Tele-audiology: Expanding Access to Hearing Care and Enhancing Patient Connectivity

Gladden, Chad; Beck, Lucille B.; Chandler, David

doi:10.3766/jaaa.14107

Cited by 31 publications

(18 citation statements)

References 1 publication

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“…Essentially offering services on the clinic's website which can be accessed 24/7 by a potential HHC seeker. This supports the notion put forward that this new era of healthcare is moving beyond the traditional clinic but rather into the daily lives of patients by striving to link the patient with the right care with the right provider at the right time (Gladden, Beck, and Chandler 2015).…”

Section: Age Gender and Devices Of People Who Seek Hhc Onlinesupporting

confidence: 73%

Characteristics, behaviours and readiness of persons seeking hearing healthcare online

Ratanjee-Vanmali

Swanepoel

Laplante-Lévesque

2018

International Journal of Audiology

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Objective: This study describes characteristics, behaviours and readiness of people who are interested in seeking hearing healthcare (HHC) online. Design: A non-profit clinic was established from which services through a virtual clinic are offered. Most of the patient-audiologist interactions are conducted online. We used online means to invite individuals to take a free online digit-in-noise (DIN) test. Upon failing the test, individuals reported their readiness to seek HHC by using two tools: the line and the staging algorithm. Study sample: Individuals !18 years of age, within the greater Durban area, South Africa, were eligible to participate in the study. Results: A total of 462 individuals completed the online DIN test during the first 3 months. Of those, 58.66% (271/462) failed the test and 11.04% (51/462) submitted their details for further contact from the clinic audiologist. Five individuals proceeded to a comprehensive hearing evaluation and hearing aid trial: all those individuals showed readiness to seek further HHC on the measurement tools. These individuals have reported knowing of their hearing challenges prior to taking the test and have waited for a period of between 5 and 16 years before seeking HHC. A significant association between age and DIN test result was found. Conclusion: This explorative study is the first clinic to utilise digital tools across the entire patient journey in combination with face-to-face interactions in providing HHC. Internet-connected devices provide an opportunity for individuals to seek HHC and for providers to offer initial services to detect, counsel and support persons through the initial engagement process of seeking HHC. This may open up new audiology patient pathways through online hearing screening, assessment of readiness to seek further HHC and enhancement of service delivery using hybrid services by combining online and face-to-face modes of synchronous and asynchronous communication.

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Section: Age Gender and Devices Of People Who Seek Hhc Onlinesupporting

confidence: 73%

Characteristics, behaviours and readiness of persons seeking hearing healthcare online

Ratanjee-Vanmali

Swanepoel

Laplante-Lévesque

2018

International Journal of Audiology

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“…In both studies, no differences between the two methods were found in the final cochlear implant parameters or in patient satisfaction. Other studies, such as those of Gladden and Beck (2015), Penteado et al (2012), and Kuzovkov et al (2014) have also confirmed the equivalence of hearing aid and cochlear implant outcomes when devices are fitted via tele-audiology or through conventional face-to-face clinical encounters.…”

Section: Sensory Managementmentioning

confidence: 76%

Connected Audiological Rehabilitation: 21st Century Innovations

Saunders

Chisolm

2015

J Am Acad Audiol

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Background Tele-audiology provides a means to offer audiologic rehabilitation (AR) in a cost-, resource-, and time-effective manner. If designed appropriately, it also has the capability of personalizing rehabilitation to the user in terms of content, depth of detail, etc., thus permitting selection of the best content for a particular individual. Synchronous/real-time data collection, store and forward telehealth, remote monitoring and mobile health using smartphone applications have each been applied to components of audiologic rehabilitation intervention (sensory management, instruction in the use of technology and control of the listening environment, perceptual and communication strategies training, and counseling). In this article, the current state of tele-audiological rehabilitation interventions are described and discussed. Results The provision of AR via tele-audiology potentially provides a cost-effective mechanism for addressing barriers to the routine provision of AR beyond provisions of hearing technology. Furthermore, if designed appropriately, it has the capability of personalizing rehabilitation to the user in terms of content, depth of detail, etc., thus permitting selection of the best content for a particular individual. However, effective widespread implementation of tele-audiology will be dependent on good education of patients and clinician alike, and researchers must continue to examine the effectiveness of these new approaches to AR in order to ensure clinicians provide effective evidence-based rehabilitation to their patients. Conclusions While several barriers to the widespread use of tele-audiology for audiologic rehabilitation currently exist, it is concluded that through education of patients and clinicians alike, it will gain greater support from practitioners and patients over time and will become successfully and widely implemented.

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“…These adult-focussed subthemes speak to the need for more research around remote HA support services and studies that directly compare to a face-to-face service model. The majority of studies evaluating remote audiological management, including remote HA support, have focussed on the feasibility of the service delivery model and/or the perceived benefit/satisfaction of the end-user (Angley, Schnittker, and Tharpe 2017;Br€ annstr€ om et al 2016;Gladden, Beck, and Chandler 2015;Govender and Mars 2017;Penteado et al 2014). Studies related to the verification and validation of remote follow-up HA support services are also warranted.…”

Section: Discussionmentioning

confidence: 99%

An examination of clinical uptake factors for remote hearing aid support: a concept mapping study with audiologists

Glista

O'Hagan

Moodie

et al. 2020

International Journal of Audiology

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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 multifaceted 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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Tele-audiology: Expanding Access to Hearing Care and Enhancing Patient Connectivity

Cited by 31 publications

References 1 publication

Characteristics, behaviours and readiness of persons seeking hearing healthcare online

Characteristics, behaviours and readiness of persons seeking hearing healthcare online

Connected Audiological Rehabilitation: 21st Century Innovations

An examination of clinical uptake factors for remote hearing aid support: a concept mapping study with audiologists

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