Development of Competency Criteria for Real-Ear Measurement: Findings From a Modified E-Delphi Round 1.
Background: Hearing aid verification ensures that appropriate audibility and access to the speech signal are provided to the hearing aid user. Best practice guidelines recommend evidence-based verification measures (on-ear real-ear aided response [REAR] and simulated REAR) to match the hearing aid o...
| Publicado en: | American Journal of Audiology Vol. 35; no. 1; pp. 13 - 31 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Mar2026
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| 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=192148326&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192148326 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10590889 5KS jtl: American Journal of Audiology issn: 10590889 maglogo: N pubinfo: dt: Mar2026 vid: 35 iid: 1 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 192148326 192148326 192148326 10.1044/2025_AJA-25-00012 192148326 ppf: 13 ppct: 18 formats: fmt: @attributes: type: P tig: atl: Development of Competency Criteria for Real-Ear Measurement: Findings From a Modified E-Delphi Round 1. aug: au: Venkatesan, Bavadharani Bagatto, Marlene Moodie, Sheila Scollie, Susan Diane affil: Health & Rehabilitation Sciences, Western University, London, Ontario, Canada sug: subj: Consensus Clinical Competence Standards Audiologists Standards Education, Audiology Hearing Aids Standards Hearing Disorders Therapy Longevity Hearing Tests Professional Development Human Male Female Child Ontario Delphi Technique Calibration Professional Practice, Evidence-Based Speech Physiology Feedback Quality Assurance Patient Safety Acoustics Questionnaires Multimethod Studies Descriptive Statistics Comparative Studies Summated Rating Scaling Data Analysis Software Child: 6-12 years Male Female ab: Background: Hearing aid verification ensures that appropriate audibility and access to the speech signal are provided to the hearing aid user. Best practice guidelines recommend evidence-based verification measures (on-ear real-ear aided response [REAR] and simulated REAR) to match the hearing aid output with prescribed targets. Skill development for measuring and interpreting REAR involves six stages: novice, advanced, beginner, competent, proficient, and expert. At the competent stage, trainees can perform entrustable professional activities independently, demonstrating sufficient competence for unsupervised practice. Purpose: The purpose of this study was to obtain consensus on key competency criteria expected for audiologists performing hearing aid verification across the lifespan to ensure effective real-ear performance evaluation. Method: A modified e-Delphi technique was used. In the preparatory stage, 54 preselected competency items were categorized into seven domains. In the first round of the survey, expert audiologists rated their level of agreement on a 7-point Likert scale ranging from strongly disagree to strongly agree for each competency. An a priori threshold of 70% was required for consensus. Results: Twenty-nine expert audiologists completed the first survey round. Consensus was achieved for 52 out of the 54 competency items. Competencies related to calibration, equipment setup, and interpretation of REAR had over 90% agreement. Items not reaching initial consensus were revised for Round 2 based on expert feedback. Conclusions: Results from Round 1 and the new consolidated items will be shared in Round 2. This study identifies key competencies for audiologists to perform on-ear and simulated REAR, forming the basis for knowledge, training, and improved clinical outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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