1
|
Kelly C, Munro KJ, Visram AS, Jones L, Chilton H, Armitage CJ. What factors are associated with infant hearing aid use? A parent survey using the Theoretical Domains Framework. Int J Audiol 2024:1-10. [PMID: 38913029 DOI: 10.1080/14992027.2024.2358428] [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: 12/02/2023] [Accepted: 05/13/2024] [Indexed: 06/25/2024]
Abstract
OBJECTIVE Hearing aid use is lowest in 0-3-year-olds with hearing loss, placing spoken language development at risk. Existing interventions lack effectiveness and are typically not based on a theoretically driven, comprehensive understanding of the factors influencing infant hearing aid use. The present study is the first to address this gap in understanding. DESIGN AND STUDY SAMPLE A 55-item online survey based on the Theoretical Domains Framework (TDF) was completed by 56 parents of 0-3-year-old hearing aid users. RESULTS Participants reported a wide range of barriers across TDF domains, which were associated with parent-reported hearing aid use and more pronounced in parents of lower hearing aid users. The most strongly reported domains across participants were "emotion" (e.g. feelings of worry when using hearing aids), "beliefs about capabilities" (e.g. belief in ability to use hearing aids consistently), and "environmental context and resources" (e.g. child removing hearing aids). CONCLUSIONS Parents report a wider range of barriers to infant hearing aid use than existing investigations suggest and current interventions address. Interventions would benefit from: (i) targeting a wider range of TDF domains in their design; and (ii) implementing the present TDF survey to identify and target family-specific barriers to infant hearing aid use.
Collapse
|
2
|
Xiao Y, Liu Y, Han J, Li Y, Zhang L, Bai L, Wang X, Yin Y, Wang S, Tang X, Sun X, Yang Y. Cross-cultural adaptation, reliability, and validity of the Chinese version of the Acceptance and Action Questionnaire-Management of Child Hearing Loss. Int J Audiol 2024; 63:155-162. [PMID: 36373606 DOI: 10.1080/14992027.2022.2131637] [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: 05/05/2022] [Revised: 09/10/2022] [Accepted: 09/21/2022] [Indexed: 11/16/2022]
Abstract
OBJECTIVE The current study aims to translate and cross-culturally adapt the Acceptance and Action Questionnaire-Management of Child Hearing Loss (AAQ-MCHL) scale to Chinese caregivers of children with hearing loss (CHL) and verify its psychometric characteristics. DESIGN This is a cross-sectional design of psychometric validation study. STUDY SAMPLE In total, 135 caregivers of CHL were invited to participate in the study, and complete data from 125 participants were used to analyse internal consistency, test-retest reliability, content validity, structural validity, criterion validity, and the optimal cut-off score of AAQ-MCHL. RESULTS Through careful and complete translation and adaptation, the Chinese version of AAQ-MCHL was successfully created. The Chinse version of the AAQ-MCHL had good internal consistency, test-retest reliability, content validity, structural validity, and criterion validity. Our results also showed that poorer speech performance in CHL was a strong predictor of parental psychological inflexibility. CONCLUSIONS The Chinese version of the AAQ-MCHL could be used as an outcome indicator to evaluate the psychological inflexibility of caregivers of CHL in mainland China, and we suggest that early interventionists should be aware of signs of elevated psychological inflexibility in caregivers of CHL.
