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Abstract
Objective
To develop a conceptual framework around the factors that influence audiologists in the clinical uptake of remote follow-up hearing aid support services.
Design
A purposive sample of 42 audiologists, stratified according to client-focus of either paediatric or adult, were recruited from professional associations in Ontario, Canada, as members of the six-step, participatory-based concept mapping process. Analyses included multidimensional scaling and hierarchical cluster analysis.
Results
Six main themes emerged from this research according to overall level of importance: (1) technology and infrastructure; (2) audiologist-centred considerations; (3) hearing healthcare regulations; (4) client-centred considerations; (5) clinical implementation considerations; and (6) financial considerations. Subthemes were identified at the group-level and by subgroup. These highlight the importance of TECH factors (accessible Technology, Easy to use, robust Connection, and Help available), as well as the multi-faceted nature of the perceived attitudes/aptitudes across stakeholders.
Conclusion
Findings can be utilised in tailored planning and development efforts to support future research, knowledge dissemination, best-practice protocol/guideline development, and related training to assist in the clinical uptake of remote follow-up hearing aid support services, across variable practice contexts.
Acknowledgements
Special thanks to Dr. Laya Poost-Foroosh, Dr. Mary-Beth Jennings and Dr. Gurjit Singh for their valuable guidance in the planning phase of the study, to Keshinisuthan Kirubalingam for his contributions to the project and to Dr. Scott Rosas for statistical guidance. Finally, the authors are thankful to the participants of this study for their time and efforts.
Disclosure statement
Danielle Glista is a member of the following advisory boards: Phonak expert circle on eAudiology and the College of Audiologists and Speech-Language Pathologists of Ontario Telepractice Advisory Working Group.