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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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Johnson J, Sarangi L. Shared experiences among successful hearing aid users with high hearing aid self-efficacy. Int J Audiol 2024; 63:579-586. [PMID: 37607212 DOI: 10.1080/14992027.2023.2243541] [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: 09/21/2022] [Revised: 06/30/2023] [Accepted: 07/28/2023] [Indexed: 08/24/2023]
Abstract
OBJECTIVE While targeted rehabilitation can enhance hearing aid self-efficacy (HASE), little research has been done to determine the factors contributing to its predictive value. By investigating the experiences of individuals who successfully use HAs and have high levels of HASE, we hoped to illuminate specific strategies and/or sources of support these individuals share that might explain why high HASE is often linked to successful outcomes. DESIGN AND STUDY SAMPLE This qualitative study explored the experiences of five older adults who were successful HA users and reported having high HASE. Semi-structured interview guides were developed using the transtheoretical model of behavioral change as a framework. Interviews were analyzed thematically and holistically. RESULTS Participants attributed their HA success to: intrinsic motivation to improve their hearing, confident self-reliance when making health decisions, willingness to act on advice from trusted others, pro-social personal attributes, positive expectations about HA outcomes, and actively pursuing an optimal HA outcome. CONCLUSIONS For these participants, internal factors related to emotional state and source of motivation, and, to a lesser extent, verbal persuasion played a crucial role in their long-term success. This suggests that external influencers might be less impactful in facilitating success for those with high HASE.
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Affiliation(s)
- Jani Johnson
- School of Communication Sciences and Disorders, University of Memphis, Memphis, TN, USA
| | - Lipika Sarangi
- School of Communication Sciences and Disorders, University of Memphis, Memphis, TN, USA
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McNeice Z, Tomlin D, Timmer BHB, Short CE, Galvin K. Adults' recollections of discussions with their audiologist: a qualitative study of what was and was not successfully communicated about listening difficulties. Int J Audiol 2024:1-12. [PMID: 38739207 DOI: 10.1080/14992027.2024.2351033] [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: 10/20/2023] [Accepted: 04/26/2024] [Indexed: 05/14/2024]
Abstract
OBJECTIVES Some adults experience challenges in successfully communicating their listening difficulties to their audiologist, and report feeling that they are not always listened to or understood. This project examined adults' recollections of discussions with their audiologist to explore (1) how adults report describing their listening difficulties and (2) information that adults report they do not communicate, or do not communicate successfully, to their audiologist. DESIGN Individual semi-structured interviews were conducted. Interview transcripts were analysed using a template analysis approach. STUDY SAMPLE Fifteen adults who self-report listening difficulties, and who had previously consulted an audiologist. RESULTS Four themes were identified from adults' recollections of how they describe their listening difficulties: (1) situation or context of listening difficulties, (2) behavioural responses, (3) impacts of listening difficulties and (4) contributing factors. Adults report not always successfully communicating (1) emotional concerns and impacts, (2) descriptions of sound quality and (3) descriptions of changed listening experiences. CONCLUSION Results provide insights about the times when adults feel that communication with their audiologist is successful, or unsuccessful. The results are useful for informing interventions to help adults and audiologists communicate more effectively together. To further inform interventions, factors affecting adults' communication should be explored.
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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 H B 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
| | - Karyn Galvin
- Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia
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Mahomed-Asmail F, Metcalfe L, Graham MA, Joubert K, Hlayisi VG, Swanepoel DW. Person centered care: preference, experience and predictors in speech-language pathology and audiology students. SPEECH, LANGUAGE AND HEARING 2023. [DOI: 10.1080/2050571x.2023.2173890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- Faheema Mahomed-Asmail
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Louise Metcalfe
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Marien Alet Graham
- Department of Science, Mathematics and Technology Education, University of Pretoria, Pretoria, South Africa
| | - Karin Joubert
- Department of Audiology, University of the Witwatersrand, Johannesburg, South Africa
- Ndlovu Wits Audiology Clinic, Dennilton, South Africa
| | - Vera-Genevey Hlayisi
- Division of Communication Science and Disorders, Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - De Wet Swanepoel
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
- Ear Science Institute Australia, Subiaco, Australia
- Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA
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Adorni R, Manzi C, Crapolicchio E, Steca P. The role of the family doctor's language in modulating people's attitudes towards hearing loss and hearing aids. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e1775-e1784. [PMID: 34636448 PMCID: PMC9540359 DOI: 10.1111/hsc.13606] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 09/06/2021] [Accepted: 09/28/2021] [Indexed: 06/13/2023]
Abstract
Despite widespread hearing problems among older adults, only a minority of them use hearing aids. The decision to rely on hearing aids is influenced by several psychosocial factors, which may include attitudes influenced by significant others, particularly caregivers and health professionals. The language used by professionals when approaching this topic is particularly important. The purpose of this study was to deepen the role played by different communication styles in the area of hearing impairment by analysing the impact of language-medical versus everyday-used in the doctor-patient interaction on attitudes and behavioural intentions in a sample of potential caregivers of older adults. 209 Italian volunteers aged between 19 and 60 completed an online experimental study. The results suggested that, when interacting with doctors, exposure to a language that includes medical words promotes negative attitudes towards hearing loss. Nevertheless, medical language induces positive attitudes towards hearing aids and encourages people to adopt them when needed as well as recommending them to relatives and friends. Overall, the use of formal, medical language in doctor-patient communication, despite sounding less reassuring, is more effective in persuading people with hearing loss to rely on hearing aids.