Collapse
Affiliation(s)
- Yanan Xiao
- Department of Hearing and Speech Rehabilitation, Binzhou Medical University, Yantai, China
| | - Yulu Liu
- Department of Hearing and Speech Rehabilitation, Binzhou Medical University, Yantai, China
| | - Junning Han
- Department of Hearing and Speech Rehabilitation, Zibo Maternal and Child Health Care Hospital, Zibo, China
| | - Yan Li
- Department of Special Education, Yantai Special Education School, Yantai, China
| | - Lianchi Zhang
- Department of Special Education, Harbin Education Research Institute, Harbin, China
| | - Libo Bai
- Department of Hearing and Speech Rehabilitation, Zibo Maternal and Child Health Care Hospital, Zibo, China
| | - Xiaorong Wang
- Department of Special Education, Yantai Special Education School, Yantai, China
| | - Ying Yin
- Department of Special Education, Harbin Education Research Institute, Harbin, China
| | - Songna Wang
- Department of Special Education, Yantai Special Education School, Yantai, China
| | - Xueqin Tang
- Department of Hearing and Speech Rehabilitation, Zibo Maternal and Child Health Care Hospital, Zibo, China
| | - Xibin Sun
- Department of Hearing and Speech Rehabilitation, Binzhou Medical University, Yantai, China
| | - Ying Yang
- Department of Hearing and Speech Rehabilitation, Binzhou Medical University, Yantai, China
| |
Collapse
|
3
|
Muñoz K, Guillen D, Muñoz C, Twohig MP. Pediatric Hearing Aid Management: Experiences and Perspectives of Spanish-Speaking Parents. Am J Audiol 2023; 32:812-822. [PMID: 37616190 DOI: 10.1044/2023_aja-23-00070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/26/2023] Open
Abstract
PURPOSE The purpose of the study was twofold: (a) to explore hearing aid management experiences of Spanish-speaking parents who have young children using hearing aids and (b) to explore parents' access to the Internet and perceptions about remote audiology services. METHOD The study used a mixed methods design. Data were collected through a phone interview. RESULTS Eleven mothers of children aged 14-60 months participated. Most of the children (9/11) had a bilateral hearing loss, and two had an additional disability. Three themes emerged for hearing aid management experiences: audiology services, routines, and emotional challenges/supports. Parents had variable levels of confidence in their skills ranging from no confidence to complete confidence, with the greatest variability for three items: (a) using the listening tube to make sure that the sound quality of the hearing aid is good, (b) removing moisture from the earmold tubing, and (c) troubleshooting problems when your child's hearing aids are not working. All participants reported having consistent Internet access and had positive perceptions about the possibility of remote audiology services. CONCLUSIONS This study provided insights into hearing aid management experiences and perceptions of Spanish-speaking parents. Parents described variability for audiology services, routines for hearing aid use and care, and access to other parents of children with hearing loss. Spanish-speaking parents present additional elements in the hearing care process that need to be incorporated in planning. Remote services may be an opportunity to enhance access to support that could improve effectiveness of hearing aid management.
Collapse
Affiliation(s)
- Karen Muñoz
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan
- National Center for Hearing Assessment and Management, Utah State University, Logan
| | - Diego Guillen
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan
| | - Carlos Muñoz
- National Center for Hearing Assessment and Management, Utah State University, Logan
| | | |
Collapse
|
4
|
Muñoz K, Markle K, San Miguel GG, Twohig MP. Increasing Pediatric Hearing Aid Use: Considerations for Clinical Practice. Am J Audiol 2023; 32:665-670. [PMID: 37566885 DOI: 10.1044/2023_aja-23-00036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/13/2023] Open
Abstract
PURPOSE Hearing aid use can be variable for young children, and inconsistent wear time can undermine spoken language development. This study explored the effectiveness of hearing aid data logging (DL) awareness and coaching sessions on increasing hours of hearing aid use. We also collected qualitative data on challenges participants experienced managing hearing aid use. METHOD We used a single-subject design that included three conditions, during a 6-week period, in the same order for each participant. Condition A was baseline, Condition B was DL monitoring alone, and Condition C was remote coaching calls plus DL monitoring. RESULTS Hours of hearing aid use increased for each child from baseline to the end of the study, ranging from 1.19 to 4.4 hr. Mothers reported that the coaching calls were beneficial and helped them identify and problem-solve issues. CONCLUSIONS Parents were able to increase hours of hearing aid use with DL awareness and coaching support. Tele-audiology offers an opportunity to provide parents with more frequent support that can be individualized based on their situation, challenges, and family needs.
Collapse
Affiliation(s)
- Karen Muñoz
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan
| | - Kali Markle
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan
| | | | | |
Collapse
|
5
|
Glista D, Schnittker JA, Brice S. The Modern Hearing Care Landscape: Toward the Provision of Personalized, Dynamic, and Adaptive Care. Semin Hear 2023; 44:261-273. [PMID: 37484984 PMCID: PMC10361791 DOI: 10.1055/s-0043-1769621] [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: 07/25/2023] Open
Abstract
New technologies and developments in hearing healthcare are rapidly transforming service models, delivery channels, and available solutions. These advances are reshaping the ways in which care is provided, leading to greater personalization, service efficiencies, and improved access to care, to name a few benefits. Connected hearing care is one model with the potential to embrace this "customized" hearing experience by forging a hybrid of health-technology connections, as well as traditional face-to-face interactions between clients, providers, and persons integral to the care journey. This article will discuss the many components of connected care, encompassing variations of traditional and teleaudiology-focused services, clinic-based and direct-to-consumer channels, in addition to the varying levels of engagement and readiness defining the touch points for clients to access a continuum of connected hearing care. The emerging hearing healthcare system is one that is dynamic and adaptive, allowing for personalized care, but also shifting the focus to the client's needs and preferences. This shift in the care model, largely driven by innovation and the growing opportunities for clients to engage with hearing technology, brings forth new, exciting, and sometimes uncomfortable discussion points for both the provider and client. The modern hearing care landscape benefits clients to better meet their needs and preferences in a more personalized style, and providers to better support and address those needs and preferences.
