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Coco L, Leon K, Navarro C, Piper R, Carvajal S, Marrone N. "Close to My Community": A Qualitative Study of Community Health Worker-Supported Teleaudiology Hearing Aid Services. Ear Hear 2024:00003446-990000000-00286. [PMID: 38812073 DOI: 10.1097/aud.0000000000001507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2024]
Abstract
OBJECTIVES Given well-documented disparities in rural and minority communities, alternative service delivery models that help improve access to hearing care are needed. This article reports on a study of older Latino adults with hearing loss who received hearing aid services with Community Health Workers (CHWs) providing support via teleaudiology. The present study used qualitative data to explore perceptions of this novel service delivery model. DESIGN Participants completed semistructured interviews related to their experiences in the intervention approximately 17 weeks after the hearing aid fitting appointment. Two coders independently coded the data, using an iterative deductive and inductive thematic analysis approach. Inter-rater reliability was good (κ = 0.80). RESULTS Of the 28 participants, 19 were interviewed (CHW group: n = 9, 8 females; non-CHW group: n = 10, 9 females). Both groups of participants reported experiencing barriers in access to care and reported positive experiences with teleaudiology and with hearing aids as part of the trial. CHW group participants reported interactions with patient-site facilitators that were indicative of patient-centeredness. CONCLUSIONS Results demonstrate the feasibility and potential effectiveness of trained CHWs as patient-site facilitators in teleaudiology-delivered hearing aid services for adults.
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Affiliation(s)
- Laura Coco
- School of Speech, Language, and Hearing Sciences, San Diego State University, San Diego, California, USA
- Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, Arizona, USA
| | - Kimberly Leon
- Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, Arizona, USA
- Department of Psychology, University of Arizona, Tucson, Arizona, USA
| | | | - Rosie Piper
- Mariposa Community Health Center, Nogales, Arizona, USA
| | - Scott Carvajal
- Health Promotion Sciences Department, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
| | - Nicole Marrone
- Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, Arizona, USA
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2
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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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3
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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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4
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Han UG, Lee JY, Kim GY, Jo M, Lee J, Bang KH, Cho YS, Hong SH, Moon IJ. Real-World Effectiveness of Wearable Augmented Reality Device for Patients With Hearing Loss: Prospective Study. JMIR Mhealth Uhealth 2022; 10:e33476. [PMID: 35320113 PMCID: PMC8987961 DOI: 10.2196/33476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 11/26/2021] [Accepted: 01/07/2022] [Indexed: 11/30/2022] Open
Abstract
Background Hearing loss limits communication and social activity, and hearing aids (HAs) are an efficient rehabilitative option for improving oral communication and speech comprehension, as well as the psychosocial comfort of people with hearing loss. To overcome this problem, over-the-counter amplification devices including personal sound amplification products and wearable augmented reality devices (WARDs) have been introduced. Objective This study aimed to evaluate the clinical effectiveness of WARDs for patients with mild to moderate hearing loss. Methods A total of 40 patients (18 men and 22 women) with mild to moderate hearing loss were enrolled prospectively in this study. All participants were instructed to wear a WARD, Galaxy Buds Pro (Samsung Electronics), at least 4 hours a day for 2 weeks, for amplifying ambient sounds. Questionnaires including the Korean version of the abbreviated profile of hearing aid benefit (K-APHAB) and the Korean adaptation of the international outcome inventory for hearing aids (K-IOI-HA) were used to assess personal satisfaction in all participants. Audiologic tests, including sound field audiometry, sound field word recognition score (WRS), and the Korean version of hearing in noise test (K-HINT), were administered to 14 of 40 patients. The tests were performed under two conditions: unaided and aided with WARDs. Results The mean age of the participants was 55.4 (SD 10.7) years. After 2 weeks of the field trial, participants demonstrated a benefit of WARDs on the K-APHAB. Scores of 3 subscales of ease of communication, reverberation, and background noise were improved significantly (P<.001). However, scores regarding aversiveness were worse under the aided condition (P<.001). K-IOI-HA findings indicated high user satisfaction after the 2-week field trial. On audiologic evaluation, the K-HINT did not show significant differences between unaided and aided conditions (P=.97). However, the hearing threshold on sound field audiometry (P=.001) and the WRS (P=.002) showed significant improvements under the aided condition. Conclusions WARDs can be beneficial for patients with mild to moderate hearing loss as a cost-effective alternative to conventional hearing aids.