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Affiliation(s)
- Roberta Adorni
- Department of PsychologyThe University of Milano‐BicoccaMilanItaly
| | - Claudia Manzi
- Department of PsychologyThe Catholic UniversityMilanItaly
| | | | - Patrizia Steca
- Department of PsychologyThe University of Milano‐BicoccaMilanItaly
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Parmar BJ, Mehta K, Vickers DA, Bizley JK. Experienced hearing aid users' perspectives of assessment and communication within audiology: a qualitative study using digital methods. Int J Audiol 2021; 61:956-964. [PMID: 34821527 DOI: 10.1080/14992027.2021.1998839] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To explore experienced hearing aid users' perspectives of audiological assessments and the patient-audiologist communication dynamic during clinical interactions. DESIGN A qualitative study was implemented incorporating both an online focus group and online semi-structured interviews. Sessions were audio-recorded and transcribed verbatim. Iterative-inductive thematic analysis was carried out to identify themes related to assessment and communication within audiology practice. STUDY SAMPLES Seven experienced hearing aid users took part in an online focus group and 14 participated in online semi-structured interviews (age range: 22 - 86 years; 9 males, 11 females). RESULTS Themes related to assessment included the unaided and aided testing procedure and relating tests to real world hearing difficulties. Themes related to communication included the importance of deaf aware communication strategies, explanation of test results and patient centred care in audiology. CONCLUSION To ensure hearing aid services meet the needs of the service users, we should explore user perspectives and proactively adapt service delivery. This approach should be ongoing, in response to advances in hearing aid technology. Within audiology, experienced hearing aid users' value (1) comprehensive, relatable hearing assessment, (2) deaf aware patient-audiologist communication, (3) accessible services and (4) a personalised approach to recommend suitable technology and address patient specific aspects of hearing loss.
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Affiliation(s)
| | - Kinjal Mehta
- St Ann's Hospital, Whittington Health NHS Trust, London, UK
| | - Deborah A Vickers
- Sound Lab, Cambridge Hearing Group, University of Cambridge, Cambridge, UK
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Meijerink JFJ, Pronk M, Lissenberg-Witte BI, Jansen V, Kramer SE. Process Evaluation of an Online SUpport PRogram for Older Hearing Aid Users Delivered in a Cluster Randomized Controlled Trial. Front Med (Lausanne) 2021; 8:725388. [PMID: 34746173 PMCID: PMC8569232 DOI: 10.3389/fmed.2021.725388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 09/28/2021] [Indexed: 11/24/2022] Open
Abstract
Objectives: To evaluate the process of implementing a web-based support program (SUPR) for hearing aid users in the Dutch dispensing setting in order to allow interpretation of the randomized controlled trial's results (positive effects on hearing-aid related outcomes; no effects on psychosocial outcomes). Design: Measures: context of implementation, recruitment, SUPR's: reach, implementation fidelity, dose delivered, dose received, satisfaction, and benefit. Data collection: quantitative and qualitative. Study Sample: One hundred thirty-eight clients (mean age 68.1 years; 60% male) and 44 dispensers completed questionnaires. Five clients and 6 dispensers participated in interviews and focus groups. Results: Clients and dispensers were generally satisfied with SUPR's usefulness. SUPR-videos were watched by 7–37% of the clients. Around half of the dispensers encouraged clients to watch them or informed them about SUPR. Some clients found the SUPR-materials suboptimal, and changes in personnel and limited dispenser-training were barriers acting on a contextual level. Conclusions: This study identified several factors that contributed to the success of SUPR. Others factors, acting on various levels (e.g., intervention material, dispensers, and implementation context), were suboptimal and may explain the absent psychosocial effects. The identified factors are important to consider in further development of SUPR, and in other web-based support programs.
