Outcomes of Group Audiological Rehabilitation for Unaided Adults With Hearing Impairment and Their Significant Others

Habanec, Olga Lucía; Kelly-Campbell, Rebecca J.

doi:10.1044/2015_aja-14-0030

Cited by 13 publications

(13 citation statements)

References 42 publications

(36 reference statements)

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“…These applications of eHealth are in-keeping with the large body of qualitative research that describes the wide-ranging psychosocial impacts of hearing impairment, and in particular, the negative emotions experienced by both the person with hearing impairment and their significant others as a result of communication difficulties (Heffernan et al 2016; Jonsson & Hedelin 2018; Lucas et al 2018; Punch et al 2019). This finding also aligns with the growing emphasis on patient- and family-centered hearing care and the perceived benefits associated with involving significant others in the hearing rehabilitation process (Preminger 2003; Habanec & Kelly-Campbell 2015; Meyer et al 2015). Current hearing services are typically device focused and as such, audiologists do not always discuss alternative interventions such as communication education (Grenness et al 2015b; Convery et al 2018); however, the findings here show that adults with hearing impairment and their significant others would value the use of ICTs to provide further education about communication.…”

Section: Discussionsupporting

confidence: 74%

How Can eHealth Meet the Hearing and Communication Needs of Adults With Hearing Impairment and their Significant Others? A Group Concept Mapping Study

et al. 2021

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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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Section: Discussionsupporting

confidence: 74%

How Can eHealth Meet the Hearing and Communication Needs of Adults With Hearing Impairment and their Significant Others? A Group Concept Mapping Study

et al. 2021

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“…35 Our data are consistent with previous research on the positive contributions of social support and incorporating consideration of communication partners into audiologic interventions. [47][48][49][50] Recognition of the severity of hearing loss accompanied by the availability of an actual resource for hearing loss seems to be an important step toward help-seeking and subsequent increased confidence and adjustment to disability, or self-efficacy. The pilot study outcomes are promising on the issue of access to care and reducing disparities in demonstrating that, out of this sample, a majority of clients reported improvements in communication and well-being as well as accessing the hearing health care system through primary care, specialty care, and self-management.…”

Section: Discussionmentioning

confidence: 99%

“…The results of this study fit within the literature showing beneficial effects of group aural rehabilitation programs. [47][48][49][50][51][52] As characteristic of group intervention formats, participants identified the collaborative environment and opportunities to learn from peers with hearing loss as important components of the program. Gaining social support from their communication partners and other group members also contributed positively toward building participants' efficacy in managing hearing loss.…”

Section: Discussionmentioning

confidence: 99%

Interventional Audiology to Address Hearing Health Care Disparities: Oyendo Bien Pilot Study

et al. 2017

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Interventional audiology, specifically community-based outreach, can connect people with the hearing health care system. Community-based participatory research methods were applied in two phases of research to: (1) investigate the needs of families affected by hearing loss in a rural Arizona community on the U.S.-Mexico border; and (2) evaluate an outreach program on hearing health. The needs assessment included interviews with persons with hearing loss and focus groups with family members and the greater community. The needs assessment revealed that despite perceived severity of hearing loss, help-seeking for audiologic care was limited due to barriers, stigma, and low self-efficacy. Results informed development of a community-based pilot study conducted as part of an academic-community partnership between audiology, public health, and community health workers of a federally qualified health center. An outreach program, (hearing wellness), a 5-week, Spanish-language health education program for older adults ( = 21) incorporated communication strategies and behavioral change techniques. Postprogram focus groups revealed increased self-efficacy and decreased stigma. After 1 year, 7 of 9 participants with hearing loss contacted for follow-up had sought some form of hearing-related health care. Future research should further investigate interventional audiology approaches to address health disparities.

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“…As shown in the present research, it can be administered within the clinic with the help of the clinician, or can be used at home, either alone or with a family member. Indeed, input from family members is strongly encouraged; research has shown family-centred care improves communication within families and reduces third-party disability [ 43 , 44 ]. Family inclusion can provide a comprehensive overview of family communication difficulties [ 45 ], and increases the likelihood of strong family member support if their needs are heard and met.…”

Section: Discussionmentioning

confidence: 99%

Using an Online Tool to Apply a Person-Centred Approach in Audiological Rehabilitation: A Pilot Study

et al. 2022

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This study aimed to explore the experiences of adult clients with hearing loss and their audiologists in using an online tool, the Living Well Tool (LWT), during initial audiology appointments. The LWT is designed to help clients identify when and where it is most important for them to communicate effectively and live well with hearing loss. A total of 24 adult clients with hearing loss and two audiologists participated in this study. Clients were invited to complete the LWT prior to their next audiology appointment, however, most clients chose to use the LWT in-session with their audiologist. Following the appointment, clients and audiologists participated in individual qualitative semi-structured interviews to explore their experiences of using the LWT, and the extent to which the LWT facilitated person-centred care. Qualitative analysis five key themes which reflected participants’ experiences and perceptions of using the LWT: (1) the LWT enhances audiological care; (2) the LWT supports person-centred audiological care; (3) the use of the LWT should be individualised; (4) users value comprehensiveness; and (5) users value accessibility. This study demonstrated that the LWT supported the provision of person-centred audiological care, providing a flexible, comprehensive and accessible means for audiologists to gain an understanding of their clients’ needs and preferences. However, it was also noted that the use of a tool must be individualised and accessible for all.

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Outcomes of Group Audiological Rehabilitation for Unaided Adults With Hearing Impairment and Their Significant Others

Abstract: Working adults with hearing impairment who do not use amplification can benefit from GAR sessions. Significant others of working adults with hearing impairment experience third-party disability, which can also be alleviated through participation in GAR sessions.

Cited by 13 publications

References 42 publications

How Can eHealth Meet the Hearing and Communication Needs of Adults With Hearing Impairment and their Significant Others? A Group Concept Mapping Study

How Can eHealth Meet the Hearing and Communication Needs of Adults With Hearing Impairment and their Significant Others? A Group Concept Mapping Study

Interventional Audiology to Address Hearing Health Care Disparities: Oyendo Bien Pilot Study

Using an Online Tool to Apply a Person-Centred Approach in Audiological Rehabilitation: A Pilot Study

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