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Smith SK, O'Connell GB, Knibb R, Greenwood R, Hussain S, Shaw R, Straus J, Banks J, Hall A, Dhanda N, Noble S, Pryce H. Development of the First Patient-Reported Experience Measure (PREM) for Hearing Loss in Audiology Care-My Hearing PREM. Health Expect 2024; 27:e70088. [PMID: 39506495 PMCID: PMC11540936 DOI: 10.1111/hex.70088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2024] [Revised: 10/14/2024] [Accepted: 10/16/2024] [Indexed: 11/08/2024] Open
Abstract
CONTEXT Patient-reported experience measures (PREMs) provide important insights into the challenges experienced when living with a chronic condition. Although patient-reported outcome measures (PROMs) exist in audiology, there are no validated PREMs to help clinicians understand patient perspectives and identify areas where patients may need additional support or interventions. OBJECTIVE The aim of this study was to develop and evaluate content for the new 'My Hearing PREM', which captures lived experiences of hearing loss from patients' perspectives. DESIGN My Hearing PREM was developed and tested in two key phases. Phase 1 involved generating the PREM prototype in accordance with our conceptual model of the lived experience of hearing loss. In Phase 2, cognitive interviews were conducted with adults with hearing loss to appraise the content of the PREM (relevance, clarity, acceptability and comprehensiveness) and assess its respondent burden. Key stakeholders (e.g., adults with hearing loss, patient and public representatives, clinicians and researchers) were consulted throughout Phases 1 and 2 to review and refine the PREM. Interview data were analysed using thematic analysis. SETTING AND PARTICIPANTS Sixteen participants (aged 16 years and over) with hearing loss took part in cognitive interviews, recruited from UK audiology departments and non-clinical settings (e.g., lip-reading classes, national charity links and social media). RESULTS Most PREM items were found to be relevant, clear, acceptable and comprehensive. Several problems were identified, including items not working well with the response scale options, irrelevant questions and a lack of clarity about terms (e.g., healthcare professionals) and whether questions should be answered based on the use of hearing aids (or not). The PREM was amended accordingly. CONCLUSIONS Currently, no hearing loss-specific PREMs exist in audiology. Involving multiple stakeholders in the development of the PREM helped to ensure that the items were relevant, clear, acceptable and comprehensive. The PREM is undergoing further evaluation and refinement in preparation for investigating the feasibility of implementing it into clinical practice. PATIENT OR PUBLIC CONTRIBUTION Ongoing Patient and Public Involvement and Engagement (PPIE) with key groups (South Asian Women's groups, young people's groups, learning disability networks and student populations) was integral to the study. PPIE members reviewed patient information sheets and consent forms, advised on recruitment, reviewed the interview schedule and checked coding and analysis procedures. PPIE members provided feedback on the PREM's comprehensibility. Members of the public, including adults attending lip-reading classes and hearing aid users from the South Asian community, provided feedback on iterative PREM drafts.
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Affiliation(s)
- Sian K. Smith
- School of OptometryDepartment of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
| | - Georgina Burns O'Connell
- School of OptometryDepartment of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
| | - Rebecca Knibb
- School of Psychology, College of Health and Life SciencesAston UniversityBirminghamUK
- Institute of Health & NeurodevelopmentAston UniversityBirminghamUK
| | - Rosemary Greenwood
- Health SciencesUniversity of YorkYorkUK
- University Hospitals Bristol and Weston NHS Foundation TrustBristolUK
| | - Saira Hussain
- School of OptometryDepartment of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
| | - Rachel Shaw
- School of Psychology, College of Health and Life SciencesAston UniversityBirminghamUK
- Institute of Health & NeurodevelopmentAston UniversityBirminghamUK
| | - Jean Straus
- Patient and Public Involvement Lead, HeLP research study
| | - Jonathan Banks
- National Institute for Health Research, Applied Research Collaboration West (NIHR ARC West)University Hospitals Bristol and Weston NHS Foundation TrustBristolUK
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolBristolUK
| | - Amanda Hall
- School of OptometryDepartment of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
- University Hospitals Bristol and Weston NHS Foundation TrustBristolUK
| | - Nisha Dhanda
- Patient and Public Involvement Lead, HeLP research study
- Institute of Applied Health Research, College of Medical and Dental SciencesUniversity of BirminghamBirminghamUK
| | - Sian Noble
- Population Health Sciences, Bristol Medical SchoolUniversity of BristolBristolUK
| | - Helen Pryce
- School of OptometryDepartment of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
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DiFabio D, Moodie S, O'Hagan R, Servais M, Tremblay P, Glista D. Unlocking the Potential of Pediatric Virtual Care: An e-Delphi Study on a Virtual Caregiver Participation Framework in Audiology. Am J Audiol 2024:1-14. [PMID: 39556036 DOI: 10.1044/2024_aja-24-00125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2024] Open
