Swetha M, Ramiz Malik M, Mathews Merin
Department of Audiology and Speech Language Pathology, Mar Thoma College of Special Education-Institute of Speech and Hearing, Kasaragod, Kerala 671551 India.
Department of Audiology and Speech Language Pathology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, Karnataka 576104 India.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4285-4291. doi: 10.1007/s12070-024-04838-x. Epub 2024 Jul 6.
Present study investigates the current trends in (Central) Auditory Processing Disorder [(C)APD] assessment and management practices among Audiologists practicing in Kerala, India. The questionnaire for the survey was developed based on the Knowledge, Attitude, and Practices (KAP) model and underwent validation by experts in Audiology. Online survey was conducted to collect data from Audiologists practicing in Kerala, with a valid RCI-CRR number. Descriptive statistics were used to analyze the responses. The majority of participants held bachelor's degrees and completed training modules on the assessment of (C)APD during their undergraduate studies. However, clinical exposure was very low. Even though 59.2% of participants reported that they were performing screening for (C)APD, the use of standardized screening tools was limited. Only 35% of participants reported that they were performing diagnostic evaluation. However, the rest of the participants used only speech-in-noise tests for (C)APD evaluation. The participants who performed management of (C)APD were even fewer, at only 13.4%. Lack of facilities, inadequate patient load, and lack of practical exposure were major obstacles to (C)APD assessment and management. The majority of participants strongly agreed that Audiologists are the most qualified persons to deal with (C)APD; however, the practice trends obtained from the study suggest that Audiologists have a really poor practice in this area. The study highlights the need for standardized assessment tools, improved training opportunities, and increased awareness among Audiologists regarding (C)APD. Multidisciplinary collaboration and further research are essential for enhancing (C)APD assessment and management practices in Kerala.
本研究调查了在印度喀拉拉邦执业的听力学家对(中枢)听觉处理障碍[(C)APD]的评估和管理实践的当前趋势。该调查问卷是基于知识、态度和实践(KAP)模型编制的,并经过了听力学专家的验证。通过在线调查收集喀拉拉邦有有效RCI-CRR编号的听力学家的数据。使用描述性统计分析这些回复。大多数参与者拥有学士学位,并在本科学习期间完成了关于(C)APD评估的培训模块。然而,临床实践机会非常少。尽管59.2%的参与者报告称他们正在进行(C)APD筛查,但标准化筛查工具的使用有限。只有35%的参与者报告称他们正在进行诊断评估。然而,其余参与者仅使用噪声环境下言语测试进行(C)APD评估。进行(C)APD管理的参与者更少,仅占13.4%。设施匮乏、患者量不足以及缺乏实践机会是(C)APD评估和管理的主要障碍。大多数参与者强烈认同听力学家是处理(C)APD最合格的人员;然而,从研究中得出的实践趋势表明,听力学家在这一领域的实践情况非常糟糕。该研究强调需要标准化评估工具、改善培训机会,并提高听力学家对(C)APD的认识。多学科合作和进一步研究对于加强喀拉拉邦的(C)APD评估和管理实践至关重要。