Amplification and aural rehabilitation in resource-constrained environments

Rutherford, Cherilee; Petersen, Lucretia

doi:10.1017/s0022215118001378

Cited by 3 publications

(6 citation statements)

References 29 publications

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“…However, this feasibility study highlighted that even though most patients who seek public healthcare may be presumed to be from low socio-economic backgrounds, their access to technology and an Internet-capable device was not observed to be limited. Internet connectivity and device access is increasing in low-resource contexts, and Rutherford and Petersen ( 2019 ) noted that the penetration of the smartphone market in South Africa is 73%, which is arguably significant and holds promise for tele-audiology applications.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the challenges of online services, such as technology limitations (e.g. Internet-capable device access and technological incompatibility of older hearing aids [HAs]), patient readiness and the reliability of some online assessments (Ratanjee-Vanmali, Swanepoel, & Laplante-Lévesque, 2019 ; Ravi, Gunjawate, Yerraguntla, & Driscoll, 2018 ; Rutherford & Petersen, 2019 ), all of which may restrict many from taking full advantage of the opportunities.…”

Section: Introductionmentioning

confidence: 99%

“…South African hearing healthcare provision for public health patients with hearing loss is marred with challenges, which include a lack of qualified audiologists, a lack of contextually relevant rehabilitative tools and limited provision of specialised rehabilitation such as AT. The lack of resources combined with the large patient load has resulted in a delay of service provision and hindered the successful implementation of comprehensive audiological rehabilitation in the public health sector (Pascoe, Rogers, & Norman, 2013 ; Pienaar, Stearn, & Swanepoel, 2010 ; Rutherford & Petersen, 2019 ). There is a need for the investigation of tele-rehabilitation in South African public healthcare to assist in the limited comprehensive audiological rehabilitation provision (Ratanjee-Vanmali et al, 2019 ; Scott & Mars, 2015 ; Swanepoel, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

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Is a hybrid of online and face-to-face services feasible for audiological rehabilitation post COVID-19? Findings from three public health patients

Khatib

Hlayisi

2022

SAJCD

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Background:The global coronavirus disease 2019 (COVID-19) pandemic has pushed many audiologists to incorporate remote service delivery methods to adhere to mandatory health and safety protocols. The use of tele-audiology for audiological rehabilitation may provide a sustainable, cost-effective modality to suit the existing need, particularly in low-resourced countries.Objectives: This study aimed to investigate the feasibility of implementing a hybrid tele-rehabilitation programme in a South African public health context. An online auditory training (AT) programme was used to determine (1) compliance, (2) clinical benefit, (3) participant experience and (4) costs.Method: A convergent mixed methods design with a feasibility approach was utilised. Data collection was done through questionnaires, in-booth assessments, online AT, and face-to-face interviewing. Participants undertook online AT over 4 weeks. For pre-and post-online AT, the Abbreviated Profile of Hearing Aid Benefit (APHAB), QuickSIN, entrance and exit questionnaires, interviews and a system usability scale were administered.Results: Key findings of this study included (1) a high compliance rate (84.82%) with minimal clinician contact time at 3 h 25 min over 5-6-weeks; (2) improvement in perceived hearing aid (HA) benefit, and improvement in listening skills; (3) reported positive experiences; and (4) minimal programme costs at an average of R1350.00 per participant. Conclusion:The results showed positive indicators that the use of hybrid tele-rehabilitative strategies may provide a viable alternative to the traditional face-to-face modality. The hybrid approach showed clinical benefits, cost-effectiveness, minimal contact time as well as COVID-19 compliance. Further large-scale research is still needed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Is a hybrid of online and face-to-face services feasible for audiological rehabilitation post COVID-19? Findings from three public health patients

Khatib

Hlayisi

2022

SAJCD

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“…4,5 Advances in hearing health technology, such as mobile applications for hearing assessments and low-cost pre-programmable hearing aids, offer the potential to increase access to auditory rehabilitation for people living in LMICs. 6,7 The Pacific Island region is estimated to bear a significant burden of hearing loss among its adult population. 1,8 As well as age-related hearing loss, additional hearing deterioration due to Type 2 Diabetes Mellitus is likely to be high among this population, where Non-Communicable Diseases (ie, Type 2 Diabetes Mellitus) are a public health crisis.…”

Section: Introductionmentioning

confidence: 99%

High Levels of Satisfaction Among Hearing Aid Users in a Pilot Study for Sustainable Low-Cost Auditory Rehabilitation Services in Samoa