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Affiliation(s)
- Ul Gyu Han
- Samsung Advanced Institute for Health Sciences & Technology, Department of Health Sciences and Technology, Sungkyunkwan University, Seoul, Republic of Korea
- Hearing Research Laboratory, Samsung Medical Center, Seoul, Republic of Korea
| | - Jung-Yup Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Ga-Young Kim
- Hearing Research Laboratory, Samsung Medical Center, Seoul, Republic of Korea
| | - Mini Jo
- Hearing Research Laboratory, Samsung Medical Center, Seoul, Republic of Korea
| | - Jaeseong Lee
- Advanced Lab - Audio, Samsung Electronics, Suwon, Republic of Korea
- Department of Electrical and Electronic Engineering, Yonsei University, Seodaemun-gu, Seoul, Republic of Korea
| | - Kyoung Ho Bang
- Advanced Lab - Audio, Samsung Electronics, Suwon, Republic of Korea
- Department of Electrical and Electronic Engineering, Yonsei University, Seodaemun-gu, Seoul, Republic of Korea
| | - Young Sang Cho
- Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Sung Hwa Hong
- Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea
| | - Il Joon Moon
- Hearing Research Laboratory, Samsung Medical Center, Seoul, Republic of Korea
- Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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Elbeltagy R, Waly EH, Bakry HM. Teleaudiology practice in COVID-19 pandemic in Egypt and Saudi Arabia. J Otol 2021; 17:78-83. [PMID: 34976033 PMCID: PMC8704730 DOI: 10.1016/j.joto.2021.12.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2021] [Revised: 12/22/2021] [Accepted: 12/22/2021] [Indexed: 11/24/2022] Open
Abstract
Objective To evaluate the audiologists’ attitudes and practice towards teleaudiology, as well as to assess the audiological services provided in Egypt and Saudi Arabia during the COVID-19 pandemic. Methods A cross sectional study was conducted among 112 audiologists who were recruited through convenience sampling . Multinomial logistic regression was used to test the association between practice of tele audiology as a dependent variable and some independent variables. Results 25.4% of the studied sample were practicing tele audiology. Participants’ age and attitude toward telemedicine were the independent predictors of tele audiology practice at p value ≤ 0.05. Conclusion The tele audiology practice is essential. Therefore, raising the knowledge of audiologist about the great value of practicing tele audiology is very important, infrastructure, equipment, and technology especially telecommunication should be improved and facilitated for both audiologist and patients.
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Affiliation(s)
- Reem Elbeltagy
- Ear-Nose-Throat department, Faculty of Medicine, Zagazig University.,Health Communication sciences department. College of Health and rehabilitation sciences, Princess Nourah bint Abdulrahman University
| | - Eman H Waly
- Environmental and Occupational medicine department, Faculty of Medicine, Zagazig University
| | - Huny M Bakry
- Environmental and Occupational medicine department, Faculty of Medicine, Zagazig University
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6
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Hajesmaeel-Gohari S, Bahaadinbeigy K. The most used questionnaires for evaluating telemedicine services. BMC Med Inform Decis Mak 2021; 21:36. [PMID: 33531013 PMCID: PMC7852181 DOI: 10.1186/s12911-021-01407-y] [Citation(s) in RCA: 53] [Impact Index Per Article: 17.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Accepted: 01/25/2021] [Indexed: 12/13/2022] Open
Abstract
Background Questionnaires are commonly used tools in telemedicine services that can help to evaluate different aspects. Selecting the ideal questionnaire for this purpose may be challenging for researchers. This study aims to review which questionnaires are used to evaluate telemedicine services in the studies, which are most common, and what aspects of telemedicine evaluation do they capture. Methods The PubMed database was searched in August 2020 to retrieve articles. Data extracted from the final list of articles included author/year of publication, journal of publication, type of evaluation, and evaluation questionnaire. Data were analyzed using descriptive statistics. Results Fifty-three articles were included in this study. The questionnaire was used for evaluating the satisfaction (49%), usability (34%), acceptance (11.5%), and implementation (2%) of telemedicine services. Among telemedicine specific questionnaires, Telehealth Usability Questionnaire (TUQ) (19%), Telemedicine Satisfaction Questionnaire (TSQ) (13%), and Service User Technology Acceptability Questionnaire (SUTAQ) (5.5%), were respectively most frequently used in the collected articles. Other most used questionnaires generally used for evaluating the users’ satisfaction, usability, and acceptance of technology were Client Satisfaction Questionnaire (CSQ) (5.5%), Questionnaire for User Interaction Satisfaction (QUIS) (5.5%), System Usability Scale (SUS) (5.5%), Patient Satisfaction Questionnaire (PSQ) (5.5%), and Technology Acceptance Model (TAM) (3.5%) respectively. Conclusion Employing specifically designed questionnaires or designing a new questionnaire with fewer questions and more comprehensiveness in terms of the issues studied provides a better evaluation. Attention to user needs, end-user acceptance, and implementation processes, along with users' satisfaction and usability evaluation, may optimize telemedicine efforts in the future.
