Robert Eikelboom

Robert Eikelboom
Ear Science Institute Australia | ESIA · Corporate

BEng, MApplSc, PhD

About

225
Publications
44,169
Reads
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4,578
Citations
Citations since 2016
114 Research Items
2958 Citations
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Introduction
- Research Manager, Ear Science Institute Australia - Adj Prof, Ear Sciences Centre, School of Surgery, The University of Western Australia - Extra-ordinary Professor, Department of Speech Language Pathology and Audiology, University of Pretoria, South Africa
Additional affiliations
May 2021 - present
Curtin University
Position
  • Professor (Associate)
October 2012 - May 2021
University of Pretoria
Position
  • Professor
April 2001 - March 2020
Ear Science Institute Australia
Position
  • Head of Department
Education
January 1989 - December 1994
University of Western Australia
Field of study
  • Image processing/analysis of retina
January 1984 - December 1987
Curtin University
Field of study
  • Biomedical Engineering
January 1978 - December 1983
Western Australian Institute of Technology
Field of study
  • Electronic Engineering

Publications

Publications (225)
Article
Purpose Emotional and mental health is essential to overall health, but there has been little research on how to approach emotional and mental health in the audiology setting. This study provides a preliminary investigation into the current knowledge, beliefs, and practices of Australian audiologists in addressing the emotional and mental health ne...
Article
Objective: Recent changes to cochlear implant (CI) candidacy criteria have led to the inclusion of candidates with greater levels of hearing in the contralateral and/or implanted ear. This study assessed the impact of various hearing loss configurations on CI uptake rates (those assessed as eligible for CI, who proceed to CI). Design: Retrospective...
Article
Objectives: To explore the factors influencing the uptake of cochlear implants in adults, determine the impact of each factor, and to conceptualize the journey to implantation from a multistakeholder perspective. Design: Concept mapping was used to integrate input from multiple stakeholders, each with their own experience and expertise. This mix...
Article
Full-text available
While the majority of cochlear implant recipients benefit from the device, it remains difficult to estimate the degree of benefit for a specific patient prior to implantation. Using data from 2,735 cochlear-implant recipients from across three clinics, the largest retrospective study of cochlear-implant outcomes to date, we investigate the associat...
Article
Objective To determine the attitudes of audiologists towards telehealth and use of telehealth for the delivery of ear and hearing services pre-, during- and post- the COVID-19 pandemic, and to identify the perceived effects of telehealth on services and barriers to telehealth. Design An online survey distributed through the International Society o...
Article
Full-text available
Background The rising prevalence of hearing loss is a global health concern. Professional hearing services are largely absent within low- and middle-income countries where appropriate skills are lacking. Task-shifting to community healthcare workers (CHWs) supported by mHealth technologies is an important strategy to address the problem. Objective...
Article
Full-text available
Background Age-related hearing loss, mental health conditions, and loneliness commonly affect older adults. This study aimed to determine whether untreated hearing loss is independently associated with depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China. Study design Observational, cross-sectional study. M...
Article
Objectives To investigate the long-term impact of recurrent otitis media (rOM) and ventilation tube insertion (VTI) in early childhood on hearing outcomes and middle-ear health three to five years later, in a prospective pregnancy cohort study. Methods Children were classified into rOM (n = 314), VTI (n = 94), and reference (n = 1735) groups, acco...
Article
Purpose Children who are Deaf and Hard of Hearing (DHH), their parents, Teachers of the Deaf, and other community stakeholders were involved in co-designing a web-based resource to support students' social–emotional well-being. The resource was designed to provide families and teachers with strategies to enhance the social and emotional well-being...
Preprint
Objective : This study describes the development of an intervention to increase the frequency of audiologists’ asking about and providing information regarding mental wellbeing within adult audiology services. Design : The Behaviour Change Wheel (BCW), an eight-step systematic process, was followed to develop the intervention. Reports describing th...
Article
Full-text available
Objective Age-related hearing loss is one of the leading causes of disability in older adults. This cross-sectional study investigated the association between untreated hearing loss, social (perception of quality and quantity of social network) and emotional loneliness (perception of limited emotional support), social isolation (size of the social...