Kaspar,

Newall,

Pifeleti

et al. 2023

Health�Serv�Insights

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The provision of locally sustainable hearing aid device services is desirable in the Pacific Islands. The aim of the present study was (1) To assess the suitability of low-cost pre-programmable hearing aids in Samoa, a Polynesian nation of the Pacific Islands, and (2) To develop translations of established auditory rehabilitation questionnaires into the FaaSamoan language for clinical, public health, and research applications. A cross-over trial of 2 low-cost pre-programmable hearing aids among 20 adults in Samoa was conducted as part of a larger UN-funded global audiology study. The International Outcome Inventory for Hearing Aids, the International Outcome Inventory for Hearing Aids for Significant Others, and the Revised Hearing Handicap Inventory questionnaires were translated into the FaaSamoan language to assess the self-reported outcomes of study participants. Overall, high scores were measured for the self-reported outcome measures, suggesting good levels of use and satisfaction with the hearing aid devices. Overall, results found that once a hearing aid was fitted that 67.6% of participants reported no hearing handicap, 32.4% reported a mild to moderate hearing handicap, and no participant reported a significant hearing handicap.

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“…We then have three articles describing the principles of medical 6 and surgical 7 treatment, and of anaesthesia to aid the latter 8 . Two subsequent articles provide a perspective on the provision of audiology services, aiding and rehabilitation 9 , 10 . Finally, we have an article on education, 11 which is central to delivering a sustainable service.…”

mentioning

confidence: 99%

Editorial

Bhutta¹,

Carling²,

Clark³

2019

J. Laryngol. Otol.

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The global burden of disease due to ear and hearing disorders is growing. In 2015, hearing loss became the fourth most common prevalent chronic disease, affecting 1.2 billion people globally (20 per cent more than a decade earlier) and accounting for 5.1 per cent of all years lived with disability. 1 The greatest burden of disease is in low-income settings and in remote populations (particularly indigenous communities). The importance and prevalence of ear and hearing disorders has not been matched by the human or capital resources needed to address them. 2 Globally, there are still very few community health workers, audiologists, ENT surgeons or other health professionals to meet population needs, and the equipment for testing hearing, providing hearing aids or performing otological surgery in many countries is rudimentary or non-existent. But we should take heart; in 2016, the World Health Assembly passed a resolution recognising the importance and burden of hearing loss, and calling for greater support and action to tackle it. 3 A World Report on Hearing, published by the World Health Organization, is scheduled for 2019. When we were starting out in this field, we found a scarcity of practical literature to guide those wishing to develop programmes to tackle ear and hearing disorders in remote or resource-constrained settings. The primary purpose of this publication is to be a practical guide, based upon the experience and expertise of our authors. However, we have also done our best to ensure that our approach is academically robust, so that relevant literature in the field is included, both that specific to the field and the broader literature on global health. We start with articles summarising the global burden of ear and hearing disorders 4 and discussing models of service delivery to evaluate and treat them. 5 We then have three articles describing the principles of medical 6 and surgical 7 treatment, and of anaesthesia to aid the latter. 8 Two subsequent articles provide a perspective on the provision of audiology services, aiding and rehabilitation. 9,10 Finally, we have an article on education, 11 which is central to delivering a sustainable service. We are grateful to our international panel of authors, and to the editorial board of The Journal of Laryngology & Otology, for the opportunity to compile this special edition of the journal. Robin Youngs, who recently retired as the editor of the journal, supported this endeavour from its outset. Robin is no stranger to global ENT, having worked for many years developing services in Myanmar, and having chaired the Global Health Committee of ENT-UK. The Journal has also supported this topic previously, publishing both review articles 12 and original research 13 in the field. We are still very much in the infancy of global ENT. We hope the articles in this edition will be inspiring and useful to people at all levels working with ear and hearing disease in remote or resource-constrained environments.

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Amplification and aural rehabilitation in resource-constrained environments

Cited by 3 publications

References 29 publications

Is a hybrid of online and face-to-face services feasible for audiological rehabilitation post COVID-19? Findings from three public health patients

Is a hybrid of online and face-to-face services feasible for audiological rehabilitation post COVID-19? Findings from three public health patients

High Levels of Satisfaction Among Hearing Aid Users in a Pilot Study for Sustainable Low-Cost Auditory Rehabilitation Services in Samoa

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