15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
| - | 9 - Program Evaluation and Quality Improvement
QI: Understanding Barriers and Facilitators of Tele-Audiology
North Carolina is one of a small number of states providing screening and diagnostic testing using Tele-Audiology. The State has large, sparsely populated areas that lack proximal pediatric audiologists. Tele-Audiology was initiated as a safety-net to improve the capability of the Early Hearing Detection and Intervention Program (EHDI) to reach babies in rural areas. Underutilization led to the conduct of a Quality Improvement (QI/PDSA) test. The purpose of the PDSA was three-fold: 1) to increase family awareness of Tele-Audiology; 2) to learn from parents of children with hearing loss how best to engage parents in the Tele-Audiology process; and, 3) to discover the cultural nuances that serve as facilitators or barriers to Tele-Audiology services. The study engaged parents and family members from three groups: 1) EHDI Parent Phone Tree (parents that have a child with hearing loss/did not participate in Tele-Audiology); 2) Tele-Audiology participants; and, 3) Spanish- speaking parents that have a child with hearing loss (did not participate in Tele-Audiology). The study used multiple methodologies to gather data: three telephone focus groups; a short telephone survey used with parents unable to participate in a focus group; and a parent satisfaction survey. All measures focused on the same underlying constructs of barriers and facilitators in three domains: family, service provider system, and the community. This process allowed triangulation of the data sets to corroborate the validity of responses. While final data analysis is ongoing, preliminary findings revealed themes that are consistent within groups and distinctly different between groups.
- Identify barriers and facilitators of Tele-Audiology
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Presenters/Authors
Gerlene Ross
(Author), NC Division of Public Health, gerlene.ross@dhhs.nc.gov;
Dr. Ross, Genetics and Newborn Screening Unit Manager and HRSA Grant Project Director is a Speech-Language Pathologist and has extensive experience education, training, and administration.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Jude Williams
(Primary Presenter), NC Division of Public Health, jude.williams@dhhs.nc.gov;
Jude's Masters of Public Health training is in Health Behavior/Health Education. Jude has worked with the NC EHDI since 2008.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Holly Shoun
(Co-Presenter), NC Division of Public Health, holly.shoun@gmail.com;
EHDI Parent Consultant, North Carolina Division of Public Health, Raleigh, NC. Work with the EHDI Team to improve family support throughout the state.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.