Pediatric Amplification Management: Parent Experiences Monitoring Children’s Aided Hearing

Objective: Investigate parents’ experiences monitoring aided hearing for children who use hearing aids, bone conduction hearing aids, and cochlear implants. Design: A cross-sectional survey design, using three survey instruments, was used to collect parent data. Study Sample: A total of 178 parents of children birth to six years were included in the analysis (81 hearing aid; 61 cochlear implant; 36 bone conduction hearing aid). Results: Surveys explored hearing device use and monitoring. Variability was found for hearing aid use, and many parents reported being unaware if their child’s device has data logging capability. Parents varied widely in how often they check hearing device function, and approximately half did not have access to loaner hearing devices when repairs were required. Variance was observed in how often professionals explore how children are hearing at home through use of parent-report questionnaires, and related to audiology-specific services aimed at monitoring and maintaining audibility during routine appointments (e.g., checking program settings when new earmolds are received, frequency of earmold replacement, checking datalogging). Conclusion: This study revealed variability in hearing device use, and monitoring for audibility by professionals and parents. Implications from this study suggest parent-professional parternships would benefit from better understanding of barriers/facilitators for parent learning and implementation of key monitoring tasks

eHealth Parent Education for Hearing Aid Management: A Pilot Randomized Controlled Trial

Objective: Parents frequently experience challenges implementing daily routines important for consistent hearing aid management. Education that supports parents in learning new information and gaining confidence is essential for intervention success. We conducted a pilot study to test an eHealth program to determine if we could implement the program with adherence and affect important behavioral outcomes compared to treatment as usual. Design: Randomized controlled trial Study sample: Parents of children birth to 42 months who use hearing aids. Eighty-two parents were randomly assigned to the intervention or treatment-as-usual group. Four parents assigned to the intervention group did not continue after baseline testing. Results: The intervention was delivered successfully with low drop out (10%), high session completion (97%), and high program adherence. The intervention conditions showed significantly greater gains over time for knowledge, confidence, perceptions, and monitoring related to hearing aid management. Significant differences between groups were not observed for hearing aid use time. Conclusion: We found that we could successfully implement this eHealth program and that it benefitted the participants in terms of knowledge and confidence with skills important for hearing aid management.Future research is needed to determine how to roll programs like this out on a larger scale