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Pediatricians' Awareness and Knowledge on Symptoms and Difficulties Associated With Auditory Processing Disorder
Maneesh Sharma1, Jayashree Seethapathy1, Varsha Shankar1
1Department of Audiology, Sri Ramachandra Faculty of Audiology and Speech Language Pathology, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.
Insights
Pediatricians in India are aware of central auditory processing disorder (CAPD) but lack detailed knowledge for effective diagnosis and management. Enhancing their understanding through training is crucial for early intervention.
Area of Science:
- Pediatrics
- Audiology
- Neuroscience
Background:
- Central auditory processing disorder (CAPD) significantly impacts listening, communication, and academic success.
- Early identification and management of CAPD require a multidisciplinary approach.
- Assessing healthcare professionals' knowledge is vital for bridging the gap between CAPD identification and intervention.
Purpose of the Study:
- To evaluate the awareness and knowledge of CAPD among pediatricians in India.
- To identify potential gaps in understanding CAPD among primary pediatric care providers.
Main Methods:
- A questionnaire-based cross-sectional survey was conducted.
- The questionnaire assessed awareness and knowledge of CAPD causes, symptoms, assessment, and management.
- 118 pediatricians in India with at least one year of experience participated.
Main Results:
- Over 94% of pediatricians were aware of CAPD, but only 32.2% had diagnosed it.
- Recognition of CAPD symptoms varied, with more experienced and highly qualified pediatricians showing better understanding.
- Knowledge of the multidisciplinary team for CAPD diagnosis and management was generally good.
Conclusions:
- Indian pediatricians have general CAPD awareness but lack in-depth knowledge of symptoms and management.
- Clinical experience and postgraduate education correlate with better understanding of CAPD symptomatology.
- Targeted training and improved referral systems are needed to enhance early CAPD identification and intervention.
Background And Objectives:
Early identification and management of (central) auditory processing disorder [(C)APD] necessitate a multidisciplinary approach due to its potential effects on listening, communication, and academic performance. It is crucial to assess the awareness and knowledge of the team members involved in the management of (C)APD to bridge the gap between early identification and intervention. The aim of this study was to assess the awareness and knowledge of (C)APD among pediatricians in India.
Subjects And Methods:
This study used a questionnaire-based cross-sectional survey. Phase I involved the development and content validation of the questionnaire. The questionnaire contained 14 closed-ended questions to assess the awareness and knowledge of the causes, symptoms, assessment, treatment, and management of (C)APD. Phase II involved the administration of the developed questionnaire to 118 pediatricians practicing in India with at least one year of experience.
Results:
The findings of the study indicated that the majority (94.07%) of the pediatricians were aware of (C)APD, but only a few had diagnosed a child with (C)APD (32.2%). Most pediatricians showed varying levels of accuracy in recognizing common symptoms of (C)APD. Subgroup analyses of the symptom knowledge domain using Fisher's exact chi-square tests revealed that pediatricians with ≥11 years of experience (p=0.043) and those with postgraduate qualifications demonstrated significantly better recognition of (C)APD symptoms (p=0.009). Participants demonstrated a good understanding of the multidisciplinary team involved in the diagnosis and management of (C)APD.
Conclusions:
Pediatricians in India possess a good general awareness of (C)APD but limited detailed knowledge of its symptoms and management. Clinical experience and postgraduate qualifications were associated with a greater understanding of (C)APD symptomatology. The gap between knowledge and clinical practice underscores the need for targeted training, curriculum integration, and structured referral pathways to improve early identification and intervention for (C)APD.
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