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Affiliation(s)
- Sadrieh Hajesmaeel-Gohari
- Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Kambiz Bahaadinbeigy
- Gastroenterology and Hepatology Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran.
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7
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Tao KFM, Moreira TDC, Jayakody DMP, Swanepoel DW, Brennan-Jones CG, Coetzee L, Eikelboom RH. Teleaudiology hearing aid fitting follow-up consultations for adults: single blinded crossover randomised control trial and cohort studies. Int J Audiol 2020; 60:S49-S60. [PMID: 32964773 DOI: 10.1080/14992027.2020.1805804] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To evaluate and compare the effectiveness and quality of standard face-to-face and teleaudiology hearing aid fitting follow-up consultations and blended services for adult hearing aid users. DESIGN AND STUDY SAMPLE Fifty-six participants were randomly allocated to two equal groups, with equal numbers of new and experienced users. One standard and one teleaudiology follow-up consultation were delivered by an audiologist, the latter assisted by a facilitator. The order was reversed for the second group. Outcome measurement tools were applied to assess aspects of participants' communication, fitting (physical, sensorial), quality of life, and service. Cross-sectional and longitudinal outcomes were analysed. RESULTS Most participants presented with moderate, sloping, and symmetrical sensorineural hearing loss. The duration of teleaudiology (42.96 ± 2.73 min) was equivalent to face-to-face consultations (41.25 ± 2.61 min). All modes of service delivery significantly improved outcomes for communication, fitting, and quality of life (p > 0.05). Satisfaction for both consultation modes was high, although significantly greater with standard consultations. The mode and order of delivery of the consultations did not influence the outcomes. CONCLUSION Teleaudiology hearing aid follow-up consultations can deliver significant improvements, and do not differ from standard consultations. Blended services also deliver significant improvements. Satisfaction can be negatively impacted by technical or human-related issues.
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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.,Ear Health Team, Telethon Kids Institute, 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
| | - Tais de C Moreira
- Department of Social Responsibility, Hospital Moinhos de Vento, Porto Alegre, Brazil
| | - Dona M P Jayakody
- Ear Sciences Centre, Medical School, The University of Western Australia, Perth, Australia.,Ear Science Institute 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
| | - Christopher G Brennan-Jones
- Ear Health Team, Telethon Kids Institute, 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
| | - Lize Coetzee
- 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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8
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Coco L, Davidson A, Marrone N. The Role of Patient-Site Facilitators in Teleaudiology: A Scoping Review. Am J Audiol 2020; 29:661-675. [PMID: 32692575 DOI: 10.1044/2020_aja-19-00070] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Purpose Teleaudiology helps improve access to hearing health care by overcoming the geographic gap between providers and patients. In many teleaudiology encounters, a facilitator is needed at the patient site to help with hands-on aspects of procedures. The aim of this study was to review the scope and nature of research around patient-site facilitators in teleaudiology. We focused on identifying the facilitators' background, training, and responsibilities. Method To conduct this scoping review, we searched PubMed, CINAHL, and Embase. To be included, studies needed to address teleaudiology; be experimental/quasi-experimental, correlational/predictive, or descriptive; be published in English; and include the use of a facilitator at the patient location. Results A total of 82 studies met the inclusion criteria. The available literature described a number of different individuals in the role of the patient-site facilitator, including audiologists, students, and local aides. Fifty-seven unique tasks were identified, including orienting the client to the space, assisting with technology, and assisting with audiology procedures. The largest number of studies (n = 42) did not describe the facilitators' training. When reported, the facilitators' training was heterogenous in terms of who delivered the training, the length of the training, and the training content. Conclusions Across studies, the range of duties performed by patient-site facilitators indicates they may have an important role in teleaudiology. However, details are still needed surrounding their background, responsibilities, and training. Future research is warranted exploring the role of the patient-site facilitator, including their impact on teleaudiology service delivery. Supplemental Material https://doi.org/10.23641/asha.12475796.