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Affiliation(s)
- Janine F J Meijerink
- Otolaryngology - Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health Research Institute, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Marieke Pronk
- Otolaryngology - Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health Research Institute, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Birgit I Lissenberg-Witte
- Epidemiology and Data Science, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Vera Jansen
- Schoonenberg HoorSupport, Rotterdam, Netherlands
| | - Sophia E Kramer
- Otolaryngology - Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health Research Institute, Amsterdam University Medical Center (UMC), Vrije Universiteit Amsterdam, Amsterdam, Netherlands
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Manchaiah V, Bennett RJ, Ratinaud P, Swanepoel DW. Experiences With Hearing Health Care Services: What Can We Learn From Online Consumer Reviews? Am J Audiol 2021; 30:745-754. [PMID: 34491785 DOI: 10.1044/2021_aja-21-00041] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Objective The aim of this study was to examine experiences of hearing health care services as described in online consumer reviews. Design This study used a cross-sectional design. Online consumer reviews about hearing health care services generated from Google.com to an open-ended question "Share details of your own experience at this place" and perceived overall experience (indicated on a 5-point rating scale: "very good" to "very poor") were extracted from 40 different cities across the United States. The open text contributed a text corpus of 9,622 unique consumer reviews. These responses were analyzed with the cluster analysis approach using an open-source automated text analysis software program, IRaMuTeQ, to identify key themes. Association between clusters and consumer experience ratings as well as consumer metadata (percentage of older adults in the city, region) were examined using the chi-square analysis. Results The majority of consumers appeared satisfied with their hearing health care services, with nearly 95% of consumers reporting "very good" and "good" on the global experience scale. The analysis of text responses resulted in seven clusters within two domains. Domain 1 (Clinical Processes) included the three clusters: administration processes, perceived benefits, and device acquisition. Domain 2 (Staff and Service Interactions) included the four clusters: clinician communications, staff professionalism, customer service, and provider satisfaction. Content relating to administration processes was associated with overall rating regarding the hearing health care service experience. Consumer's reviews relating to administration processes mostly described negative experiences, and these participants were more inclined to provide poorer overall experience ratings. In addition, city characteristics (i.e., percentage of older adults, region) had bearing toward what elements of hearing health care services are highlighted more in the consumer reviews. Conclusions Consumers comment on a variety of elements when describing their experiences with hearing health care services. Experiences reported in most clusters were generally positive, although some concerns in the "clinical process" are associated with lower satisfaction. Employing patient-centered strategies and ensuring patients have good experiences in the areas of concern may help improve both patient experience and their satisfaction. Supplemental Material https://doi.org/10.23641/asha.16455924.
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Affiliation(s)
- Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal Academy of Higher Education, India
| | - Rebecca J. Bennett
- Ear Science Institute Australia, Subiaco, Western Australia
- Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Australia
| | | | - De Wet Swanepoel
- Ear Science Institute Australia, Subiaco, Western Australia
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
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Manchaiah V, Swanepoel DW, Bennett RJ. Online Consumer Reviews on Hearing Health Care Services: A Textual Analysis Approach to Examine Psychologically Meaningful Language Dimensions. Am J Audiol 2021; 30:669-675. [PMID: 34297608 DOI: 10.1044/2021_aja-20-00223] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose The study examined psychologically meaningful language dimensions (i.e., social and emotional dimensions, health dimensions, and personal concerns) within online consumer reviews on hearing health care services using an automated textual analysis approach. Method Nine thousand six hundred twenty-two consumer reviews of hearing health care services, including an open-ended question (i.e., free text response to the prompt "share details of your own experience at this place") and an overall rating (on a 5-point scale ranging from "very good" to "very poor") were extracted from Google.com from 40 different cities across the United States. In addition, some metadata about the cities (i.e., region, population size, median age, percentage of older adults) were also recorded. Text responses were analyzed using the automated Linguistic Inquiry and Word Count software for selected language dimensions. The language dimensions of online hearing health care reviews were descriptively compared with language dimensions observed in the natural language of typical bloggers. Language dimensions from free text responses were correlated with quantitative overall experience ratings. Results Automated linguistic analysis showed that consumer reviews on hearing health care services had higher social processes, positive emotions, hearing, health, money, and work, and lower negative emotions and time-awareness when compared to typical bloggers. Examining the association between overall experience rating and the language dimensions revealed two broad findings. First, higher engagement of consumers in terms of social processes, positive emotions, hearing, and work dimensions was related to higher experience ratings. Second, higher engagement of consumers in terms of negative emotions, time awareness, and money was related to lower experience ratings. Conclusions Online reviews contain information about various dimensions (i.e., social and emotional dimensions as well as personal concerns) that have bearing toward the way in that they rate their health care experiences. Automated linguistic analysis of consumer reviews appears helpful in identifying gaps in service delivery that may influence consumer experience.
