| Autor: |
Hatton JL; a British Columbia Early Hearing Program , Vancouver , BC , Canada.; b School of Audiology and Speech Sciences , The University of British Columbia , Vancouver , BC , Canada., Rowlandson J; c JR Associates , Saltspring Island , BC , Canada., Beers A; a British Columbia Early Hearing Program , Vancouver , BC , Canada., Small S; b School of Audiology and Speech Sciences , The University of British Columbia , Vancouver , BC , Canada. |
| Jazyk: |
angličtina |
| Zdroj: |
International journal of audiology [Int J Audiol] 2019 Jul; Vol. 58 (7), pp. 381-392. Date of Electronic Publication: 2019 Apr 15. |
| DOI: |
10.1080/14992027.2019.1584681 |
| Abstrakt: |
Objective: The present study investigated a telehealth-enabled auditory-brainstem-response (TH-ABR) programme provided by the British Columbia Early Hearing Program (BCEHP) to families in a remote northern area who face barriers such as travel distance and access to audiologists trained in ABR testing. Objectives were to: (i) outline the design/implementation of a TH-ABR programme, (ii) summarise equipment/procedures, and (iii) report on results for the TH-ABR programme (cost/time effectiveness, testing accuracy/efficiency, and caregiver satisfaction). Design: TH-ABR implementation was described and TH-ABR results were compared to behavioural follow-up findings to evaluate TH-ABR test accuracy. Caregivers were invited to complete TH-ABR satisfaction surveys following their appointment(s). Study sample: One hundred and two infants (mean age: 2.3 months) were assessed via TH-ABR at four points-of-care; 41/66 caregivers completed surveys. Results: The TH-ABR programme was suitable, sustainable and scalable. After 29 TH-ABR events, the service was cost neutral to BCEHP ($91,250 averted after 102 TH-ABRs). Fifty infants were identified with hearing loss and TH-ABR accuracy and efficiency were comparable to face-to-face assessments. Parent survey results indicated a high level of satisfaction with the TH-ABR experience. Conclusions: TH-ABR is efficient, accurate, valued by parents, optimises availability to audiology resources, builds local service capacity, and reduces costs for northern BC communities. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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