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Affiliation(s)
- Laura Coco
- Department of Speech, Language, and Hearing Sciences, College of Science, University of Arizona, Tucson
| | - Alyssa Davidson
- Department of Speech, Language, and Hearing Sciences, College of Science, University of Arizona, Tucson
| | - Nicole Marrone
- Department of Speech, Language, and Hearing Sciences, College of Science, University of Arizona, Tucson
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9
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Muñoz K, Nagaraj NK, Nichols N. Applied tele-audiology research in clinical practice during the past decade: a scoping review. Int J Audiol 2020; 60:S4-S12. [PMID: 32909470 DOI: 10.1080/14992027.2020.1817994] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE The purpose of this scoping review was two-fold, (1) to provide information about the characteristics, type of service delivery, participant information and outcomes related to tele-audiology in clinical popluations, and (2) to describe documented facilitators and barriers to tele-audiology delivery from the perspectives of practitioners and service recipients. Knowledge of these findings can assist audiologists in considering remote service delivery options for their practices. DESIGN A scoping review was conducted in November 2019 to identify English-language peer-reviewed journal articles published from 1 January 2010 to 30 October 2019 related to remote clinical service delivery in audiology. RESULTS Thirty-six published research articles were included. Research studies were classified into four broad areas with some articles including more than one area within the scope of their article: Screening (n = 5), Diagnostic (n = 5), Intervention (n = 18), and Perspectives (n = 22). CONCLUSION Hearing healthcare service delivery is expanding with the changing technological landscape, providing greater opportunities and flexibility for audiologists and patients. There are clear opportunities for interdisciplinary collaboration and for collaboration with on-site local facilitators. Local facilitators, with training, can assist in connecting individuals to follow-up care, provide educational support, and needed hands-on assistance for specialised testing.
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Affiliation(s)
- Karen Muñoz
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | - Naveen K Nagaraj
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
| | - Natalie Nichols
- Communication Disorders & Deaf Education, Utah State University, Logan, UT, USA
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10
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Glista D, O'Hagan R, Moodie S, Scollie S. An examination of clinical uptake factors for remote hearing aid support: a concept mapping study with audiologists. Int J Audiol 2020; 60:S13-S22. [PMID: 32749182 DOI: 10.1080/14992027.2020.1795281] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To develop a conceptual framework around the factors that influence audiologists in the clinical uptake of remote follow-up hearing aid support services. DESIGN A purposive sample of 42 audiologists, stratified according to client-focus of either paediatric or adult, were recruited from professional associations in Ontario, Canada, as members of the six-step, participatory-based concept mapping process. Analyses included multidimensional scaling and hierarchical cluster analysis. RESULTS Six main themes emerged from this research according to overall level of importance: (1) technology and infrastructure; (2) audiologist-centred considerations; (3) hearing healthcare regulations; (4) client-centred considerations; (5) clinical implementation considerations; and (6) financial considerations. Subthemes were identified at the group-level and by subgroup. These highlight the importance of TECH factors (accessible Technology, Easy to use, robust Connection, and Help available), as well as the multi-faceted nature of the perceived attitudes/aptitudes across stakeholders. CONCLUSION Findings can be utilised in tailored planning and development efforts to support future research, knowledge dissemination, best-practice protocol/guideline development, and related training to assist in the clinical uptake of remote follow-up hearing aid support services, across variable practice contexts.
