South African hearing conservation programmes in the context of tele-audiology: A scoping review.

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2020-03-03 DOI:10.4102/sajcd.v67i2.670
Katijah Khoza-Shangase, Nomfundo Moroe
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Abstract

Background: The limited involvement of audiologists in occupational noise-induced hearing loss (ONIHL) management through hearing conservation programmes (HCPs) is a global issue. In low- and middle-income (LAMI) countries such as South Africa, this is also exacerbated by demand versus capacity challenges. Tele-audiology is an option requiring serious deliberation by the audiology community within HCPs in LAMI contexts.

Objectives: This scoping review explores if tele-audiology has a potential value in HCPs and reviews what has been documented in the literature on the use of tele-audiology in HCPs.

Method: A scoping review was conducted using the Arksey and O'Malley's framework. A search was conducted in five electronic bibliographic databases including Science Direct, PubMed, Scopus Medline, ProQuest and Google Scholar and the grey literature to identify publications presenting considerations around tele-audiology in the implementation of HCPs.

Results: Findings revealed significant dearth of evidence specific to the use or application of tele-audiology in ONIHL and/or HCPs both within the African context and internationally, despite the purported potential benefit of this service delivery model, particularly in resource-constrained contexts such as LAMI countries. Of the publications deemed potentially relevant to this scoping review, none were found that specifically investigated or addressed the use of tele-audiology in ONIHL or HCPs as their main objective. Nuanced analysis of publications revealed that in the last decade, indication for potential growth in the use of tele-audiology within occupational audiology is indicated.

Conclusion: Because of the significant demand versus capacity challenges in LAMI countries, and because of the need for scaling up audiology professionals' management of HCPs, careful consideration of teleaudiology as a platform to deliver services in these contexts is required.

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远程听力学背景下的南非听力保护方案:范围界定综述。
背景:听力学家通过听力保护计划(HCP)有限地参与职业性噪声诱发听力损失(ONIHL)管理是一个全球性问题。在南非等中低收入国家,需求与产能的挑战也加剧了这种情况。远程听力学是一种需要HCP听力学界在LAMI环境下认真考虑的选择。目的:本范围界定审查探讨了远程听力学在HCP中是否具有潜在价值,并审查了文献中关于远程听力学应用于HCP的内容。方法:使用Arksey和O'Malley的框架进行范围界定审查。在包括Science Direct、PubMed、Scopus Medline、,ProQuest和Google Scholar以及灰色文献,以确定在实施HCP时提出远程听力学考虑的出版物。结果:研究结果显示,在非洲和国际范围内,ONIHL和/或HCP中使用或应用远程听力学的证据严重不足,尽管这种服务提供模式据称具有潜在的好处,特别是在资源有限的情况下,如LAMI国家。在被认为可能与本次范围界定审查相关的出版物中,没有发现专门调查或解决将远程听力学在ONIHL或HCP中的使用作为其主要目标的问题。对出版物的Nuanced分析显示,在过去十年中,远程听力学在职业听力学中的使用有潜在增长的迹象。结论:由于LAMI国家面临着巨大的需求与能力挑战,并且需要扩大听力学专业人员对HCP的管理,因此需要仔细考虑将远程听力学作为在这些情况下提供服务的平台。
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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
期刊最新文献
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