听力学家对成人前庭平衡问题管理的看法。

文献信息

中文摘要

目的： 探讨听力学家在前庭平衡问题（VBPs）评估和治疗中不断演变的作用，并了解他们对当前实践、障碍和服务发展机遇的看法。
设计： 一项混合方法研究，包括在线调查和半结构化访谈。
研究样本： 来自21个国家的116名听力学家完成了调查（约旦[n=34]、澳大利亚[n=25]、英国[n=9]、新加坡和南非[各n=7]、美国[n=6]，以及其他15个国家[各n<5]）。九名参与者（澳大利亚[n=5]、约旦[n=3]和南非[n=1]）完成了后续访谈。
结果： 参与VBP评估的程度超过治疗，这反映在更高的培训率、活动率和信心上。治疗较少提供，更常转介给物理治疗师和耳鼻喉科医生。虽然大多数参与者认为VBP管理属于执业范围，但访谈结果揭示了角色认知方面的跨国差异。主要障碍包括实践培训有限、对提供治疗的信心不足、获得设备和新兴技术的途径受限，以及系统性制约，如转诊路径不明确和报销不足。
结论： 听力学家在VBP评估中的参与度仍高于治疗。需要解决结构化培训、角色清晰度和系统层面支持方面的差距，以使听力学家能够更多地参与多学科照护。

英文摘要

OBJECTIVE: To explore the evolving role of audiologists in the assessment and treatment of vestibular balance problems (VBPs) and to identify their perspectives on current practices, barriers, and opportunities for service development.
DESIGN: A mixed methods study comprising an online survey and semi-structured interviews.
STUDY SAMPLE: 116 audiologists from 21 countries completed the survey (Jordan [n = 34], Australia [n = 25], United Kingdom [n = 9], Singapore and South Africa [n = 7 each], the United States [n = 6], and 15 other countries [n < 5 each]). Nine participants (Australia [n = 5], Jordan [n = 3], and South Africa [n = 1]) completed follow-up interviews.
RESULTS: Involvement in VBP assessment exceeded that in treatment, reflected in higher rates of training, activity, and confidence. Treatment was less commonly provided and more frequently referred to physiotherapists and ENTs. While most participants considered VBP management within scope of practice, interview findings revealed cross-country variation in role perception. Key barriers included limited practical training, low confidence in treatment delivery, restricted access to equipment and emerging technologies, and systemic constraints such as unclear referral pathways and poor reimbursement.
CONCLUSION: Audiologists remain more engaged in assessment than treatment of VBP. Addressing gaps in structured training, role clarity, and system-level support is required to enable greater participation of audiologists in multidisciplinary care.