Abstract
PURPOSE Virtual service delivery models in audiology have become more accessible due to recent technological advancement and improved system-level uptake following COVID-19. Although current evidence identifies the benefits of virtual care to families with children who are d/Deaf or hard of hearing and supports its use in practice, this delivery model is still underutilized. This research aimed to gain consensus on an evidence-informed virtual caregiver participation framework developed from a scoping review of the communication sciences and disorders literature. METHOD A two-round modified e-Delphi study was conducted to survey 26 knowledge users from four different countries with experience in virtual audiology care, including caregivers, audiologists, researchers, and organizational leaders. The study employed Delphi techniques, building from a scoping review to synthesize existing literature informing the knowledge gap, including online surveys and team discussions. Consensus was defined numerically (75% agreement) and by comparing and interpreting text-based responses. RESULTS The resulting framework grouped nine categories of caregiver participation in virtual care according to three main readiness domains: core readiness (opportunities to participate, perceived value, and willingness to participate), engagement readiness (child capacity, family-provider relationship, and role in the care process), and structural readiness (environment for participation, support, and technology). CONCLUSION This work adds novel contributions to the field, through the development of a framework for caregiver participation in virtual audiology care, that can be used to support family involvement and will guide clinical tool development and future research efforts.
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Affiliation(s)
- Danielle DiFabio
- Faculty of Health Sciences, School of Health & Rehabilitation Sciences, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
| | - Sheila Moodie
- Faculty of Health Sciences, School of Health & Rehabilitation Sciences, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
- National Centre for Audiology, Western University, London, Ontario, Canada
| | - Robin O'Hagan
- National Centre for Audiology, Western University, London, Ontario, Canada
| | - Michelle Servais
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
- National Centre for Audiology, Western University, London, Ontario, Canada
- TVCC, London, Ontario, Canada
| | - Paul Tremblay
- Department of Psychology, Western University, London, Ontario, Canada
| | - Danielle Glista
- Faculty of Health Sciences, School of Health & Rehabilitation Sciences, Western University, London, Ontario, Canada
- Faculty of Health Sciences, School of Communication Sciences and Disorders, Western University, London, Ontario, Canada
- National Centre for Audiology, Western University, London, Ontario, Canada
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Desai N, Beukes EW, Manchaiah V, Mahomed-Asmail F, Swanepoel DW. Consumer Perspectives on Improving Hearing Aids: A Qualitative Study. Am J Audiol 2024; 33:728-739. [PMID: 38768085 DOI: 10.1044/2024_aja-23-00245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2024] Open
Abstract
PURPOSE Hearing aids play a pivotal role in mitigating the impact of hearing loss, yet their adoption and consistent usage remains suboptimal. Understanding the hearing aid needs of individuals with hearing loss is important to support uptake, use, and outcomes. The current study describes users' perspectives on how hearing aids can be improved. METHOD A cross-sectional, qualitative, content analysis design was used for an open-ended question from an online survey, exploring user perspectives on hearing aid improvements. Participants were adult hearing aid users in the United States, surveyed from the HearingTracker and Lexie Hearing user database. RESULTS A total of 628 participants (Mage = 66 years) were surveyed. The majority of participants used bilateral, behind-the-ear hearing aids that were obtained either through a hearing health care professional or online. Three domains, highlighting areas for hearing aid improvement, were identified. (a) The hearing aid features domain described user issues surrounding physical appearance and fit, general features, streaming, battery functionality, adjustments, smartphone applications, and hearing aid-related accessories. There was dissatisfaction with aesthetics and functionality, with a notable desire for improvements in physical appearance and fit (n = 161), and features to improve self-efficacy. (b) The sound quality domain described user issues surrounding sound perception and difficult situations. Participants highlighted unmet needs for clarity, especially in noisy environments (n = 143). (c) The service-delivery domain described user issues surrounding audiology services and general satisfaction, with criticisms centered on the high cost of hearing aids (n = 193) and the credibility of hearing health care professionals. CONCLUSIONS Hearing aid users appreciated current technological advances but expressed a need for improvements, to better align devices with their requirements. Key areas included physical aesthetics, user control over device adjustments, sound clarity, cost accessibility, and trust between the user and hearing health care professional. Future designs should focus on features enhancing user autonomy and self-efficacy.
