SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS最新文献

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Hearing loss in HIV-exposed but uninfected children: Advocating for the role of audiologists in South Africa.
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2025-03-12 DOI: 10.4102/sajcd.v72i1.1084
Katijah Khoza-Shangase
{"title":"Hearing loss in HIV-exposed but uninfected children: Advocating for the role of audiologists in South Africa.","authors":"Katijah Khoza-Shangase","doi":"10.4102/sajcd.v72i1.1084","DOIUrl":"10.4102/sajcd.v72i1.1084","url":null,"abstract":"<p><p>Hearing loss in children born to human immunodeficiency virus (HIV)-positive mothers is an emerging public health concern in South Africa. These children, particularly those exposed to antiretroviral therapy (ART) in utero, face heightened risks of auditory impairment predominantly linked to ototoxic ART regimens, prematurity, maternal health comorbidities such as diabetes, and socioeconomic vulnerabilities. While ART has been effective in reducing mother-to-child HIV transmission, evidence suggests that it can also contribute to auditory impairments, impacting early childhood development, language acquisition, and cognitive skills. Audiologists play a crucial role in mitigating these risks through early hearing detection and intervention (EHDI). However, audiologists remain underutilised by both the public and the National Health Department in public healthcare settings with capacity versus demand challenges, and routine audiological screenings for high-risk children, such as HIV-exposed but uninfected infants, are limited.Contribution: This article advocates for the integration of routine audiological assessments within maternal and paediatric HIV healthcare services, highlighting the need for structural changes in policy to support preventive audiological care. By establishing comprehensive, multidisciplinary EHDI programmes, South Africa can reduce the long-term developmental and socioeconomic impacts of hearing loss in this vulnerable population, enhancing both individual and public health outcomes.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 1","pages":"e1-e5"},"PeriodicalIF":1.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-perception and clinical presentation of eating and swallowing difficulties within elderly care.
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2025-03-04 DOI: 10.4102/sajcd.v72i1.1078
Caitlin S Bell, Esedra Krüger, Rouxjeanne Vermeulen, Andries Masenge, Bhavani S Pillay
{"title":"Self-perception and clinical presentation of eating and swallowing difficulties within elderly care.","authors":"Caitlin S Bell, Esedra Krüger, Rouxjeanne Vermeulen, Andries Masenge, Bhavani S Pillay","doi":"10.4102/sajcd.v72i1.1078","DOIUrl":"10.4102/sajcd.v72i1.1078","url":null,"abstract":"<p><strong>Background: </strong> The growing ageing population requires effective management of complex medical diagnoses and healthy ageing support within residential care facilities. However, limited access to guidelines on monitoring residents' eating and swallowing abilities has been reported. Recent research is critical for future policy development.</p><p><strong>Objectives: </strong> This study aimed to compare self-perceived and clinical presentation of eating and swallowing abilities among a portion of elderly residents to enhance management of the residential care population within the South African context.</p><p><strong>Method: </strong> This comparative, within-subject research study assessed 44 participants using an oropharyngeal dysphagia protocol including a medical history review, the Eating Assessment Tool - 10 (EAT-10), the Mann Assessment of Swallowing Abilities (MASA), and the three-ounce water test of the Yale Swallow Protocol (YSP). A brief cognitive screener was used when cognitive impairment was unknown.</p><p><strong>Results: </strong> Of the participants, 21 out of 44 (48%) self-reported concerns for oropharyngeal dysphagia. Evidence of compensatory eating behaviours, without therapeutic intervention, was found. A negative, low correlation was present between the EAT-10 and the MASA (r = -0.306, p  0.05) scores.</p><p><strong>Conclusion: </strong> Individuals who self-reported eating and swallowing difficulties demonstrated fewer clinical symptoms, potentially due to compensatory techniques. The disparity between patient-reported outcome measures and clinical assessment tools highlights the need for robust screening and assessment policies within this context.Contribution: This study highlights the importance of holistic assessment practices by integrating self-perception with clinical findings to address oropharyngeal dysphagia incidence within this complex population.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 1","pages":"e1-e6"},"PeriodicalIF":1.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Setting a research agenda for speech therapy and audiology practice in South Africa.
