Knowledge Regarding Interpretation of Brain Stem Evoked Response Audiometry (BERA) Report by Speech -Language Pathologists: Knowledge Regarding Interpretation of BERA

Syed Aftab Haider Shah; Humaira Shamim Kiyani; Ghulam Saqulain; Rimsha Shakeel

doi:10.54393/pjhs.v4i06.785

Authors

Syed Aftab Haider Shah Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan
Humaira Shamim Kiyani Department of SLP, Riphah International University, Islamabad, Pakistan
Ghulam Saqulain Department of Otorhinolaryngology, Capital Hospital, PGM I, Islamabad, Pakistan
Rimsha Shakeel Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i06.785

Keywords:

Audiometry, BERA, Hearing assessment, Speech and language pathologists.

Abstract

According to ASHA assessment of hearing loss is part of scope of practice & service delivery area of SLP’s with Brain Stem Evoked Response Audiometry tests being an effective tool. Keeping in view dearth and disparities in the knowledge and professional abilities of SLPs, need of early identification and intervention for hearing impaired population and importance of BERA test and gap in research current study was conceived. Objective: To determine the knowledge regarding interpretation of Brain Stem Evoked Response Audiometry (BERA) report by Speech-Language Pathologists. Methods: This Cross-Sectional study was conducted at Riphah International University, Pakistan from January, 2022 to June, 2022. Study using convenience sampling recruited N=102 speech language pathologists of both genders, aged 25 to 50 years, working in private and public hospitals, special education schools, private clinics, Universities and Rehabilitation Centers of Rawalpindi and Islamabad. A self-developed questionnaire was used for data collection and analysis performed using SPSS Version-20. Results: Knowledge of interpretation of BERA report by Speech and language Therapists/ Pathologist in current study revealed a total mean score of 40.78 ± 7.03, indicating moderate level of knowledge of interpretation of BER. Knowledge of interpretation of BERA is not associated with gender, age and experience, however it revealed significant associated with qualification of SLP. Conclusions: It was concluded from the result of present study that the majority of speech and language Pathologists have moderate level of knowledge regarding interpretation of BERA. Knowledge of interpretation of BERA is associated with qualification of SLP.

References

Banerjee S, Gorai S, Chattaraj W. A Comparative Study on Brain Stem Evoked Response Audiometry among Pre-school Children with Normal and Delayed Development of Speech Attending Bankura Sammilani Medical College. International Journal of Contemporary Medicine and Research. 2020; 7(1): 9-12. doi.org/10.21276/ijcmr.2020.7.1.46. DOI: https://doi.org/10.21276/ijcmr.2020.7.1.46

Yahata I, Kawase T, Miyazaki H, Takata Y, Yamauchi D, Nomura K, et al. Factors affecting the variation of maximum speech intelligibility in patients with sensorineural hearing loss other than apparent retrocochlear lesions. Clinical and Experimental Otorhinolaryngology. 2015 Aug; 8(3): 189-93. doi: 10.3342/ceo.2015.8.3.189. DOI: https://doi.org/10.3342/ceo.2015.8.3.189

Bergeron F, Berland A, Demers D, Gobeil S. Contemporary speech and oral language care for deaf and hard-of-hearing children using hearing devices. Journal of Clinical Medicine. 2020 Jan; 9(2): 378. doi: 10.3390/jcm9020378. DOI: https://doi.org/10.3390/jcm9020378

Wium AM and Louw B. Mixed-methods research: A tutorial for speech-language therapists and audiologists in South Africa. South African Journal of Communication Disorders. 2018 Jul; 65(1): 1-3. doi: 10.4102/sajcd.v65i1.573. DOI: https://doi.org/10.4102/sajcd.v65i1.573

de Sousa LC, da Silveira Rodrigues L, de Toledo Piza MR, Ferreira DR, Ruiz DB. Occasional finding of neurological disorders during children hearing loss evaluation using the ABR. Brazilian Journal of Otorhinolaryngology. 2007 May; 73(3): 424-8. doi: 10.1016/s1808-8694(15)30089-6. DOI: https://doi.org/10.1016/S1808-8694(15)30089-6

Young A, Cornejo J, Spinner A. Auditory Brainstem Response. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.

