Tele-intervention for children with hearing loss: A comparative pilot study

J Telemed Telecare. 2017 Jan;23(1):116-125. doi: 10.1177/1357633X15617886. Epub 2016 Jul 9.

Abstract

Introduction This pilot study compared tele-intervention to conventional intervention for children with hearing loss in terms of communication performance, parental perceptions and clinician perceptions. Methods A within-subject design was employed, including 10 children with hearing loss and their parents who each received a structurally similar tele-intervention and conventional intervention session in a counterbalanced manner. Quality of communication performance was analysed using a modified Tait video analysis method. Parent and clinician perceptions were collected through rating-scale surveys and thematic analysis of qualitative responses. Results No significant difference ( p > 0.05) was found between tele-intervention and conventional intervention in terms of communication performance of children. Parent perceptions were not significantly different ( p > 0.05) between conventional and tele-intervention in terms of facilitating meaningful communication interaction. Significant differences were evident for parents' comfort level during the session, whether they found it to be a beneficial experience and whether they would like to continue receiving intervention through this method. Clinician perceptions of conventional and tele-intervention were not significantly different ( p > 0.05) and tele-intervention was deemed a valuable method of service delivery for clients. Discussion This study provides preliminary evidence that tele-intervention is effective for communication intervention and can be a valuable solution to typical barriers such as distance and the shortage of trained interventionists.

Keywords: Tele-intervention; children with hearing loss; clinical outcomes; clinician perceptions; communication performance; parent perceptions; tele-rehabilitation.

Publication types

  • Comparative Study

MeSH terms

  • Child
  • Child, Preschool
  • Communication
  • Female
  • Hearing Loss* / complications
  • Hearing Loss* / rehabilitation
  • Humans
  • Infant
  • Language Development Disorders / diagnosis*
  • Male
  • Parents / psychology
  • Patient Satisfaction
  • Pilot Projects
  • Remote Consultation / standards*