Collapse
Affiliation(s)
- Danielle Glista
- School of Communication Sciences and Disorders, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada
- National Centre for Audiology, University of Western Ontario, London, Ontario, Canada
| | | | - Sophie Brice
- Australian Institute of Health Service Management, COBE, University of Tasmania, Australia
| |
Collapse
|
6
|
Cejas I, Sanchez C, Holcomb M, Coto J. Parents of children with hearing loss: Impact and exposure of COVID-19 on mental health. PLoS One 2023; 18:e0285249. [PMID: 37130117 PMCID: PMC10153707 DOI: 10.1371/journal.pone.0285249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 04/18/2023] [Indexed: 05/03/2023] Open
Abstract
The aim of this study was to evaluate the impact and exposure of COVID-19 on parent mental health (e.g., depression, anxiety, and post-traumatic stress disorder (PTSD), for parents of children with hearing loss. The survey was distributed via an electronic survey to families subscribed to a pediatric program listserv as part of a university medical center. Fifty-five percent of parents reported elevated symptoms of anxiety, while 16% scored in the clinically significant range for depression. In addition, 20% of parents reported elevated symptoms of PTSD. Liner regressions found that impact of COVID-19 predicted anxiety symptoms, while both impact and exposure predicted depression and PTSD symptoms. In addition, both impact and exposure predicted COVID related parental distress. Exposure and impact of COVID-19 has had negative consequences on parents of children with hearing loss. Although exposure influenced parental mental health, impact uniquely affected depression and PTSD. Results highlight the need for mental health screening, as well implementation of psychological interventions using telehealth or in-person consultations. Future work should focus on post-pandemic challenges, including long-term psychological functioning due to the established relationship between parental mental health and pediatric outcomes.
Collapse
Affiliation(s)
- Ivette Cejas
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States of America
| | - Chrisanda Sanchez
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States of America
| | - Meredith Holcomb
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States of America
| | - Jennifer Coto
- Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, United States of America
| |
Collapse
|
7
|
Gur A, Reich A. Psychological flexibility of parents of children with disabilities: A systematic literature review. RESEARCH IN DEVELOPMENTAL DISABILITIES 2023; 136:104490. [PMID: 36966545 DOI: 10.1016/j.ridd.2023.104490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 02/27/2023] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
PURPOSE Psychological flexibility, a popular concept in clinical psychology, is still evolving in the context of studying parents of children with disabilities. This study systematically reviewed the literature on the psychological flexibility of parents of children with disabilities to identify contributions of the literature and make recommendations for practice and future study. MATERIALS AND METHODS The systematic review was conducted according to the PRISMA guidelines and identified studies on the psychological flexibility of parents of children with disabilities using five electronic databases: PsychNet, PubMed, ERIC, Social Services Abstracts, and EBSCO. Twenty-six articles met the criteria and were included. A thematic analysis was conducted to extract major themes. RESULTS Three major themes emerged from the data: (1) psychological flexibility is associated with various aspects of mental health; (2) psychological flexibility is associated with parental functioning in caring for children with a disability; (3) acceptance and commitment therapy (ACT) based interventions effectively enhance the psychological flexibility of parents of children with disabilities. CONCLUSIONS The study concludes that psychological flexibility is extremely relevant to disability studies and should be further explored in relation to different parental well-being and functioning aspects. Professionals are encouraged to incorporate principles of acceptance and commitment therapy into their work with parents of children with disabilities.
Collapse
Affiliation(s)
- Ayelet Gur
- Social Work Department, Tel-Hai College, Upper Galilee, Israel.
