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Teleaudiology for Infant Diagnostic Assessments: Audiologists' Views on Challenges and Opportunities in a Well-Established Screening Program.

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Title: Teleaudiology for Infant Diagnostic Assessments: Audiologists' Views on Challenges and Opportunities in a Well-Established Screening Program.
Authors: Phillips, Jocelyn1 Jocelyn.phillips@unimelb.edu.au, Tomlin, Dani1, Graydon, Kelley1, Sarant, Julia1
Source: American Journal of Audiology. Jun2026, Vol. 35 Issue 2, p619-627. 9p.
Subject Terms: *Health services accessibility, *Focus groups, *Audiometry, *Motivation (Psychology), *Communication, *Research methodology, *Children, Hearing disorder diagnosis, Audiologist attitudes, Newborn screening, Audiology, Interviewing, Questionnaires, Descriptive statistics, Telemedicine, Thematic analysis, Financial stress, Sound recordings, Social support, Data analysis software
Geographic Terms: Victoria
Abstract: Purpose: Universal newborn hearing screening allows early identification of hearing loss; however, some families face difficulties accessing diagnostic audiology. This study aimed to investigate audiologists' opinions regarding implementing a teleaudiology infant diagnostic audiology service in Victoria, Australia, a region where traditional access barriers persist despite high follow-up rates. Method: Nine experienced infant diagnostic audiologists participated in three focus groups. Prompt questions, based on the Capability, Opportunity, Motivation--Behaviour model of behavior change, explored clinician-identified barriers and facilitators to teleaudiology implementation. Thematic analysis was used to analyze audiologists' opinions of the proposed model. Results: Audiologists identified that teleaudiology infant diagnostic services may introduce a barrier trade-off; while teleaudiology had the capacity to reduce barriers to service access for some families, it may introduce additional challenges compared to in-person testing. Three main barriers or areas of concern regarding a teleaudiology model of infant diagnostic services were identified: communication and support concerns, risk of error, and financial and motivational concerns. Participants proposed a training model, where experienced clinicians could support and upskill less experienced audiologists acting as in-person facilitators of the service, to address both service delivery and workforce development needs. Conclusions: A teleaudiology model of infant diagnostic assessments in Victoria has the potential to improve accessibility if facilitator training, effective family communication, and resource management are prioritized to ensure service quality is not impacted. A proposed training model offers a novel approach to use teleaudiology to maintain service access, as well as improve workforce experience in underserviced areas. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Teleaudiology for Infant Diagnostic Assessments: Audiologists' Views on Challenges and Opportunities in a Well-Established Screening Program.
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  Data: <searchLink fieldCode="AR" term="%22Phillips%2C+Jocelyn%22">Phillips, Jocelyn</searchLink><relatesTo>1</relatesTo><i> Jocelyn.phillips@unimelb.edu.au</i><br /><searchLink fieldCode="AR" term="%22Tomlin%2C+Dani%22">Tomlin, Dani</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Graydon%2C+Kelley%22">Graydon, Kelley</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Sarant%2C+Julia%22">Sarant, Julia</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Jun2026, Vol. 35 Issue 2, p619-627. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br />*<searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br />*<searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+disorder+diagnosis%22">Hearing disorder diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Audiologist+attitudes%22">Audiologist attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Newborn+screening%22">Newborn screening</searchLink><br /><searchLink fieldCode="DE" term="%22Audiology%22">Audiology</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Financial+stress%22">Financial stress</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
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  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Victoria%22">Victoria</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Universal newborn hearing screening allows early identification of hearing loss; however, some families face difficulties accessing diagnostic audiology. This study aimed to investigate audiologists' opinions regarding implementing a teleaudiology infant diagnostic audiology service in Victoria, Australia, a region where traditional access barriers persist despite high follow-up rates. Method: Nine experienced infant diagnostic audiologists participated in three focus groups. Prompt questions, based on the Capability, Opportunity, Motivation--Behaviour model of behavior change, explored clinician-identified barriers and facilitators to teleaudiology implementation. Thematic analysis was used to analyze audiologists' opinions of the proposed model. Results: Audiologists identified that teleaudiology infant diagnostic services may introduce a barrier trade-off; while teleaudiology had the capacity to reduce barriers to service access for some families, it may introduce additional challenges compared to in-person testing. Three main barriers or areas of concern regarding a teleaudiology model of infant diagnostic services were identified: communication and support concerns, risk of error, and financial and motivational concerns. Participants proposed a training model, where experienced clinicians could support and upskill less experienced audiologists acting as in-person facilitators of the service, to address both service delivery and workforce development needs. Conclusions: A teleaudiology model of infant diagnostic assessments in Victoria has the potential to improve accessibility if facilitator training, effective family communication, and resource management are prioritized to ensure service quality is not impacted. A proposed training model offers a novel approach to use teleaudiology to maintain service access, as well as improve workforce experience in underserviced areas. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1044/2026_AJA-25-00166
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 619
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Hearing disorder diagnosis
        Type: general
      – SubjectFull: Audiologist attitudes
        Type: general
      – SubjectFull: Newborn screening
        Type: general
      – SubjectFull: Audiology
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Financial stress
        Type: general
      – SubjectFull: Sound recordings
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Victoria
        Type: general
    Titles:
      – TitleFull: Teleaudiology for Infant Diagnostic Assessments: Audiologists' Views on Challenges and Opportunities in a Well-Established Screening Program.
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            NameFull: Phillips, Jocelyn
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            NameFull: Tomlin, Dani
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            NameFull: Graydon, Kelley
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            – D: 01
              M: 06
              Text: Jun2026
              Type: published
              Y: 2026
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