Ambient noise typical of that found in a non-sound-treated room, did not affect the accuracy of air conduction hearing thresholds obtained with the KUDUwave. The KUDUwave may be a viable method of testing when a clinical audiometer and sound booth are not available.

Although parents reported overall that their needs for hearing aid education and support had generally been met, there were important suggestions for how audiologists and other service providers could better meet parent needs. Hearing aid use for young children was variable and influenced by a variety of factors. Understanding parent experiences and challenges can help audiologists more effectively focus support. Audiologists are more likely to meet the needs of families if they take care to provide access to thorough and comprehensive education and ongoing support that is tailored to address the unique needs of individual families.

The development of proficient communication skills in infants and toddlers is an important component to child development. A popular trend gaining national media attention is teaching sign language to babies with normal hearing whose parents also have normal hearing. Thirty-three websites were identified that advocate sign language for hearing children as a way of promoting better developmental outcomes. These sites make several claims about the positive benefits of teaching hearing infants and toddlers to sign, such as earlier communication, improved language development, increased IQ, reduced tantrums, higher self-esteem, and improved parent-child bonding. Without endorsing or disparaging these claims, the purpose of this article was to evaluate the strength of evidence cited on websites that promote products to teach young children to use sign language. Cumulatively, 82 pieces of evidence were cited by the websites as supporting research. However, over 90% of these citations were opinion articles without any supporting data or descriptions of products and only eight were empirical research studies relevant to the benefits of teaching sign language to young children with normal hearing. Unfortunately, there is not enough high-quality evidence cited on these websites to draw research-based conclusions about whether teaching sign language to young children with normal hearing results in better developmental outcomes.

Virtual visits provided benefits to families including flexibility and timely access to support. The ability to collect data logging information more frequently was important for effective problem-solving to increase hearing aid use. Both parents and clinicians were accepting of tele-support. Parents and professionals would benefit from technology that allows them to access data logging information more easily and frequently.

Some improvement was noted in audiologists' counselling behaviour following a 1-day communication skills workshop and continued learning support. It is evident; however, that further training, such as increased training and performance feedback, is needed to maintain and enhance audiologist progress in the various aspects of counselling.