Article
Objective: The purpose of this study was to explore whether self-reported mental wellbeing (anxiety, depression and loneliness) in audiologists has changed over the course of the COVID-19 pandemic and to examine possible factors contributing to audiologists’ current state of mental wellbeing. Design: Two cross-sectional surveys were distributed at...
Article
Objective: To explore the barriers and facilitators faced by hearing healthcare clinicians (HHCs) with respect to asking adults with hearing loss (HL) about their emotional well-being. Design: This qualitative study was conducted using semi-structured individual interviews and focus groups. The interview topic guide was developed based on the CO...
Article
Full-text available
Introduction Existing research on the potential association between age-related hearing loss (ARHL) and cognitive decline and dementia in tonal language-speaking populations is limited and inconsistent. There is psychophysiological evidence suggesting a tonal language background may be linked to enhanced general cognitive functions. We aim to syste...
Article
Objective: To examine willingness to consider and to pay for various one-to-one telehealth appointments and online group training/information sessions amongst hearing service clients interested in future telehealth. Design: Online survey exploring telehealth usage and attitudes more broadly. Study sample: One-hundred-and-sixty-eight (39.8%) of...
Article
Objective: To identify the barriers and facilitators of hearing healthcare clinicians (HHC) providing information to audiology consumers on (i) the mental health impacts of hearing loss, and (ii) management options for improving mental well-being. Design: A qualitative study using semi-structured individual and group interviews. Both the intervi...
Article
Full-text available
Background The majority of children with sensory impairments live in low- and middle-income countries. More studies of hearing and vision impairment prevalence are needed, in order to generate more accurate estimates of trends in sensory impairments. This study aimed to estimate the prevalence and describe the characteristics of hearing and vision...
Article
Introduction: Mobile health (m-health) has the potential to improve access and uptake of health services globally. Noncommunicable diseases such as hearing loss have seen increasing use of m-health approaches to improve access, scalability, penetration, quality, and convenience of health services. This scoping review describes published research in...
Article
Full-text available
While cochlear implants have helped hundreds of thousands of individuals, it remains difficult to predict the extent to which an individual’s hearing will benefit from implantation. Several publications indicate that machine learning may improve predictive accuracy of cochlear implant outcomes compared to classical statistical methods. However, exi...
Article
Full-text available
Objectives: The objective of the study was to investigate the association between untreated age-related hearing loss and cognitive impairment in Mandarin-speaking older adults living in China. Methods: Older adults (293; 111 males, M = 70.33 ± 4.90 years; 182 females, M = 69.02 ± 4.08 years) were recruited. All participants completed a pure tone au...
Article
Full-text available
Background There is an urgent need to develop new therapies to improve cognitive function in adults following cochlear implant surgery. This study aims to determine if completing at-home computer-based brain training activities improve memory and thinking skills in adults following their first cochlear implant. Methods This study will be conducted...
Article
Purpose This study aimed to (a) identify participant factors associated with hearing aid review (HAR) appointment attendance, (b) investigate whether the completion of self-report survey identifying hearing aid–related problems affects HAR appointment attendance, and (c) investigate whether hearing aid problems and hearing aid management deficienci...
Article
Purpose Hearing loss causes emotional distress and can contribute to the development of psychological difficulties, yet emotional and psychological issues are not addressed within current audiology services. The purpose of this study was to use focus groups with consumer and community representatives to explore how we might improve the provision of...
Article
Full-text available
Purpose Audiology clinical guidelines recommend the use of mental health screening tools; however, they remain underutilized in clinical practice. As such, psychological concerns are frequently undetected in adults with hearing loss. This study aimed to better understand audiology clinic staff's perspectives (including audiologists, audiometrists,...
Article
Objective To compare the asynchronous assessment of video otoscopic still images to recordings by an audiologist and ear, nose and throat surgeon (ENT) for diagnostic reliability and agreement in identifying middle-ear disease. Design A prospective cross-sectional study, asynchronously assessing video otoscopy, tympanometry and case history (Dx1)....