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Affiliation(s)
- Nabeelah Desai
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
| | - Eldré W Beukes
- Virtual Hearing Lab, Collaborative initiative between University of Colorado School of Medicine, Aurora, and University of Pretoria, South Africa
- Vision and Hearing Sciences Research Group, Anglia Ruskin University, Cambridge, United Kingdom
| | - Vinaya Manchaiah
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
- Virtual Hearing Lab, Collaborative initiative between University of Colorado School of Medicine, Aurora, and University of Pretoria, South Africa
- Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora
- UCHealth Hearing and Balance, University of Colorado Hospital, Aurora
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal Academy of Higher Education, India
| | - Faheema Mahomed-Asmail
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
- Virtual Hearing Lab, Collaborative initiative between University of Colorado School of Medicine, Aurora, and University of Pretoria, South Africa
| | - De Wet Swanepoel
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
- Virtual Hearing Lab, Collaborative initiative between University of Colorado School of Medicine, Aurora, and University of Pretoria, South Africa
- Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora
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Zuriekat M, Alqudah S, Semeraro H, Watson V, Rowan D, Kirby S, Ferguson M. The audiological rehabilitation of workers with hearing loss in the UK: a qualitative study of workers' perspectives. Disabil Rehabil 2024; 46:3946-3960. [PMID: 37800442 DOI: 10.1080/09638288.2023.2261375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 09/07/2023] [Accepted: 09/15/2023] [Indexed: 10/07/2023]
Abstract
PURPOSE Unaddressed hearing loss can adversely affect employment and day-to-day work-life. Efficient and effective audiology support can help optimise hearing in the workplace. This study explores the audiological rehabilitation experiences of workers with hearing loss (WHL). MATERIALS AND METHODS Twenty-four WHL with experience of a wide range of audiology services across the UK participated in semi-structured interviews. Interviews were analysed using inductive thematic analysis. RESULTS Three main themes were generated: Theme 1: mixed experiences with audiology services (subdivided into two subthemes and four sub-subthemes). Theme 2: audiology role in work support (subdivided into three subthemes). Theme 3: "I think support could be improved if…" (subdivided into two subthemes). CONCLUSION The audiological rehabilitation for working-age adults with hearing loss needs improvements to deliver sufficient support and quality care. Some of the barriers to having better-functioning hearing healthcare require fundamental standards in healthcare quality, such as access to services, staff (including audiologists) deaf awareness, information and technology support, and personalised care that considers work-life needs. Further research is required to evaluate the feasibility and cost-effectiveness of improvements, such as support that extends beyond hearing aid care, whether from audiology or non-audiology services.