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2025-02-28 DOI: 10.4102/sajcd.v72i1.1085
Katijah Khoza-Shangase
{"title":"Setting a research agenda for speech therapy and audiology practice in South Africa.","authors":"Katijah Khoza-Shangase","doi":"10.4102/sajcd.v72i1.1085","DOIUrl":"10.4102/sajcd.v72i1.1085","url":null,"abstract":"<p><p>In South Africa, the integration of research into clinical practice within the fields of speech therapy and audiology remains a pivotal, yet underexplored challenge. This opinion piece discusses the critical need for a structured research agenda to drive meaningful changes in clinical practice in South Africa. With healthcare realities such as limited resources, linguistic and cultural diversity, and access to services, it is essential that practitioners, policymakers and researchers collaboratively define and prioritise research topics that address the unique needs of South African patients. Through identifying gaps in current practice, engaging with communities and overcoming barriers to change, the South African healthcare system can adapt to evidence-based, patient-centred models of care. By building a culture of research and innovation, fostering multidisciplinary collaboration and ensuring continuous professional development, South Africa can align its speech therapy and audiology practices with global standards, ultimately improving outcomes for individuals with communication and hearing disorders.Contribution: This article highlights the steps needed to establish a research-driven framework for clinical practice change, positioning research as a cornerstone of future healthcare delivery.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 1","pages":"e1-e6"},"PeriodicalIF":1.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and evaluation of the Digit Triplet Test in Swahili language.
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2025-02-21 DOI: 10.4102/sajcd.v72i1.1090
Bjørn G Rosendahl, Tron V Tronstad, Jon Øygarden
{"title":"Development and evaluation of the Digit Triplet Test in Swahili language.","authors":"Bjørn G Rosendahl, Tron V Tronstad, Jon Øygarden","doi":"10.4102/sajcd.v72i1.1090","DOIUrl":"10.4102/sajcd.v72i1.1090","url":null,"abstract":"<p><strong>Background: </strong> The development of a Digit Triplet Test in the Swahili language is an essential step towards providing accurate hearing assessment for Swahili-speaking populations.</p><p><strong>Objectives: </strong> This study aimed to develop a Digit Triplet Test in Swahili through a two-part procedure consisting of an optimisation phase and an evaluation phase using normal hearing participants.</p><p><strong>Method: </strong> A total of 34 subjects participated in the study. During the optimisation phase, a psychometric intelligibility function was determined for each recorded digit, allowing for volume adjustments to standardise the threshold across all digits. This resulted in a lower threshold and a steeper psychometric function for both the triplets and the test lists. Using the optimised speech material, four test lists were created, each containing 27 triplets composed of digits between 1 and 9. The finalised material was then evaluated.</p><p><strong>Results: </strong> In the final version, the mean Speech Reception Threshold (SRT) for the participants was -8.9 ± 0.6 dB Signal-to-Noise Ratio (SNR), and the mean slope was 24.7 ± 3.5%/dB using triplet scoring.</p><p><strong>Conclusion: </strong> The psychometric function for normal listeners shows a steep slope with little variation between subjects and across test lists.Contribution: The test results are comparable to those of Digit Triplet Tests developed in other languages, indicating the effectiveness and reliability of the Swahili Digit Triplet Test for hearing assessments.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 1","pages":"e1-e6"},"PeriodicalIF":1.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Translanguaging in conversations for people with aphasia living in Greater Johannesburg, South Africa.
