Communication Challenges and Implementation of Telepractice for Children with Hearing Impairment during Lockdown- A Parental Perspective

Abstract

Introduction: The global Coronavirus Disease 2019 (COVID-19) outbreak has resulted in numerous difficulties and drawbacks in our daily life. Despite causing mortality, it has halted the therapeutic facilities because of the in-person interaction involved in it. Communication difficulties have been aggravated which seeks for immediate attention as it can lead to a lack of improvement in communication delays observed in children with Hearing Impairment (HI). Aim: To highlight the communication challenges faced by children with hearing impairment and consequently investigate the effectiveness and need for telepractice during the Lockdown. It also aims to improve the service delivery models. Materials and Methods: A cross-sectional descriptive study was conducted in MERF Institute of Speech and Hearing, Chennai from July 2020 to August 2020. A convenience sampling was opted for enrolling the participants in the study. The questionnaire was administered to the parents in two modalities- telephonic survey and electronic format. The data analysis was done by frequency counting and percentage calculation. Results: The findings of the current study suggest that the speech and language performances have worsened for 35% (due to lack of formal stimulation, device malfunction, etc.,), improved for 35% (due to intensive home training, adequate stimulation, etc.,) and no difference has been noted for 30% of children with HI during the lockdown. 23 (57.5%) parents were aware of the Telepractice services, and those unaware were oriented. 12 (40%) respondents opted for other modalities of assistance instead of Telepractice services. Conclusion: The communication challenges faced, calls for seamless intervention during the lockdown. The introduction of Teletherapy proves to be beneficial and hence, the ultimate goal is to integrate telerehabilitation services into clinical facilities. Alternatives of service delivery models should be utilised optimally.

Keywords

• coronavirus disease 2019
• lockdown impact
• speech and hearing challenges
• teletherapy