| | - Ari Reich
- Faculty of Education, Bar Ilan University, Ramat Gan, Israel
| |
Collapse
|
8
|
What Are Parents' Experiences With Their Child's Hearing Aid Use in the First 5 Years? Ear Hear 2023:00003446-990000000-00108. [PMID: 36706068 DOI: 10.1097/aud.0000000000001332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVES Parents are required to make informed choices for their children regarding the use of hearing amplification after hearing loss has been diagnosed. If parents choose a listening and spoken language approach for their child where the development of age appropriate spoken language is the parents' goal, then the early fitting and frequent use of hearing aids is crucial. Within the framework of family centered care, parents have the ultimate responsibility for supporting their child's hearing aid use. However, few studies have focused on parents' insights regarding the aspects that shape hearing aid use in the early years. Thus the aim of this study was to explore parents' firsthand experiences with their child's hearing aid use in the first 5 years. Understanding parents' insights will help improve service provision to optimize outcomes for children with hearing loss. DESIGN The study utilized a prospective qualitative design to explore parents' firsthand experiences with their child's hearing aid use. Purposive sampling was used to recruit 12 parents who participated in semi-structured interviews. Parents' responses were analyzed using thematic analysis. RESULTS Three overarching themes were conceptualized, namely: (a) towards hearing aids - journey into the wilderness; (b) adjusting to hearing aids - it's the journey, not the destination; and (c) support for my child's hearing aid use - it's not where you are going, it's who you have beside you. Each theme was further divided into categories and subcategories. CONCLUSIONS This study identified that parents have much to contribute to service providers' understanding regarding the aspects that shape consistent hearing aid use in young children. Parents shared many insights such as the emotionally daunting nature of the first few months post hearing loss confirmation, the influence of family support, and the importance of building connections and understanding about hearing loss and hearing aid use within their social networks. Based on these insights, the authors provide recommendations for clinical best practice that draw upon key principles of family centered care. They consist of practical suggestions including strategic support to overcome less optimal hearing aid use and ways to facilitate parent support within their familial and communal networks.
Collapse
|
9
|
Studts CR, Jacobs JA, Bush ML, Lowman J, Westgate PM, Creel LM. Behavioral Parent Training for Families With Young Deaf or Hard of Hearing Children Followed in Hearing Health Care. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2022; 65:3646-3660. [PMID: 35985319 PMCID: PMC9802658 DOI: 10.1044/2022_jslhr-22-00055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 05/13/2022] [Accepted: 05/19/2022] [Indexed: 06/15/2023]
Abstract
PURPOSE It is well established that individuals with a communication disability, including being deaf or hard of hearing (DHH), experience inequities in health services and outcomes. These inequities extend to DHH children's access to psychosocial evidence-based interventions (EBIs). Behavioral parent training is an EBI that can be used to improve caregiver and child outcomes. Despite being supported by decades of effectiveness research, this EBI is rarely accessed by, or studied with, caregivers of DHH children. The purpose of this article is to describe a program of stakeholder-engaged research adapting and assessing behavioral parent training with caregivers of young DHH children followed in hearing health care, aimed at reducing inequities in access to this EBI. METHOD The first section briefly summarizes the literature on disruptive behavior problems in young children, with a focus on preschool-age DHH children. The evidence base for behavioral parent training is described. Next, the gaps in knowledge and practice regarding disruptive behaviors among DHH children are highlighted, and the potential integration of behavioral parent training into the standard of care for this population is proposed. CONCLUSIONS Young DHH children who use hearing aids and/or cochlear implants experience disruptive behavior problems at rates at least as high as typically hearing children, but their access to EBIs is limited, and behavioral parent training programs tailored to this population have not been rigorously tested. Caregivers and hearing health care service providers affirm the potential benefits of behavioral parent training and were partners in adapting this EBI. This research highlights several principles and approaches essential for reducing inequities and improving the quality of life not only for DHH children and their families but also for individuals with communication disabilities more broadly: engagement of key stakeholders in research, collaboration across disciplines, and using implementation science methods and models to design for implementation, dissemination, and sustainment. Presentation Video: https://doi.org/10.23641/asha.21215900.
