Outcomes and device use in children with bone-conduction hearing devices in South Africa

South African Journal of Communication Disorders

Field Value
Title Outcomes and device use in children with bone-conduction hearing devices in South Africa
Creator van Zyl, Chéri Rogers, Christine Kuschke, Silva
Subject Audiology; paediatrics; amplification; outcomes paediatrics; bone conduction hearing devices; outcomes; caregiver feedback; teacher feedback; PEACH; TEACH.
Description Background: Bone-conduction hearing devices (BCHD) can provide hearing solutions in settings where middle ear pathology is rife.Objectives: Describe functional hearing outcomes and device use of children fitted with BCHD.Method: Retrospective review of 79 children fitted with BCHD between January 2017 and May 2022. Outcomes included device use and subjective reports measured with the Parents’ Evaluation of Aural/Oral Performance of Children (PEACH) and the Teachers’ Evaluation of Aural/Oral Performance of Children (TEACH). Analysis of variance established association between mean data logging and type and degree of hearing loss. Thematic analyses were done for qualitative outcomes.Results: Average usage was 7.0 h/day (5.4 SD; range 0.1–24). PEACH ratings indicated 93.3% of children wore their BCHD ‘always’ or ‘often’, with 80% displaying Typical auditory performance at 1-month follow-up. TEACH ratings indicated 84.2% of children wore their BCHD ‘always’ or ‘often’, with 78.9% showing typical auditory behaviour. Increased usage was noted for conductive, mixed, moderate and severe hearing losses. There was a mean delay of 17.2 months (23.4 SD; range 0–90) between age of diagnosis and fitting. Thematic analyses identified two main themes: advantages and barriers to BCDH use.Conclusion: Average device use fell short of the internationally recommended 10 h/day. Higher BCHD use was associated with higher functional listening performance scores. Long waiting times for medical or surgical intervention for conductive hearing losses can delay BCHD fitting.Contribution: Limited information is available to examine outcomes in children fitted with BCHD.
Publisher AOSIS
Contributor Dr Alex John Scott
Date 2024-02-19
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Retrospective; clinic review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v71i1.1005
Source South African Journal of Communication Disorders; Vol 71, No 1 (2024); 8 pages 2225-4765 0379-8046
Language eng
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https://sajcd.org.za/index.php/sajcd/article/view/1005/2126 https://sajcd.org.za/index.php/sajcd/article/view/1005/2127 https://sajcd.org.za/index.php/sajcd/article/view/1005/2128 https://sajcd.org.za/index.php/sajcd/article/view/1005/2129
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Rights Copyright (c) 2024 Chéri van Zyl, Christine Rogers, Silva Kuschke https://creativecommons.org/licenses/by/4.0