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2025-02-12 DOI: 10.4102/sajcd.v72i1.1082
Mellissa Bortz, Mira Goral
{"title":"Translanguaging in conversations for people with aphasia living in Greater Johannesburg, South Africa.","authors":"Mellissa Bortz, Mira Goral","doi":"10.4102/sajcd.v72i1.1082","DOIUrl":"10.4102/sajcd.v72i1.1082","url":null,"abstract":"<p><strong>Background: </strong> Challenges associated with language assessment in multilingual people with aphasia include the lack of linguistically and culturally appropriate assessment tools. Moreover, most multilingual people with aphasia are assessed in each of their languages separately. However, many multilingual people use elements from their complete linguistic repertoire rather than communicate in one language at a given conversation.</p><p><strong>Objectives: </strong> We aimed to examine language production in multilingual speakers with aphasia within a translanguaging approach to assessment, that is, without specifying a single target language. Our four research questions inquired about the characteristics of translanguaging in elicited language production and about the influence of task, topic and individual variables on translanguaging patterns.</p><p><strong>Method: </strong> We elicited individual monologues and group conversations from seven people with aphasia living in the Johannesburg Metropolitan Municipality in South Africa. We coded their language output in terms of the number of words used and the languages selected.</p><p><strong>Results: </strong> Participants used translanguaging to varying degrees. Five participants used both isiZulu and English in their responses; two participants each used only one language (isiZulu or English). Topic and context of conversation did not seem to affect the pattern of language use.</p><p><strong>Conclusion: </strong> Seven multilingual people with aphasia demonstrated the use of translanguaging during elicited language testing. An assessment procedure that allows for the use of multiple languages without restricting the conversation to one language is a feasible approach to assessing people from multilingual communities.Contribution: The study introduces an alternative approach to assessing multilingual people with aphasia and demonstrates its feasibility.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 1","pages":"e1-e10"},"PeriodicalIF":1.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How I experienced tele-intervention: Qualitative insights from persons who stutter.
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2025-01-31 DOI: 10.4102/sajcd.v72i1.1068
Raadhiyah Hoosain, Shabnam Abdoola, Esedra Krüger, Bhavani Pillay
{"title":"How I experienced tele-intervention: Qualitative insights from persons who stutter.","authors":"Raadhiyah Hoosain, Shabnam Abdoola, Esedra Krüger, Bhavani Pillay","doi":"10.4102/sajcd.v72i1.1068","DOIUrl":"10.4102/sajcd.v72i1.1068","url":null,"abstract":"<p><strong>Background: </strong> Tele-intervention gained popularity, during the coronavirus disease 2019 (COVID-19) pandemic, prompting healthcare providers to adapt to remote service delivery. Research about stuttering treatment via tele-intervention in South Africa is limited. Speech-language therapists (SLTs) require further insights to deliver a well-supported approach for treatment of stuttering using tele-intervention, despite limitations such as technological disruptions, including loadshedding, that impact service reliability.</p><p><strong>Objectives: </strong> The study aims to explore clients' experiences with tele-intervention for stuttering therapy, and to provide recommendations to improve service delivery.</p><p><strong>Method: </strong> Semi-structured interviews were conducted with 11 persons who stutter (PWS) recruited through purposive sampling. Written informed consent was obtained from all participants with experience in both tele-intervention and in-person treatment. Inductive thematic analysis supplemented by descriptive statistics was used to identify patterns and trends.</p><p><strong>Results: </strong> Four main themes emerged: (1) User experiences and factors shaping perceptions of tele-intervention; (2) technical infrastructure: barriers and facilitators; (3) financial and access considerations and (4) in-person treatment experience compared to tele-intervention user experience. Likert scale ratings indicated no considerable difference in preferences between tele-intervention and in-person treatment.</p><p><strong>Conclusion: </strong> Participants' diverse experiences highlighted tele-intervention's benefits and challenges for stuttering therapy. While limitations exist, findings inform service enhancement in South Africa, emphasising the importance of users' perspectives in tele-intervention design.Contribution: Insights from PWS can be used in informing clinical practice, aiding SLTs in meeting the needs of PWS and guiding best practice. Tele-intervention should be integrated into a hybrid intervention model that PWS prefer.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 1","pages":"e1-e9"},"PeriodicalIF":1.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A qualitative inquiry of speech-language therapists' views about breastfeeding management.