Collapse
Affiliation(s)
- Christina R. Studts
- Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora
| | - Julie A. Jacobs
- Department of Otolaryngology - Head and Neck Surgery, University of Kentucky, Lexington
| | - Matthew L. Bush
- Department of Otolaryngology - Head and Neck Surgery, University of Kentucky, Lexington
| | - Joneen Lowman
- Department of Communication Sciences and Disorders, University of Kentucky, Lexington
| | | | - Liza M. Creel
- Department of Health Management and Systems Sciences, University of Louisville, KY
| |
Collapse
|
10
|
Studts CR, Jacobs JA, Bush ML, Lowman J, Creel LM, Westgate PM. Study Protocol: Type 1 Hybrid Effectiveness-Implementation Trial of a Behavioral Parent Training Intervention for Parents of Young Children Who Are Deaf or Hard of Hearing. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2022; 31:1163-1178. [PMID: 35316091 PMCID: PMC9567338 DOI: 10.1044/2022_ajslp-21-00186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 11/10/2021] [Accepted: 01/01/2022] [Indexed: 06/14/2023]
Abstract
PURPOSE Children who are deaf or hard of hearing (DHH) and who use hearing aids or cochlear implants are more likely than their peers with typical hearing to exhibit behavior problems. Although multiple evidence-based interventions for child behavior problems exist, they are rarely delivered to children who are DHH, and no rigorous randomized controlled trials have been conducted to determine their effects with this population. This protocol describes a study aiming to test the effectiveness of an evidence-based behavioral parent training intervention adapted for parents of young children who are DHH and simultaneously to assess key implementation outcomes and multilevel contextual factors influencing implementation. METHOD The protocol for a Type 1 hybrid effectiveness-implementation trial of a behavioral parent training intervention for parents of young children who are DHH is presented, including details of the study design, participants, assessments, and analyses. Using a stakeholder-engaged, mixed-methods approach, we will test the effects of the intervention versus treatment as usual on parenting behaviors, child behaviors, and a range of secondary effectiveness outcomes, including adherence to using hearing aids and cochlear implants as well as measures of child speech and language. We will assess the acceptability, feasibility, fidelity, and costs of the intervention from the perspectives of peer coaches who deliver the intervention, hearing health care clinicians (including audiologists and speech-language pathologists), and administrators of programs serving young children who are DHH. CONCLUSIONS Results of this trial will inform future efforts to close the gap between prevalence of behavioral problems in young children who are DHH and access to and use of evidence-based interventions to prevent and treat them. If effective, this intervention could be widely implemented using strategies informed by the findings of this study to benefit young children who are DHH and followed in hearing health care and their families.
Collapse
Affiliation(s)
- Christina R. Studts
- Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora
| | - Julie A. Jacobs
- Department of Otolaryngology–Head & Neck Surgery, University of Kentucky, Lexington
| | - Matthew L. Bush
- Department of Otolaryngology–Head & Neck Surgery, University of Kentucky, Lexington
| | - Joneen Lowman
- Department of Communication Sciences and Disorders, University of Kentucky, Lexington
| | - Liza M. Creel
- Department of Health Management and Systems Sciences, University of Louisville, KY
| | | |
Collapse
|
11
|
San Miguel GG, Muñoz K, Barrett TS, Twohig MP. Moderators and predictors in a parent hearing aid management eHealth program. Int J Audiol 2022; 62:410-417. [PMID: 35301941 DOI: 10.1080/14992027.2022.2048103] [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: 11/05/2022]
Abstract
Objective: Consistent hearing aid use is essential for spoken language development of children who are hard of hearing. A recent randomised controlled trial of an eHealth hearing aid management education program found the intervention increased knowledge, perceptions, confidence, and device monitoring among parents of young children. Yet, it is not known which variables can be a point of emphasis to improve treatment outcomes. The purpose of this study was to investigate potential moderators and predictors in the eHealth program.Design: Randomised controlled trialStudy Sample: Parents (N = 78) of children (42 months or younger) were randomised to the intervention or treatment-as-usual (TAU) group.Results: Results revealed that high psychological inflexibility, low parent activation, and low hours of hearing aid use may moderate device monitoring frequency and knowledge; parents in the intervention improved over time compared to the TAU group. Psychological inflexibility and parent activation also predicted treatment outcomes.Conclusion: The findings suggest the need to address parent psychological inflexibility related to hearing loss management, parents' role in their child's hearing aid management, and reported hours of hearing aid use as part of hearing aid service delivery. Identification of barriers to hearing aid management can assist audiologists in adjusting support to improve outcomes.
Collapse
Affiliation(s)
| | - Karen Muñoz
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | | | | |
Collapse
|
12
|
Nichols N, Muñoz K, San Miguel GG, Twohig MP. eHealth Education and Support for Pediatric Hearing Aid Management: Parent Goals, Questions, and Challenges. Am J Audiol 2022; 31:189-203. [PMID: 35196126 DOI: 10.1044/2021_aja-21-00098] [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 purpose of this study was to investigate parent goals, questions, and challenges that emerged during coaching phone calls in an eHealth program designed to provide education and support for hearing aid management. METHOD Coaching phone calls were audio-recorded, transcribed, and qualitatively analyzed for emergent themes within the categories of goals, questions, and challenges. RESULTS Emergent themes revealed that parent goals were focused on self-efficacy, routines, device care, and child development. Emergent themes for questions revealed that parents asked questions related to the device care, audiology appointments, confirmation of learning, and child development. For challenges, emergent themes revealed parents' own struggles (e.g., with emotions), issues related to working with their audiologist, child factors, and anticipated challenges. CONCLUSIONS The eHealth intervention allowed parents to raise questions and discuss their challenges in a supportive environment. Supportive accountability helped participants identify and address barriers to hearing aid management based on their priorities and current challenges. Providing supplemental learning support, in addition to routine audiology visits, can help parents develop more effective hearing aid management routines.
