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<p>This cross-sectional study examined caregiver-reported barriers and facilitators influencing parental involvement in home-based aural habilitation for children with hearing impairment in Malaysia and reports preliminary psychometric evidence for the Home-Based Aural Habilitation, Barriers, Readiness, and Facilitators (HBAH-BRF) Questionnaire. A total of 135 caregivers completed the questionnaire assessing perceived barriers, facilitators, caregiver readiness, professional support, and overall satisfaction using a five-point Likert scale. Internal consistency was acceptable to excellent across domains (Cronbach’s α = 0.71–0.95). Domain-level scores showed comparatively lower endorsement of barriers (M = 2.43, SD = 0.81) and stronger endorsement of facilitators (M = 3.45, SD = 0.46), readiness (M = 3.89, SD = 0.53), professional support (M = 3.89, SD = 0.52), and satisfaction with audiology services (M = 4.19, SD = 0.75). Principal component analysis of the Facilitators domain suggested a four-component solution that was conceptually interpretable, comprising family and peer support, professional and service support, technological support, and training and resource accessibility. These findings provide preliminary evidence of internal consistency across HBAH-BRF domains and initial component-level evidence for the Facilitators domain. The results identify caregiver-reported targets that may inform family-centred support for home-based aural habilitation in Malaysia.</p>

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Caregiver-reported barriers and facilitators in home-based aural habilitation for children with hearing impairment in Malaysia

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月6日

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  • Nurul Aini Bani,
  • Nurul Huda Bani,
  • Mohd Azmarul A Aziz,
  • Nurul Ayu Najwa Mohd Zubir,
  • Mas Diana Samsudin

摘要

This cross-sectional study examined caregiver-reported barriers and facilitators influencing parental involvement in home-based aural habilitation for children with hearing impairment in Malaysia and reports preliminary psychometric evidence for the Home-Based Aural Habilitation, Barriers, Readiness, and Facilitators (HBAH-BRF) Questionnaire. A total of 135 caregivers completed the questionnaire assessing perceived barriers, facilitators, caregiver readiness, professional support, and overall satisfaction using a five-point Likert scale. Internal consistency was acceptable to excellent across domains (Cronbach’s α = 0.71–0.95). Domain-level scores showed comparatively lower endorsement of barriers (M = 2.43, SD = 0.81) and stronger endorsement of facilitators (M = 3.45, SD = 0.46), readiness (M = 3.89, SD = 0.53), professional support (M = 3.89, SD = 0.52), and satisfaction with audiology services (M = 4.19, SD = 0.75). Principal component analysis of the Facilitators domain suggested a four-component solution that was conceptually interpretable, comprising family and peer support, professional and service support, technological support, and training and resource accessibility. These findings provide preliminary evidence of internal consistency across HBAH-BRF domains and initial component-level evidence for the Facilitators domain. The results identify caregiver-reported targets that may inform family-centred support for home-based aural habilitation in Malaysia.