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2025-01-21 DOI: 10.4102/sajcd.v72i1.1070
Danica Schlome, Esedra Krüger, Bhavani Pillay
{"title":"A qualitative inquiry of speech-language therapists' views about breastfeeding management.","authors":"Danica Schlome, Esedra Krüger, Bhavani Pillay","doi":"10.4102/sajcd.v72i1.1070","DOIUrl":"10.4102/sajcd.v72i1.1070","url":null,"abstract":"<p><strong>Background: </strong> Management of oropharyngeal dysphagia within the first few days of an infant's life results in favourable breastfeeding outcomes, indicating the importance of investigating the breastfeeding management practices of speech-language therapists (SLTs) working within this field.</p><p><strong>Objectives: </strong> Little has been published about SLTs' management of breastfeeding in low- and middle-income settings. This study explores the perspectives of a group of experienced South African SLTs on their approach to breastfeeding management.</p><p><strong>Method: </strong> Qualitative data were gathered through semi-structured online interviews with 12 experienced SLTs and were subjected to thematic analysis.</p><p><strong>Results: </strong> Three main themes emerged: (1) Approach to breastfeeding management; (2) Exposure, skills and knowledge related to breastfeeding management and (3) Perspectives and attitudes towards breastfeeding management. Participants demonstrated a clear understanding of their roles within the scope of breastfeeding management, which aligns with established literature. Their approaches appeared to be influenced by their perspectives and attitudes towards breastfeeding, as well as their exposure, skills and knowledge in this area. The study underscores the need for breastfeeding training in undergraduate programmes and highlights the demand for continuous professional development opportunities.</p><p><strong>Conclusion: </strong> While the findings are drawn from a small sample of experienced clinicians, they offer valuable insights for speech-language pathology clinical educators and professional organisations.Contribution: This study suggests a re-evaluation of university curricula to enhance exposure to breastfeeding management.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 1","pages":"e1-e8"},"PeriodicalIF":1.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hearing aid verification: Practices and perceptions of South African audiologists. 助听器验证:南非听力学家的实践和看法。
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-12-09 DOI: 10.4102/sajcd.v71i1.1059
Jared Moll, Zani Burger, Daneel M P Jacobs, Retshepisitswe P Mothibe, De Wet Swanepoel, Faheema Mahomed-Asmail
{"title":"Hearing aid verification: Practices and perceptions of South African audiologists.","authors":"Jared Moll, Zani Burger, Daneel M P Jacobs, Retshepisitswe P Mothibe, De Wet Swanepoel, Faheema Mahomed-Asmail","doi":"10.4102/sajcd.v71i1.1059","DOIUrl":"10.4102/sajcd.v71i1.1059","url":null,"abstract":"<p><strong>Background: </strong> Hearing aid verification is required to objectively measure hearing aid outputs by ensuring that the amplified speech spectrum closely approximates the prescription goals.</p><p><strong>Objectives: </strong> This study aimed to determine audiologists' perceptions and practices regarding hearing aid verification and identify facilitators and barriers to its use.</p><p><strong>Method: </strong> A cross-sectional national e-survey included questions related to demographics, perceptions of verification, verification practices and two open-ended questions regarding the facilitators and barriers to conducting hearing aid verification in South Africa.</p><p><strong>Results: </strong> Seventy-eight South African audiologists, with experience ranging from less than a year to 34 years, completed the online survey. Of these, 76.3% conduct hearing aid verification, while 23.7% seldom or never perform this verification. Among the audiologists who conducted verification, 81.0% reported performing it on both adults and children. More than three-quarters (86.6%) indicated that they conduct verification only during the initial fitting, while half (53.8%) do so only when a problem arises. Thematic analysis revealed the following barriers to verification: improper equipment, a lack of equipment, non-standard clinical practices and time constraints.</p><p><strong>Conclusion: </strong> There are several challenges faced by South African audiologists in performing verification. It may be feasible to address these barriers by raising awareness about the value of verification, offering training, and advocating for the purchase and utilisation of verification equipment.Contribution: This study's findings provide information on the current practices of hearing aid verification in a socioeconomically diverse setting. Furthermore, it highlights important challenges such as a lack of equipment as well as time constraints.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"71 1","pages":"e1-e7"},"PeriodicalIF":1.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School-based hearing screening of first-grade students in Saudi Arabia: A pilot study. 沙特阿拉伯一年级学生校内听力筛查:一项试点研究。
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-11-29 DOI: 10.4102/sajcd.v71i1.1063
Noura I Alothman, Ahmad A Alanazi
