Feasibility/Executability

Audiologist respondents were queried about the potential for successful implementation of the UWO PedAMP in clinical settings. The results are presented in Table 5-3. Most respondents agreed to strongly agreed (≥ 93%) that the manual documentation was well- organized, easy to understand, with clear sequencing of test measure administration included. Eighty-six percent stated that patient results could be reported with ease.

Table 5-3: Level of agreement with statements related to the practical extent to which the UWO PedAMP can be implemented successfully in clinical settings.

Item Level of Agreement (n=14)

Agree to Agree Strongly (%) Neither Agree nor Disagree (%) Disagree to Disagree Strongly (%)

The format and style of the UWO PedAMP is easy to understand and follow

100 0 0

The sequence in which components of the UWO PedAMP should be administered is clear

93 7 0

In administration of the UWO PedAMP, the ANDs or Ors are clear. That is, when you are supposed to administer something in combination (AND) or when you are supposed to administer

something instead (OR)

100 0 0

Patient results for the UWO

PedAMP can be reported with ease 86 7 7

The task related to completion of the UWO PedAMP components is not too difficult for the parent (respondent) to perform

86 14 0

The task related to completion of the UWO PedAMP components is not too difficult for the audiologist to perform

93 7 0

The task related to the completion of the UWO PedAMP components is not too time-consuming for the

parent (respondent) to perform

86 7 7

The task related to completion of the UWO PedAMP components is not too time-consuming for the

audiologist to perform

Table 5-3 continued: Level of agreement with statements related to the practical extent to which the UWO PedAMP can be implemented successfully in clinical settings.

Item Level of Agreement

Agree to Agree Strongly (%) Neither Agree nor Disagree (%) Disagree to Disagree Strongly (%) The length of time it takes to

administer the UWO PedAMP is appropriate for incorporation into routine clinical practice

79 21 0

The length of time it takes to score and interpret the results of the UWO PedAMP is

appropriate for incorporation into routine clinical practice

79 14 0

The length of time it takes include the results of the UWO PedAMP into written clinical reports is appropriate for incorporation into routine clinical practice

71 29 0

The length of time it takes to counsel parents about the results of the UWO PedAMP makes it appropriate for incorporation into routine clinical practice

93 7 0

Clinical time to implement measures has been cited as a barrier by the Network audiologists to the uptake of outcome evaluation tools in practice (Bagatto, Moodie, Seewald et al., 2011; Moodie, Bagatto et al., 2011). Results of this evaluation of the UWO PedAMP indicated that the majority of audiologists (≥ 79%) believed that the length of time it would take to administer, score, interpret results of the UWO PedAMP and counsel parents was appropriate for incorporation into routine clinical practice. Most of the remaining audiologists (~ 21%) indicated that they neither agreed nor disagreed with the item statements. Eighty-six percent of respondents agreed to strongly agreed that completion of the UWO PedAMP components was not too time-consuming for the parent/respondent to perform, however, only 71% agreed to strongly agreed that

completion of the individual components associated with the UWO PedAMP was not too time-consuming for the audiologist to perform. Seven percent were unsure (chose neither agree nor disagree) and the remaining seven percent (1 respondent) reported that he/she felt that the task was too time-consuming for the parent/respondent to perform.

Audiologist respondents largely agreed (≥ 86%) that it was not too difficult to score each of the individual test measures included in the UWO PedAMP. Results of their evaluation are shown in Table 5-4.

Table 5-4: Level of agreement with statements related to difficulty in scoring the components of the UWO PedAMP.

Item Level of Agreement (n=14)

Scoring is difficult for the:

Agree to Agree Strongly (%) Neither Agree nor Disagree (%) Disagree to Disagree Strongly (%) Hearing Aid Fitting Details &

Summary 0 7 93

Aided Speech Intelligibility

Index (SII) 0 7 93 LittlEARS Auditory Questionnaire 0 0 100 Parents’ Evaluation of Aural/Oral Performance in Children (PEACH) 0 14 86

5.4.2.1

Select comments by Network audiologists regarding clinical

feasibility of the UWO PedAMP

• Administration summary tables allow for clear understanding of sequencing and time frames for administration of the evaluation tools. The task for parents is not too time consuming but some families struggle to interpret questions and relate their

experiences with the child to the questions on the forms. Interview style

administration is required with many families for whom the outcome measure is new and unfamiliar, where English is a second language or those that are less

knowledgeable or informed about child development and auditory behaviours. For audiologists, the administration of the UWO PedAMP can be time consuming when

interview style administration is required with significant discussion to facilitate understanding. On the other hand, many families complete the outcome measures independently while assessment of amplification is being completed by the

audiologist. Scoring of the outcome measures is straight forward and the normative tables allow for quick interpretation of the child's results. Reporting in clinical reports requires a minimal amount of additional time and is appropriate for routine practice. Sample descriptions for reporting in the PedAMP were useful during the initial implementation phase.

• Parents do have difficulty remaining consistent in their completion of the forms. For some (not all parents) scores may vary in a negative fashion over time, with no decline in AV skills. Fathers/mothers very often differ in their scoring. Parents are beginning to say "did we not just do this" and to complain somewhat about the frequency of repetition of questionnaires. Counselling regarding benefit from amplification and associated speech-language skills would have taken place independent of the results on the PedAMP