Hyperacusis Diagnosis and Management in the United States: Clinical Audiology Practice Patterns.
Purpose: Hyperacusis often leads to debilitating psychosocial consequences, but there is no standard protocol for its diagnosis and management in the United States. In this study, we surveyed U.S. clinical audiologists to understand their education and clinical practices surrounding the evaluation a...
| Publicado en: | American Journal of Audiology Vol. 32; no. 4; pp. 950 - 962 |
|---|---|
| Autores principales: | , |
| Formato: | glossary pictorial research tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Dec2023
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173998896&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173998896 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10590889 5KS jtl: American Journal of Audiology issn: 10590889 maglogo: N pubinfo: dt: Dec2023 vid: 32 iid: 4 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 173998896 173998896 173998896 10.1044/2023_AJA-23-00118 173998896 ppf: 950 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Hyperacusis Diagnosis and Management in the United States: Clinical Audiology Practice Patterns. aug: au: Jahn, Kelly N. Koach, Chelsea E. affil: Department of Speech, Language, and Hearing, The University of Texas at Dallas, Richardson sug: subj: Hyperacusis Diagnosis Hyperacusis Therapy Hyperacusis Education Audiologists Education Human Practice Patterns Audiology Questionnaires United States Descriptive Statistics Content Analysis Sensitivity and Specificity Cognitive Therapy Multidisciplinary Care Team Adult Middle Age Aged Male Female Scales Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose: Hyperacusis often leads to debilitating psychosocial consequences, but there is no standard protocol for its diagnosis and management in the United States. In this study, we surveyed U.S. clinical audiologists to understand their education and clinical practices surrounding the evaluation and treatment of hyperacusis. Method: An online survey was distributed to clinical audiologists across the United States. Survey responses were quantified using descriptive statistics and inductive content analysis. Results: Hyperacusis definitions and clinical practice patterns varied widely across the 102 respondents. Respondents cited a lack of education and training as the primary barrier to effective audiological diagnosis and management of hyperacusis, with most respondents reporting ≤ 5 hr of hyperacusis education. Other primary barriers to effective audiological management of hyperacusis included time constraints, reimbursement, poor sensitivity and specificity of available diagnostic tools, and poor efficacy of available treatments and management strategies. Most respondents (82.5%) agreed that audiologists are the primary professionals who are responsible for implementing hyperacusis interventions. However, 63.3% of respondents reported that their clinic does not have a hyperacusis management protocol, and 80.0% routinely recommend treatment that is outside their scope of practice to implement (cognitive behavioral therapy). Conclusions: Clinical audiologists in the United States do not receive uniform education on hyperacusis, and they report multiple barriers to its evidence-based diagnosis and management. Effective hyperacusis management necessitates a multidisciplinary approach. The information obtained via this survey will pave the way toward the refinement of interprofessional education programs and the development of systematic, evidence-based clinical protocols for hyperacusis. Supplemental Material: https://doi.org/10.23641/asha.24431188 pubtype: Academic Journal doctype: glossary pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|