{"title":"School-based hearing screening of first-grade students in Saudi Arabia: A pilot study.","authors":"Noura I Alothman, Ahmad A Alanazi","doi":"10.4102/sajcd.v71i1.1063","DOIUrl":"10.4102/sajcd.v71i1.1063","url":null,"abstract":"<p><strong>Background: </strong> Hearing loss in children is a global concern. Early identification and intervention are critical for minimising the adverse effects of hearing loss. Despite the implementation of hearing screening programmes in Saudi Arabia, more research is needed on the audiological profiles of first-grade students.</p><p><strong>Objectives: </strong> This study aimed to characterize the audiological profile of first-grade students in Saudi Arabia and to raise awareness among parents, schools, and decision-makers about the need for hearing screening programs and the implementation of an effective monitoring and management system in the country.</p><p><strong>Method: </strong> This cross-sectional descriptive study assessed the audiological profile of 308 first-grade students in Riyadh, the capital of Saudi Arabia, using pure-tone audiometry (PTA) and tympanometry. Additionally, two questionnaire-based assessments, one for parents and one for the home teacher, were developed to predict students who failed PTA.</p><p><strong>Results: </strong> Among the students screened, 26.3% failed PTA. Tympanometry identified abnormal middle ear function in 30.5% of the students. The discrimination capacity of both questionnaires in identifying students who failed PTA screening was poor.</p><p><strong>Conclusion: </strong> A 26.3% prevalence rate of PTA screening failure, and a 30.5% of middle ear pathologies were noted. Both parent and teacher questionnaires were ineffective tools for identifying hearing loss among first-grade children who failed PTA screening.Contribution: This pilot study recommends that primary schools incorporate hearing screening as a regular practice of their preventative healthcare system. The study emphasises the importance of establishing international standards for school-based hearing screening to enhance its efficacy and develop more effective hearing screening questionnaires.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"71 1","pages":"e1-e7"},"PeriodicalIF":1.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healthcare professionals' knowledge and practices in managing ototoxicity in children with cancer. 医疗保健专业人员在治疗癌症儿童耳毒性方面的知识和实践。
IF 1
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-11-25 DOI: 10.4102/sajcd.v71i1.1064
Kajal Ramnarian, Jessica Paken
{"title":"Healthcare professionals' knowledge and practices in managing ototoxicity in children with cancer.","authors":"Kajal Ramnarian, Jessica Paken","doi":"10.4102/sajcd.v71i1.1064","DOIUrl":"10.4102/sajcd.v71i1.1064","url":null,"abstract":"<p><strong>Background: </strong> Platinum-based chemotherapy poses a risk of ototoxic hearing loss, the effects of which can be devastating in paediatrics with cancer. Childhood hearing loss significantly impacts speech and language acquisition, and educational, psychosocial and emotional development, consequently negatively impacting quality of life. Adequate knowledge and effective management by healthcare professionals in the team managing paediatrics with cancer are, therefore, pivotal to mitigating the severity and impact on quality of life.</p><p><strong>Objectives: </strong> To describe the knowledge and practices of healthcare professionals on the management of ototoxic hearing loss in children receiving platinum-based chemotherapy drugs.</p><p><strong>Method: </strong> Using a descriptive survey design, data were collected from self-administered questionnaires completed by 74 healthcare professionals from two hospitals in KwaZulu-Natal, South Africa.</p><p><strong>Results: </strong> While 45 participants (60.8%) identified ototoxicity as a side effect of platinum-based chemotherapeutic drugs, 43 (58.1%) identified dose, duration and mode of administration as risk factors, and 43 participants (72.9%) did not know the duration of an ototoxicity monitoring programme post-treatment. Fifty participants (68%) accurately identified most of their roles within the ototoxicity monitoring programme. Most participants (n = 73; 99%) did not fully adhere to Health Professions Council of South Africa (HPCSA) ototoxicity monitoring guidelines. However, a positive outcome was that 70 participants (94.6%) acknowledged the importance of the ototoxicity monitoring programme for children receiving platinum-based chemotherapy.</p><p><strong>Conclusion: </strong> The current study demonstrates a clear correlation between healthcare professionals' practices and their level of knowledge. These findings underscore the importance of improving the knowledge base of healthcare professionals involved in ototoxicity monitoring programme to enhance their practices effectively.Contribution: This study identified areas requiring improvement in managing ototoxicity in this patient group, prompting the inclusion of ototoxicity training. This study supports audiologists in effectively implementing and overseeing ototoxicity monitoring programme.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"71 1","pages":"e1-e15"},"PeriodicalIF":1.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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