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Affiliation(s)
- Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, India
| | - De Wet Swanepoel
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Gauteng, South Africa
- Ear Science Institute Australia, Subiaco, Western Australia
- Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Australia
| | - Rebecca J. Bennett
- Ear Science Institute Australia, Subiaco, Western Australia
- Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Australia
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Meyer C, Waite M, Atkins J, Ekberg K, Scarinci N, Barr C, Cowan R, Hickson L. How Can eHealth Meet the Hearing and Communication Needs of Adults With Hearing Impairment and their Significant Others? A Group Concept Mapping Study. Ear Hear 2021; 43:335-346. [PMID: 34320524 DOI: 10.1097/aud.0000000000001097] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To seek the perspectives of key stakeholders regarding: (1) how eHealth could help meet the hearing and communication needs of adults with hearing impairment and their significant others; and (2) how helpful each aspect of eHealth would be to key stakeholders personally. DESIGN Group concept mapping, a mixed-methods participatory research method, was used to seek the perspectives of key stakeholders: adults with hearing impairment (n = 39), significant others (n = 28), and hearing care professionals (n = 56). All participants completed a short online survey before completing one or more of the following activities: brainstorming, sorting, and rating. Brainstorming required participants to generate ideas in response to the focus prompt, "One way I would like to use information and communication technologies to address the hearing and communication needs of adults with hearing loss and their family and friends is to…." The sorting task required participants to sort all statements into groups that made sense to them. Finally, the rating task required participants to rate each of the statements according to "How helpful would this idea be to you?" using a 5-point Likert scale. Hierarchical cluster analysis was applied to the "sorting" data to develop a cluster map using the Concept Systems software. The "rating" data were subsequently analyzed at a cluster level and an individual-item level using descriptive statistics. Differences in cluster ratings between stakeholder groups were examined using Kruskal-Wallis tests. RESULTS Overall, 123 statements were generated by participants in response to the focus prompt and were included in subsequent analyses. Based on the "sorting" data and hierarchical cluster analysis, a seven-cluster map was deemed to be the best representation of the data. Three key themes emerged from the data, including using eHealth to (1) Educate and Involve Others; (2) Support Aural Rehabilitation; and (3) Educate About and Demonstrate the Impacts of Hearing Impairment and Benefits of Hearing Rehabilitation. Overall median rating scores for each cluster ranged from 3.97 (educate and involve significant others) to 3.44 (empower adults with hearing impairment to manage their hearing impairment from home). CONCLUSIONS These research findings demonstrate the broad range of clinical applications of eHealth that have the capacity to support the implementation of patient- and family-centered hearing care, with self-directed educational tools and resources typically being rated as most helpful. Therefore, eHealth appears to be a viable option for enabling a more biopsychosocial approach to hearing healthcare and educating and involving significant others in the hearing rehabilitation process without adding more pressure on clinical time. More research is needed to inform the subsequent development of eHealth interventions, and it is recommended that health behavior change theory be adhered to for such interventions.
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Affiliation(s)
- Carly Meyer
- HEARing CRC, Melbourne, VIC, Australia School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australia Department of Audiology and Speech Pathology, University of Melbourne, Melbourne, VIC, Australia
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Frameworks for Change in Hearing Research: Valuing Qualitative Methods in the Real World. Ear Hear 2020; 41 Suppl 1:91S-98S. [DOI: 10.1097/aud.0000000000000932] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Burden RS, Galloway LN, Rothpletz AM, Glasheen KA, Preminger JE. The Development of an Internet-Based Decision Coaching Guide to Encourage Audiology Care: The Results of a Participatory Design Approach. Am J Audiol 2020; 29:546-563. [PMID: 32946253 DOI: 10.1044/2020_aja-19-00066] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Purpose The purpose of the research described here is to create a theoretically based, interactive online program to motivate adults with untreated hearing loss to seek audiology care. We describe the results of the participatory design (PD) approach used to increase uptake and adherence to the Internet-based program. Method Using information gathered from field experts (n = 7), a program outline was generated by the study team. In keeping with PD principles, multiple focus groups and panels consisting of persons with hearing loss (n = 26), frequent communication partners (n = 6), audiologists (n = 9), and other area experts (n = 16) revised and expanded both content and design of the program in an iterative fashion. Results The proposed program was modified multiple times based on the input of stakeholders throughout the PD process. In particular, the scope of the program shifted from focusing on self-management strategies to decision coaching regarding the choice to visit an audiologist. Other specific program content and activities were modified based on stakeholder input. Conclusions The program evolved dramatically through the influence and input of multiple stakeholders as a result of the implementation of PD principles.
