School entry level tele-hearing screening in a town in South India – Lessons learnt

Monica, Saleth D; Ramkumar, Vidya; Krumm, Mark; Raman, Nitya; Nagarajan, Roopa; Venkatesh, Lakshmi

doi:10.1016/j.ijporl.2016.11.021

Cited by 36 publications

(40 citation statements)

References 11 publications

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“…A select number of studies used mobile audiometers without sound booths or teleaudiometry (remote testing) to perform audiometric screening. 18,23,46-48 These studies recommended that these alternative methods can improve access to hearing screening for underserved areas, such as rural locations.…”

Section: Discussionmentioning

confidence: 99%

How the World’s Children Hear: A Narrative Review of School Hearing Screening Programs Globally

et al. 2020

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Objective School hearing screening may mitigate the effects of childhood hearing loss through early identification and intervention. This study provides an overview of existing school hearing screening programs around the world, identifies gaps in the literature, and develops priorities for future research. Data Sources A structured search of the PubMed, Embase, and Cochrane Library databases. Review Methods A total of 65 articles were included according to predefined inclusion criteria. Parameters of interest included age groups screened, audiometric protocols, referral criteria, use of adjunct screening tests, rescreening procedures, hearing loss prevalence, screening test sensitivity and specificity, and loss to follow-up. Conclusions School hearing screening is mandated in few regions worldwide, and there is little accountability regarding whether testing is performed. Screening protocols differ in terms of screening tests included and thresholds used. The most common protocols included a mix of pure tone screening (0.5, 1, 2, and 4 kHz), otoscopy, and tympanometry. Estimates of region-specific disease prevalence were methodologically inaccurate, and rescreening was poorly addressed. Loss to follow-up was also a ubiquitous concern. Implications for Practice There is an urgent need for standardized school hearing screening protocol guidelines globally, which will facilitate more accurate studies of hearing loss prevalence and determination of screening test sensitivity and specificity. In turn, these steps will increase the robustness with which we can study the effects of screening and treatment interventions, and they will support the development of guidelines on the screening, diagnostic, and rehabilitation services needed to reduce the impact of childhood hearing loss.

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Section: Discussionmentioning

confidence: 99%

How the World’s Children Hear: A Narrative Review of School Hearing Screening Programs Globally

et al. 2020

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“…Of the 23 articles selected for data extraction, all were NHMRC evidence level II or below: two level II randomised controlled trials 17,18 ; one level III-1 pseudorandomised controlled trial 19 ; one level III-2 non-randomised experimental trial 20 ; two level III-3 interrupted time series without parallel control groups 21,22 ; 10 level IV case series [23][24][25][26][27][28][29][30][31][32] ; and seven level IV studies of diagnostic yield. [33][34][35][36][37][38][39] Although grey literature was searched, all results were excluded as they lacked child functioning measures.…”

Section: Scope Of Literaturementioning

confidence: 99%

Implementation factors are neglected in research investigating telehealth delivery of allied health services to rural children: A scoping review

et al. 2019

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Introduction Rural children are likely to benefit from the telehealth delivery of multidisciplinary allied healthcare. This study aimed to (a) identify the scope of literature describing the telehealth delivery of allied health services to children living in rural areas and (b) understand the extent to which implementation – that is, specific activities designed to put telehealth into practice – has been investigated in such literature. Methods Systematic scoping review methodology was used to locate studies in which telehealth delivered allied health services to children aged 0–12 who lived rurally (January 1998–January 2018). Two reviewers screened the studies, extracted data and appraised quality with Critical Skills Appraisal Programme checklists. Databases searched were PubMed, MEDLINE, CINAHL, PsycINFO, ERIC and Cochrane Library. Results Data were extracted from 23 papers (two randomised controlled trials, one pseudorandomised controlled trial, one non-randomised experimental trial, two interrupted time series without parallel control groups, 10 case series and seven studies of diagnostic yield). Most were level III ( n = 4) or IV ( n = 17) when classified according to National Health and Medical Research Council guidelines. One study met all Critical Skills Appraisal Programme quality criteria. Allied healthcare interventions were aimed at improving functioning in communication ( n = 10), behaviour and socio-emotional domains ( n = 8) and identifying hearing concerns ( n = 5). Many studies ( n = 12) identified implementation facilitators, largely training and equipment. Only one study referred to an explicit framework for telehealth implementation (user-centred design). Discussion Future research should target occupational therapy, physiotherapy, dietetics and social work, and determine the implementation factors and models likely to create successful telehealth services for this population.

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“…Our scoping review identified five tele-audiology communitybased hearing screening studies in children and infants (Ciccia et al 2011;Monica et al 2017; Govender and Mars 2018; Eksteen et al 2019; Ameyaw, Anim-Sampong, and Ribera 2019). These studies described results of audiologists along with trained facilitators at remote sites that provided hearing screening services for infants and children.…”

Section: Screening Studiesmentioning

confidence: 99%

“…Eksteen et al (2019) reported that use of minimally trained community care workers (CCW) to screen for both hearing and vision was affordable (estimated cost $5.63 USD per child) and provided a scalable service delivery model. Monica et al (2017) assessed the feasibility of synchronous remote tele-hearing screening using audiometry and distortion product otoacoustic emissions (DPOAE) on a small group of school children (n ¼ 31) in India. They reported that using tele-screening was feasible with the help of teachers as facilitators and results were comparable to in-person screening.…”

Section: Screening Studiesmentioning

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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School entry level tele-hearing screening in a town in South India – Lessons learnt

Cited by 36 publications

References 11 publications

How the World’s Children Hear: A Narrative Review of School Hearing Screening Programs Globally

How the World’s Children Hear: A Narrative Review of School Hearing Screening Programs Globally

Implementation factors are neglected in research investigating telehealth delivery of allied health services to rural children: A scoping review

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

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