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Fulltext Factors associated with the parents’ intention in bringing their child to the audiologist

Nur Najihah Najwa Jamil, Masnira Jusoh, Wan Aslynn Wan Ahmad

International Journal of Allied Health Sciences, 2018;2(3):468-474.
MyJurnal

This study was designed to examine the relationship between attitude, subjective norms and perceived behavioral control towards parents’ intention in sending their child to the audiologist. A sample of 76 parents with hearing impaired child all over the Peninsular of Malaysia was involved in this research. A set of questionnaires was used for data collection. The theory of planned behavioral (TPB) was able to explain the link between human intention and their behavior. In this study, the researcher looked at parents’ behavior in bringing their child to Audiologist. In order to achieve this a set of questionnaires was adapted from Jusoh (2011) and was administered to a group of parents with hearing loss (HL) children. The result showed that there were correlations between attitude, subjective norms as well as perceived behavioral control and parents’ intention in sending their child to the audiologist. However, there was no correlation between intentions and behavior towards the same intention.

Matched MeSH terms: Audiologists
Fulltext Assessment of Inter- and Intra-Audiologist Agreements on Auditory Brainstem Response (ABR) Waves Interpretation and ABR Variability

Dzulkarnain AA, Che Azid N

Med J Malaysia, 2014 Aug;69(4):156-61.
PMID: 25500842 MyJurnal

AIM OF STUDY: This study investigated the consistency in Auditory Brainstem Response (ABR) waveform evaluations between two audiologists (inter-audiologist agreement) and within each of the audiologist (intra-audiologist agreement).
METHODS: Two audiologists from one of the audiology clinics in Kuantan, Pahang, Malaysia were involved in this study. Both audiologists were required to identify and mark the presence of Waves I, III and V in 66 ABR waveforms. Over a one-month interval, each audiologist was required to carry out the same procedure on the same ABR waveforms. This process was continued until we had three separate reviews from each audiologist.
RESULTS: There was a high inter-audiologist ABR waveform identification agreement (over the range 81.71-89.77%), but a lower intra-audiologist ABR waveform identification agreement (over the range 50%-78%) for both audiologists. Our results also showed a high intra-audiologist ABR latency agreement within 0.2 ms (>90%), but a slightly lower inter-audiologist latency agreement (75-84%) within 0.2 ms.
CONCLUSION: Our results support the need for the clinic to implement further strategies for improving the respective lower agreements and consistencies. These include conducting a continuous education program and using an objective algorithm to support their interpretations.

Study site:; International Islamic University, Malaysia (IIUM) Hearing
and Speech Clinic

Matched MeSH terms: Audiologists
Fulltext Satisfaction with amplification in daily life (SADL) in different types and degrees of hearing loss

Nursakinah Abd Ghani, Wan Ahmad Wan Aslynn

International Journal of Allied Health Sciences, 2019;3(4):933-938.
MyJurnal

Introduction: The aim of this study is to determine the satisfaction level of hearing aid users in different types and degrees of hearing loss using the satisfaction with amplification in daily life (SADL) questionnaire. Methods: 35 hearing aid users with different types of hearing loss who sought help from the International Islamic University, Malaysia (IIUM) Hearing and Speech Clinic at Jalan Hospital Campus, Kuantan, IIUM Medical Specialist Centre and private hearing aid centres were involved in this study. The data was collected from the participants who filled in the Malay SADL questionnaires. Results: Among the thirty-five (35) participants, there was no significant difference reported between the types of hearing loss and their satisfaction level in the SADL global score and each of the subscales. It was found that satisfaction level with the hearing aids may depend on several factors such as cosmetic preference, cost of hearing aid and audiologist competence. Meanwhile, in terms of degrees of hearing loss, 80% of the users were relatively satisfied with their hearing aids. Yet, there was no correlation between hearing aid users’ satisfaction level and their degrees of hearing loss for all subscales and SADL global score. Conclusions: This study indicates that although hearing aid users reported to be satisfied with their hearing aids; there are some who are not satisfied in terms of feedback, telephone use, cosmetic appearance and costs of hearing aid. The findings of this study can benefit the audiologists, as they would be able to use the information to help future patients understand and adapt to the use of the hearing aids better.

Matched MeSH terms: Audiologists
Effects of speech phonological features during passive perception on cortical auditory evoked potential in sensorineural hearing loss

Abdul Rauf A. Bakar, Jayasree Santhosh, Mohammed G. Al-zidi, Ibrahim Amer Ibrahim, Ng SC, Hua NT

Sains Malaysiana, 2017;46:2477-2488.