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Affiliation(s)
- Rebecca S. Burden
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
| | - Laura N. Galloway
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
| | - Ann M. Rothpletz
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
| | - Keira A. Glasheen
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
| | - Jill E. Preminger
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
- School of Speech, Language, and Hearing Sciences, San Diego State University, CA
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Glenister KM, Simmons D. Hearing loss and access to audiology services in rural victoria: Findings from the crossroads study. Noise Health 2020; 21:217-222. [PMID: 32820744 PMCID: PMC7650848 DOI: 10.4103/nah.nah_5_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Context: Rural residents can be exposed to high levels of agricultural machinery noise and are at risk of hearing loss. Aims: This study aimed to determine audiology service use and rates of hearing loss in a regional area of Australia, using both self-report and audiology testing. Setting and Design: A survey of randomly selected households was undertaken and 6432 participants were interviewed face to face about their health, hearing, and use of audiology services. A total of 1454 participants were randomly selected to undertake standard audiology testing. Material and Methods: Material Hearing was evaluated using conventional audiometry. Statistical Analysis Used: Independent t-tests, Chi-squared tests, and logistic regression were used to examine the association amongbetween hearing loss, use of audiology services, and demographic factors. Results: Hearing issues were present in 12.5% of the survey participants. The rate of hearing loss increased significantly with age. Males were significantly more likely to have hearing loss than females (9.5% vs. 5.2%, pP << 0.01). The majority of people who reported accessing audiology services in the past 12 months were satisfied with the care they received (85.2%), and experienced short waiting times for these services (68.2% waited ≤≤ 7 days). Conclusions: Males had higher rates of hearing issues than females in this rural area. Audiology services in the region were accessible within short waiting times, and clients were satisfied with the service.
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Affiliation(s)
| | - David Simmons
- Western Sydney University, Sydney, New South Wales, Australia
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Lewis A, Keele B. Development and Validation of an Instrument to Measure Nurses' Beliefs Toward Deaf and Hard of Hearing Interaction. J Nurs Meas 2020; 28:E175-E215. [PMID: 32540898 DOI: 10.1891/jnm-d-19-00024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE Nurse-patient communication has a significant effect on health outcomes and quality of care. The purpose of this research was to develop and validate an instrument to measure nurses' beliefs toward interacting with Deaf signers, non-signing deaf, and hard of hearing (DdHH) patients. METHODS Initial pool items created based on literature review. Content validated by DdHH and hearing registered nurses (RNs) and certified interpreters working in healthcare. Resulting D/deaf and Hard of Hearing Interaction Beliefs Scale for Registered Nurses (DdHH-IBS/RN) administered to two groups of RNs. Two validation studies conducted. RESULTS Analyses demonstrated high inter-item reliability, internal consistency reliability, and stability reliability of a 25-item DdHH-IBS/RN. Confirmatory factor analysis supported hypothesized structure of the scale. CONCLUSION The DdHH-IBS/RN is a reliable and valid scale to measure nurses' beliefs towards DdHH interaction.
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Barriers to help-seeking for memory problems in older adults. Eur Geriatr Med 2020; 11:1027-1033. [PMID: 32720158 PMCID: PMC7716933 DOI: 10.1007/s41999-020-00371-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Accepted: 07/15/2020] [Indexed: 11/25/2022]
Abstract
Aim The aim of this study was to investigate potential barriers to help-seeking for memory problems as well as outreach to providers. Findings Participants who endorsed having hearing problems were the most likely to endorse barriers to help-seeking as well as speaking to a physician. Message Physicians and healthcare agencies can work to design outreach for persons who experience barriers, particularly hearing loss. Purpose Early detection of age- and disease-related cognitive problems affords patients the opportunities to receive medical treatment, engage in research, and plan for the future. Understanding help-seeking behavior has potential to aid both patients and clinicians. This study was designed to identify predictors of endorsed barriers to memory-related help-seeking as well as medical help-seeking endorsement. Methods This cross-sectional correlational study used a convenience sample of 97 older adults. The participants answered anonymous questionnaires about subjective memory, mood, and health and several items designed to investigate help-seeking for memory issues. Results Persons who endorsed multiple barriers to help-seeking were more likely to also endorse having hearing problems. In addition, participants who reported that they would not talk to a doctor or physician about memory concerns also had significantly worse subjective hearing. Conclusion Hearing loss may be a particular risk for not seeking help for memory problems. Physicians and healthcare agencies can work to design outreach for persons who experience barriers, such as hearing loss and the concomitant outcomes.
