Perspectives on Support Material for Referrals to Cochlear Implantation Teams-Reference-Cited by-同舟云学术

Perspectives on Support Material for Referrals to Cochlear Implantation Teams

Published:2022-03-03 Issue:1 Volume:31 Page:11-20
ISSN:1059-0889
Container-title:American Journal of Audiology
language:en
Short-container-title:Am J Audiol

Author:

Mashal Marjan¹,Au Agnes²³^ORCID,Leigh Jaime²³⁴,Távora-Vieira Dayse⁵,Wedekind Andre⁶,Pedley Karen⁷,Swiderski Nina⁸,Chester-Browne Ronel⁹,Balke Caroline¹⁰,Brew Jane¹¹,Arkcoll Anthea¹²,Dahm Maria R.¹³,Boisvert Isabelle¹²¹⁴^ORCID

Affiliation:

1. H:EAR (Hearing: Education, Application, Research), Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia

2. HEARnet, The HEARing Cooperative Research Centre (CRC), Melbourne, Victoria, Australia

3. Audiology and Speech Pathology, The University of Melbourne, Victoria, Australia

4. Cochlear Implant Clinic, The Royal Victorian Eye and Ear Hospital

5. Audiology Department, Fiona Stanley Fremantle Hospitals Group, Perth, Western Australia

6. Medical Audiology Services, Perth, Western Australia

7. Attune Hearing Implant Centre, Brisbane, Queensland, Australia

8. South Australian Cochlear Implant Centre, Adelaide

9. Ear Science Implant Clinic, Perth, Western Australia

10. Mater Hospital Brisbane, Queensland, Australia

11. SCIC Cochlear Implant Program, Sydney, New South Wales, Australia

12. Neurosensory, Brisbane, Queensland, Australia

13. Institute for Communication in Health Care (ICH), The Australian National University, Canberra, Australian Capital Territory

14. Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia

Abstract

Purpose: This study used a collaborative approach to explore the needs, barriers, and facilitators to developing cochlear implant referral information material that would be valuable for hard of hearing adults and referring audiologists. Method: During the development of a prototype referral aid to be used within the Australian context, a multistage qualitative study was conducted using a consultative process, informal and semistructured interviews, as well as online surveys. A deductive directed content analysis approach was applied to assess respondents' perspectives. A total of 106 participants (37 hard of hearing adults and 69 audiologists) were involved across the multiple phases of this study. Results: Referral practices for the evaluation of cochlear implantation candidacy in Australia are highly inconsistent, supporting the need to streamline referral information. The following facilitators were identified to support the development of referral material: appropriate content, perceived patient benefit, and objectivity. Areas for improvement related to the broadness of the content, impact on professional identity, and accessibility. Conclusions: Practical insight from patients and referrers can inform the development of patient-facing material related to cochlear implant referrals. Streamlining information used in educational material could alleviate confusion inherent to varied health literacy levels and support patients in making informed decisions related to pursuing, or not, cochlear implantation candidacy evaluation services.

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing

Link

http://pubs.asha.org/doi/pdf/10.1044/2021_AJA-21-00127

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