Objective: The purpose of this scoping review was twofold , (1) to provide information about the characteristics, type of service delivery, participant information and outcomes related to tele-audiology in clinical popluations, and (2) to describe documented facilitators and barriers to tele-audiology delivery from the perspectives of practitioners and service recipients. Knowledge of these findings can assist audiologists in considering remote service delivery options for their practices. Design: A scoping review was conducted in November 2019 to identify English-language peer-reviewed journal articles published from 1 January 2010 to 30 October 2019 related to remote clinical service delivery in audiology. Results: Thirty-six published research articles were included. Research studies were classified into four broad areas with some articles including more than one area within the scope of their article: Screening (n ¼ 5), Diagnostic (n ¼ 5), Intervention (n ¼ 18), and Perspectives (n ¼ 22). Conclusion: Hearing healthcare service delivery is expanding with the changing technological landscape, providing greater opportunities and flexibility for audiologists and patients. There are clear opportunities for interdisciplinary collaboration and for collaboration with on-site local facilitators. Local facilitators, with training, can assist in connecting individuals to follow-up care, provide educational support, and needed hands-on assistance for specialised testing.
A series of 3 studies using nonclinical samples investigated validity associated with the Conflict Disengagement Inventory (CDI), a questionnaire developed to measure passive immobility and withdrawal as context-specific forms of disengagement in couples' conflicts. In the first study, 2,588 married participants completed the CDI, and an expected 2-dimensional factor structure was confirmed. Additionally, results demonstrated measurement invariance across racial/ethnic and gender groups. In the second study, 223 adults in committed romantic relationships completed the CDI along with measures of attachment, emotion, underlying concerns, withdrawal, relationship expectations, relationship satisfaction, and communication behavior. Although the disengagement scales were moderately correlated, the results provided consistent evidence of convergent and divergent validity. In the third study, a sample of 135 undergraduate students in romantic relationships completed the CDI and measures of emotion on up to 5 separate assessment sessions, with sessions spaced at least 2 weeks apart. Analyses of within-person effects using hierarchical linear modeling provide evidence that the CDI captures meaningful variance at the context-specific level. There was substantial variance within persons across different episodes of conflict and within-person changes in disengagement predicted corresponding within-person changes in emotion.
Summary
To assess the feasibility and usefulness of administering a quality of life (QoL) questionnaire in routine clinical practice, we performed a 5‐centre UK study with nurses administering a disease‐specific questionnaire, the Renal Quality of Life Profile (RQLP), to 140 patients. The completed questionnaires were reviewed by the nurse who felt that there were issues requiring discussion in 46% of patients. These issues were either discussed with the nurse immediately in person (65%), or the patient was contacted by telephone (28%) or post (7%) and appropriate referrals and interventions were actioned. We conclude that measurement of QoL is feasible and useful in routine clinical nursing practice.
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