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In the mid-90s, we embarked on establishing the domain of Workplace Deviance. Though we were fortunate to meet our intended goals and have the impact we had hoped for, we have often thought about what we might have done differently. In this essay, we outline some of the things we wish we knew then that we know now. As we will describe, we perhaps should have chosen a different construct name, taken a theoretical rather than data driven approach to our typology, and developed a reflective rather than formative scale. We hope this essay based on our hindsight may be of value to future scholars seeking to establish new constructs in our field. [ABSTRACT FROM AUTHOR]

AbstractObjectiveDesignStudy SampleResultsConclusionsThis study aimed to gather opinions and establish consensus among audiologists and patients on supporting individuals with mental health concerns in audiology settings.Utilising a modified electronic Delphi survey, a panel of 25 experts engaged in three rounds of data collection over 12 weeks. Participants provided open-text responses in Round 1 describing “clinical practices that can be employed to support to patients presenting with mental health concerns”, and the research team combined these with relevant clinical practices from literature searches. In subsequent rounds, panellists then rated their level of agreement with the combined list of statements; individually (Round 2) and again after seeing the panel’s collated responses (Round 3).Panel experts included 11 patients (adults with hearing loss; Mage 73.8 years) and 14 audiologists (with M 11.8 years of experience working in audiology).Consensus was met for 123 items categorised into: Detection, Education, Effective Communication, Provision of Emotional Support, Personal Qualities and Attitudes of the Audiologist, Interventions, Connecting the Patient to Additional Support Services, Normal Processes that are Especially Important in these Cases, and Organisational Considerations.The study highlights the diversity of approaches audiologists can employ to support patients with mental health concerns. [ABSTRACT FROM AUTHOR]

Aim: Best-practice in audiological rehabilitation takes a holistic client- and family-centred approach and considers hearing care in the context of personal well-being. Hearing loss not only impairs the ability to hear, but can also compromise the ability to communicate, thus negatively impacting both social and emotional well-being. Hearing care professionals play a key role in fostering their client's well-being. This paper aims to provide evidence-based recommendations to ensure inclusion of social-emotional well-being in audiologic rehabilitation clinical practice. Methods: A review of current research and expert opinion. Results: This guide proposes a 5-step plan which includes: identifying the client's social-emotional well-being; including family members in audiological rehabilitation; incorporating social-emotional needs and goals in an individualized management plan; relating identified hearing needs and goals to rehabilitation recommendations; and using counselling skills and techniques to explore and monitor social-emotional well-being. Each component of the 5-step plan is discussed and clinical considerations are presented. Conclusion: These comprehensive recommendations provide guidance to hearing care professionals looking to ensure clients' social-emotional well-being are considered throughout the rehabilitation journey. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to investigate the perspectives of Australiabased hearing health care consumers regarding the (a) provision and utilization of teleaudiology services, (b) experiences with teleaudiology, and (c) barriers and enablers to future teleaudiology use. Method: A national prospective self-report online survey was completed between April and October 2020, amid COVID-19. Data were analyzed using descriptive statistics (closed-answer items) and content analysis (open-text responses). A total of 381 participants (Mage = 72.07 years ± 10.08, 142 females) were recruited from different states and territories of Australia. Results: Despite positive outcomes reported by those who undertook teleaudiology appointments during COVID-19, results indicate low-consumer teleaudiology uptake. It can be inferred that consumers were not aware of teleaudiology as an appointment option, clinicians/clinic staff had not informed and/or supported teleaudiology as an option, and biases existed that prevented teleaudiology being more widely adopted. It is unclear whether consumers who were eligible for government subsidies understood that teleaudiology appointments were reimbursed through government funding. Barriers to future teleaudiology uptake were largely related to concerns regarding confidentiality and privacy. Conclusion: Lowconsumer uptake of teleaudiology appointments appears to be driven by consumer preference for in-person services, which appears to be driven by lack of knowledge regarding the availability and effectiveness of teleaudiology. [ABSTRACT FROM AUTHOR]