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16
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Manchaiah V, Bellon-Harn ML, Kelly-Campbell RJ, Beukes EW, Bailey A, Pyykkő I. Media Use by Older Adults With Hearing Loss: An Exploratory Survey. Am J Audiol 2020; 29:218-225. [PMID: 32348157 DOI: 10.1044/2020_aja-19-00039] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objectives There has been a substantial increase in people with health conditions seeking health-related information online. The aim of this study was to examine the media usage by older adults with hearing loss. Method The study used a cross-sectional survey design. A total of 556 older adults with hearing loss (Hearing Tracker website users) completed the survey that was focused on (a) demographic information, (b) general electronic media usage, (c) sources of hearing health information, and (d) social media use for hearing health information. Data were analyzed using descriptive statistics and chi-square tests. Results When seeking hearing health care information, the majority of the participants turned to the Internet (54%) followed by health professionals (34%) as the first response to their symptoms. Both sources were also rated as the easiest means of obtaining hearing health information. The information from health care providers was rated as more reliable and important for decision making than that from the Internet. Facebook and YouTube were the most frequently used social media platforms with over 40% of the respondents using them "most of the time" or "sometimes." All the social media platforms were rated less favorably than other sources for ease of finding information, reliability, and importance in decision making. Conclusion Older adults with hearing loss use various forms of electronic media for seeking hearing health information. They place the most trust on the information obtained from hearing health care professionals. These professionals need to be aware of the quality of information available on the Internet and social media sources in order to direct patients to credible sources. Supplemental Material https://doi.org/10.23641/asha.12170397.
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Affiliation(s)
- Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Karnataka, India
| | | | | | - Eldré W. Beukes
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX
- Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, United Kingdom
| | | | - Ilmari Pyykkő
- Department of Otolaryngology, Hearing and Balance Research Unit, University of Tampere, Finland
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17
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Hickson L, Worrall L, Scarinci N, Laplante-Lévesque A. Individualised active communication education (I-ACE): another clinical option for adults with hearing impairment with a focus on problem solving and self-management. Int J Audiol 2019; 58:504-509. [DOI: 10.1080/14992027.2019.1587180] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Louise Hickson
- Communication Disability Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Linda Worrall
- Communication Disability Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Nerina Scarinci
- Communication Disability Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Ariane Laplante-Lévesque
- Oticon Medical, Vallauris, Denmark
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
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18
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Carlson KF, Sell S, Vachhani J, Folmer RL, Saunders G, Feeney MP. Enhancing Screening Systems to Facilitate Hearing-Healthcare Access: A Qualitative Study. J Am Acad Audiol 2018; 30:250-263. [PMID: 30461385 DOI: 10.3766/jaaa.15087] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
BACKGROUND Although hearing loss is a common health issue, hearing healthcare (HHC) is poorly accessed. Screening to identify hearing loss is an important part of HHC access, specifically for those who screen positive for hearing loss and would benefit from seeing a HHC provider. New technologies can be automated to provide information and recommendations that are tailored to the needs of individual users, potentially enhancing rates of HHC access after positive screens. A greater understanding of the facilitators of postscreening HHC access that could be leveraged in such systems is needed. PURPOSE The purpose of this project was to identify facilitators of postscreening HHC access that can be used in automated screening systems. RESEARCH DESIGN This qualitative study used focus groups (FGs) to understand perceived barriers, perceived benefits, and potential cues to action, as informed by the Health Belief Model, for accessing HHC after use of automated hearing screening systems. STUDY SAMPLE Fifty individuals participated in one of seven FGs. FGs were conducted separately with three types of stakeholders: four FGs included adults who reported some degree of perceived hearing loss and had recently completed a hearing screening; two FGs included adults who had recently sought HHC for the first time because of hearing loss; and one FG involved significant others/family members of individuals with hearing loss. DATA COLLECTION AND ANALYSIS FGs were 60-90 minutes in length and were led by a trained facilitator following a discussion guide. A research audiologist was present at each FG and served as a notetaker. FGs were recorded and transcribed by research team members, and transcripts were then coded in an iterative process by multiple team members. Qualitative content analysis was used to reduce data and to identify salient themes and subthemes, following an inductive approach. We focused on identifying themes that were related to facilitators of HHC access after positive screens for hearing loss and, separately, potential enhancements to automated hearing screening systems that would leverage these facilitators to improve HHC access. RESULTS We identified five key themes related to HHC access after a positive screen for hearing loss, along with ideas for enhancing automated hearing screening systems based on these themes. The themes included knowledge, trust, access, quality of life, and interpersonal influence. CONCLUSIONS The results of our work help inform the development of innovative hearing screening systems that can be automated to leverage individual facilitators of HHC access.
