Community Health Workers Bridge Gap to Hearing Loss Treatment

Shaw, Gina

doi:10.1097/01.hj.0000465735.33344.1a

Cited by 5 publications

(6 citation statements)

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“…Training of generalist health care personnel, such as CHWs, to employ mHealth applications particularly within community and primary health care settings may be vital to improve access to hearing health care within South Africa (Braun et al, 2013;Howe et al, 2013;Shaw, 2015). However, the use of mHealth applications by CHWs to improve health care still requires expansion and evaluation in areas such as accessibility, productivity, quality and sustainability over time (Braun et al, 2013).…”

Section: Discussion Of Resultsmentioning

confidence: 99%

“…Empowering CHWs through the use of mHealth applications is a novel approach to improve the range and access of primary care services such as ear and hearing health in both developing and developed contexts (Braun, Catalani, Wimbush, & Israelski, 2013;Shaw, 2015). However, the use of mHealth applications by CHWs to improve health care still requires expansion and evaluation in areas such as accessibility, productivity, quality and sustainability over time (Braun et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Empowering CHWs to meet health care needs through the use of mHealth applications is a new concept evolving not only in developing but also developed contexts (Braun et al, 2013;Shaw, 2015). Generalist health workers, such as CHWs, may be key in addressing the shortage of ear and health care professionals as well as to aid communities in reaching health care centers (Howe et al, 2013).…”

Section: Chws To Improve Service Deliverymentioning

confidence: 99%

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Smartphone hearing screening in mHealth assisted community-based primary care

et al. 2016

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Introduction: Access to ear and hearing health is a challenge in developing countries, where the burden of disabling hearing loss is greatest. This study investigated community-based identification of hearing loss using smartphone hearing screening (hearScreen TM) operated by community health workers (CHWs) in terms of clinical efficacy and the reported experiences of CHWs. Method: The study comprised two phases. During phase one, 24 CHWs performed community-based hearing screening as part of their regular home visits over 12 weeks in an underserved community, using automated test protocols employed by the hearScreen TM smartphone application, operating on low-cost smartphones with calibrated headphones. During phase two, CHWs completed a questionnaire regarding their perceptions and experiences of the community-based screening programme. Results: Data analysis was conducted on the results of 108 children (2-15 years) and 598 adults (16-85 years). Referral rates for children and adults were 12% and 6.5% respectively. Noise exceeding permissible levels had a significant effect on screen results at 25 dB at 1 kHz (p<0.05). Age significantly affected adult referral rates (p < 0.05), demonstrating a lower rate (4.3%) in younger as opposed to older adults (13.2%). CHWs were positive regarding the hearScreen TM solution in terms of usability, need for services, value to community members and time efficiency. Conclusion: Smartphone-based hearing screening allows CHWs to bring hearing health care to underserved communities at a primary care level. Active noise monitoring and data management features allow for quality control and remote monitoring for surveillance and follow-up.

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Section: Discussion Of Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Chws To Improve Service Deliverymentioning

confidence: 99%

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Smartphone hearing screening in mHealth assisted community-based primary care

et al. 2016

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“…Less frequently mentioned but of significant importance for accessibility is the use of technicians with underserved populations such as underdeveloped countries or rural areas (Northern and Suter, 1972;Shaw, 2015). Canada has had Inuit hearing specialists for over 25 yr (Ayukawa and Roy, 2014;Billard, 2014).…”

Section: Rationale For Aasmentioning

confidence: 99%

“…Although there may be fewer remote areas in the United States than in some other countries, 20% of Americans live in rural areas (Donahue et al, 2010). Shaw (2015) reported a few initiatives within the United States. The University of Arizona is partnering with Mariposa Community Health Center to better serve rural areas of Arizona.…”

Section: Rationale For Aasmentioning

confidence: 99%

Audiology Assistants: Results of a Multicenter Survey

2018

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Within a small sample size of pediatric and life-span facilities, 14 of 22 centers used AAs to perform a variety of direct patient care, indirect patient care, and clerical duties. Based on the duties recommended within the American Speech-Language-Hearing Association guidelines and by many states, expanded employment of AAs, as well as expansion of assigned duties should be considered. Data are needed to determine the appropriate ratio of AAs to audiologists within different settings and to determine the impact of AAs for accessibility, productivity, and profitability.

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