Article
Full-text available
Introduction: Many studies on hearing loss (HL) and cognition are limited by subjective hearing assessments and verbally administered cognition tests, the majority of the document findings in Western populations. This study aimed to assess the association of HL with cognitive impairment among ethnic Chinese Singaporean older adults using visually...
Article
Full-text available
Background and objective Chronic medical conditions accumulate within individuals with age. However, knowledge concerning the trends, patterns and determinants of multimorbidity remains limited. This study assessed the prevalence and patterns of multimorbidity using extensive individual phenotyping in a general population of Australian middle-aged...
Article
Full-text available
Background: Hearing loss affects one in five people worldwide and is estimated to affect one in four by 2050. Treatment relies on accurate diagnosis of hearing loss, but this first step is out of reach for more than 80% of those affected. Increasingly automated approaches are being developed for self-administered digital hearing assessment without...
Preprint
Full-text available
BACKGROUND Hearing loss affects 1 in 5 people worldwide and is estimated to affect 1 in 4 by 2050. Treatment relies on the accurate diagnosis of hearing loss; however, this first step is out of reach for >80% of those affected. Increasingly automated approaches are being developed for self-administered digital hearing assessments without the direct...
Article
Objective The aim of the study was to examine the mental well-being of audiologists in the midst of the COVID-19 pandemic. Design A cross-sectional online survey was conducted during the COVID-19 pandemic, between 23 June and 13 August 2020. A self-report survey included screening measures for psychological distress (PHQ-4: anxiety and depression)...
Preprint
Full-text available
Hearing loss affects one in five people worldwide and is estimated to affect one in four by 2050. Treatment relies on accurate diagnosis of hearing loss, but this first step is out of reach for more than 80% of those affected. Increasingly automated digital approaches are being developed for self-administered hearing assessment without professional...
Article
Full-text available
Importance: The prevalence of hyperacusis and its relationship with mental and general health is unknown in a nonclinical sample. Therefore, we aimed to determine the prevalence of hyperacusis and its relation with hearing, general and mental health in a population-based study. Study design: Prospective population-based study. Material and meth...
Article
Objective To explore the lived experience of social challenges and emotional distress in relation to hearing loss and the coping mechanisms employed to manage them. Design Two focus groups and two one-on-one semi-structured interviews were conducted during February 2020. Transcripts were first inductively analysed to identify experiential categori...
Preprint
Full-text available
Background: There is an urgent need to develop new therapies to improve cognitive function in adults following cochlear implant surgery. This study aims to determine if completing at-home computer-based brain training activities improve memory and thinking skills in adults following their first cochlear implant. Methods: This study will be conducte...
Article
Objective This study surveyed the effects of the COVID-19 pandemic on the audiology workplace. Design The study used a cross-sectional survey design for audiologists across the globe (n = 337) using an online survey (June–August 2020) focussing on changes to the workplace during the pandemic. Results Participants represented varied work settings...
Article
Objectives The aim of this study was to generate a conceptual framework describing which aspects of children and adolescents' lives are affected by chronic tinnitus. Design Views and experiences of 32 participants from two participant groups informed this study: (a) a tinnitus group, consisting of adults who had experienced tinnitus during childho...
Article
Full-text available
Objective To canvas the views of Australia-based hearing healthcare clinicians regarding group audiological rehabilitation practices. Design A national cross-sectional self-report survey. Data were analysed using descriptive statistics and content analysis. Study sample Sixty-two Australia-based hearing healthcare clinicians, with experience work...
Article
Full-text available
Objectives. To generate a conceptual framework describing what is done to reduce the impact of chronic tinnitus on the lives of children and adolescents. Design. Views and experiences of 32 adults from two participant groups informed this concept mapping study: (i) a tinnitus group (adults who experienced tinnitus during childhood/adolescence, and...
Article
Full-text available
Purpose This study aimed to describe and compare the performance of two screening protocols used for preschool hearing screening in resource-constrained settings. Method Secondary data analysis was done to determine the performance of two protocols implemented during a preschool hearing screening program using mobile health technology in South Afr...
Article
Full-text available
Objectives The number of bilateral adult cochlear implant (CI) users and bimodal CI users is expanding worldwide. The addition of a hearing aid (HA) in the contralateral non-implanted ear (bimodal) or a second CI (bilateral) can provide CI users with some of the benefits associated with listening with two ears. Our was to examine whether bilateral...