To conduct the first phases in the development of a self-report measure of empowerment on the hearing health journey, specifically, item generation and content evaluation of the initial pool of items generated. A content expert panel survey and cognitive interviews were conducted. Descriptive statistics were obtained for the quantitative data, and the cognitive interviews were analysed using thematic analysis. Eleven researchers and clinicians participated in the content expert surveys. Sixteen experienced hearing aid users participated in the cognitive interviews, recruited from the USA and Australia. The items underwent five iterations based on feedback from the survey and interview data. This resulted in a set of 33 quality-tested potential survey items that were rated highly for relevance (mean = 3.96), clarity (mean = 3.70) and fit to dimensions of empowerment (mean = 3.92) (scale 0-4, where 4 was the maximum rating). Involving stakeholders in item generation and content evaluation increased relevance, clarity, fit to dimension, comprehensiveness, and acceptability of the items. This preliminary version of the 33-item measure underwent further psychometric refinement (Rasch analysis and traditional classical test theory testing) to validate it for clinical and research use (reported separately). [ABSTRACT FROM AUTHOR]

This study aimed to gain an in depth understanding of factors influencing mental health referrals for adults with hearing loss in the audiology setting. A semi-structured focus group with hearing care practitioners (HCPs) and reception staff (N = 12 , Mage = 45 ± 12 years, 10 female) from a large hearing services provider in Western Australia in 2020. Three themes were identified: (1) beliefs about and the recognition of the need for referral, (2) knowledge, skills, and training for mental health referral, and (3) outcomes and consequences of referring clients for mental health support. This study identified a wide range of factors influencing referral of adults with hearing loss for mental health support. The findings of this research may be used to inform intervention development targeting mental health referral behaviours within the audiology setting. [ABSTRACT FROM AUTHOR]

AbstractPurposeMethodResultsConclusions\nIMPLICATIONS FOR REHABILITATION(1) To understand the impact of adult cochlear implantation on the partner relationship, as perceived by adult cochlear implant (CI) recipients and their intimate partners. (2) To generate a conceptual framework for guiding future research and clinical adult cochlear implantation interventions.Concept mapping, a participatory, mixed-method approach, was used for data collection, analysis and interpretation. Participants attended sessions to generate, sort and rate statements describing the changes in their relationship due to cochlear implantation. Participants included 15 CI recipients (mean age: 51.6 years; SD: 8.2) and 12 partners (mean age: 50.9 years; SD: 8.2).Five concepts emerged from the data, describing changes in the partner relationship following cochlear implantation: (1) Social Interactions, (2) Partner Involvement, (3) Communication, (4) Emotional Adjustment, and (5) Relationship Intimacy. The concept Relationship Intimacy was rated the highest in positivity and importance. Findings also underscored improved social interactions, communication dynamics, and emotional adjustment.The Relationship Intimacy cluster emerged as pivotal, highlighting its essential role in improving post-implantation relationships. CI recipients experienced enhanced autonomy, while partners’ roles evolved regarding assistance and support. The diverse effects of implantation on partner relationships highlight the importance of adopting a patient- and family-centered approach to audiological intervention.These insights on partner relationships and cochlear implantation can inform tailored pre- and ongoing post-operative counselling to support cochlear implant recipients and their partners in navigating relationship changes, emotional adjustments, and addressing communication challenges.Cochlear implantation reduces partner burden, emphasising the need for hearing healthcare professionals to facilitate partner engagement in rehabilitation approaches.Relationship intimacy, deemed the foremost positive outcome, underscores the importance of incorporating these aspects into pre- and post-operative counselling.These insights on partner relationships and cochlear implantation can inform tailored pre- and ongoing post-operative counselling to support cochlear implant recipients and their partners in navigating relationship changes, emotional adjustments, and addressing communication challenges.Cochlear implantation reduces partner burden, emphasising the need for hearing healthcare professionals to facilitate partner engagement in rehabilitation approaches.Relationship intimacy, deemed the foremost positive outcome, underscores the importance of incorporating these aspects into pre- and post-operative counselling. [ABSTRACT FROM AUTHOR]