Collapse
Affiliation(s)
- Natalie Nichols
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan
| | - Karen Muñoz
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan
| | | | | |
Collapse
|
13
|
Identifying the Factors that Affect Consistent Hearing Aid Use in Young Children With Early Identified Hearing Loss: A Scoping Review. Ear Hear 2021; 43:733-740. [PMID: 34643596 DOI: 10.1097/aud.0000000000001139] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES This study is a scoping review examining factors that affect consistent hearing aid use in young children with early identified hearing loss (HL). DESIGN Online databases were used to identify journal articles published between 2009 and 2019, yielding over 1800 citations. The citations were uploaded into an online software product called Covidence that enables scoping/systematic review management. After duplicates were removed, 857 articles were screened by abstract and title name, 93 of which were put through for full-text screening. Twenty-five articles met predetermined inclusion and exclusion criteria. Appraisal tools were utilized to establish the quality of the studies included. Numerical summaries were used to synthesize and describe the data set. Thematic analysis was utilized to identify global and subthemes within the data set. RESULTS Numerical summaries revealed that over half of the studies in the data set used a quantitative design. Thematic analysis of the data identified four global themes namely, "each child is an individual," "parents are key," "parents require support," and "professionals make a difference." Each global theme was further divided into subthemes, most of which centered around the parents of children with HL. Each subtheme was categorized as a malleable or a fixed factor that impacts on hearing aid use in young children with HL. CONCLUSION This scoping review identified malleable and fixed factors that impact on hearing aid use in young children with HL. These factors centered around the individual characteristics of children with HL, the key responsibility their parents have, and the important contribution that professionals can make. Irrespective of whether factors are malleable or fixed, parents and professionals working with children with HL can have a positive impact on hearing aid use. This is likely to have a flow on, positive impact on their overall communication and learning outcomes.
Collapse
|
14
|
Salamatmanesh M, Sikora L, Bahraini S, MacAskill M, Lagace J, Ramsay T, Fitzpatrick EM. Paediatric hearing aid use: a systematic review. Int J Audiol 2021; 61:12-20. [PMID: 34407727 DOI: 10.1080/14992027.2021.1962014] [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: 10/20/2022]
Abstract
CONTEXT Hearing loss (HL) is one of the most common disorders present at birth. Parents' management of their child's hearing aids (HAs) and regular follow-up with healthcare providers HA are fundamental components of effective intervention. OBJECTIVE The primary objective of this systematic review was to synthesise the current literature on HA use in the paediatric population, and the secondary objective was to review the factors associated with HA use. METHODS Electronic databases, including MEDLINE, EMBASE, CINAHL, and LLBA from 2005 to 2019, were searched. Two reviewers individually screened potentially relevant articles over two phases. RESULTS Fifteen studies met this review criteria. Four studies reported HA use based on data logging records. In nine studies, the amount of HA use was evaluated based on parents' reports, and three studies concluded that parents overestimate their child's HA use. Age, degree of HL and parents' education level were the most frequently reported factors associated with a child's amount of HA use. CONCLUSIONS The results of this review will provide a foundation for future studies on the importance of monitoring HA use and the impact of consistent HA use on the language development of children with HL.
Collapse
Affiliation(s)
- Mina Salamatmanesh
- Faculty of Health Sciences, School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, Canada.,CHEO Research Institute, Ottawa, ON, Canada
| | - Lindsey Sikora
- Health Sciences Library, University of Ottawa, Ottawa, ON, Canada
| | - Sayna Bahraini
- CHEO Research Institute, Ottawa, ON, Canada.,Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, ON, Canada
| | | | - Josée Lagace
- Faculty of Health Sciences, School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, Canada
| | - Tim Ramsay
- Faculty of Health Sciences, School of Epidemiology, University of Ottawa, Ottawa, ON, Canada.,Eastern Health, Clarenville, NL, USA
| | - Elizabeth M Fitzpatrick
- Faculty of Health Sciences, School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, Canada.,CHEO Research Institute, Ottawa, ON, Canada
| |
Collapse
|
15
|
Muñoz K, San Miguel GG, Barrett TS, Kasin C, Baughman K, Reynolds B, Ritter C, Larsen M, Whicker JJ, Twohig MP. eHealth parent education for hearing aid management: a pilot randomized controlled trial. Int J Audiol 2021; 60:S42-S48. [PMID: 33635156 DOI: 10.1080/14992027.2021.1886354] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE Parents frequently experience challenges implementing daily routines important for consistent hearing aid management. Education that supports parents in learning new information and gaining confidence is essential for intervention success. We conducted a pilot study to test an eHealth program to determine if we could implement the program with adherence and affect important behavioural outcomes compared to treatment as usual. DESIGN Randomised controlled trial. STUDY SAMPLE Parents of children birth to 42 months who use hearing aids. Eighty-two parents were randomly assigned to the intervention or treatment-as-usual group. Four parents assigned to the intervention group did not continue after baseline testing. RESULTS The intervention was delivered successfully with low drop out (10%), high session completion (97%), and high program adherence. The intervention conditions showed significantly greater gains over time for knowledge, confidence, perceptions, and monitoring related to hearing aid management. Significant differences between groups were not observed for hearing aid use time. CONCLUSION We found that we could successfully implement this eHealth program and that it benefitted the participants in terms of knowledge and confidence with skills important for hearing aid management. Future research is needed to determine how to roll programs like this out on a larger scale.
