Evidence reviewed as of before 20-05-2021
Author(s): Ogourtsova, T. (PhD OT) & Osman, G. (MSc OT student)
Hearing acuity, speech, and language
We found one feasibility study (Ciccia et al., 2011) on the telerehabilitation assessments Distortion Product Otoacoustic Emissions (DPOAE), Receptive-Expressive Emergent Language Test—Third Edition (REEL-3), and Screening Kit of Language and Development (SKOLD).
- Equipment used: PC, webcam, acoustic impedance audiometer, automatic handheld otoacoustic emissions instrument, otoscope, diagnostic audiometer, and standard tympanometer
- Platform used: Skype
- High satisfaction levels in families. Parents reported a preference for speech, language, and hearing screenings to be provided via videoconferencing during their primary care visit, rather than have a separate appointment at another facility with SLP and audiologist.
- Strong reliability for all assessments (pure tone hearing screening, DPOAE screening, and SLP screening: 100%; Reliability for tympanometry screenings: 84%).
- DPOAE: Information not found
- REEL-3: Use of an examiner manual included in REEL-3
- SKOLD: To be administered by speech-language pathologist
Hearing acuity 1
We found one feasibility study (Hatton et al., 2019) on a telerehabilitation assessment Telehealth-enabled auditory-brainstem-response (TH-ABR).
- Equipment used: PC, high-definition desktop videoconferencing
- Platform used: Cisco MOVI/Jabber
- Good cost and time-effectiveness (TH-ABR resulted in $91,250 in averted PSA travel costs)
- Significant amount of information can be obtained within the TH-ABR appointment
- Positive feedback from parents
Hearing acuity 2
We found one AB-BA study (Hughes et al., 2018) on a telerehabilitation assessment Conditioned Play Audiometry (CPA) and Visual Reinforcement Audiometry (VRA).
- Equipment used: PC, webcam, microphone
- Platform used: Windows Remote Desktop Connection (for Windows 7)
- timing of communication between audiologist and test assistant
- placement of webcam at the testing site
- CPA: Completed by a certified teacher of the visually impaired.
- VRA: This test requires two appropriately trained staff and a substantial amount of practical experience to be effective.
We found one feasibility study (Hussein et al., 2018) on a telerehabilitation assessment evaluating HearScreen.
- Equipment used: Samsung smartphone, supra-aural Sennheiser HD280 Pro headphones
- Platform used: HearScreen smartphone application
- Smartphone-based hearing screening can be used to detect hearing loss (results and corresponding noise levels were analyzed on the centralized cloud-based server, and indicated that only noise levels at 1 kHz had a significant effect on referral rates obtained in comparison to 2 and 4kHz test frequencies).
- Smart-phone based hearing screening can be used to detect hearing loss (feasibility) 39.4% of children attended follow-up appointment.
Hearing loss and hearing aid use
We found one method-comparison study (Munoz et al., 2016) on the telerehabilitation assessment Phonak Target.
- Equipment used: PC (Lenovo)
- Platform used: Phonak Target application
- Parents and audiologists were satisfied with the virtual visits, where pre-response satisfaction average among participants ranged from 3-5 points on a 5-point likert scale; mean post-responses ranged from 4.5-5 points.
- Parents felt positively about their experience, reporting tele-support was more feasible and accessible to them and their children.
- Audiologists were optimistic about providing services virtually.