{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:33:35Z","timestamp":1785418415845,"version":"3.56.0"},"reference-count":45,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Bone-conduction hearing devices (BCHD) can provide hearing solutions in settings where middle ear pathology is rife.\n\nObjectives: Describe functional hearing outcomes and device use of children fitted with BCHD.\n\nMethod: Retrospective review of 79 children fitted with BCHD between January 2017 and May 2022. Outcomes included device use and subjective reports measured with the Parents\u2019 Evaluation of Aural\/Oral Performance of Children (PEACH) and the Teachers\u2019 Evaluation of Aural\/Oral Performance of Children (TEACH). Analysis of variance established association between mean data logging and type and degree of hearing loss. Thematic analyses were done for qualitative outcomes.\n\nResults: Average usage was 7.0 h\/day (5.4 SD; range 0.1\u201324). PEACH ratings indicated 93.3% of children wore their BCHD \u2018always\u2019 or \u2018often\u2019, with 80% displaying Typical auditory performance at 1-month follow-up. TEACH ratings indicated 84.2% of children wore their BCHD \u2018always\u2019 or \u2018often\u2019, with 78.9% showing typical auditory behaviour. Increased usage was noted for conductive, mixed, moderate and severe hearing losses. There was a mean delay of 17.2 months (23.4 SD; range 0\u201390) between age of diagnosis and fitting. Thematic analyses identified two main themes: advantages and barriers to BCDH use.\n\nConclusion: Average device use fell short of the internationally recommended 10 h\/day. Higher BCHD use was associated with higher functional listening performance scores. Long waiting times for medical or surgical intervention for conductive hearing losses can delay BCHD fitting.\n\nContribution: Limited information is available to examine outcomes in children fitted with BCHD.<\/jats:p>","DOI":"10.4102\/sajcd.v71i1.1005","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T08:11:44Z","timestamp":1707379904000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes and device use in children with bone-conduction hearing devices in South Africa"],"prefix":"10.4102","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0530-8712","authenticated-orcid":false,"given":"Ch\u00e9ri","family":"van Zyl","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6624-0443","authenticated-orcid":false,"given":"Christine","family":"Rogers","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1046-7435","authenticated-orcid":false,"given":"Silva","family":"Kuschke","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"key":"ref0","unstructured":"American Academy of Audiology. (2013). American academy of audiology: Clinical practice guidelines: Paediatric amplification. Retrieved from https:\/\/www.audiology.org\/sites\/default\/files\/publications\/PaediatricAmplificationGuidelines.pdf"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Austeng, M.E., Akre, H., \u00d8verland, B., Abdelnoor, M., Falkenberg, E.S., & Kv\u00e6rner, K.J. (2013). Otitis media with effusion in children with Down syndrome. International Journal of Pediatric Otorhinolaryngology, 77(08), 1329\u20131332. https:\/\/doi.org\/10.1016\/j.ijporl.2013.05.027","DOI":"10.1016\/j.ijporl.2013.05.027"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Bagatto, M.P., Moodie, S.T., Seewald, R.C., Bartlett, D.J., & Scollie, S.D. (2011). A critical review of audiological outcome measures for infants and children. 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