks. The auditory tasks included auditory detection, auditory discrimination, and auditory identification, as well as comprehension with basic (syllables) and more complex (sentences) stimuli, presented in quiet and in noisy listening conditions. All participants completed self-assessment questionnaires before and after the auditory exercises program and underwent a cognitive test at the end. Self-assessed improvements in hearing ability were observed across the HA users groups, with significant changes described by new users. Overall, speech perception in noise was poorer than in quiet. Speech perception accuracy was poorer in the non-users group compared to the users in all tasks. In sessions where stimuli were presented in quiet, similar performance was observed among new and experienced uses. New users performed significantly better than non-users in all speech in noise tasks; however, compared to the experienced users, performance differences depended on task difficulty. The findings indicate that HA users, even new users, had better perceptual performance than their peers who did not receive hearing aids.
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Affiliation(s)
| | - Hanin Karawani
- Department of Communication Sciences and Disorders, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
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19
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Eikelboom RH, Bennett RJ, Manchaiah V, Parmar B, Beukes E, Rajasingam SL, Swanepoel DW. International survey of audiologists during the COVID-19 pandemic: use of and attitudes to telehealth. Int J Audiol 2021; 61:283-292. [PMID: 34369845 DOI: 10.1080/14992027.2021.1957160] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To determine the attitudes of audiologists towards telehealth and use of telehealth for the delivery of ear and hearing services pre-, during- and post- the COVID-19 pandemic, and to identify the perceived effects of telehealth on services and barriers to telehealth. DESIGN An online survey distributed through the International Society of Audiology and member societies. STUDY SAMPLE A total of 337 audiologists completing the survey between 23 June and 13 August 2020. RESULTS There was a significant increase in the perceived importance of telehealth from before (44.3%) to during COVID-19 (87.1%), and the use of telehealth previous (41.3%), current (61.9%) and expected use of telehealth (80.4%). Telehealth was considered adequate for many audiology services, although hearing assessment and device fitting by telehealth received least support. Matters related to timeliness of services and reduction of travel were reported as the main advantages, but relationships between practitioners and clients may suffer with telehealth. Important barriers were technologies related to the client or remote site; clinic-related items were moderate barriers, although more clinician training was a common theme provided through open-ended responses. CONCLUSION The COVID-19 pandemic has resulted in audiologists having a more positive attitude towards and greater use of telehealth, but with some reservations.
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Affiliation(s)
- Robert H Eikelboom
- Ear Science Institute Australia, Subiaco, Western Australia, Australia.,Ear Sciences Centre, Medical School, The University of Western Australia, Nedlands, Australia.,Department of Speech-Language Pathology and Audiology, University of Pretoria, Gauteng, South Africa
| | - Rebecca J Bennett
- Ear Science Institute Australia, Subiaco, Western Australia, Australia.,Ear Sciences Centre, Medical School, The University of Western Australia, Nedlands, Australia
| | - Vinay Manchaiah
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India
| | | | - Eldré Beukes
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.,Vision and Hearing Sciences Research Group, School of Psychology and Sports Science, Anglia Ruskin University, Cambridge, UK
| | - Saima L Rajasingam
- Vision and Hearing Sciences Research Group, School of Psychology and Sports Science, Anglia Ruskin University, Cambridge, UK
| | - De Wet Swanepoel
- Ear Science Institute Australia, Subiaco, Western Australia, Australia.,Department of Speech-Language Pathology and Audiology, University of Pretoria, Gauteng, South Africa
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20
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Zitelli L. Evaluation and Management of Misophonia Using a Hybrid Telecare Approach: A Case Report. Semin Hear 2021; 42:123-135. [PMID: 34381296 DOI: 10.1055/s-0041-1731693] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Decreased sound tolerance (DST) is a negative reaction to environmental sounds and is estimated to affect 3.5% of the population. This case report presents the evaluation and management of an adult female with severe, longstanding misophonia. Her evaluation included comprehensive audiometric testing (including uncomfortable loudness levels) and a detailed assessment of the impact of DST on her life. She enrolled in tinnitus retraining therapy and began receiving treatment aiming to facilitate habituation of bothersome environmental sounds. This case was complicated by the advent of the coronavirus disease 2019 (COVID-19) pandemic and a telemedicine hybrid approach was employed to increase access to audiologic care. Using this structure, some appointments occurred in person in the clinic and others occurred via a telemedicine video visit format. Telemedicine video visits facilitated in-depth discussions, afforded the opportunity to answer questions, and provided the option of cloud-based remote programming of on-ear devices. Future care will continue to employ a hybrid approach.
