Abstract Details
9/09/2025 | 1:00 PM - 2:00 PM | Breakout 5 | Memorial Hall
cCMV screening towards implementation: Parental and staff perspectives
Abstract Summary
Background: International guidelines recommend targeted congenital cytomegalovirus (cCMV) screening, and consideration for universal screening. To maximise the chances of successful implementation of saliva cCMV screening programs, parental and staff perspectives must be taken into consideration. Aims: We aimed to qualitatively describe parental and staff experiences of targeted saliva cCMV screening through Universal Newborn Hearing Screening (UNHS) in Victoria, Australia. Methods: Parental experiences: 18 semi-structured interviews with parents who took saliva swabs from their infants who did not pass their UNHS. A maximum variation sampling strategy was used with data analysed using thematic analysis. Staff experiences: five one-hour focus group discussions with UNHS staff, guided by the Theoretical Domains Framework (TDF). Analyses included thematic analysis within TDF domains to identify key barriers/enablers. Results: Parental experiences - four themes: Parents (1) lacked CMV awareness prior to cCMV screening; (2) had overall positive experiences; (3) had varied understanding of CMV post screening; (4) were glad to screen their infant for cCMV. Enablers of screening: the swab was simple, non-invasive, easier in the hospital, and well-delivered by staff. Barriers of screening: potential anxiety, especially with false positives, timing of cCMV screening coincided with their infant not passing UNHS. Staff experiences - four TDF domains: (1) knowledge and skills of both staff and parents; (2) beliefs about capabilities and professional role; (3) beliefs about consequences for both staff and parents; (4) environmental context and resources. Conclusions: Parent experiences of targeted saliva cCMV screening were positive. Increasing public knowledge of cCMV and training staff members to complete the CMV swab would reduce the risk of false positives and associated parental anxiety. Education for both staff and parents around cCMV is instrumental in addressing concerns around perceived capabilities and consequences for staff within their professional role, as well as furthering education for staff around cCMV screening processes.
Learning Objectives
- Describe parental and staff perspectives of saliva cCMV screening
- Identify enablers and barriers of saliva cCMV screening
- Apply and integrate parental and staff perspectives when developing saliva cCMV screening programs
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Presenters
Emma Webb | Primary Presenter, Author
emma.webb@mcri.edu.au;
Audiologist and PhD candidate
ASHA DISCLOSURE
Financial -
Nonfinancial -
AAA DISCLOSURE
Financial - No relevant financial relationship exists.
Jan Hodgson | Co-Author
hodgson@unimelb.edu.au;
Professor at the University of Melbourne and Program Director for the Master of Genetic Counselling and the Master of Genomics and Health.
ASHA DISCLOSURE
Financial -
Nonfinancial -
AAA DISCLOSURE
Financial - No relevant financial relationship exists.
Cheryl A. Jones | Co-Author
cheryl.jones1@unsw.edu.au ;
Professor Cheryl Jones is a world-renowned paediatric infectious diseases physician clinician-scientist and health and medical educator. She is Dean of Medicine and Health at UNSW. A Fellow of the Australian Academy of Health & Medical Sciences, she has secured over $35 million in peer-reviewed funding and published more than 170 peer reviewed publications. Her research, particularly on childhood encephalitis, vaccination and mother to child transmission of infections, has significantly influenced global health policy. Professor Jones has held senior executive positions at leading University and Health and Medical research institutions, professional societies and statutory authorities and actively contributes to government policy and clinical practice guidelines. She is a Director of the Australian Medical Council, an Executive Member of the AAHMS Council and a Director of the Ramsay Health Care Research Foundation. Prof Jones co-leads the ACMVR with Prof Asha Bowen and A/Prof Hayley Smithers-Sheedy.
ASHA DISCLOSURE
Financial -
Nonfinancial -
AAA DISCLOSURE
Financial - No relevant financial relationship exists.
Alanna N. Gillespie | Co-Author
alanna.gillespie@mcri.edu.au ;
Senior research assistant
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Financial -
Nonfinancial -
AAA DISCLOSURE
Financial - No relevant financial relationship exists.
Zeffie Poulakis | Author, Co-Author
zeffie.poulakis@rch.org.au;
Clinical psychologist with expertise in working with children, adolescents and families. Researcher in the field of psychosocial outcomes (psychological, language and learning) amongst children with hearing loss.
ASHA DISCLOSURE
Financial -
Nonfinancial -
AAA DISCLOSURE
Financial - No relevant financial relationship exists.
Gary Rance | Co-Author
grance@unimelb.edu.au;
Audiologist, clinical researcher and Professor at the University of Melbourne where he holds the Graeme Clark Chair in Audiology and Speech Science. His research areas include auditory evoked potentials, auditory neuroscience and the perceptual effects of permanent and transient hearing loss. He is a leader in the field of auditory neuropathy (AN) and was responsible for the first publications to describe this form of hearing abnormality in newborn babies
ASHA DISCLOSURE
Financial -
Nonfinancial -
AAA DISCLOSURE
Financial - No relevant financial relationship exists.
Valerie Sung | Author, Co-Author
valerie.sung@rch.org.au;
Associate Professor Valerie Sung is a consultant paediatrician at The Royal Children's Hospital, Senior Research Fellow at the Murdoch Children's Research Institute, and Honorary Clinical Associate Professor at the University of Melbourne. A/Prof Sung’s research program on child deafness uses a health services framework focussing on ethically-sound and consumer-accepted ways to enable use of (i) routine clinical and health services data for quality improvement and research, and (ii) large-scale registries as a platform to answer important research questions and facilitate intervention trials. Specifically, A/Prof Sung’s research aims to (i) identify early predictors of child outcomes for precision medicine, (ii) establish evidence-based management through interventional trials, and (iii) discover ways to prevent or reduce adverse challenges faced by deaf and hard of hearing children and their families. Her deafness research program was recognised by a 2019 L'Oréal-UNESCO Australia For Women in Science Fellowship.
ASHA DISCLOSURE
Financial - No relevant financial relationship exists.
Nonfinancial - No relevant nonfinancial relationship exists.
AAA DISCLOSURE
Financial - No relevant financial relationship exists.