Collapse
Affiliation(s)
- Karen Muñoz
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | | | - Tyson S Barrett
- Office of Research Services, Utah State University, Logan, UT, USA
| | - Courtney Kasin
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | - Kelsey Baughman
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | - Bailey Reynolds
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | - Caitlyn Ritter
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | - Makynzie Larsen
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | - John J Whicker
- Rehabilitation, Primary Children's Hospital, Salt Lake City, UT, USA
| | | |
Collapse
|
16
|
Alegre-de la Rosa OM, Villar-Angulo LM. Health-related quality of life in children who use cochlear implants or hearing aids. Heliyon 2020; 6:e03114. [PMID: 31956708 PMCID: PMC6956757 DOI: 10.1016/j.heliyon.2019.e03114] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2019] [Revised: 11/14/2019] [Accepted: 12/19/2019] [Indexed: 11/28/2022] Open
Abstract
Objectives First, this study aimed at evaluating the health-related quality of life (HRQoL) and socio-demographic characteristics of children with cochlear implants (CIs) and hearing aids (HAs) from the 2 provinces of the Canary Islands (Spain) on the Kid-KINDLR_children_7–13. The second goal was to analyze parental background factors and the perspectives of their children with CIs and HAs on Kid_Kiddo-KINDLR_Parents_ 7–17. Finally, the third objective was to explore agreement between children's self-reports and their parents' reports concerning HRQoL. Design The data consisted of 89 children with CIs and 63 children with HAs and their 89 parents, respectively. The socio-demographic characteristics of children and parental background factors included demographic and audiological variables. Student's t-test, one-way ANOVA, post hoc analysis and 4 concordance correlation coefficients (CCC) were used to address the 3 aims. Results Children with CIs exhibited a perception of better HRQoL in comparison with children with HAs. Among other differences, children with CIs and HAs and their parents were significantly distinct in Setting (i.e., provinces of Tenerife and Gran Canaria) (t = 2.921, p < 0.010). Moreover, parents were significantly different in some background factors (i.e., age, socioeconomic status, and learning). While Cohen's Kappa values for most dimensions were too small, the ICC and Student's t-test expressed only concordance in the overall HRQoL and Physical well-being. Conclusions Children with CIs and their parents demostrated a perception of better HRQoL than children with HAs and their parents. Overall, children's self-ratings of HRQoL differed from their parents' reports.
Collapse
Affiliation(s)
- Olga María Alegre-de la Rosa
- Departamento de Didáctica e Investigación Educativa, Facultad de Educación, Universidad de La Laguna, España, Spain
| | - Luis Miguel Villar-Angulo
- Departamento de Didáctica y Organización Escolar, Facultad de Ciencias de la Educación, Universidad de Sevilla, España, Spain
| |
Collapse
|
17
|
Ambrose SE, Appenzeller M, Al-Salim S, Kaiser AP. Effects of an Intervention Designed to Increase Toddlers' Hearing Aid Use. JOURNAL OF DEAF STUDIES AND DEAF EDUCATION 2020; 25:55-67. [PMID: 31711178 PMCID: PMC7275820 DOI: 10.1093/deafed/enz032] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 06/19/2019] [Accepted: 06/21/2019] [Indexed: 05/12/2023]
Abstract
The purpose of this study was to examine the effectiveness of Ears On, an intervention designed to increase toddlers' use of hearing devices. A single-case, multiple-baseline design across participants was used with three parent-child dyads who demonstrated low hearing aid use despite enrollment in traditional early intervention services. Data logging technology was used to objectively measure hearing aid use. A functional relationship was identified between participation in the intervention and the number of hours children utilized their hearing aids. Two dyads met the criterion set for completing the intervention: an average of 8 hr of daily hearing aid use. One dyad did not reach this criterion but did meet the parent's goal of full-time use in the child's educational setting. For all dyads, increases in use were maintained 1 month after completion of the intervention. Findings support use of this short-term, intensive, individualized intervention to improve hearing aid use for toddlers with hearing loss.