Article
Purpose To investigate outcome measurement tools for the validation of teleaudiology hearing aid rehabilitation services for adults. Methods A search strategy was developed to identify tools used to evaluate standard and teleaudiology hearing aid rehabilitation services for adults. A seven-domain hearing-health-care service model for validation wa...
Chapter
Background: A deeper knowledge of tinnitus is essential in order to better manage and treat tinnitus and its effects. Most studies to date are based on small samples and/or conducted in clinical settings. In this study we assessed the associations between tinnitus, general and mental health, hearing status and demographics in a large population coh...
Article
Introduction Video otoscopy plays an important role in improving access to ear health services. This study investigated the clinician-rated quality of video otoscopy recordings and still images, and compared their suitability for asynchronous diagnosis of middle-ear disease. Methods Two hundred and eighty video otoscopy image–recording pairs were...
Article
Full-text available
Objective To explore the perceived benefit and likely implementation of approaches used by audiologists to address their adult clients’ psychosocial needs related to hearing loss. Design Adults with hearing loss and audiologists completed separate, but related, surveys to rate their perceived benefit and also their likely use of 66 clinical approa...
Article
Objective To describe the effect of tinnitus distress on the hearing-related quality of life (QoL) outcomes over time in adult cochlear implant (CI) recipients. Design A retrospective, longitudinal study of adult CI recipients was conducted. Hearing-related QoL and tinnitus distress were assessed using the Abbreviated Profile of Hearing Aid Benefi...
Article
Full-text available
The COVID response has put pressure on hearing services to redesign their service offerings, adopt innovative tele-audiology approaches, and be flexible in providing a blended service of care that meets the needs of each individual.
Article
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Objective: To evaluate and compare the effectiveness and quality of standard face-to-face and teleaudiology hearing aid fitting follow-up consultations and blended services for adult hearing aid users. Design and study sample: Fifty-six participants were randomly allocated to two equal groups, with equal numbers of new and experienced users. One...
Article
Objective: To identify the approaches taken by audiologists to address their adult clients' psychosocial needs related to hearing loss. Design: A participatory mixed methods design. Participants generated statements describing the ways in which the psychosocial needs of their adult clients with hearing loss are addressed, and then grouped the st...
Article
Objectives: Emotional and psychological well-being are essential to overall health, but there is little research showing how to approach emotional and psychological concerns in the audiological setting. This study investigated audiologists' self-reported clinical behaviors in response to emotional and psychological concerns and/or symptoms raised...
Article
Objectives To enhance understanding of the lived experience of tinnitus during childhood/adolescence from the reflections of adults who experienced tinnitus during childhood/adolescence and the perceptions of primary carers and clinicians who care for children/adolescents who experience it. Secondly to develop a conceptual framework to better descr...
Article
Full-text available
Purpose The aim of the study was to examine whether otitis media (OM) in early childhood has an impact on language development in later childhood. Methods We analyzed data from 1,344 second-generation (Generation 2) participants in the Raine Study, a longitudinal pregnancy cohort established in Perth, Western Australia, between 1989 and 1991. OM w...
Article
Objective: To explore the prevalence of device-related problems associated with hearing aid use, participants’ help-seeking behaviours for these problems, and factors associated with hearing aid problems. Design: A prospective convenience cohort design surveying 413 adult hearing aid users (34–97 years of age) recruited from seven clinics across Au...
Article
Full-text available
Objective: To investigate the effectiveness of basic fibroblast growth factor (bFGF) versus placebo or no intervention in the treatment of tympanic membrane (TM) perforations from randomized controlled trials (RCTs), prospective and retrospective studies. Data sources: PubMed, EMBASE, and Cochrane databases were screened from their inceptions to...
Article
Full-text available
Objective: To implement and evaluate a community-based hearing and vision screening programme for preschool children in the Western Cape, South Africa, supported by mobile health technology (mHealth) and delivered by community health workers (CHWs). Methods: We trained four CHWs to provide dual sensory screening in preschool centres of Khayelits...