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Affiliation(s)
- Kathleen F Carlson
- National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, OR.,Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR.,Oregon Health and Science University, Portland, OR
| | - Sara Sell
- National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, OR
| | - Jay Vachhani
- National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, OR
| | - Robert L Folmer
- National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, OR.,Oregon Health and Science University, Portland, OR
| | - Gabrielle Saunders
- National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, OR.,Oregon Health and Science University, Portland, OR
| | - M Patrick Feeney
- National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, OR.,Oregon Health and Science University, Portland, OR
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19
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Tai S, Woodward-Kron R, Barr C. Audiology Students' Perspectives of Enacting and Learning Clinical Communication: A Qualitative Interview and Video Reflexivity Study. Am J Audiol 2018; 27:219-230. [PMID: 29587300 DOI: 10.1044/2018_aja-17-0097] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Accepted: 01/13/2018] [Indexed: 12/30/2022] Open
Abstract
PURPOSE Effective clinical communication is pivotal to the provision of quality hearing health care. To date, audiology students reportedly felt ill-prepared when counseling patients about their hearing impairment, yet there is a paucity of studies exploring how clinical communication is taught and learned in audiology programs. Thus, the aims of the study were (a) to explore final year audiology students' perspectives of their own clinical communication skills during an in-house university clinical placement and (b) to explore students' perceptions of their clinical communication education. METHOD Using a qualitative description approach, students were asked to coview their filmed clinical encounter using video reflexivity during a semistructured interview on clinical communication education. Fifteen final year graduate audiology students from The University of Melbourne, Australia, participated in the study. The interviews were audio-recorded and analyzed thematically. RESULTS The overarching themes of striving to be patient-centered, assessment shapes behavior, and power relations emerged from students' reflection of their own clinical encounter. In addition, the theme what students want described the perceived teaching methods that assisted students' clinical communication practices. CONCLUSIONS The findings of this study highlight the challenges that students perceived during their clinical placement as they strive to enact a patient-centered interaction. An assessment rubric that incorporates communication skills can provide greater opportunities for feedback and self-reflection. Additionally, clinical communication education that adopts experiential learning and is longitudinally integrated into the curriculum can further reinforce students' communication learning needs.
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Affiliation(s)
- Samantha Tai
- The HEARing Cooperative Research Center, Carlton, Victoria, Australia
- Department of Audiology and Speech Pathology, The University of Melbourne, Victoria, Australia
| | - Robyn Woodward-Kron
- Department of Medical Education, The University of Melbourne, Victoria, Australia
| | - Caitlin Barr
- The HEARing Cooperative Research Center, Carlton, Victoria, Australia
- Department of Audiology and Speech Pathology, The University of Melbourne, Victoria, Australia
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20
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Simpson A, Phillips K, Wong D, Clarke S, Thornton M. Factors influencing audiologists’ perception of moral climate in the workplace. Int J Audiol 2018; 57:385-394. [DOI: 10.1080/14992027.2018.1426892] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Andrea Simpson
- School of Allied Health, La Trobe University, Melbourne, Australia and
| | - Kendall Phillips
- School of Allied Health, La Trobe University, Melbourne, Australia and
| | - Danny Wong
- School of Allied Health, La Trobe University, Melbourne, Australia and
| | - Sandy Clarke
- Statistical Consulting Centre, The University of Melbourne, Melbourne, Australia
| | - Michelle Thornton
- School of Allied Health, La Trobe University, Melbourne, Australia and
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21
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Tai S, Barr C, Woodward-Kron R. Competing agendas and other tensions in developing patient-centred communication in audiology education: a qualitative study of educator perspectives. Int J Audiol 2017; 57:274-282. [DOI: 10.1080/14992027.2017.1385863] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Samantha Tai
- The HEARing Cooperative Research Centre, Carlton, Victoria, Australia,
- Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Victoria, Australia, and
| | - Caitlin Barr
- The HEARing Cooperative Research Centre, Carlton, Victoria, Australia,
- Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Victoria, Australia, and
| | - Robyn Woodward-Kron
- Department of Medical Education, The University of Melbourne, Melbourne, Victoria, Australia
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22
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Ekberg K, Barr C, Hickson L. Difficult conversations: talking about cost in audiology consultations with older adults. Int J Audiol 2017. [DOI: 10.1080/14992027.2017.1339128] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Katie Ekberg
- School of Health and Rehabilitation Sciences, The University of Queensland, Queensland, Australia,
| | - Caitlin Barr
- HEARing Cooperative Research Centre, Melbourne, Australia, and