Collapse
Affiliation(s)
- Sophie E Ambrose
- Boys Town National Research Hospital
- Correspondence should be sent to Sophie E. Ambrose, Boys Town National Research Hospital, LLTC 555 N. 30th Street, Omaha, NE 68131 (e-mail: )
| | | | | | | |
Collapse
|
18
|
Appenzeller MC, Ambrose SE. Using Technology to Monitor Hearing Device Use and Linguistic Environments: Early Intervention Providers' Perspectives. JOURNAL OF EARLY HEARING DETECTION AND INTERVENTION 2020; 5:62-72. [PMID: 32968696 PMCID: PMC7507746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
To improve outcomes for children with hearing loss, early intervention professionals must work with families to optimize children's hearing device use and the linguistic and auditory features of children's environments. Two technologies with potential use in monitoring these domains are data logging and Language Environment Analysis (LENA) technology. This study, which surveyed early intervention providers, had two objectives: (a) to determine whether providers' experiences, perspectives, and current practices indicated there was a need for tools to better monitor these domains, and (b) to gain a better understanding of providers' experiences with and perspectives on use of the two technologies. Most providers reported that they used informal, subjective methods to monitor functioning in the two domains and felt confident that their methods allowed them to know how consistently children on their caseloads were wearing their hearing devices and what their environments were like between intervention visits. Although most providers reported limited personal experience with accessing data logging information and with LENA technology, many reported receiving data logging information from children's audiologists. Providers generally believed access to the technologies could be beneficial, but only if coupled with proper funding for the technology, appropriate training, and supportive administrative policies.
Collapse
|
19
|
Klein KE, Spratford M, Redfern A, Walker EA. Effects of Grade and School Services on Children's Responsibility for Hearing Aid Care. Am J Audiol 2019; 28:673-685. [PMID: 31430182 DOI: 10.1044/2019_aja-19-0005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose We investigated trends in hearing aid maintenance and assumption of responsibility for hearing aids in school-age children who are hard of hearing. Specifically, we examined the extent to which families own necessary hearing aid maintenance equipment, whether and by whom hearing aid maintenance tasks are being completed, and the effects of grade and receipt of an Individualized Education Program (IEP) or 504 plan on a child's assumption of responsibility for hearing aid care. Method Participants included 167 children who are hard of hearing in 1st to 4th grade. Caregivers reported whether the families owned various types of hearing aid maintenance equipment (listening tube, battery tester, and dri-aid kit) and who normally completes various hearing aid maintenance tasks. Information about children's audiological characteristics was also collected. Results Thirty-two percent of families reported not owning at least 1 piece of hearing aid maintenance equipment. Using a battery tester and performing a listening check were the maintenance tasks completed the least frequently, with 49% and 28% of caregivers reporting that these tasks are not completed regularly, respectively. Children's responsibility for hearing aid maintenance increased with grade. After controlling for maternal education and degree of hearing loss, children with an IEP or 504 plan took more responsibility for hearing aid maintenance tasks than children without these services. Conclusion Important hearing aid maintenance tasks, such as listening checks, are not completed regularly for many children, even when families own the necessary equipment. Ensuring that children who are hard of hearing have an IEP or 504 plan throughout elementary school may support self-advocacy and encourage children to take responsibility for their hearing aids, which may lead to more consistent hearing aid functioning.
Collapse
Affiliation(s)
- Kelsey E. Klein
- Department of Communication Sciences and Disorders, University of Iowa, Iowa City
| | - Meredith Spratford
- Audibility, Perception, and Cognition Laboratory, Boys Town National Research Hospital, Omaha, NE
| | - Alexandra Redfern
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN
| | - Elizabeth A. Walker
- Department of Communication Sciences and Disorders, University of Iowa, Iowa City
| |
Collapse
|
20
|
Ong CW, Whicker JJ, Muñoz K, Twohig MP. Measuring psychological inflexibility in adult and child hearing loss. Int J Audiol 2019; 58:643-650. [DOI: 10.1080/14992027.2019.1630759] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Clarissa W. Ong
- Department of Psychology, Utah State University, Logan, UT, USA
| | - John J. Whicker
- Department of Psychology, Utah State University, Logan, UT, USA
| | - Karen Muñoz
- Department of Psychology, Utah State University, Logan, UT, USA
| | | |
Collapse
|