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Affiliation(s)
- Margaret Zuriekat
- Department of Special Surgery, School of Medicine, University of Jordan & Jordan University Hospital, Amman, Jordan
- Institute of Sound and Vibration Research, University of Southampton, Southampton, UK
| | - Safa Alqudah
- Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science & Technology, Irbid, Jordan
| | | | - Victoria Watson
- Institute of Sound and Vibration Research, University of Southampton, Southampton, UK
| | - Daniel Rowan
- Institute of Sound and Vibration Research, University of Southampton, Southampton, UK
| | - Sarah Kirby
- Academic Unit of Psychology, University of Southampton, Southampton, UK
| | - Melanie Ferguson
- School of Allied Health, Curtin University, Perth, WA, Australia
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Young J, Withey H, Lloyd Jones S, Marino LV, Milchard A, Garner L, Forsdyke A, Kidd R. My hearing explained for children: exploring use of this discussion tool in clinical practice. Int J Audiol 2024:1-9. [PMID: 38970784 DOI: 10.1080/14992027.2024.2369645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 06/13/2024] [Indexed: 07/08/2024]
Abstract
OBJECTIVE To explore the clinical use of 'My Hearing Explained for Children' (MHEfC) with children aged 8-11 years, from the perspectives of the child, parents and audiologist. DESIGN A mixed methods randomised control trial. Participants completed evaluation questionnaires after their appointment. Statistical and thematic analyses were used to examine the rating scale and open response elements of the questionnaires respectively. STUDY SAMPLE 45 families participated, 24 randomised to MHEfC and 21 to standard care. RESULTS Use of MHEfC increased the appointment duration by 8.2 minutes (95% CI 4.1 to 14.2 minutes), which was acceptable to parents (96%) and audiologists (67%). It promoted conversation around 'behavioural and communication tactics', 'specific listening situations' and 'listening effort' at the expense of 'anatomy/physiology/aetiology'. MHEfC positively impacted the discussion of test results (54%); ease of finding joint solutions to problems (71%); and the nature of issues and management options discussed (54%). Parental satisfaction with discussion was high on both pathways, so some parents and audiologists questioned MHEfC necessity and recommended targeted use in future. CONCLUSIONS MHEfC was acceptable to children (70%) and parents (86%). It successfully promoted child-centred topics of discussion and can positively impact discussion outcomes.
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Affiliation(s)
- Jacqueline Young
- Department of Audiology and Hearing Therapy, University Hospitals Southampton, United Kingdom of Great Britain and Northern Ireland
| | - Harriet Withey
- Department of Audiology and Hearing Therapy, University Hospitals Southampton, United Kingdom of Great Britain and Northern Ireland
| | - Sian Lloyd Jones
- Department of Audiology and Hearing Therapy, University Hospitals Southampton, United Kingdom of Great Britain and Northern Ireland
| | - Luise V Marino
- Department of Audiology and Hearing Therapy, University Hospitals Southampton, United Kingdom of Great Britain and Northern Ireland
| | - Abby Milchard
- Department of Audiology and Hearing Therapy, University Hospitals Southampton, United Kingdom of Great Britain and Northern Ireland
| | - Lisa Garner
- Department of Audiology and Hearing Therapy, University Hospitals Southampton, United Kingdom of Great Britain and Northern Ireland
| | - Annabel Forsdyke
- Department of Audiology and Hearing Therapy, University Hospitals Southampton, United Kingdom of Great Britain and Northern Ireland
| | - Rachel Kidd
- Department of Audiology and Hearing Therapy, University Hospitals Southampton, United Kingdom of Great Britain and Northern Ireland
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Lough M, Whiston H, Saunders GH. The impact of using the Ida "My Hearing Explained" tool on audiologists' language and patient understanding of hearing test results: a comparison with standard audiogram explanations. Int J Audiol 2024:1-10. [PMID: 38824465 DOI: 10.1080/14992027.2024.2358432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 05/17/2024] [Indexed: 06/03/2024]
Abstract
OBJECTIVE Explore the impact of Ida's "My Hearing Explained" (MHE) tool on audiologists' language and patients' understanding/interpretation of hearing test results. DESIGN Audiologists were video-recorded in two sequential conditions: 1) giving standard audiogram explanations to 13 patients and, 2) following discretionary self-training, giving explanations using the MHE tool (nine patients). Outcomes of interest were audiologists' language complexity, use of jargon, and audiologist-patient interactivity. Semi-structured patient interviews, conducted 1-7 days after appointments, were analysed using inductive qualitative content analysis. Patient recall was verified. STUDY SAMPLE Four audiologists from one United Kingdom audiology service, and 22 patients (mean age 63.5 yrs) participated. RESULTS In comparison to standard audiogram explanations, audiologists' language was simpler and audiologist-patient interactivity greater with the MHE tool. Interview data analysis revealed differences between explanation types within the themes of "Understanding" and "Interpretation." 54% (standard audiogram) and 22% (MHE tool) of patients expressed a desire for takeaway information. 31% (standard audiogram) and 67% (MHE tool) of patients reported their explanation helped them relay their results to others. Four patients (one receiving the MHE tool) incorrectly recalled information, suggesting inadequate understanding in these cases. CONCLUSIONS The MHE tool has potential for improving the accessibility and comprehensibility of hearing test results.
