AI Article Synopsis
- The study aimed to see if tele-audiology could effectively conduct diagnostic hearing tests for school-aged children with disabilities and additional health issues.
- A pilot group of typically developing children was tested first to refine the methodology, which was then applied to children with disabilities, highlighting the need for facilitators during testing.
- Results showed that tele-audiology can efficiently assess certain hearing aspects, although challenges remain with some testing methods, suggesting it could improve access to hearing healthcare for children with disabilities.
Article Abstract
Objective: Children with disabilities (CWDs) having comorbidities face challenges in accessing and completing diagnostic hearing evaluations. This study was conducted to determine whether a tele-audiology diagnostic test battery can be administered to school-aged CWDs having comorbidities in a school-setting.
Design: A proof-of-concept pilot study using a cross-sectional design.
Study Sample: Ten typically developing children between 3 years 9 months and 10 years 9 months of age; mean age of 8 years 3 months (pilot-norm group) and seven CWDs having comorbidities between 3 years and 8 years and 1 month of age; mean age of 5 years and 2 months (CWD group) participated in the study. A diagnostic test protocol delivered via tele-audiology was first administered to the pilot-norm group to ensure its efficiency and suitability for use in the CWD group. Following modifications, the diagnostic test protocol was delivered for CWDs.
Results: We identified key aspects, including the role of the facilitator in conducting a diagnostic test battery using tele-audiology on CWDs, the usefulness of having co-facilitators to support child-friendly testing, as well as technology-related requirements. With respect to tele-audiology diagnostic testing, it was possible to quickly assess peripheral hearing using synchronous tele video-otoscopy, tympanometry, and DPOAEs. We identified limitations in conducting behavioral audiometry and completing tone-burst ABRs in CWDs.
Conclusion: Evidence was obtained from this exploratory pilot study that a tele-audiology diagnostic test battery can be administered in a school setting to school-aged CWDs having comorbidities. Tele-audiology can be considered to provide hearing healthcare services to school-aged CWDs who may otherwise not receive these services.
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| http://dx.doi.org/10.1016/j.ijporl.2022.111426 | DOI Listing |
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