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Affiliation(s)
- Lori Zitelli
- Department of Audiology, Eye and Ear Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.,Department of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, Pennsylvania
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21
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Parmar B, Beukes E, Rajasingam S. The impact of COVID-19 on provision of UK audiology services & on attitudes towards delivery of telehealth services. Int J Audiol 2021; 61:228-238. [PMID: 34010078 DOI: 10.1080/14992027.2021.1921292] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVE To (i) identify the impact of COVID-19 on provision of UK audiology services across sectors (ii) compare teleaudiology service provision between private and public sectors before and after the introduction of restrictions and (iii) identify barriers to teleaudiology delivery amongst UK hearing care professionals in both sectors. DESIGN A mixed-methods cross-sectional survey study design. Responses to the structured questionnaire were analysed using descriptive and non-parametric statistics. STUDY SAMPLE UK based hearing care professionals (HCP) (n = 323) completed the survey (218 public sector; 89 private sector). RESULTS Changes in working patterns varied greatly between different sectors, with 61% of national employed and 26% of independent HCPs being furloughed, compared with 1% in the public sector. Use of telehealth was under-utilised across all sectors and groups in UK hearing healthcare, despite 92% of public and 75% of private HCPs reporting feeling comfortable conducting remote consultations. CONCLUSION This study highlights a variation in teleaudiology adoption and key barriers across sector in the UK. A collaborative approach between hearing device manufacturers, research centres, HCPs and professional bodies is required for the creation of targeted guidance and training materials according to sector, to support clinicians in effective teleaudiology provision.
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Affiliation(s)
- Bhavisha Parmar
- UCL Ear Institute, University College London, London, United Kingdom of Great Britain and Northern Ireland
| | - Eldre Beukes
- Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, United Kingdom of Great Britain and Northern Ireland
| | - Saima Rajasingam
- Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, United Kingdom of Great Britain and Northern Ireland
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22
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Tao KFM, Brennan-Jones CG, Jayakody DMP, Swanepoel DW, Fava G, Bellekom SR, Eikelboom RH. Validation of teleaudiology hearing aid rehabilitation services for adults: a systematic review of outcome measurement tools. Disabil Rehabil 2021; 44:4161-4178. [PMID: 33787435 DOI: 10.1080/09638288.2021.1900928] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE To investigate outcome measurement tools for the validation of teleaudiology hearing aid rehabilitation services for adults. METHODS A search strategy was developed to identify tools used to evaluate standard and teleaudiology hearing aid rehabilitation services for adults. A seven-domain hearing-health-care service model for validation was defined and used to analyse the applicability and suitability of patient- and service-centred tools. This model and the applicability and suitability criteria were based on the literature, the International Classification of Functioning (ICF) framework, and gold standard professional practice guidelines, which together formed the validation framework used in this study. RESULTS Eighteen tools were identified and assessed against the validation framework. These tools were found to primarily assess aspects in the patient communication domain and rarely in the domain of service provision. All the included tools had some applicable items for teleaudiology hearing aid services; three tools were judged as suitable and four partially suitable for validating these services. CONCLUSION Although there is a set of suitable tools available to validate teleaudiology hearing aid rehabilitation services, none of them cover all the seven domains of the validation model used by this review and few are focussed on a specific domain. Further improvement and/or development of new tools to comprehensively validate these services is still necessary. At this stage, this still limits clinical audiology practice research, especially in teleaudiology.IMPLICATIONS FOR REHABILITATIONOutcome measurement tools are crucial for assessing the validity of hearing rehabilitation services.Findings of this study inform clinicians and researchers on how and what to assess and use to evaluate teleaudiology and standard hearing aid rehabilitation services.The use of the proposed validation framework may facilitate the standardisation of validation of both face-to-face and remotely delivered audiology rehabilitation services and improve consistency of methodology and reported real-world outcomes across studies and thus, the evidence.
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Affiliation(s)
- Karina F M Tao
- Ear Sciences Centre, Medical School, The University of Western Australia, Perth, Australia.,Ear Science Institute Australia, Perth, Australia.,Telethon Kids Institute Australia, The University of Western Australia, Perth, Australia.,CAPES Foundation, Ministry of Education of Brazil, Brasilia, Brazil.,Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Australia
| | - Christopher G Brennan-Jones
- Telethon Kids Institute Australia, The University of Western Australia, Perth, Australia.,Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Australia.,Department of Audiology, Perth Children's Hospital, Perth, Australia
| | - Dona M P Jayakody
- Ear Sciences Centre, Medical School, The University of Western Australia, Perth, Australia.,Ear Science Institute Australia, Perth, Australia.,Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Australia
| | - De Wet Swanepoel
- Ear Sciences Centre, Medical School, The University of Western Australia, Perth, Australia.,Ear Science Institute Australia, Perth, Australia.,Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Gaetano Fava
- Comunicare Centre, LLC, New York, NY, USA.,HiTalk Comunicação & Consultoria Ltda, Sao Paulo, Brazil
| | - Sandra R Bellekom
- Ear Sciences Centre, Medical School, The University of Western Australia, Perth, Australia.,Ear Science Institute Australia, Perth, Australia
| | - Robert H Eikelboom
- Ear Sciences Centre, Medical School, The University of Western Australia, Perth, Australia.,Ear Science Institute Australia, Perth, Australia.,Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
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