Effectiveness of an online SUpport PRogramme (SUPR) for older hearing aid users: study protocol for a cluster randomised controlled trial

Meijerink, Janine F. J.; Pronk, Marieke; Paulissen, Bernadette; Witte, Birgit I.; Wouden, Bregje Van Der; Jansen, Vera; Kramer, Sophia E.

doi:10.1136/bmjopen-2016-015012

Cited by 12 publications

(11 citation statements)

References 61 publications

(71 reference statements)

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“…A statistical analysis plan was written and agreed upon before data analysis was started. Note that although we originally planned to use the overall summed score of the AIADH [ 38 ], it was agreed that the 5 subscale scores would provide a more detailed insight. In addition, measuring HA use objectively via HA data logging was not feasible as it turned out that these data were not collected as part of standard procedures in the practices.…”

Section: Methodsmentioning

confidence: 99%

“…For that purpose, we performed a large-scale cluster randomized controlled trial (cRCT) including clients of one of the major HA dispenser chains in the Netherlands (Schoonenberg HoorSupport). The design of the cRCT has been described elsewhere [ 38 ]. The main hypothesis was that HA users receiving SUPR would improve their use of communication strategies (primary outcome) and improve several secondary outcomes (see Methods), while HA users receiving HA fitting without additional support would not.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a Web-Based SUpport PRogram (SUPR) for Hearing Aid Users Aged 50+: Two-Arm, Cluster Randomized Controlled Trial

Meijerink¹,

Pronk²,

Lissenberg‐Witte³

et al. 2020

J Med Internet Res

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Background Hearing aid (HA) use is known to improve health outcomes for people with hearing loss. Despite that, HA use is suboptimal, and communication issues and hearing-related activity limitations and participation restrictions often remain. Web-based self-management communication programs may support people with hearing loss to effectively self-manage the impact of hearing loss in their daily lives. Objective The goal of the research is to examine the short- and long-term effects of a web-based self-management SUpport PRogram (SUPR) on communication strategy use (primary outcome) and a range of secondary outcomes for HA users aged 50 years and older. Methods Clients of 36 HA dispensing practices were randomized to SUPR (SUPR recipients; n=180 HA users) and 34 to care as usual (controls; n=163 HA users). SUPR recipients received a practical support booklet and online materials delivered via email over the course of their 6-month HA rehabilitation trajectory. They were encouraged to appoint a communication partner and were offered optional email contact with the HA dispensing practice. The online materials included 3 instruction videos on HA handling, 5 videos on communication strategies, and 3 testimonial videos. Care as usual included a HA fitting rehabilitation trajectory only. Measurements were carried out at baseline, immediately postintervention, 6 months postintervention, and 12 months postintervention. The primary outcome measure was self-reported use of communication strategies (3 subscales of the Communication Profile for the Hearing Impaired [CPHI]). Secondary outcome measures included self-reported personal adjustment to hearing loss (CPHI); use, satisfaction and benefit of HAs and SUPR (use questionnaire; International Outcome Inventory for Hearing Aids [IOI-HA], Alternative Interventions [IOI-AI]); recommendation of HA dispensing services; self-efficacy for HA handling (Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids [MARS-HA]); readiness to act on hearing loss (University of Rhode Island Change Assessment adapted for hearing loss [URICA-HL]); and hearing disability (Amsterdam Inventory for Auditory Disability and Handicap [AIADH]). Results Linear mixed model analyses (intention to treat) showed no significant differences between the SUPR and control group in the course of communication strategy use (CPHI). Immediately postintervention, SUPR recipients showed significantly higher self-efficacy for advanced HA handling than the controls, which was sustained at 12 months (MARS-HA; mean difference immediately postintervention: 5.3, 95% CI 0.3 to 10.4; P=.04). Also, SUPR recipients showed significantly greater HA satisfaction than controls immediately postintervention (IOI-HA; 0.3, 95% CI 0.09 to 0.5; P=.006), which was sustained at 12 months, and significantly greater HA use than the controls immediately postintervention (IOI-HA; 0.3, 95% CI 0.02 to 0.5; P=.03), which was not sustained at 12 months. Conclusions This study provides ground to recommend adding SUPR to standard HA dispensing care, as long-term, modest improvements in HA outcomes were observed. Further research is needed to evaluate what adjustments to SUPR are needed to establish long-term effectiveness on outcomes in the psychosocial domain. Trial Registration ISRCTN77340339; http://www.isrctn.com/ISRCTN77340339 International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2016-015012

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Web-Based SUpport PRogram (SUPR) for Hearing Aid Users Aged 50+: Two-Arm, Cluster Randomized Controlled Trial

Meijerink¹,

Pronk²,

Lissenberg‐Witte³

et al. 2020

J Med Internet Res

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“…The most likely explanation for this result is that CI patients receive more professional and family support, and guidance along their patient journey than adults who are fitted with hearing aids. Our findings suggest that to prevent emotional loneliness in people fitted with hearing aids, it may be relevant to consider a more comprehensive rehabilitation pathway like in CI rehabilitation, including speech communication or auditory training, training of hearing tactics or even taking a more family‐centred approach in hearing aid rehabilitation …”

Section: Resultsmentioning

confidence: 98%

Psychosocial health of cochlear implant users compared to that of adults with and without hearing aids: Results of a nationwide cohort study

Bosdriesz

Stam

Smits

et al. 2018

Clinical Otolaryngology

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Psychosocial health of CI users is not worse than that of hearing-impaired adults with or without hearing aids. CI users' level of emotional loneliness is even lower than that of their hearing-impaired peers using hearing aids. A possible explanation is that CI patients receive more professional and family support, and guidance along their patient journey than adults who are fitted with hearing aids.

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“…It had a two-arm cRCT design with the HAD practice as the unit of allocation. Details are described in the study protocol (Meijerink et al 2017) and trial registration (ISRCTN77340339). The Dutch Institutional Review Board of the Amsterdam University Medical Centre (registered with the US Office for Human Research Protections as IRB00002991; FWA number: FWA00017598) approved the study.…”

Section: Study Design Procedures and Populationmentioning

confidence: 99%

Effectiveness of a web-based SUpport PRogramme (SUPR) for communication partners of persons with hearing loss: results of a two-arm, cluster randomised controlled trial and process evaluation

Meijerink

Pronk

Lissenberg‐Witte

et al. 2021

International Journal of Audiology

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Effectiveness of an online SUpport PRogramme (SUPR) for older hearing aid users: study protocol for a cluster randomised controlled trial

Cited by 12 publications

References 61 publications

Effectiveness of a Web-Based SUpport PRogram (SUPR) for Hearing Aid Users Aged 50+: Two-Arm, Cluster Randomized Controlled Trial

Effectiveness of a Web-Based SUpport PRogram (SUPR) for Hearing Aid Users Aged 50+: Two-Arm, Cluster Randomized Controlled Trial

Psychosocial health of cochlear implant users compared to that of adults with and without hearing aids: Results of a nationwide cohort study

Effectiveness of a web-based SUpport PRogramme (SUPR) for communication partners of persons with hearing loss: results of a two-arm, cluster randomised controlled trial and process evaluation

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