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Affiliation(s)
- Danielle Glista
- The School of Communication Sciences and Disorders, Faculty of Health Sciences, The University of Western Ontario, London, Canada.,The National Centre for Audiology, The University of Western Ontario, London, Canada
| | - Robin O'Hagan
- The National Centre for Audiology, The University of Western Ontario, London, Canada
| | - Sheila Moodie
- The School of Communication Sciences and Disorders, Faculty of Health Sciences, The University of Western Ontario, London, Canada.,The National Centre for Audiology, The University of Western Ontario, London, Canada
| | - Susan Scollie
- The School of Communication Sciences and Disorders, Faculty of Health Sciences, The University of Western Ontario, London, Canada.,The National Centre for Audiology, The University of Western Ontario, London, Canada
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11
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Ratanjee-Vanmali H, Swanepoel DW, Laplante-Lévesque A. Patient Uptake, Experience, and Satisfaction Using Web-Based and Face-to-Face Hearing Health Services: Process Evaluation Study. J Med Internet Res 2020; 22:e15875. [PMID: 32196459 PMCID: PMC7125439 DOI: 10.2196/15875] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 10/17/2019] [Accepted: 01/23/2020] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Globally, access to hearing health care is a growing concern with 900 million people estimated to suffer from disabling hearing loss by 2050. Hearing loss is one of the most common chronic health conditions, yet access to hearing health care is limited. Incorporating Web-based (voice calling, messaging, or emailing) service delivery into current treatment pathways could improve access and allow for better scalability of services. Current electronic health studies in audiology have focused on technical feasibility, sensitivity, and specificity of diagnostic hearing testing and not on patient satisfaction, experiences, and sustainable models along the entire patient journey. OBJECTIVE This study aimed to investigate a hybrid (Web-based and face-to-face) hearing health service in terms of uptake, experience, and satisfaction in adult patients with hearing loss. METHODS A nonprofit hearing research clinic using online and face-to-face services was implemented in Durban, South Africa, using online recruitment from the clinic's Facebook page and Google AdWords, which directed persons to an online Web-based hearing screening test. Web-based and face-to-face care pathways included assessment, treatment, and rehabilitation. To evaluate the service, an online survey comprising (1) a validated satisfaction measurement tool (Short Assessment of Patient Satisfaction), (2) a process evaluation of all the 5 steps completed, and (3) personal preferences of communication methods used vs methods preferred was conducted, which was sent to 46 patients who used clinic services. RESULTS Of the patients invited, 67% (31/46) completed the survey with mean age 66 years, (SD 16). Almost all patients, 92% (30/31) reported that the online screening test assisted them in seeking hearing health care. Approximately 60% (18/31) of the patients accessed the online hearing screening test from an Android device. Patients stayed in contact with the audiologist mostly through WhatsApp instant messaging (27/31, 87%), and most patients (25/31, 81%) preferred to use this method of communication. The patients continuing with hearing health care were significantly older and had significantly poorer speech recognition abilities compared with the patients who discontinued seeking hearing health care. A statistically significant positive result (P=.007) was found between age and the number of appointments per patient. Around 61% (19/31) of patients previously completed diagnostic testing at other practices, with 95% (18/19) rating the services at the hybrid clinic as better. The net promoter score was 87, indicating that patients were highly likely to recommend the hybrid clinic to friends and family. CONCLUSIONS This study applied Web-based and face-to-face components into a hybrid clinic and measured an overall positive experience with high patient satisfaction through a process evaluation. The findings support the potential of a hybrid clinic with synchronous and asynchronous modes of communication to be a scalable hearing health care model, addressing the needs of adults with hearing loss globally.
