{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T02:15:17Z","timestamp":1783995317310,"version":"3.55.0"},"reference-count":23,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"unspecified","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NIHR Post-Doctoral Fellowship","award":["PDF-2018-11-ST2-003"],"award-info":[{"award-number":["PDF-2018-11-ST2-003"]}]},{"name":"Ministry of National Education, Republic of T\u00fcrkiye","award":["N\/A for the award\/grant number"],"award-info":[{"award-number":["N\/A for the award\/grant number"]}]},{"DOI":"10.13039\/501100020624","name":"NIHR Nottingham Biomedical Research Centre","doi-asserted-by":"publisher","award":["N\/A for the award\/grant number"],"award-info":[{"award-number":["N\/A for the award\/grant number"]}],"id":[{"id":"10.13039\/501100020624","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,5,27]]},"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the experiences, current approaches, opinions and awareness of healthcare professionals (HCPs) caring for adults with traumatic brain injury (TBI) regarding the audio-vestibular consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design\/setting<\/jats:title>\n                    <jats:p>Cross-sectional online survey study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>HCPs with experience of caring for adults with TBI, who were not ENT (ear nose throat) specialists or audiologists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was conducted from May 2022 to December 2022. The online survey consisted of 16 closed and open-text questions in English and Turkish about clinical experience, current approaches and awareness of audio-vestibular consequences following TBI. Frequencies of responses to closed questions and associations between variables were analysed using SPSS V.28. Open-text responses were summarised in Microsoft Excel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy HCPs participated from 17 professions and 14 countries, with the majority from the UK (42.9%). HCPs stated that \u2018some\u2019 to \u2018all\u2019 of their patients had auditory problems such as \u2018inability to understand speech-in-noise\u2019 (66%), \u2018tinnitus\u2019 (64%), \u2018hyperacusis\u2019 (57%) and balance problems such as \u2018dizziness\u2019 (79%) and \u2018vertigo\u2019 (67%). Usually, HCPs asked about the balance status of patients at appointments and when they observed dizziness and\/or balance disorder they used screening tests, most commonly finger-to-nose (53%). For auditory impairments, HCPs preferred referring patients with TBI to audiology\/ENT services. However, 6% of HCPs felt that audio-vestibular conditions could be ignored on referral because patients with TBI struggled with many impairments. Additionally, 44% would suggest hearing aids to patients with TBI with hearing loss \u2018if they would like to use\u2019 rather than \u2018definitely\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Many audio-vestibular impairments are observed by HCPs caring for patients with TBI. The assessment and intervention opinions and awareness of HCPs for these impairments vary. However, non-expert HCPs may not be aware of negative consequences of untreated audio-vestibular impairments following TBI. Therefore, developing a simple framework for screening and indications of audio-vestibular impairments for referral may be helpful for non-audiological specialists regularly seeing these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-078017","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T19:45:19Z","timestamp":1720467919000},"page":"e078017","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Clinical experiences, current approaches, opinions and awareness of healthcare professionals regarding the audio-vestibular consequences of individuals with traumatic brain injury: a cross-sectional online survey study"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7625-4758","authenticated-orcid":false,"given":"K\u00fcbra","family":"B\u00f6l\u00fckba\u015f","sequence":"first","affiliation":[{"name":"Hearing Sciences, Division of Mental Health and Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK"},{"name":"National Institute of Health and Social Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1392-2648","authenticated-orcid":false,"given":"Laura","family":"Edwards","sequence":"additional","affiliation":[{"name":"Division of Rehabilitation Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK"},{"name":"Injury, Inflammation and Recovery Sciences, School of Medicine, University of Nottingham, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0767-0723","authenticated-orcid":false,"given":"David M","family":"Baguley","sequence":"additional","affiliation":[{"name":"Hearing Sciences, Division of Mental Health and Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK"},{"name":"National Institute of Health and Social Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6529-8643","authenticated-orcid":false,"given":"Kathryn","family":"Fackrell","sequence":"additional","affiliation":[{"name":"Hearing Sciences, Division of Mental Health and Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK"},{"name":"National Institute of Health and Social Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK"},{"name":"School of Healthcare Enterprise and Innovation, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,7,8]]},"reference":[{"key":"2025121605254027000_14.7.e078017.1","unstructured":"NICE . 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