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Affiliation(s)
- Melanie Lough
- Manchester Centre for Audiology and Deafness, School of Health Sciences, The University of Manchester, UK
| | - Helen Whiston
- Manchester Centre for Audiology and Deafness, School of Health Sciences, The University of Manchester, UK
| | - Gabrielle H Saunders
- Manchester Centre for Audiology and Deafness, School of Health Sciences, The University of Manchester, UK
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Smith SK, Pryce H, O'Connell GB, Hussain S, Shaw R, Straus J. 'The burden is very much on yourself': A qualitative study to understand the illness and treatment burden of hearing loss across the life course. Health Expect 2024; 27:e14067. [PMID: 38715316 PMCID: PMC11076985 DOI: 10.1111/hex.14067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 04/24/2024] [Accepted: 04/25/2024] [Indexed: 05/12/2024] Open
Abstract
INTRODUCTION Hearing loss is a chronic health condition that rises sharply with age. The way people respond to and cope with health conditions is influenced by their capacity to perform illness and treatment-related work. The aim was to explore the cumulative burdens of living with hearing loss and the resources mobilised to ease the burdens. METHODS A qualitative design was used with semi-structured interviews (online or in-person) with participants recruited through audiology services and nonclinical services, such as lip-reading classes. Forty-six participants with hearing loss aged between 16 and 96 years were interviewed. An abductive approach, informed by May et al.'s burden of treatment theory, was used to analyse the data. RESULTS The illness burden involved participants working to make sense of their hearing loss, engaging in emotional work in response to changes in sound, social interactions and identity and coping with the daily frustrations required to communicate with others. Abandonment and uncertainty characterised the treatment burden; participants engaged in emotional work to adjust to hearing technology and deal with the uncertainty of how their hearing might progress. To ameliorate the burdens, participants drew on internal resources (psychological, health literacy, cognitive) and external resources (social support, financial, information, technology). CONCLUSIONS The workload of hearing loss appears largely devolved to the patient and is not always visible. Our work indicates the need to widen approaches in audiological care through the implementation of lifeworld-led care, family-centred care and peer support to build support for those with hearing loss. PATIENT OR PUBLIC CONTRIBUTION We developed the project in consultation with members of the public who have lived experience of hearing loss recruited through Aston University and volunteer links to audiology services. We also consulted people more likely to be affected by hearing loss adults including adults with learning disabilities, older adults in residential care and people from South Asia (Bangladeshi, Indian and Pakistani communities). These individuals commented on the study aims, interview schedule and participant recruitment practices. One of our co-authors (expert by experience) contributed to the development and interpretation of themes and preparation of the final manuscript.
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Affiliation(s)
- Sian K. Smith
- Department of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
| | - Helen Pryce
- Department of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
| | | | - Saira Hussain
- Department of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
| | - Rachel Shaw
- Aston Institute of Health and Neurodevelopment and School of Psychology, College of Health and Life SciencesAston UniversityBirminghamUK
| | - Jean Straus
- Department of Audiology, College of Health and Life SciencesAston UniversityBirminghamUK
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Malmberg M, Hagberg J. Synchronous remote fine-tuning and follow-up within aural rehabilitation: a randomised controlled trial. Int J Audiol 2024; 63:458-466. [PMID: 36971711 DOI: 10.1080/14992027.2023.2188437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 02/24/2023] [Accepted: 03/01/2023] [Indexed: 03/29/2023]
Abstract
OBJECTIVE The objective of the study was to evaluate the effect of including synchronous remote fine-tuning and follow-up as a part of the aural rehabilitation process. DESIGN A randomised controlled trial (RCT). STUDY SAMPLE Experienced hearing aid users who were due for renewed aural rehabilitation were randomised to either an intervention group (n = 46) or a control group (n = 49). Both groups underwent all stages of the conventional renewed aural rehabilitation process within our clinics, but the intervention group was also offered remote follow-up visits, including an opportunity for synchronous remote fine-tuning of hearing aids. The Hearing Handicap Inventory for the Elderly/Adults (HHIE/A), the Abbreviated Profile of Hearing Aid Benefit (APHAB), and the International Outcome Intervention for Hearing Aid Users (IOI-HA) were used as outcome measures. RESULTS Both groups improved in self-rated hearing difficulties and hearing aid benefits measured with HHIE/A and APHAB. No significant differences were found between the intervention and the control group. CONCLUSION Including synchronous remote follow-up and fine-tuning as a part of an aural rehabilitation process may effectively complement clinical visits. Additionally, the synchronous remote follow-up has the potential to further develop person-centred care by enabling hearing aid users to identify individual needs directly in an everyday environment.
