Audiologists' perspectives on management of mild bilateral hearing loss in infants and young children.

Universal newborn hearing screening programs have led to early identification of infants with congenital mild bilateral hearing loss (MBHL). The current lack of evidence-based protocols to guide audiological management of infants with MBHL has led to clinical equipoise about fitting of hearing aids....

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Bibliographic Details
Published in:International Journal of Audiology Vol. 61; no. 9; pp. 752 - 761
Main Authors: Ching, Teresa Y. C., Saetre-Turner, Michelle, Marnane, Vivienne, Scarinci, Nerina, Choik, Chermaine, Tulloch, Kristen, Sung, Valerie
Format: research Journal Article
Published: Taylor & Francis Ltd Sep2022
Online Access:View this record in EBSCOhost
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      jtl: International Journal of Audiology
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      dt: Sep2022
      vid: 61
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2021.1961170
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        atl: Audiologists' perspectives on management of mild bilateral hearing loss in infants and young children.
      aug:
        au:
          Ching, Teresa Y. C.
          Saetre-Turner, Michelle
          Marnane, Vivienne
          Scarinci, Nerina
          Choik, Chermaine
          Tulloch, Kristen
          Sung, Valerie
        affil: National Acoustic Laboratories, Hearing Australia, Sydney, Australia
      sug:
        subj:
          Hearing Disorders Prevention and Control
          Audiologist Attitudes Victoria
          Hearing Screening
          Human
          Qualitative Studies
          Descriptive Research
          Semi-Structured Interview
          Victoria
          Thematic Analysis
          Family Characteristics
          Parental Attitudes
          Audiology
          Female
          Family Centered Care
          Professional Knowledge
          Needs Assessment
          Listening
          Infant
          Funding Source
          Infant: 1-23 months
          Female
      ab: Universal newborn hearing screening programs have led to early identification of infants with congenital mild bilateral hearing loss (MBHL). The current lack of evidence-based protocols to guide audiological management of infants with MBHL has led to clinical equipoise about fitting of hearing aids. The purpose of this study was to increase understanding about the perspectives of paediatric audiologists on factors influencing their management of MBHLin infants and young children. A qualitative descriptive research methodology involving semi-structured interviews with audiologists. Twenty-three paediatric audiologists in diagnostic and rehabilitation settings in Victoria, Australia. Three main themes that influenced management were identified. These include: (1) evidence, or the lack of it, influences audiologists' practice; (2) audiologists recognise the need to be fluid; and (3) family characteristics and parents' perspectives. "Audiologists delivering family-centred practice" was identified as an overarching theme across these factors. Audiologists recognised the importance of adopting a family-centred approach in their management of MBHL in infants and young children. Embodied in their practice was the acknowledgement of limited evidence, the consideration of multiple child and family factors, and the incorporation of perspectives of parents and families in adopting a fluid approach to provide individualised services.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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