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Affiliation(s)
- Husmita Ratanjee-Vanmali
- Department of Speech-Language Pathology & Audiology, University of Pretoria, Pretoria, South Africa
| | - De Wet Swanepoel
- Department of Speech-Language Pathology & Audiology, University of Pretoria, Pretoria, South Africa.,Ear Sciences Centre, The University of Western Australia, Nedlands, Australia.,Ear Science Institute Australia, Subiaco, Western Australia, Australia
| | - Ariane Laplante-Lévesque
- Oticon Medical A/S, Copenhagen, Denmark.,Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
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12
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Paglialonga A, Cleveland Nielsen A, Ingo E, Barr C, Laplante-Lévesque A. eHealth and the hearing aid adult patient journey: a state-of-the-art review. Biomed Eng Online 2018; 17:101. [PMID: 30064497 PMCID: PMC6069792 DOI: 10.1186/s12938-018-0531-3] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Accepted: 07/21/2018] [Indexed: 11/10/2022] Open
Abstract
The number and variety of eHealth services for adults and older adults who use hearing aids (HAs) are growing rapidly. This area holds promise to increase cost-efficiency, enable better access to care, and improve patient outcomes and satisfaction. Despite the increasing interest in this field, an up-to-date picture of recent research in the area of eHealth for adults with HAs is lacking. In this state-of-the-art review we assessed the literature from the past decade about eHealth use in the HA adult patient journey. Systematic searches were conducted in CINAHL, PubMed, Scopus, and Web of Science. A total of 34 peer-reviewed empirical records were identified from the searches and from the reference lists of searched records. Records were characterized based on: eHealth platform (i.e.: offline, Internet-based, or mobile-based), service [i.e.: education and information, screening and assessment, hearing rehabilitation, or general (tele-audiology)], and phase of the patient journey (i.e.: pre-fitting, fitting, or post-fitting). The review highlighted a growing interest in the field, as revealed by an increasing trend over the search period, from 2 records in 2009-2010 up to 17 records in 2015-2016. Internet-based platforms were the most frequently used (present in more than half of the included records), with a stable trend in the period. About one-third of the records introduced services over offline platforms, whereas mobile-based platforms were used only in 6 out of 34 records, suggesting that the clinical uptake of mobile services is still limited compared to more mature offline and Internet-based platforms. Most of the eHealth services observed were related to the areas of education and information (42.5%) and hearing rehabilitation (40.4%), whereas 10.7% were related to screening and assessment, and 6.4% to general tele-audiology services. Many services covered different phases of the patient journey, especially the fitting and post-fitting phases. Overall, this review showed that the field of eHealth in the context of HA rehabilitation in adults has grown in the recent past. Research is still needed to increase the uptake and efficacy of eHealth in clinical practice, especially in terms of technology developments, technical and clinical validation, and optimization of strategies for service delivery.
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Affiliation(s)
- Alessia Paglialonga
- National Research Council of Italy (CNR), Institute of Electronics, Computer and Telecommunication Engineering (IEIIT), Piazza Leonardo da Vinci 32, 20133, Milan, Italy.
| | | | - Elisabeth Ingo
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
| | - Caitlin Barr
- Department of Audiology and Speech Pathology, University of Melbourne, Melbourne, Australia
| | - Ariane Laplante-Lévesque
- Eriksholm Research Centre, Oticon A/S, Snekkersten, Denmark.,Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.,Oticon Medical, Vallauris, France
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Tao KFM, Brennan-Jones CG, Capobianco-Fava DM, Jayakody DMP, Friedland PL, Swanepoel DW, Eikelboom RH. Teleaudiology Services for Rehabilitation With Hearing Aids in Adults: A Systematic Review. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2018; 61:1831-1849. [PMID: 29946688 DOI: 10.1044/2018_jslhr-h-16-0397] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 02/16/2018] [Indexed: 06/08/2023]
Abstract
PURPOSE This review examined (a) the current evidence from studies on teleaudiology applications for rehabilitation of adults with hearing impairment with hearing aids and (b) whether it is sufficient to support the translation into routine clinical practice. METHOD A search strategy and eligibility criteria were utilized to include articles specifically related to hearing aid fitting and follow-up procedures that are involved in consultations for the rehabilitation of adults, where the service was provided by the clinician by teleaudiology. A search using key words and Medical Subject Headings (MeSH) was conducted on the main electronic databases that index health-related studies. The included studies were assessed using validated evaluation tools for methodological quality, level of evidence, and grade recommendations for application into practice. RESULTS Fourteen studies were identified as being within the scope of this review. The evaluation tools showed that none of these studies demonstrated either a strong methodological quality or high level of evidence. Analysis of evidence identified 19 activities, which were classified into service outcomes categories of feasibility, barriers, efficiency, quality, and effectiveness. Recommendations could be made regarding the (a) feasibility, (b) barriers, and (c) efficiency of teleaudiology for the rehabilitation of hearing loss with hearing aids. CONCLUSION This review provides up-to-date evidence for teleaudiology hearing aid services in new and experienced hearing aid users in different practice settings. Findings direct future research priorities to strengthen evidence-based practice. There is a need for further studies of many aspects of teleaudiology services for rehabilitation with hearing aids to support their implementation into clinical practice. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.6534473.