- The University of Melbourne, Melbourne, Australia
| | - Louise Hickson
- School of Health and Rehabilitation Sciences, The University of Queensland, Queensland, Australia,
- HEARing Cooperative Research Centre, Melbourne, Australia, and
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Dockens AL, Bellon-Harn ML, Manchaiah V. Preferences to Patient-Centeredness in Pre-Service Speech and Hearing Sciences Students: A Cross-Sectional Study. J Audiol Otol 2016; 20:73-9. [PMID: 27626079 PMCID: PMC5020576 DOI: 10.7874/jao.2016.20.2.73] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2016] [Revised: 04/04/2016] [Accepted: 05/04/2016] [Indexed: 12/14/2022] Open
Abstract
Background and Objectives Patient-centeredness is a critical approach to rehabilitation in allied health professions and is an imperative component of evidence-based practice. However, it is unknown if patient-centeredness is valued by students enrolled in allied health. This study was aimed at determining preferences to patient-centeredness in pre-service speech and hearing students in the field of speech and hearing sciences. Subjects and Methods Pre-service speech and hearing students (n=93) completed the Patient-Practitioner Orientation Scale (PPOS) and were grouped according to low, medium, or high exposure to curriculum content. Results Across exposure levels, students exhibited high preference to patient centeredness with a mean PPOS score of 4.13 (standard deviation–0.5). A pairedsample t-test revealed a significant difference (p≤0.0001) between the caring and sharing subscales of the PPOS with lower mean scores on the caring subscale. No significant differences were noted across levels of exposure for sharing subscale, caring subscale, or PPOS full-scale. Conclusions Results suggest a need for curriculum enhancement focused on improved caring and empathy.
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Affiliation(s)
- Ashley L Dockens
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA
| | | | - Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.; The Swedish Institute for Disability Research, Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.; Audiology India, Mysore, Karnataka, India
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24
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Meyer C, Grenness C, Scarinci N, Hickson L. What Is the International Classification of Functioning, Disability and Health and Why Is It Relevant to Audiology? Semin Hear 2016; 37:163-86. [PMID: 27489397 PMCID: PMC4954783 DOI: 10.1055/s-0036-1584412] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
The World Health Organization's International Classification of Functioning, Disability and Health (ICF) is widely used in disability and health sectors as a framework to describe the far-reaching effects of a range of health conditions on individuals. This biopsychosocial framework can be used to describe the experience of an individual in the components of body functions, body structures, and activities and participation, and it considers the influence of contextual factors (environmental and personal) on these components. Application of the ICF in audiology allows the use of a common language between health care professionals in both clinical and research settings. Furthermore, the ICF is promoted as a means of facilitating patient-centered care. In this article, the relevance and application of the ICF to audiology is described, along with clinical examples of its application in the assessment and management of children and adults with hearing loss. Importantly, the skills necessary for clinicians to apply the ICF effectively are discussed.
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Affiliation(s)
- Carly Meyer
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
| | - Caitlin Grenness
- Department of Audiology and Speech Pathology, University of Melbourne, Melbourne, Australia
| | - Nerina Scarinci
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
| | - Louise Hickson
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
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25
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Holliday HV, Jenstad LM, Grosjean G, Purves B. "You Can Lead a Horse to Water …": Focus Group Perspectives on Initiating and Supporting Hearing Health Change in Older Adults. Am J Audiol 2015; 24:360-76. [PMID: 25812995 DOI: 10.1044/2015_aja-14-0073] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Accepted: 03/22/2015] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The aim of this study was to use focus group discussions to (a) evaluate the use of an educational presentation as an impetus for hearing health change and (b) investigate hearing health from the perspective of older adults. METHOD Twenty-seven (4 men, 23 women) community-dwelling older adults attended 4 data collection events. Participants attended a presentation titled Hearing Health in Older Adults, which was delivered by a trained presenter in a peer-teaching-peer format. Following each presentation, a focus group discussion took place. Digital audio recordings, field notes, and memos of the discussions were used to create verbatim transcripts. Data were analyzed using qualitative description and thematic analysis techniques. RESULTS Five central themes emerged when older adult focus groups discussed the presentation and hearing health change: recognizing and admitting, understanding the options, sharing stories and experiences, barriers and facilitators, and the presentation. CONCLUSION Facilitators to hearing health change identified by participants include widespread education about hearing health; clarification about roles, professional motivation, and cost in hearing care; and opportunities to learn from and share personal stories with peers.
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