{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:28:06Z","timestamp":1789709286111,"version":"4.0.1"},"reference-count":51,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T00:00:00Z","timestamp":1735171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Clinicians face challenges in managing the growing population of patients with limited English proficiency (LEP) and hearing loss (HL) in the United States. This study seeks to investigate provider perspectives on evaluating, counseling, and treating HL in LEP patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective descriptive study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary care center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Researchers employed a mixed methods design: (1) structured clinician interviews, (2) cross\u2010sectional, national electronic survey, both regarding perspectives on managing hearing loss in LEP patients. Structured interviews were analyzed using modified grounded theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010nine providers participated in interviews (16 otologists, 13 audiologists). The most reported non\u2010English language was Spanish, followed by Chinese languages. Four thematic domains were derived: barriers to care, cochlear implant (CI) candidacy evaluation, counseling, and ideal resources. Major barriers were patient desire (97%; n\u2009=\u200928), and lack of validated tests (72%; n\u2009=\u200921). Methods of CI evaluation included improvising on validated speech perception testing (59%; n\u2009=\u200917) and use of non\u2010speech evaluation (52%; n\u2009=\u200915). One\u2010quarter forgoes speech testing in non\u2010Spanish\u2010speaking patients (24%; n\u2009=\u20097). Suggestions to improve management include in\u2010person interpreters (62%; n\u2009=\u200918) and testing battery in all languages (31%; n\u2009=\u20099). National survey results (n\u2009=\u200987 providers) demonstrated that respondents were significantly less confident in the methods of speech perception testing and in counseling on surgical hearing rehabilitation in LEP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinicians encounter challenges in managing LEP patients with HL, including limitations in audiometric and CI candidacy assessment, communication barriers, information accessibility, and cultural competency. Opportunities for improving care include developing language\u2010specific test batteries, linguistically and culturally appropriate education materials, and cultural competency training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.1089","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T10:38:58Z","timestamp":1735209538000},"page":"1232-1241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinician Perspectives on the Management of Hearing Loss in Patients With Limited English Proficiency"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3387-6941","authenticated-orcid":false,"given":"Aparna","family":"Govindan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Miami\/Jackson Health System Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adina","family":"Singer","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"Zekavat","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyi","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Pennsylvania Health System Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Pennsylvania Health System Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianjing","family":"Kuang","sequence":"additional","affiliation":[{"name":"Department of Linguistics University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maura K.","family":"Cosetti","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Icahn School of Medicine at Mount Sinai New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany P.","family":"Hwa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Pennsylvania Health System Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,26]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"U.S. Census Bureau.Data Release: New and Notable.census.gov;2021."},{"key":"e_1_2_8_3_1","unstructured":"HaldarS PillaiD ArtigaS.Overview of Health Coverage and Care for Individuals With Limited English Proficiency (LEP). 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