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数字疗法(DTx)应用于听力学临床实践的障碍:认识挑战,适应未来。

Barriers to Adoption of Digital Therapeutics (DTx) into Audiology Clinical Practice: Acknowledging the Challenges, Adapting to the Future.

作者信息

Roberts Melissa J, Wilson Wayne J, Recugnat Matthieu, Bardy Fabrice

机构信息

Discipline of Audiology, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.

Department of Linguistics, Macquarie University, Macquarie, NSW, Australia.

出版信息

Semin Hear. 2023 Jun 6;44(3):319-327. doi: 10.1055/s-0043-1769623. eCollection 2023 Aug.

Abstract

The continuous advancements in technologies supporting digital health and digital therapeutics (DTx) bring new possibilities to the field of audiology. This study considers a new DTx for tinnitus called Tinnibot and the willingness of a group of Australian university audiology students to consider this new DTx in their future careers as practicing audiologists. A single-group case-series design (pretest/posttest) was used to examine the opinions of 10 university audiology students before and after participating in a 2-hour information workshop on the topics of tinnitus, DTx, cognitive behavioral therapy, and a new digital therapy tool for tinnitus called Tinnibot. Student knowledge levels of the main topic areas increased from poor (before the workshop) to moderate to high after the workshop, with 40% of participants reporting they would very likely use digital therapies for future patients. A common barrier to improving this rating was the need for direct hands-on training on the DTx before the students would be confident to recommend the DTx to patients. Incorporating direct training on DTx into university audiology programs would allow greater uptake of DTx by students as they begin their careers as practicing audiologists.

摘要

支持数字健康和数字疗法(DTx)的技术不断进步,为听力学领域带来了新的可能性。本研究考虑了一种名为Tinnibot的治疗耳鸣的新型数字疗法,以及一组澳大利亚大学听力学专业学生在未来成为执业听力学专家的职业生涯中考虑使用这种新型数字疗法的意愿。采用单组病例系列设计(预测试/后测试),以检验10名大学听力学专业学生在参加一场为期2小时的关于耳鸣、数字疗法、认知行为疗法以及一种名为Tinnibot的耳鸣新型数字治疗工具的信息研讨会之前和之后的意见。主要主题领域的学生知识水平从较差(研讨会前)提高到研讨会后的中等至较高水平,40%的参与者表示他们很可能会在未来为患者使用数字疗法。提高这一评分的一个常见障碍是,在学生有信心向患者推荐数字疗法之前,需要对数字疗法进行直接的实践培训。将数字疗法的直接培训纳入大学听力学课程,将使学生在开始其作为执业听力学专家的职业生涯时,能够更多地采用数字疗法。

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