Alanazi AA. Audiology and speech-language pathology practice in Saudi Arabia. International Journal of Health Sciences. 2017 Nov; 11(5): 43.

Shafqat F. Struggling field of speech-language pathology in PAKISTAN: soi: 21-2017/re-trjvol04iss02p165. The Rehabilitation Journal. 2020 Dec; 4(02): 165-6. doi: 10.52567/trj.v4i02.2. DOI: https://doi.org/10.52567/trj.v4i02.2

American Speech-Language-Hearing Association. Scope of practice in speech-language pathology. [Last Cited: 22nd April, 2023]. Available at: http://www.asha.org/policy/.

Silkes JP and Winterstein K. Speech-language pathologists' use of hearing screening for clients with aphasia: Challenges, potential solutions, and future directions. American Journal of Speech-Language Pathology. 2017 Feb; 26(1): 11-28. doi: 10.1044/2016_AJSLP-14-0181. DOI: https://doi.org/10.1044/2016_AJSLP-14-0181

National Institue of Deafness and Other Commmunication Disorders. Quick Statistics About Hearing Bethesda, USA. [Last Cited: 23nd April, 2023]. Available at: https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing.

Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: a primer. Frontiers in Public Health. 2018 Jun; 6: 149. doi: 10.3389/fpubh.2018.00149. DOI: https://doi.org/10.3389/fpubh.2018.00149

Soni A, Kanaujia SK, Kaushik S. Brainstem Evoked Response Audiometry (BERA) in Neonates with Hyperbillirubinemia. Indian Journal of Otolaryngology and Head & Neck Surgery. 2016 Sep; 68: 334-8. doi: 10.1007/s12070-014-0811-6. DOI: https://doi.org/10.1007/s12070-014-0811-6

Al-Kandari JM, Alshuaib WB, Joe M. BERA in children with hearing loss and delayed speech. Electromyography and Clinical Neurophysiology. 2006 Jan; 46(1): 43-9.

Alanazi AA, Mohamud MS, AlSuwailem SS. The effect of simulation learning on audiology and speech-language pathology students’ self-confidence related to early hearing detection and intervention: a randomized experiment. Speech, Language and Hearing. 2022 Apr; 25(2): 211-24. doi: 10.1080/2050571X.2020.1846839. DOI: https://doi.org/10.1080/2050571X.2020.1846839

Rana KK, Ahmad U, Bhutta AH. Speech & Language Pathologists Interpretation of Pure Tone Audiometrical Test. Physical Medicine and Rehabilitation International. 2021 Mar; 8(1): 1172. doi: 10.26420/physmedrehabilint.2021.1172. DOI: https://doi.org/10.26420/physmedrehabilint.2021.1172

Plisetti R, Lanke S, Vanipenta T. A study of hearing loss in infants using brain stem evoked response audiometry. International Journal of Otorhinolaryngology Head Neck Surgery. 2022 Oct; 8(10): 812-815. doi: 10.18203/issn.2454-5929.ijohns20222440. DOI: https://doi.org/10.18203/issn.2454-5929.ijohns20222440

Sen M and Chatterji P. Study of patient profile of children with poor/delayed speech in a tertiary care centre in Western Uttar Pradesh, India. Asian Journal of Medical Sciences. 2021 Jan; 12(1): 69-74. doi: 10.3126/ajms.v12i1.30573. DOI: https://doi.org/10.3126/ajms.v12i1.30573

Vernier LS, Cazella SC, Levandowski DC. Neonatal Hearing Screening: protocols, obstacles and perspectives of speech therapists in Brazil - 10 years of Brazilian Federal Law. 12,303/2010. CoDAS 2022 Jan; 34(2): e20200331. doi: 10.1590/2317-1782/20212020331. DOI: https://doi.org/10.1590/2317-1782/20212020331

Venkatakrishnan H. Brainstem Evoked Response Audiometry. 2016 [Last Cited: 12th Jan 2023]. Available at: https://www.medindia.net/patients/patientinfo/brainstem-evoked-response-audiometry.htm.