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'We Manage, but Yeah, It's Challenging': A Mixed-Methods Study of Enablers and Barriers to Hearing Assessments for Parents of Children in Metropolitan and Regional Australia

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Title: 'We Manage, but Yeah, It's Challenging': A Mixed-Methods Study of Enablers and Barriers to Hearing Assessments for Parents of Children in Metropolitan and Regional Australia
Language: English
Authors: Jenna Zussino (ORCID 0000-0001-5041-2247), Barbra Zupan (ORCID 0000-0002-4603-333X), Robyn Preston
Source: International Journal of Language & Communication Disorders. 2024 59(1):327-339.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 13
Publication Date: 2024
Document Type: Journal Articles
Reports - Research
Descriptors: Foreign Countries, Hearing Impairments, Auditory Evaluation, Language Acquisition, Children, Access to Health Care, Barriers
Geographic Terms: Australia
DOI: 10.1111/1460-6984.12948
ISSN: 1368-2822
1460-6984
Abstract: Background: Early identification and intervention for hearing loss is important for supporting language development. Despite this, parents are required to overcome barriers to access hearing assessments for their children. Aims: To identify the enablers and barriers to accessing hearing assessments for Australian children identified by their parents, and to compare between metropolitan, regional and rural areas. Methods & Procedures: This sequential, explanatory mixed-methods study was undertaken online and included participants in metropolitan, regional and rural area of Queensland, New South Wales, Victoria, South Australia, Western Australia and the Northern Territory. A total of 56 participants participated in the surveys, and 10 participated in semi-structured interviews. Outcomes & Results: Participants in metropolitan areas were more likely to have services in their area; however, access to hearing assessment was related more to individual circumstances (including health literacy skills) rather than geographical location. Many participants experienced long wait times, reduced flexibility, and a lack of audiologists experienced in working with children. Conclusions & Implications: Barriers to hearing assessments (which assist with early identification and intervention for hearing loss) should be addressed so that children have access to clear auditory information to assist with their speech and language development.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1407653
Database: ERIC
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  Data: <searchLink fieldCode="AR" term="%22Jenna+Zussino%22">Jenna Zussino</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-5041-2247">0000-0001-5041-2247</externalLink>)<br /><searchLink fieldCode="AR" term="%22Barbra+Zupan%22">Barbra Zupan</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-4603-333X">0000-0002-4603-333X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Robyn+Preston%22">Robyn Preston</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22International+Journal+of+Language+%26+Communication+Disorders%22"><i>International Journal of Language & Communication Disorders</i></searchLink>. 2024 59(1):327-339.
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: <searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+Impairments%22">Hearing Impairments</searchLink><br /><searchLink fieldCode="DE" term="%22Auditory+Evaluation%22">Auditory Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Language+Acquisition%22">Language Acquisition</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22Barriers%22">Barriers</searchLink>
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  Data: 10.1111/1460-6984.12948
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  Data: Background: Early identification and intervention for hearing loss is important for supporting language development. Despite this, parents are required to overcome barriers to access hearing assessments for their children. Aims: To identify the enablers and barriers to accessing hearing assessments for Australian children identified by their parents, and to compare between metropolitan, regional and rural areas. Methods & Procedures: This sequential, explanatory mixed-methods study was undertaken online and included participants in metropolitan, regional and rural area of Queensland, New South Wales, Victoria, South Australia, Western Australia and the Northern Territory. A total of 56 participants participated in the surveys, and 10 participated in semi-structured interviews. Outcomes & Results: Participants in metropolitan areas were more likely to have services in their area; however, access to hearing assessment was related more to individual circumstances (including health literacy skills) rather than geographical location. Many participants experienced long wait times, reduced flexibility, and a lack of audiologists experienced in working with children. Conclusions & Implications: Barriers to hearing assessments (which assist with early identification and intervention for hearing loss) should be addressed so that children have access to clear auditory information to assist with their speech and language development.
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      – SubjectFull: Auditory Evaluation
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      – SubjectFull: Language Acquisition
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