Audiologists' attitudes and practice toward referring for psychosocial intervention with cochlear implant patients.
Sarah E Warren, Autumn L Barron
PMID 38239630WHAT IT FOUND
Most audiologists believe CI patients benefit from psychosocial referrals, but few screen for mental health issues or refer consistently.
Time constraints and low confidence are the main barriers, with most clinics lacking written protocols.
Key findings
01All participants believed at least some CI patients would benefit from psychosocial referrals, with a majority stating most or all would benefit.
02Despite positive attitudes, 93% of audiologists reported never using psychosocial screeners in their clinical practice.
03Time available for counseling was the largest reported barrier, impacting 90% of participants' referral patterns.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The sample size was relatively small (n=60-68), limiting generalizability. Recruitment was via social media and listservs, leading to potential self-selection bias where audiologists interested in psychosocial care were more likely to respond. The survey relied on self-reported attitudes and practices, which may be influenced by social desirability bias. Participants worked with both pediatric and adult populations, but responses were not separated by population, so findings cannot be applied specifically to children or adults. Chi-square tests were attempted to analyze relationships between experience and practice, but cell counts were too small for reliable comparisons.
Declared interests
The authors declare that no financial support was received for the research, authorship, and/or publication of this article.
The easy way to misread this
Do not assume that audiologists' stated willingness to refer in hypothetical scenarios reflects their actual clinical behavior. The study found a significant disconnect: while most said they would refer for issues like grief or indecision, actual screening and referral rates were very low, and many reported never referring at all.