Article
Objective: To investigate hearing aid owners’ decisions to attend or not to attend an annual hearing aid review (HAR) appointment. To investigate the possible factors associated with appointment attendance, including age, gender, transportation, travel time, and hearing aid outcomes. Design: A prospective cohort study. Potential participants were n...
Article
Purpose Children who are deaf and hard of hearing (DHH) face a wide array of issues that can impact their mental health and well-being. This study aimed to explore the role of schools and classroom teachers in supporting the mental health and well-being of DHH children. Method A qualitative study comprising telephone and semistructured interviews...
Article
Background: Clinical studies have found up to 90% of hearing aid owners demonstrate difficulty with basic hearing aid management tasks and almost 50% of hearing aid owners self-report not receiving enough practical help from their clinician regarding how to use their hearing aid. Although studies have highlighted the overwhelming amount of informa...
Article
Background: Extended high-frequency (EHF) audiometry (8-16 kHz) has an important role in audiological assessments such as ototoxicity monitoring, and for speech recognition and localization. Accurate and reliable EHF testing with smartphone technologies has the potential to provide more affordable and accessible hearing-care services, especially i...
Article
Background and Objectives: Studies reporting an association between hearing loss and depression in older adults are conflicting and warrant a systematic review and meta-analysis of the evidence. Research Design and Methods: A search of academic databases (e.g., MEDLINE) and gray literature (e.g., OpenGrey) identified relevant articles published up...
Article
Full-text available
Objective: To evaluate the performance of self-reported hearing loss alone and in combination with pure tone audiometry screening in primary health care clinics in South Africa. Design: Nonprobability purposive sampling was used at 2 primary health care clinics. A total of 1084 participants (mean age 41.2 years; SD 15.5 years; range 16-97 years,...
Article
Purpose: Hearing aid management describes the skills and knowledge required for the handling, use, care, and maintenance of the hearing aid. The importance of hearing aid management skills and knowledge is evidenced by their association with hearing aid outcomes. However, the nature of this association and the influence of participant factors on t...
Article
Purpose: Although hearing health care clinicians provide training on hearing aid handling and management as part of the rehabilitation program, clinical studies suggest that the level of management skill demonstrated by hearing aid owners is low. In the absence of a comprehensive clinical survey to identify these shortfalls in clinical training, t...
Article
Objective To summarise the available literature related to wound healing post tonsillectomy, including the stages of healing, experimental models for assessing healing (in animals and humans) and the various factors that affect wound healing. Methods A search of the English literature was conducted using the Ovid Medline database, with the search...
Data
Supplemental material for Auditory and Cognitive Training for Cognition in Adults With Hearing Loss: A Systematic Review and Meta-Analysis
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Full-text available
Objective To identify which preoperative patient characteristics influence sequential bilateral cochlear implantation performance and to create a statistical model that predicts benefit. Design Multicenter retrospective cohort study. Setting All patients were operated in four academic teaching hospitals in Perth, Australia and followed up by audi...
Article
Purpose: This review examined (a) the current evidence from studies on teleaudiology applications for rehabilitation of adults with hearing impairment with hearing aids and (b) whether it is sufficient to support the translation into routine clinical practice. Method: A search strategy and eligibility criteria were utilized to include articles s...
Article
Full-text available
Background: Hearing loss prevalence data in South Africa is scarce, especially within primary health care settings. Objectives: To determine; (i) the prevalence of hearing disorders in patients ≥3 years of age attending two primary health care clinics, and (ii) the nature and characteristics of hearing disorders at these primary health care clin...
Article
Objective: To evaluate the recent developments in optical coherence tomography (OCT) for tympanic membrane (TM) and middle ear (ME) imaging and to identify what further development is required for the technology to be integrated into common clinical use. Data Sources: PubMed, Embase, Google Scholar, Scopus, and Web of Science. Review Methods: A...
Article
Background: Although hearing aids can improve hearing and communication, problems that arise following the acquisition of hearing aids can result in their disuse. This study aimed to gather perspectives of hearing aid owners and hearing health care clinicians about how hearing aid owners respond to problems that arise following hearing aid fitting...