Exploring teleaudiology adoption, perceptions and challenges among audiologists before and during the COVID-19 pandemic

Abstract

Abstract Background The COVID-19 pandemic and its associated lockdowns accelerated the uptake of remote services, however, the integration of teleaudiology into regular clinical practice has been slow, with audiologists reporting several barriers and mixed attitudes. To develop effective strategies and solutions to enhance teleaudiology services and facilitate their acceptance beyond the pandemic, a better understanding of the factors influencing audiologist’s attitudes and usage is needed. The purpose of this study was to explore the attitudes towards and usage of teleaudiology by audiologists prior to and during the COVID-19 pandemic. We aimed to uncover underlying factors influencing teleaudiology adoption to identify potential barriers and opportunities that could inform interventions and future developments. Method and results Two cross-sectional surveys were administered to audiologists between September and October in 2018 and 2021. Questions addressed issues regarding quality of care, satisfaction, and perceived benefits of teleaudiology. Survey items based on the COM-B behaviour model were also included in the 2021 survey. Data were analysed using descriptive and non-parametric statistics. Eighty audiologists completed the 2018 survey and 105 audiologists completed the 2021 survey. In 2021, teleaudiology users reported increased quality of care, quality of relationships with clients and client satisfaction compared to non-users. However, among teleaudiology users, there was a decrease in quality of care, relationships with new clients and job satisfaction in 2021 compared to 2018. The COM-B framework helped identify the major barriers for non-users of teleaudiology such as lack of training, unclear guidelines, and concerns about service quality. Conclusion The attitudes towards teleaudiology for clinicians before and during the COVID-19 pandemic were investigated, revealing a substantial increase in usage and varying effects on client satisfaction, clinician job satisfaction and service quality. Key potential barriers and factors influencing usage were identified. Targeted solutions may include providing training, scheduling regular teleaudiology appointments to build confidence, and developing reliable tools and technologies to improve remote hearing care.