Barriers for Audiology, Speech, and Language Therapy Services to Cochlear Implant Recipients
Main Article Content
Abstract
Background: With the rise in cochlear implant use among children with hearing impairments, understanding the challenges in providing effective audiology, speech, and language therapy services is crucial. These services are vital for the successful integration of cochlear implant recipients into mainstream society, particularly in terms of language acquisition and social-educational outcomes.
Objective: This study aimed to find out Barriers of audiology, speech, and language therapy services to cochlear implant.
Methods: A cross-sectional survey design was employed, involving 74 participants selected through non-probability convenience sampling. The study utilized a structured questionnaire covering demographics, availability of audiology, speech, and language therapy services, and specific issues related to cochlear implant use. Data were analysed using the Statistical Package for the Social Sciences (SPSS) software, version 20.0.
Results: Among participants, 58.1% were aged 25-35 years; 67.6% were female. Educational levels varied, with 33.8% holding graduate degrees. Key barriers identified included distance to services, cost, and scheduling difficulties. 66.2% agreed that health insurance was a significant challenge, and 52.7% faced difficulties due to the unavailability of nearby speech therapists.
Conclusion: The study highlights the critical need for accessible and tailored speech and language therapy services for cochlear implant recipients, especially in rural areas. Addressing these barriers requires concerted efforts from healthcare providers, policymakers, and community leaders to enhance the rehabilitation outcomes for cochlear implant recipients.
Article Details
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References
Yang C-H, Schrepfer T, Schacht J. Age-related hearing impairment and the triad of acquired hearing loss. Frontiers in cellular neuroscience. 2015;9:276.
Verhaert N, Willems M, Van Kerschaver E, Desloovere C. Impact of early hearing screening and treatment on language development and education level: Evaluation of 6 years of universal newborn hearing screening (ALGO®) in Flanders, Belgium. International journal of pediatric otorhinolaryngology. 2008;72(5):599-608.
Nassiri AM, Marinelli JP, Sorkin DL, Carlson ML, editors. Barriers to adult cochlear implant care in the United States: an analysis of health care delivery. Seminars in Hearing; 2021: Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY ….
Walsh R. Terminology-much more than a definition. ACQ Knowl Speech Lang Hearing. 2006;8:39-41.
Oh SH, Lee J. A systematic review of audiology terminology. Journal of Audiology & Otology. 2016;20(2):109.
Verdon S, Wilson L, Smith-Tamaray M, McAllister L. An investigation of equity of rural speech-language pathology services for children: A geographic perspective. International Journal of Speech-Language Pathology. 2011;13(3):239-50.
Noblitt B, Alfonso KP, Adkins M, Bush ML. Barriers to rehabilitation care in pediatric cochlear implant recipients. Otology & Neurotology: Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2018;39(5):e307.
Mumtaz N, Habibullah S. Better late than never: Identification of children with hearing loss in Pakistan. PAFMJ. 2017;67(2):292-95.
Khalid F, Abbasi AN. Challenges faced by Pakistani healthcare system: Clinician's perspective. 2018.
Chaudhry MA, Khan A. Shaping 21st Century Public Health in Pakistan. 2020.
Grey B, Deutchki EK, Lund EA, Werfel KL. Impact of meeting early hearing detection and intervention benchmarks on spoken language. Journal of Early Intervention. 2021:10538151211025210.
Dietrich ML, Schieffelin JS. Congenital cytomegalovirus infection. Ochsner Journal. 2019;19(2):123-30.
Dillon A. User acceptance of information technology. London: Taylor and Francis; 2001.
Calvin D, Watley SR. Diabetes and hearing loss among underserved populations. Nursing Clinics. 2015;50(3):449-56.
Wilson HL, Crouch J, Schuh M, Shinn J, Bush ML. Impacts of the COVID-19 Pandemic on Communication and Healthcare Access for Adults With Hearing Loss. Otology & Neurotology. 2021;42(8):1156-64.
Park LR, Preston E, Eskridge H, King ER, Brown KD. Sound Opportunities: Factors That Impact Referral for Pediatric Cochlear Implant Evaluation. The Laryngoscope. 2021.
Gagnon EB, Eskridge H, Brown KD. Pediatric cochlear implant wear time and early language development. Cochlear Implants International. 2020;21(2):92-7.
Andrade C. The inconvenient truth about convenience and purposive samples. Indian Journal of Psychological Medicine. 2021;43(1):86-8.
Naples JG, Ruckenstein MJ. Cochlear implant. Otolaryngologic Clinics of North America. 2020;53(1):87-102.
Plontke SK, Fröhlich L, Wagner L, Kösling S, Götze G, Siebolts U, et al. How much cochlea do you need for cochlear implantation? Otology & Neurotology. 2020;41(5):694-703.
Hughes SE, Rapport F, Watkins A, Boisvert I, McMahon CM, Hutchings HA. Study protocol for the validation of a new patient-reported outcome measure (PROM) of listening effort in cochlear implantation: the Listening Effort Questionnaire-Cochlear Implant (LEQ-CI). BMJ open. 2019;9(7):e028881.
Abu-Bader SH. Using statistical methods in social science research: With a complete SPSS guide: Oxford University Press, USA; 2021.