Science and Innovations in MedicineScience and Innovations in Medicine2500-13882618-754XFSBEI of Higher Education SamSMU of Ministry of Health of the Russian Federation5905110.35693/2500-1388-2021-6-1-20-24Research ArticleInterdisciplinary approach in audiology – an experience of pediatric amplificationTufatulinGaziz Sh.<p>PhD, Chief Physician of the Center of the Pediatric Audiology, assistant of the Chair of Otorhinolaryngology</p>dr.tufatulin@mail.ruhttps://orcid.org/0000-0002-6809-7764KorolevaInna V.<p>PhD, Professor, the chief of rehabilitation programs</p>prof.inna.koroleva@mail.ruhttps://orcid.org/0000-0001-8909-4602KorkunovaMaryana Sergeevna<p>speech-language therapist</p>korkynova@yandex.ruThe Center of Pediatric AudiologyNorth-Western State Medical University named after I.I. MechnikovSt. Petersburg Research Institute of Ear, Throat, Nose and Speech290320216120242301202120022021Copyright © 2021, Tufatulin G.S., Koroleva I.V., Korkunova M.S.2021<p><strong>Objectives</strong> to develop an algorithm for the interaction between an audiologist and speech-language therapist in initial amplification for hearing impaired children.</p>
<p><strong>Material and methods.</strong> 219 children with hearing impairments aged from 2 months to 16 years were divided into 2 groups. The experimental group consisted of children who got a special course of medical, psychological and pedagogical rehabilitation at the stage of initial fitting, based on the new algorithm of interdisciplinary interaction between an audiologist and a speech-language therapist. The control group included children with traditional procedure of hearing aids fitting, in which the audiologist did not interact with the speech therapist.</p>
<p><strong>Results. </strong>The algorithm for the interaction of an audiologist and speech-language therapist included 3 stages of hearing aids fitting (preparation, initial fitting, adaptation and fine tuning of hearing aids). The tasks of each specialist at these stages were identified, including the parents involvement in the process of fitting. The exchange of information between specialists was organised by a developed protocol. The algorithm was implemented in a special course of medical-psychological-pedagogical rehabilitation in the Center of Pediatric Audiology.</p>
<p>It was found that in 1 month after the primary fitting among children who underwent this course, the significantly larger number of children used the hearing aids for more than 8 hours a day and reached the integral criterion of effective hearing aids fitting, if compared to the control group. These children also took less time to adjust their hearing aid settings during the repeated fitting sessions.</p>
<p><strong>Conclusion. </strong>A structured interdisciplinary interaction between an audiologist and speech-language therapist at the stage of initial amplification significantly increases the effectiveness of medical technology for restoring hearing function in children.</p>hearing impairments in childrenhearing losshearing aidspediatric amplificationinterdisciplinary interactionнарушения слуха у детейтугоухостьслухопротезированиемеждисциплинарное взаимодействие[Fernandez R, Grand JA. Leveraging social science-healthcare collaborations to improve teamwork and patient safety. Pediatric and Adolescent Health Care. 2015;45:370–377. doi: 10.1016/cppeds.2015.10.005][Rosen MA, Diaz Granados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ, Weaver SJ. Teamwork in Healthcare: Key Discoveries Enabling Safer, High-Quality Care. Am Psychol. 2018;73(4):433–450. doi: 10.1037/amp0000298][Chernyavskiy MA, Gusev AA, Dalmatova AB, et al. Organization of multidisciplinar approach in treatment of patients with diabetic foot syndrome. Translational Medicine. 2018;5(1):5–14. (In Russ.). [Чернявский М.А., Гусев А.А., Далматова А.Б. и др. Организация командного подхода в лечении пациентов с синдромом диабетической стопы. Трансляционная медицина. 2018;5(1):5–14]. doi.org/10.18705/2311-4495-2018-5-1-5-14][Chumak EG, Pikinskaya MV, Vozmilova OV eds. Early intervention technology as a comprehensive support for children with disabilities. Surgut, 2014. (In Russ.). [Чумак Е.Г., Пикинская М.В., Возмилова О.В. Технология раннего вмешательства как комплексное сопровождение детей с ограниченными возможностями здоровья. Сургут, 2014].][Koroleva IV. Educational activities for children with early hearing impairment. SPb.: KARO; 2017. (In Russ.). [Королева И.В. Развивающие занятия с детьми с нарушением слуха раннего возраста. СПб.: КАРО; 2017].][Tavartkiladze GA. Handbook on clinical audiology. M.: Meditsina; 2013. (In Russ.). [Таварткиладзе Г.А. Руководство по клинической аудиологии. М.: Медицина; 2013].][McCreery RW, Walker EA. Pediatric Amplification: Enhancing Auditory Access. San Diego: Plural Publishing; 2017.][Garbaruk ES, Koroleva IV. Amplification diary for an early age child. SPb, 2015. (In Russ.). [Гарбарук Е.С., Королева И.В. Дневник слухопротезирования ребенка раннего возраста. СПб., 2015].][Tufatulin GSh, Koroleva IV, Yanov YuK, et al. Hydrovibrotactile stimulation of deaf children. Russian Otorhinolaryngology. 2020;19(5):83–91. (In Russ.). [Туфатулин Г.Ш., Королева И.В., Янов Ю.К., Артюшкин С.А., Черняховский А.Е. Гидровибрационная стимуляция в реабилитации детей с тугоухостью высокой степени. Российская оториноларингология. 2020;19(5):83–91]. doi.org/10.18692/1810-4800-2020-5-83-91]