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Affiliation(s)
- Milijana Malmberg
- Region Västra Götaland, Habilitation & Health, Hearing Organization, Gothenburg, Sweden
- Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Jennie Hagberg
- Region Västra Götaland, Habilitation & Health, Hearing Organization, Gothenburg, Sweden
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McNeice Z, Tomlin D, Timmer B, Short CE, Nixon G, Galvin K. A scoping review exploring how adults self-describe and communicate about the listening difficulties they experience. Int J Audiol 2024; 63:163-170. [PMID: 37603019 DOI: 10.1080/14992027.2023.2245136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 07/28/2023] [Accepted: 07/31/2023] [Indexed: 08/22/2023]
Abstract
Objective: It is unknown how adults communicate about their experienced listening difficulties with their audiologist. This scoping review aims to explore how adults self-describe the listening difficulties that they experience, and how they communicate about them. Design: A scoping review was conducted between December 2020 and September 2022 to identify published journal articles in which adults described and communicated about their listening difficulties. Study sample: Database searches yielded 10,224 articles initially. After abstract screening and full text review, 55 articles were included for analysis. Results: The listening difficulties that adults described were varied, highlighting the fact that each person has individual experiences. Adults discussed reasons for their listening difficulties, impacts of their listening difficulties, and behavioural responses they adopted to cope with their listening difficulties. Conclusions: This review shows the broad impacts of listening difficulties, and the varied ways in which adults discuss their listening difficulties. There is no available literature reporting how adults communicate about their listening difficulties in a clinical context.
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Affiliation(s)
- Zoe McNeice
- Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia
| | - Dani Tomlin
- Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia
| | - Barbra Timmer
- Centre for Hearing Research (CHEAR), School of Rehabilitation Sciences, University of Queensland, Brisbane, Australia
- Sonova AG, Staefa, Switzerland
| | - Camille E Short
- Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia
- Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia
| | - Grace Nixon
- Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia
| | - Karyn Galvin
- Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia
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Hulme C, Young A, Rogers K, Munro KJ. Deaf signers and hearing aids: motivations, access, competency and service effectiveness. Int J Audiol 2024; 63:136-145. [PMID: 36382888 DOI: 10.1080/14992027.2022.2143431] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 10/21/2022] [Accepted: 10/28/2022] [Indexed: 11/17/2022]
Abstract
OBJECTIVES This study concerns culturally Deaf signers in the UK who use hearing aids and (i) explores motivations for hearing aid use (ii) identifies barriers and facilitators to accessing NHS hearing aid services, (iii) examines cultural competency of hearing aid clinics and (iv) identifies factors influencing effective adult hearing aid service provision. DESIGN Online survey in British Sign Language and English that was informed by Deaf service users. STUDY SAMPLE 75 Deaf adult BSL users who wear hearing aids and use NHS hearing aid clinics. RESULTS No specific reason emerged as outstandingly important for hearing aid use; however, assisting with lipreading (57%) and listening to music (52%) were rated as very/extremely important. Access issues reported were contacting clinics, poor communication with staff and lack of Deaf awareness. To be an effective and culturally competent hearing aid clinic for Deaf signers, a good understanding of Deaf culture and language was most rated as important (87%). CONCLUSION The study is the first that explores hearing aid use and experiences of accessing hearing aid clinics from Deaf signers' perspectives. Enhancements to clinical practice are required to consider culturally Deaf people's motivations for hearing aid use and make services more BSL-friendly.
