Project 1: Sound Practice – showcasing and sharing innovations and good practice in the UK
To create a collation of practical support for people practicing adult rehabilitation through case studies.
Sound Practice is a virtual library of ideas that aims to support provision of adult hearing rehabilitation.
Sound Practice helps hearing service providers and practitioners (i.e., audiologists, speech and language therapists, hearing therapists) explore approaches to service delivery and clinical practice around the themes of efficiency, effectiveness and experience.
Sound Practice is a free and easily accessible forum for sharing of ideas that you may want to consider implementing in your service. Users can search for approaches and interventions by benefit, demographics, clinical area, service model and setting.
Sound Practice encourages submissions from individuals with an interest in adult hearing rehabilitation. We would like to invite submission for anything that has led to an improvement or innovation to your service. Interdisciplinary submissions are encouraged.
Sound Practice is maintained and further developed by the British Society of Audiology’s (BSA) Adult Rehabilitation Interest Group (ARIG). This group ensures that Sound Practice remains as up-to-date as possible. Processes have been developed to make the submission and review process as easy and as transparent as possible. Please click here to view the Terms and Conditions.
Project 2: Outcome survey & toolkit
To gather information across the UK in the use and application of the available outcome measures and to assess how data is being used and shared with commissioners.
We will create a survey on what types of outcome measures are being used, when they are being applied and what the data is being used for. The aim of this work is to inform a future practical toolkit on outcome measures and assessment measures.
In late 2017 to mid-2018 BSA ARIG conducted a UK online survey to obtain a national picture of patient-reported outcome measures and the what, when, how and why of their use in audiology services. The survey looked at outcome measures for individual patients, for service evaluation and for use beyond the service. The survey also included additional questions asking about new developments in measuring outcomes (i.e. ecological momentary assessment) and emerging technologies (i.e. personal sound amplification products).
93 completed surveys were received from the 170 audiology services invited to take part giving a favourable response rate of 55%. The vast majority of respondents worked in the NHS or a health board with only 4% representing independent practitioners. One of the key findings is that PROMs are used by the majority of services (85%). The main PROMs used are the Glasgow Hearing Aid Benefit Profile (GHABP), the Client Orientated Scale of Improvement (COSI) and the Glasgow Hearing Aid Difference profile (GHADiffP), with nearly as many services using COSI as the Glasgow questionnaires. Three-quarters of outcomes (74%) are measured within the first four months following intervention which is problematic for establishing the long-term effectiveness of interventions.
The majority of responses (71%) suggest that service providers primarily use PROMs for ‘value added’ reasons (i.e. enhance care, track outcomes, plan appointment and improve service) rather than simply because they are required to do so (16%), or to justify resources (7%).
Just over half of respondents (55%) are required to provide summaries of PROMs outside of their service. The majority reported to a commissioner (31%). Half (50%) of those who did report to a commissioner did not know how the data was used. This suggests that outcomes should be shared with more commissioners to promote the value and benefits of audiology services, and greater clarity for why and how they are used is needed. New developments in measuring outcomes and emerging technologies are likely to change the way PROMs and hearing device interventions are used in the future. The full report will be available online by mid-2019. It is hoped that this survey will spearhead the creation of a national database of outcome measures and the development of a practical outcome measures toolkit.
Project 3: Repository for evidence and information on adult rehabilitation in the UK
BSA Grow hosts the Adult Rehabilitation library developed and maintained by ARIG. The library is a collection of useful and current documents which includes: key evidence for commissioners, information to support the delivery of adult rehabilitation, and relevant systematic reviews.
1. Commissioning advice
2. Systematic reviews of research evidence
3. Information to support service delivery
This will be collated through ARIG and the wider BSA membership.
In addition, links to other ARIG projects can be found on BSA Grow. If you are interested in AR, you can visit the BSA Grow here:
Project 4: Review of Recommended Procedures
In April 2016 we released an updated version of the existing BSA Recommended procedure and renamed it “Common Principles of Rehabilitation for Adults in Audiology Services”. This will be updated later in 2018 based on new evidence which has recently been published and is vital to adult rehabilitation within the UK.
Alongside this document members of ARIG are also working on tow other Practice guidance documents:
- Speech in Noise
- Guidance on the verification of hearing aids using probe microphone measurements