Kid s Ears: do you know what you are looking at?
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1 Kid s Ears: do you know what you are looking at? CRANAplus Conference, Darwin September, 2013 Jacki Ward Rob Eikelboom, Isabelle Ellis, Timothy Skinner
2 What we already know: Very common childhood complaint Most children have their first episode of ear disease between 6-18 months of age Ear disease is more prevalent in Aboriginal children than non- Aboriginal children Can be greater than 4% of the Aboriginal populapon
3 Ear disease There are several types of opps media: 1. Acute OPPs Media (AOM) without perforapon: presence of fluid in the middle ear with signs and/or symptoms of infecpon. 2. AOM with perforapon: purulent discharge from the middle ear via a hole (perforapon) in the tympanic membrane.
4 Ear disease 3. Chronic suppurapve opps media (CSOM): recurrent or persistent purulent discharge from the middle ear via a perforapon in the tympanic membrane, for greater than six weeks durapon. 4. OPPs media with effusion (OME): fluid in the middle ear without signs and/or symptoms of infecpon. May be known as 'glue ear'.
5 Ear disease Can cause hearing loss: Impact on speech and language development Learning problems Behavioural problems Exacerbates disadvantage
6 Background to project EducaPon in ear health was difficult to obtain due to limited or no available local training. A high turnover of health professionals in rural and remote areas resulted in a lack of transfer of knowledge to new people taking up posipons. Limited opportunipes for Professional Development.
7 Kid s Ears: do you know what you are looking at? There needs to be an easy, cost effecpve way for rural & remote health professionals to learn about ear health.
8 Project Aims Conduct an on- line survey Develop an on- line learning tool in ear health
9 Survey Link ed out to contacts throughout Australia All health professions working in rural or remote Australia targeted
10 Survey 165 responses 98 incomplete 67 people completed all quespons
11 Professions
12 Survey Results Least correct (Low) Medium Most correct (High) < >0.6 Discharge Scarring of ear drum Grommet Retraction Inflammation Foreign object in ear canal Wax (not obscuring ear drum) Effusion (fluid behind ear drum) Perforation Wax (obscuring ear drum) Image too poor Normal
13 Perfora'on Discharge Inflamma'on Scarring
14 Learning Program An on- line educaponal tool developed Completed using Q- Stream
15 Amendment Study amended to include: 2 x RCS schools complepng the inipal survey ComplePng the on- line learning tool RepeaPng the survey
16 Q-Stream Website hep://qstream.com/
17 Conclusion Web site available now: Register on- line 3 images every 2 days Repeated every 3 days if incorrect Repeated once in 8 days if correct RecogniPon of complepon
18 Thank you Any QuesPons?
19 References Doyle J, Ristevski E. Less germs, less mucus, less snot: teachers' and health workers' perceppons of the benefits and barriers of ear health programs in lower primary school classes. Australian Journal of Primary Health. 2010;16(4): Available from: jlh Huntley P, Woods B, Rudge S. Healthy Ears, Happy Kids: a new approach to Aboriginal child ear health in NSW. New South Wales Public Health BullePn. 2012;23(4): Gunasekera H, Morris PS, McIntyre P, Craig JC. Management of children with opps media: A summary of evidence from recent systemapc reviews. Journal of Paediatrics & Child Health [Research Support, Non- U.S. Gov't] Jul- Aug;45: Lehmann D, Arumugaswamy A, Elsbury D, Finucane J, Stokes A, Monck R, et al. The Kalgoorlie OPPs Media Research Project: raponale, methods, populapon characterispcs and ethical considerapons. Paediatric and Perinatal Epidemiology [Research Support, Non- U.S. Gov't] Jan;22(1): Available from: MEDLINE Rovers MM. The burden of opps media. Vaccine. 2008;11(005). OPPs Media Causes [Internet]. News- Medical.Net; 2013 [cited /07]. Available from: hep:// medical.net/health/opps- Media- Causes.aspx Wiertsema SP, Leach AJ. Theories of opps media pathogenesis, with a focus on Indigenous children. Medical Journal of Australia Nov 2;191(9 Suppl):S50-4. Available from: MEDLINE Craemer R, Eikelboom RH, Ellis I, McManus T, Larson A, Atlas MD. Ear tele- health in the Pilbara: costs and benefits.; 2009.
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