Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

Author:

Amri Nur Azyani12,Quar Tian Kar1,Chong Foong Yen1

Affiliation:

1. Audiology Programme, Centre for Rehabilitation and Special Needs, Universiti Kebangsaan Malaysia, Kuala Lumpur

2. Audiology Unit, Otorhinolaryngology Department, Sungai Buloh Hospital, Ministry of Health Malaysia, Selangor

Abstract

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing

Reference67 articles.

1. Manufacturer Predicted And Measured REAR Values In Adult Hearing Aid Fitting: Accuracy And Clinical Usefulness

2. The Value of Routine Real Ear Measurement of the Gain of Digital Hearing Aids

3. Audiological management of adults with hearing impairment in Malaysia

4. American Academy of Audiology. (2012). Audiologic guidelines for the assessment of hearing in infants and young children. Retrieved from http://www.audiology.org/publications-resources/document-library/pediatric-diagnostics

5. American Academy of Audiology. (2013). Clinical practice guidelines on pediatric amplification. Retrieved from http://www.audiology.org/publications-resources/document-library/pediatric-rehabilitation-hearing-aids

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