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Affiliation(s)
- Karina F M Tao
- Ear Sciences Centre, The University of Western Australia, Nedlands, WA
- Ear Science Institute Australia, Nedlands, WA
- CAPES Foundation, Ministry of Education of Brazil, Brasilia, DF
| | - Christopher G Brennan-Jones
- Ear Sciences Centre, The University of Western Australia, Nedlands, WA
- Ear Science Institute Australia, Nedlands, WA
- Telethon Kids Institute, The University of Western Australia, Crawley, Australia
| | - Dirce M Capobianco-Fava
- Department of Emergency Medicine and Evidence-Based Medicine, Paulista School of Medicine, Universidade Federal de São Paulo [Federal University of Sao Paulo], Brazil
- HiTalk Comunicação & Consultoria Ltda, Sao Paulo, Brazil
| | - Dona M P Jayakody
- Ear Sciences Centre, The University of Western Australia, Nedlands, WA
- Ear Science Institute Australia, Nedlands, WA
| | - Peter L Friedland
- Ear Sciences Centre, The University of Western Australia, Nedlands, WA
- Ear Science Institute Australia, Nedlands, WA
- Department of Otolaryngology Head & Neck Skull Base Surgery, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
- School of Medicine, The University of Notre Dame, Fremantle, WA, Australia
| | - De Wet Swanepoel
- Ear Sciences Centre, The University of Western Australia, Nedlands, WA
- Ear Science Institute Australia, Nedlands, WA
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
| | - Robert H Eikelboom
- Ear Sciences Centre, The University of Western Australia, Nedlands, WA
- Ear Science Institute Australia, Nedlands, WA
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
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Venail F, Akkari M, Merklen F, Samson J, Falinower S, Cizeron G, Mondain M, Puel JL, Mura T. Evaluation of otoscopy simulation as a training tool for real-time remote otoscopy. Int J Audiol 2017; 57:194-200. [DOI: 10.1080/14992027.2017.1416190] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Frederic Venail
- Department of Otology and Neurotology, University Hospital of Montpellier, Montpellier, France,
- Department of Auditory Neurosciences, INSERM 1051 Institute for Neurosciences of Montpellier, Montpellier, France,
| | - Mohamed Akkari
- Department of Otology and Neurotology, University Hospital of Montpellier, Montpellier, France,
| | - Fanny Merklen
- Department of Otology and Neurotology, University Hospital of Montpellier, Montpellier, France,
| | | | | | | | - Michel Mondain
- Department of Otology and Neurotology, University Hospital of Montpellier, Montpellier, France,
- Department of Auditory Neurosciences, INSERM 1051 Institute for Neurosciences of Montpellier, Montpellier, France,
| | - Jean-Luc Puel
- Department of Auditory Neurosciences, INSERM 1051 Institute for Neurosciences of Montpellier, Montpellier, France,
| | - Thibault Mura
- Department of Biostatistics, University Hospital of Montpellier, Montpellier, France and
- Neuropsychiatry Epidemiological and Clinical Research, INSERM U1061, Montpellier, France
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15
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Kozlowski L, Ribas A, Almeida G, Luz I. Satisfaction of Elderly Hearing Aid Users. Int Arch Otorhinolaryngol 2017; 21:92-96. [PMID: 28050214 PMCID: PMC5205521 DOI: 10.1055/s-0036-1579744] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Accepted: 01/12/2016] [Indexed: 11/17/2022] Open
Abstract
Introduction The impact of auditory sensory deprivation in the life of an individual is enormous because it not only affects one's ability to properly understand auditory information, but also the way people relate to their environment and their culture. The monitoring of adult and elderly subjects with hearing loss is intended to minimize the difficulties and handicaps that occur as a consequence of this pathology. Objective To evaluate the level of user satisfaction with hearing aids. Methods A clinical and experimental study involving 91 elderly hearing aid users. We used the questionnaire Satisfaction with Amplification in Daily Life to determine the degree of the satisfaction provided by hearing aids. We evaluated mean global score, subscales, as well as the variables time to use, age, and degree of hearing loss. Results Mean global score was 4.73, the score for Positive Effects 5.45, Negative Factors 3.2, demonstrating that they were satisfied; Services and Costs 5.98: very satisfied ; 3.65 Personal Image: dissatisfied. We observed statistically significant difference for the time of hearing aid use, age, and degree of hearing loss. Conclusion The SADL is a tool, simple and easy to apply and in this study we can demonstrate the high degree of satisfaction with the hearing aids by the majority of the sample collected, increasing with time of use and a greater degree of hearing loss.