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Affiliation(s)
- Celia Hulme
- Social Research with Deaf People (SORD), School of Health Sciences, University of Manchester, Manchester, UK
| | - Alys Young
- Social Research with Deaf People (SORD), School of Health Sciences, University of Manchester, Manchester, UK
- Centre for Deaf Studies, University of the Witwatersrand, Johannesburg, South Africa
| | - Katherine Rogers
- Social Research with Deaf People (SORD), School of Health Sciences, University of Manchester, Manchester, UK
| | - Kevin J Munro
- Manchester Centre for Audiology and Deafness (ManCAD), School of Health Sciences, University of Manchester, Manchester, UK
- Manchester Academic Health Science Centre, Manchester University Hospitals NHS Foundation Trust, Manchester, UK
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Pornprasit P, Utoomprurkporn N, Areekit P, Manum P, Thanutammakul S, Parmar B, Adamson J, Bamiou D. Attitudes towards hearing difficulties, health-seeking behaviour, and hearing aid use among older adults in Thailand. Front Digit Health 2024; 5:1075502. [PMID: 38269091 PMCID: PMC10806058 DOI: 10.3389/fdgth.2023.1075502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 12/21/2023] [Indexed: 01/26/2024] Open
Abstract
Introduction This qualitative study explores older adults' attitudes towards hearing difficulties, health-seeking behaviour and hearing aid use in Samutprakarn, Thailand. Method Three focus groups (n=25), with adults aged 60-88 years, were conducted within a residential complex for older adults. Qualitative data analysis, employing a phenomenological approach was completed. Results Four themes are presented: (1) Perception of hearing difficulties, (2) Experience of receiving care, (3) Attitudes towards wearing hearing aids, and (4) Raising awareness of hearing difficulties in older adults. Findings indicate that Thai older adults may not be aware or accepting of their hearing difficulties, due to the stigma associated hearing loss, older age, and disability. The consequential impact of these unacknowledged issues manifest in communication challenges and the adoption of avoidance behaviours across diverse situational contexts. Conclusion This study enhances our understanding of how Thai older adults perceive hearing problems and ear care. Findings underscore the potential pivotal role of familial and social networks in mitigating barriers associated with hearing difficulties among older adults in Thailand. These insights can raise awareness and inform effective management for older adults and their families. Additionally, the findings could guide healthcare providers, researchers, and policy makers, fostering improved care for this demographic.
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Affiliation(s)
| | | | - Poonsub Areekit
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand
| | - Pornnapat Manum
- Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | | | - Bhavisha Parmar
- Sound Lab, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom
- Faculty of Brain Science, UCL Ear Institute, University College London, London, United Kingdom
| | - Joy Adamson
- Department of Health Science, University of York, York, United Kingdom
| | - Doris Bamiou
- Faculty of Brain Science, UCL Ear Institute, University College London, London, United Kingdom
- NIHR Biomedical Research Centre Hearing and Deafness, London, United Kingdom
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Impact of COVID-19 pandemic on audiology practice: A scoping review. CLINICAL EPIDEMIOLOGY AND GLOBAL HEALTH 2022; 13:100939. [PMID: 35005299 PMCID: PMC8719377 DOI: 10.1016/j.cegh.2021.100939] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 12/08/2021] [Accepted: 12/23/2021] [Indexed: 11/20/2022] Open
Abstract
Background COVID-19 has significantly impacted the professional practice of health care professionals including audiological practice. Audiologists had to adopt to changes and modify their practice to deal with the pandemic. Reasonable published work has been seen since the onset of the pandemic, depicting impact on the audiology practice across the globe in different practice settings and contexts. The present scoping review was carried out to explore the impact of COVID-19 pandemic on audiology practice and the challenges faced. Material & methods A literature search was carried out to identify the studies exploring the impact of COVID-19 pandemic on audiology practice. Three electronic databases namely Scopus, PubMed/Medline, and Cochrane Library were searched using keywords. After title and abstract screening, suitable studies were identified. Results Of the total 172, nine studies focusing on impact of COVID-19 pandemic on audiology practice COVID-19, published between January 2020 to June 2021 were included. Overall, the COVID-19 pandemic and the subsequent restrictions, caused changes in routine clinical practices in audiology. These changes were with respect to stringent infection control measures, mode of service delivery, changes in routines with reduced services or prioritizing services. Challenges included issues with remote services, experience, and support. Conclusion The present review reveals the changes in audiology practice during COVID –19 and challenges encountered by audiologists. These findings would help in better planning of audiology practice in the post pandemic world.
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