Teleaudiology for rehabilitation with hearing aids (Tao et al., 2018)

Purpose: This review examined (a) the current evidence from studies on teleaudiology applications for rehabilitation of adults with hearing impairment with hearing aids and (b) whether it is sufficient to support the translation into routine clinical practice.Method: A search strategy and eligibility criteria were utilized to include articles specifically related to hearing aid fitting and follow-up procedures that are involved in consultations for the rehabilitation of adults, where the service was provided by the clinician by teleaudiology. A search using key words and Medical Subject Headings (MeSH) was conducted on the main electronic databases that index health-related studies. The included studies were assessed using validated evaluation tools for methodological quality, level of evidence, and grade recommendations for application into practice.Results: Fourteen studies were identified as being within the scope of this review. The evaluation tools showed that none of these studies demonstrated either a strong methodological quality or high level of evidence. Analysis of evidence identified 19 activities, which were classified into service outcomes categories of feasibility, barriers, efficiency, quality, and effectiveness. Recommendations could be made regarding the (a) feasibility, (b) barriers, and (c) efficiency of teleaudiology for the rehabilitation of hearing loss with hearing aids.Conclusion: This review provides up-to-date evidence for teleaudiology hearing aid services in new and experienced hearing aid users in different practice settings. Findings direct future research priorities to strengthen evidence-based practice. There is a need for further studies of many aspects of teleaudiology services for rehabilitation with hearing aids to support their implementation into clinical practice.Supplemental Material S1. Search strategy. Supplemental Material S2. Search history run on CINAHL Plus (EBSCO HOST) database (1937 to current) on May 20, 2017; search history run on Ovid EMBASE database (1946 to current) on May 20, 2017.Supplemental Material S3. Summary of included studies.Tao, K. F. M., Brennan-Jones, C. G., Capobianco-Fava, D. M., Jayakody, D. M. P., Friedland, P. L., Swanepoel, D. W., & Eikelboom, R. H. (2018). Teleaudiology services for rehabilitation with hearing aids in adults: A systematic review. Journal of Speech, Language, and Hearing Research, 61, 1831–1849. https://doi.org/10.1044/2018_JSLHR-H-16-0397

目的：本综述旨在审视（a）关于利用助听器对成人听力障碍进行康复的远程听力学应用的研究现状，以及（b）这些研究是否足以支持其转化为常规临床实践。方法：通过采用特定的搜索策略和资格标准，纳入了与助听器适配及随访程序相关的文章，这些程序涉及成人康复咨询，其中服务由临床医生通过远程听力学提供。在主要的健康相关研究索引电子数据库中，使用关键词和医学主题词（MeSH）进行了搜索。纳入的研究通过经过验证的评估工具对方法论质量、证据水平和应用于实践的建议等级进行了评估。结果：共确定了14项研究符合本综述的范围。评估工具显示，这些研究中没有一项显示出强大的方法论质量或高水平的证据。对证据的分析识别出19项活动，这些活动被归类为服务成果类别，包括可行性、障碍、效率、质量和有效性。关于远程听力学在助听器康复中的可行性、障碍和效率方面，可以提出建议。结论：本综述为不同实践环境中的新用户和经验丰富的助听器用户提供了关于远程听力学助听器服务的最新证据。研究结果指导未来的研究优先事项，以加强循证实践。有必要对远程听力学服务在助听器康复的许多方面进行进一步研究，以支持其临床实践的转化。补充材料S1：搜索策略。补充材料S2：2017年5月20日在CINAHL Plus（EBSCO HOST）数据库（1937年至当前）上运行的搜索历史；2017年5月20日在Ovid EMBASE数据库（1946年至当前）上运行的搜索历史。补充材料S3：纳入研究的摘要。Tao, K. F. M., Brennan-Jones, C. G., Capobianco-Fava, D. M., Jayakody, D. M. P., Friedland, P. L., Swanepoel, D. W., & Eikelboom, R. H. (2018). 基于远程听力学服务的成人助听器康复：一项系统综述。言语、语言和听力研究杂志，61，1831–1849. https://doi.org/10.1044/2018_JSLHR-H-16-0397