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Affiliation(s)
- Lorena Kozlowski
- Department of Phonoaudiology, Centro de Audição e Linguagem - CEAL, Curitiba, PR, Brazil
| | - Angela Ribas
- Department of Communication Disorders, Universdidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Gleide Almeida
- Department of Communication Disorders, Universdidade Tuiuti do Paraná, Curitiba, PR, Brazil
| | - Idalina Luz
- Universidade Tuiuti do Paraná, Fonoaudiologia, Curitiba, Paraná, Brazil
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Masalski M, Kipiński L, Grysiński T, Kręcicki T. Hearing Tests on Mobile Devices: Evaluation of the Reference Sound Level by Means of Biological Calibration. J Med Internet Res 2016; 18:e130. [PMID: 27241793 PMCID: PMC4906240 DOI: 10.2196/jmir.4987] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2015] [Revised: 11/25/2015] [Accepted: 03/21/2016] [Indexed: 11/13/2022] Open
Abstract
Background Hearing tests carried out in home setting by means of mobile devices require previous calibration of the reference sound level. Mobile devices with bundled headphones create a possibility of applying the predefined level for a particular model as an alternative to calibrating each device separately. Objective The objective of this study was to determine the reference sound level for sets composed of a mobile device and bundled headphones. Methods Reference sound levels for Android-based mobile devices were determined using an open access mobile phone app by means of biological calibration, that is, in relation to the normal-hearing threshold. The examinations were conducted in 2 groups: an uncontrolled and a controlled one. In the uncontrolled group, the fully automated self-measurements were carried out in home conditions by 18- to 35-year-old subjects, without prior hearing problems, recruited online. Calibration was conducted as a preliminary step in preparation for further examination. In the controlled group, audiologist-assisted examinations were performed in a sound booth, on normal-hearing subjects verified through pure-tone audiometry, recruited offline from among the workers and patients of the clinic. In both the groups, the reference sound levels were determined on a subject’s mobile device using the Bekesy audiometry. The reference sound levels were compared between the groups. Intramodel and intermodel analyses were carried out as well. Results In the uncontrolled group, 8988 calibrations were conducted on 8620 different devices representing 2040 models. In the controlled group, 158 calibrations (test and retest) were conducted on 79 devices representing 50 models. Result analysis was performed for 10 most frequently used models in both the groups. The difference in reference sound levels between uncontrolled and controlled groups was 1.50 dB (SD 4.42). The mean SD of the reference sound level determined for devices within the same model was 4.03 dB (95% CI 3.93-4.11). Statistically significant differences were found across models. Conclusions Reference sound levels determined in the uncontrolled group are comparable to the values obtained in the controlled group. This validates the use of biological calibration in the uncontrolled group for determining the predefined reference sound level for new devices. Moreover, due to a relatively small deviation of the reference sound level for devices of the same model, it is feasible to conduct hearing screening on devices calibrated with the predefined reference sound level.
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Affiliation(s)
- Marcin Masalski
- Department and Clinic of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University, Wrocław, Poland.
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Kelly-Campbell RJ, McMillan A. The Relationship Between Hearing Aid Self-Efficacy and Hearing Aid Satisfaction. Am J Audiol 2015; 24:529-35. [PMID: 26650773 DOI: 10.1044/2015_aja-15-0028] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Accepted: 09/05/2015] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The purpose of this study was to investigate the relationship between self-efficacy for hearing aids (HAs) and satisfaction with HAs in a group of adult HA owners. METHOD Forty-seven adults acquiring HAs (new and experienced owners) completed a demographic questionnaire, the Hearing Handicap Questionnaire (Gatehouse & Noble, 2004), and received an audiometric evaluation prior to HA fitting. Twelve weeks following the completion of the HA fitting, they completed the Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids (Smith & West, 2006) and the Satisfaction with Amplification in Daily Life (Cox & Alexander, 1999) questionnaires. RESULTS There were no significant differences between experienced and new HA owners in terms of self-efficacy or HA satisfaction. The majority of participants had adequate self-efficacy for basic HA handling and adjustment to HAs. Fewer participants had adequate self-efficacy for aided listening and advanced handling of HAs. HA self-efficacy was related to HA satisfaction in three domains: positive effect and negative features of HAs and service and cost. CONCLUSION Many HA owners do not have adequate self-efficacy in important HA-related domains. Clinical intervention to improve self-efficacy for HAs may help improve HA satisfaction.
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