Understanding Tinnitus Clinical Care in the Veterans Health Administration and Department of Defense: Overview of Survey Results.

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY American Journal of Audiology Pub Date : 2024-10-22 DOI:10.1044/2024_AJA-24-00060
Amy Boudin-George, Erin Cesario, Catherine Edmonds, Emily J Thielman, James A Henry, Khaya Clark
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Abstract

Purpose: In 2021, the Veterans Health Administration (VHA) and Department of Defense (DOD) Tinnitus Working Group conducted a survey of DOD and VHA clinicians to evaluate clinical services provided for tinnitus.

Method: The online survey included a mix of multiple-choice and open-ended questions. Respondents included VHA and DOD health care providers in audiology, otolaryngology, mental health, and primary care, as well as DOD hearing conservation technicians. Quantitative and qualitative methods were used to analyze the data.

Results: A total of 669 providers responded to this combined survey. Results indicated that compared to DOD and VHA providers in other fields, audiologists tended to be more confident and more aware of their role in tinnitus management. In terms of confidence and scope of practice, DOD mental health care providers were the group least familiar with tinnitus care. Other results explored herein include barriers to tinnitus care, facilitators for progressive tinnitus management programs, interventions and patient materials offered, new patient materials wanted, and respondents' preferred information sources and training methods.

Conclusion: Survey results indicated that more directed education and support are needed to increase DOD and VHA clinicians' awareness of the need for tinnitus services and their roles in providing that care.

Supplemental material: https://doi.org/10.23641/asha.27229215.

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了解退伍军人健康管理局和国防部的耳鸣临床护理:调查结果概述。
目的:2021 年,退伍军人健康管理局(VHA)和国防部(DOD)耳鸣工作组对国防部和退伍军人健康管理局的临床医生进行了一项调查,以评估为耳鸣提供的临床服务:在线调查包括多项选择题和开放式问题。受访者包括退伍军人事务部和国防部的听力、耳鼻喉科、心理健康和初级保健医疗服务提供者,以及国防部听力保护技术人员。采用定量和定性方法对数据进行分析:共有 669 名医疗服务提供者参与了此次联合调查。结果表明,与国防部和退伍军人事务部其他领域的医疗服务提供者相比,听力学家往往更有信心,也更了解自己在耳鸣管理中的作用。就信心和执业范围而言,国防部精神卫生保健提供者是最不熟悉耳鸣治疗的群体。本文探讨的其他结果包括耳鸣护理的障碍、渐进式耳鸣管理计划的促进因素、提供的干预措施和患者资料、新患者需要的资料以及受访者首选的信息来源和培训方法:调查结果表明,需要更多有针对性的教育和支持,以提高国防部和退伍军人事务部临床医生对耳鸣服务需求及其在提供耳鸣护理中的作用的认识。补充材料:https://doi.org/10.23641/asha.27229215。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Audiology
American Journal of Audiology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
3.00
自引率
16.70%
发文量
163
审稿时长
>12 weeks
期刊介绍: Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
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