Parents' perceptions of tele-audiological testing in a rural hearing screening program in South India

Ramkumar, Vidya; Kumaravelu, S; Vanaja, C. S.; Hall, James W.; Nagarajan, Roopa; Neethi, J.

doi:10.1016/j.ijporl.2016.07.028

Cited by 19 publications

(31 citation statements)

References 21 publications

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“…Development process was described in 21 articles, 32 articles reported utility [ 16 - 25 , 30 , 31 , 34 - 57 ], and 20 articles reported user acceptability of the initiative [ 28 , 32 , 33 , 58 - 74 ]. Other aspects explored were technology-related perception of the end users (n=13) [ 29 , 75 - 85 ], patient satisfaction (n=2) [ 86 , 87 ], assessment of health care professional needs, and challenges related to health service delivery using IT (n=2) [ 88 , 89 ].…”

Section: Resultsmentioning

confidence: 99%

Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review

Bassi¹,

John²,

Praveen³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundWith the exponential increase in mobile phone users in India, a large number of public health initiatives are leveraging information technology and mobile devices for health care delivery. Given the considerable financial and human resources being invested in these initiatives, it is important to ascertain their role in strengthening health care systems.ObjectiveWe undertook this review to identify the published mobile health (mHealth) or telemedicine initiatives in India in terms of their current role in health systems strengthening. The review classifies these initiatives based on the disease areas, geographical distribution, and target users and assesses the quality of the available literature.MethodsA search of the literature was done to identify mHealth or telemedicine articles published between January 1997 and June 2017 from India. The electronic bibliographic databases and registries searched included MEDLINE, EMBASE, Joanna Briggs Institute Database, and Clinical Trial Registry of India. The World Health Organization health system building block framework was used to categorize the published initiatives as per their role in the health system. Quality assessment of the selected articles was done using the Cochrane risk of bias assessment and National Institutes of Health, US tools.ResultsThe combined search strategies yielded 2150 citations out of which 318 articles were included (primary research articles=125; reviews and system architectural, case studies, and opinion articles=193). A sharp increase was seen after 2012, driven primarily by noncommunicable disease–focused articles. Majority of the primary studies had their sites in the south Indian states, with no published articles from Jammu and Kashmir and north-eastern parts of India. Service delivery was the primary focus of 57.6% (72/125) of the selected articles. A majority of these articles had their focus on 1 (36.0%, 45/125) or 2 (45.6%, 57/125) domains of health system, most frequently service delivery and health workforce. Initiatives commonly used client education as a tool for improving the health system. More than 91.2% (114/125) of the studies, which lacked a sample size justification, had used convenience sampling. Methodological rigor of the selected trials (n=11) was assessed to be poor as majority of the studies had a high risk for bias in at least 2 categories.ConclusionsIn conclusion, mHealth initiatives are being increasingly tested to improve health care delivery in India. Our review highlights the poor quality of the current evidence base and an urgent need for focused research aimed at generating high-quality evidence on the efficacy, user acceptability, and cost-effectiveness of mHealth interventions aimed toward health systems strengthening. A pragmatic approach would be to include an implementation research component into the existing and proposed digital health initiatives to support the generation of evidence for health systems strengthening on strategically important outcomes.

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Section: Resultsmentioning

confidence: 99%

Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review

Bassi¹,

John²,

Praveen³

et al. 2018

JMIR Mhealth Uhealth

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“…In India, Ramkumar et al (2018) reported that integration of remote diagnostic assessments in a rural-community-based hearing screening program facilitated improved follow-up compliance. Parental perceptions regarding tele-audiology testing service were also reported to be positive in this community (Ramkumar et al, 2016).…”

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confidence: 79%

Identification and Management of Middle Ear Disorders in a Rural Cleft Care Program: A Telemedicine Approach

et al. 2018

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Purpose The aim of this study was to devise a grassroots-level strategy for identification and management of middle ear disorders in a community-based program for individuals with cleft lip and palate in 2 rural districts in the state of Tamil Nadu in South India. Method Community workers underwent training to conduct video otoscopy using the ENTraview device. Community workers conducted video otoscopy on 160 individuals with cleft lip and palate between 3 and 35 years old in the community. Middle ear conditions were identified using store-and-forward telepractice. Diagnostic telehearing evaluation was conducted using synchronous pure tone audiometry and tympanometry for those who were identified with tympanic membrane (TM) and/or middle ear diseases (MEDs). A review of data collected over a 13-month period was carried out to assess coverage and follow-up intervention rates. Results The program was successful in achieving 80% coverage for identification of TM and MEDs within 13 months of program implementation. TM and/or MEDs were identified in 26% (82/320 ears) of those who underwent video otoscopy. Telehearing evaluations were completed on 42 ears of individuals with TM and/or MEDs; 52% (22/42 ears) of these individuals had a minimal, mild, or moderate degree of hearing loss. Regarding follow-up for intervention, 78% qualified for surgical intervention, and 31% qualified for medication. Conclusions This grassroots-level telemedicine approach was successful in achieving better coverage, and store-and-forward telepractice helped in providing remote diagnosis and recommendation by otolaryngologists to all individuals with TM/MEDs in the rural community. The follow-up for otological intervention significantly improved from that achieved in the previous years.

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“…Perspectives of providers, adult patients, parents of paediatric patients, and test facilitators related to tele-audiology services were explored in 22 studies. Two studies sought perspectives related to screening (Ciccia et al 2011;van Wyk et al 2019), four related to diagnostics (Hayes et al 2012;Dharmar et al 2016;Ramkumar et al 2016;Hatton et al 2019), six related to cochlear implants (Rodr ıguez et al 2010;Wasowski et al 2012;Hughes et al 2012;Kuzovkov et al 2014;Cullington and Agyemang-Prempeh 2017;Slager et al 2019), four related to hearing aids (Penteado et al 2014;Novak et al 2016;Muñoz et al 2017;Thrum, Driscoll, and Keogh 2018), and three related to rehabilitation (Br€ annstr€ om et al, 2016;Beukes et al 2017;Thrum, Driscoll, and Keogh 2018). Three studies sought perspectives of audiologists broadly related to tele-audiology services (Singh et al 2014;Eikelboom and Swanepoel 2016;Rashid et al 2019).…”

Section: Perspective Studiesmentioning

confidence: 99%

“…Parent satisfaction following tele-audiology ABR diagnostic testing was high (Hayes et al 2012;Dharmar et al 2016;Ramkumar et al 2016;Hatton et al 2019) and the majority of the caregivers thought that they could access service providers sooner with teleaudiology (Hatton et al 2019). Dharmar and colleagues (2016) reported that almost all parents were engaged and comfortable talking about the testing through teleconferencing and providers also reported positive perceptions with the experience.…”

Section: Diagnostic Perspectivesmentioning

confidence: 99%

Applied tele-audiology research in clinical practice during the past decade: a scoping review

Muñoz

Nagaraj

Nichols

2020

International Journal of Audiology

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Objective: The purpose of this scoping review was twofold , (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 ¼ 5), Diagnostic (n ¼ 5), Intervention (n ¼ 18), and Perspectives (n ¼ 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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Parents' perceptions of tele-audiological testing in a rural hearing screening program in South India

Cited by 19 publications

References 21 publications

Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review

Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review

Identification and Management of Middle Ear Disorders in a Rural Cleft Care Program: A Telemedicine Approach

Applied tele-audiology research in clinical practice during the past decade: a scoping review

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