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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.
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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
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Glista D, O'Hagan R, DiFabio D, Moodie S, Muñoz K, Curca IA, Meston C, Richert F, Pfingstgraef D, Nageswaran L, Brown C, Joseph K, Bagatto M. Phase 1 of collaborative action around the implementation of virtual hearing aid care: Development of a clinical practice guideline. J Eval Clin Pract 2023; 29:614-621. [PMID: 37084185 DOI: 10.1111/jep.13846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 04/03/2023] [Accepted: 04/05/2023] [Indexed: 04/22/2023]
Abstract
RATIONALE There is a growing demand for comprehensive, evidence-based, and accessible clinical practice guidelines (CPGs) to address virtual service delivery. This demand was particularly evident within the field of hearing healthcare during the COVID-19 pandemic, when providers were faced with an immediate need to offer services at a distance. Considering the recent advancement in information and communication technologies, the slow uptake of virtual care, and the lack of knowledge tools to support clinical integration in hearing healthcare, a Knowledge-to-Action Framework was used to address the virtual care delivery research-to-practice gap. AIMS AND OBJECTIVES This paper outlines the development of a CPG specific to provider-directed virtual hearing aid care. Clinical integration of the guideline took place during the COVID-19 pandemic and in alignment with an umbrella project aimed at implementing and evaluating virtual hearing aid care incorporating many different stakeholders. METHOD Evidence from two systematic literature reviews guided the CPG development. Collaborative actions around knowledge creation resulted in the development of a draft CPG (v1.9) and the mobilisation of the guideline into participating clinical sites. RESULTS AND CONCLUSION Literature review findings are discussed along with the co-creation process that included 13 team members, from various research and clinical backgrounds, who participated in the writing, revising, and finalising of the draft version of the guideline.
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Affiliation(s)
- Danielle Glista
- National Centre for Audiology, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
| | - Robin O'Hagan
- National Centre for Audiology, Western University, London, Ontario, Canada
| | - Danielle DiFabio
- Faculty of Health Sciences, School of Health and Rehabilitation Sciences, Western University, London, Ontario, Canada
| | - Sheila Moodie
- National Centre for Audiology, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
| | - Karen Muñoz
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, Utah, USA
| | - Ioan Aurelian Curca
- National Centre for Audiology, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
- H. A. Leeper Speech and Hearing Clinic, Western University, London, Ontario, Canada
| | - Christine Meston
- National Centre for Audiology, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
- H. A. Leeper Speech and Hearing Clinic, Western University, London, Ontario, Canada
| | - Frances Richert
- National Centre for Audiology, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
- H. A. Leeper Speech and Hearing Clinic, Western University, London, Ontario, Canada
| | - Dave Pfingstgraef
- Elgin Audiology Consultants, London & St. Thomas, Thomas, Ontario, Canada
| | - Luxshmi Nageswaran
- Department of Health Studies, Faculty of Health Sciences, Western University, London, Ontario, Canada
| | - Christine Brown
- H. A. Leeper Speech and Hearing Clinic, Western University, London, Ontario, Canada
| | - Keiran Joseph
- Guys and St Thomas' NHS Foundation Trust, London, UK
| | - Marlene Bagatto
- National Centre for Audiology, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
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DiFabio D, Moodie S, O’Hagan R, Pardal S, Glista D. Barriers and facilitators to paediatric caregivers' participation in virtual speech, language, and hearing services: A scoping review. Digit Health 2023; 9:20552076231216684. [PMID: 38033515 PMCID: PMC10687955 DOI: 10.1177/20552076231216684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2023] [Indexed: 12/02/2023] Open
Abstract
Purpose Virtual care-related technologies are transforming the way in which health services are delivered. A growing number of studies support the use of virtual care in the field of audiology and speech-language pathology; however, there remains a need to identify and understand what influences caregiver participation within the care that is virtual and family-focused. This review aimed to identify, synthesize, and summarize the literature around the reported barriers and facilitators to caregiver participation in virtual speech/hearing assessment and/or intervention appointments for their child. Methods A scoping review was conducted following the Joanna Briggs Institute manual for evidence synthesis. A search was conducted using six databases including MEDLINE, CINAHL, SCOPUS, ERIC, Nursing and Allied Health, and Web of Science to collect peer-reviewed studies of interest. Data was extracted according to a protocol published on Figshare, outlining a predefined data extraction form and search strategy. Results A variety of service delivery models and technology requirements were identified across the 48 included studies. Caregiver participation was found to vary across levels of attendance and involvement according to eight categories: Attitudes, child behavioral considerations, environment, opportunities, provider-family relationship, role in care process, support, and technology. Conclusions This review presents a description of the key categories reported to influence caregiver participation in virtual care appointments. Future research is needed to explore how the findings can be used within family-centered care models to provide strategic support benefiting the use and outcomes of virtual care.
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Affiliation(s)
- Danielle DiFabio
- School of Health and Rehabilitation Sciences, Western University, London, ON, Canada
| | - Sheila Moodie
- School of Health and Rehabilitation Sciences, Western University, London, ON, Canada
- The National Centre for Audiology, Western University, London, ON, Canada
- The School of Communication Sciences and Disorders, Western University, London, ON, Canada
| | - Robin O’Hagan
- The National Centre for Audiology, Western University, London, ON, Canada
| | - Simrin Pardal
- School of Health Studies, Western University, London, ON, Canada
| | - Danielle Glista
- School of Health and Rehabilitation Sciences, Western University, London, ON, Canada
- The National Centre for Audiology, Western University, London, ON, Canada
- The School of Communication Sciences and Disorders, Western University, London, ON, Canada
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Is Teleaudiology Achieving Person-Centered Care: A Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127436. [PMID: 35742684 PMCID: PMC9224155 DOI: 10.3390/ijerph19127436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 06/08/2022] [Accepted: 06/14/2022] [Indexed: 02/04/2023]
Abstract
Digital health and person-centered care are unquestionably linked in today’s Australian healthcare landscape. Teleaudiology is the application of digital health in the field of audiology, and it has become a popular component of standard audiological care. Behavior modification is essential in audiology intervention. Guidance on achieving behavior change, which is dependent on digitally enabled intervention, is a valuable resource when used in tandem to achieve person-centered care. The aim of this review is to determine whether teleaudiology achieves person-centered care. A qualitative review was conducted, followed by mapping and analysis. Analysis identified evidence of teleaudiology use, and ascertained guiding principles are appropriate to behavior change dependent digital intervention supported or enabled person-centered care. In conclusion, teleaudiology will continue to be a promising technology for promoting relatedness, a positive user experience, confidence and capability, and appropriate levels of autonomy for the user to choose from among the person-centered care options available.
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