The deficiency in the human auditory system of individuals suffering from sensorineural hearing loss (SNHL) is known to be associated with the difficulty in detecting of various speech phonological features that are frequently related to speech perception. This study investigated the effects of speech articulation features on the amplitude and latency of cortical auditory evoked potential (CAEP) components. The speech articulation features included the placing contrast and voicing contrast. 12 Malay subjects with normal hearing and 12 Malay subjects with SNHL were recruited for the study. The CAEPs response recorded at higher amplitude with longer latency when stimulated by voicing contrast cues compared to that of the placing contrast. Subjects with SNHL elicited greater amplitude with prolonged latencies in the majority of the CAEP components in both speech stimuli. The existence of different frequency spectral and time-varying acoustic cues of the speech stimuli was reflected by the CAEPs response strength and timing. We anticipate that the CAEPs responses could equip audiologist and clinicians with useful knowledge, concerning the potential deprivation experience by hearing impaired individuals, in auditory passive perception. This would help to determine what type of speech stimuli that might be useful in measuring speech perception abilities, especially in Malay Malaysian ethic group, for choosing a better rehabilitation program, since no such study conducted for evaluating speech perception among Malaysian clinical population.

Matched MeSH terms: Audiologists
Fulltext High-frequency hearing loss among mobile phone users

Velayutham P, Govindasamy GK, Raman R, Prepageran N, Ng KH

Indian J Otolaryngol Head Neck Surg, 2014 Jan;66(Suppl 1):169-72.
PMID: 24533378 DOI: 10.1007/s12070-011-0406-4

The objective of this study is to assess high frequency hearing (above 8 kHz) loss among prolonged mobile phone users is a tertiary Referral Center. Prospective single blinded study. This is the first study that used high-frequency audiometry. The wide usage of mobile phone is so profound that we were unable to find enough non-users as a control group. Therefore we compared the non-dominant ear to the dominant ear using audiometric measurements. The study was a blinded study wherein the audiologist did not know which was the dominant ear. A total of 100 subjects were studied. Of the subjects studied 53% were males and 47% females. Mean age was 27. The left ear was dominant in 63%, 22% were dominant in the right ear and 15% did not have a preference. This study showed that there is significant loss in the dominant ear compared to the non-dominant ear (P

Matched MeSH terms: Audiologists
What do hearing healthcare professionals do to promote hearing aid use and benefit among adults? A systematic review

Ismail AH, Munro KJ, Armitage CJ, Dawes PD

Int J Audiol, 2019 02;58(2):63-76.
PMID: 30646766 DOI: 10.1080/14992027.2018.1531154

OBJECTIVE: To conduct a systematic review of the evidence in relation to what hearing healthcare professionals do during hearing aid consultations and identifying which behaviours promote hearing aid use and benefit among adult patients.
DESIGN: Searches were performed in electronic databases MEDLINE, EMBASE, CINAHL, PsycInfo, Web of Science, PubMed and Google Scholar. The Crowe Critical Appraisal Tool and Melnyk Levels of Evidence were used to assess quality and level of evidence of eligible studies. Behaviours of hearing healthcare professionals were summarised descriptively.
STUDY SAMPLE: 17 studies met the inclusion criteria.
RESULTS: Twelve studies described behaviours of audiologists and five studies were intervention studies. Audiologists were typically task- or technically-oriented and/or dominated the interaction during hearing aid consultations. Two intervention studies suggested that use of motivational interviewing techniques by audiologists may increase hearing aid use in patients.
CONCLUSIONS: Most studies of clinicians' behaviours were descriptive, with very little research linking clinician behaviour to patient outcomes. The present review sets the research agenda for better-controlled intervention studies to identify which clinician behaviours better promote patient hearing aid outcomes and develop an evidence base for best clinical practice.

Matched MeSH terms: Audiologists/psychology*
Audiological management of adults with hearing impairment in Malaysia

Ali A, Hickson L, Meyer C

Int J Audiol, 2017 Jun;56(6):408-416.
PMID: 28388865 DOI: 10.1080/14992027.2017.1305515

OBJECTIVE: This study explored the nature of audiological services for adults with hearing impairment in Malaysia, with an emphasis on whether current services address clients' overall functioning as described by the World Health Organisation's International Classification of Functioning, Disability, and Health (ICF) framework.
DESIGN: An online survey exploring current practice, skills and confidence of audiologists, and the infrastructure and facilities available in their workplaces, was distributed to audiologists in Malaysia via professional associations and social media.
STUDY SAMPLE: A total of 111 audiologists, 84.7% female and 15.3% male (range = 23-44 years), participated in the study.
RESULTS: Although audiologists in Malaysia reported addressing all of the ICF domains, less than 26% of them assessed the patients' speech perception, carried out real-ear measurements, or used outcome measures routinely. The majority of the audiologists reported feeling confident in managing adult patients. However, 83% of the audiologists indicated they wanted to improve their skills related to management of adult patients, particularly in the areas of counselling and auditory training.
CONCLUSIONS: Inadequate infrastructure, resources and facilities in the workplace may have contributed to the gaps in service provision and influenced the current practice of audiological management for adult patients in Malaysia.

Matched MeSH terms: Audiologists/psychology; Audiologists/trends*