School of Communication Sciences and Disorders, Western University, London, Canada.
Hands & Voices, Boulder, CO, USA.
Int J Audiol. 2019 Dec;58(12):805-815. doi: 10.1080/14992027.2019.1654620. Epub 2019 Sep 5.
Provide recommendations to audiologists for the management of children with unilateral hearing loss (UHL) and for needed research that can lend further insight into important unanswered questions. An international panel of experts on children with UHL was convened following a day and a half of presentations on the same. The evidence reviewed for this parameter was gathered through web-based literature searches specifically designed for academic and health care resources, recent systematic reviews of literature, and new research presented at the conference that underwent peer review for publication by the time of this writing. Expert opinions and electronic databases including Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Education Resources Information Centre (ERIC), Google Scholar, PsycINFO, PubMed, ScienceDirect, and Turning Research into Practice (TRIP) Database. The resulting practice parameter requires a personalised, family-centred process: (1) routine surveillance of speech-language, psychosocial, auditory, and academic or pre-academic development; (2) medical assessments for determination of aetiology of hearing loss; (3) assessment of hearing technologies; and (4) considerations for family-centred counselling. This practice parameter provides guidance to clinical audiologists on individualising the management of children with UHL. In addition, the paper concludes with recommendations for research priorities.
为单侧听力损失(UHL)儿童的管理以及能够进一步深入了解未解决的重要问题的必要研究向听力学家提供建议。在为期一天半的 UHL 儿童专题介绍之后,召集了一个国际 UHL 儿童专家小组。本参数的审查证据是通过专门为学术和医疗资源设计的基于网络的文献检索、文献的最新系统评价以及在会议上提交并在撰写本文时已由同行评审发表的新研究收集的。专家意见和电子数据库包括护理与健康相关文献累积索引(CINAHL)、Cochrane 图书馆、教育资源信息中心(ERIC)、Google Scholar、PsycINFO、PubMed、ScienceDirect 和将研究转化为实践(TRIP)数据库。由此产生的实践参数需要一个个性化的、以家庭为中心的过程:(1)对言语语言、社会心理、听觉和学术或学前发展进行常规监测;(2)进行医疗评估以确定听力损失的病因;(3)评估听力技术;以及(4)考虑以家庭为中心的咨询。本实践参数为临床听力学家提供了个性化管理单侧听力损失儿童的指导。此外,本文最后还提出了研究重点的建议。