1. Motivational engagement in first-time hearing aid users: A feasibility study.
- Author
-
Ferguson, Melanie, Maidment, David, Russell, Naomi, Gregory, Melanie, and Nicholson, Richard
- Subjects
EDUCATION of audiologists ,ALGORITHMS ,ANALYSIS of variance ,AUDIOLOGY ,HEARING aids ,LONGITUDINAL method ,RESEARCH methodology ,EVALUATION of medical care ,MOTIVATION (Psychology) ,HEALTH outcome assessment ,QUESTIONNAIRES ,REGRESSION analysis ,STATISTICAL sampling ,STATISTICS ,PILOT projects ,DATA analysis ,RANDOMIZED controlled trials ,CONTROL groups ,DESCRIPTIVE statistics ,MANN Whitney U Test ,KRUSKAL-Wallis Test - Abstract
Objective: To assess (1) the feasibility of incorporating the Ida Institute’s Motivation Tools into a UK audiology service, (2) the potential benefits of motivational engagement in first-time hearing aid users, and (3) predictors of hearing aid and general health outcome measures. Design: A feasibility study using a single-centre, prospective, quasi-randomized controlled design with two arms. The Ida Institute’s Motivation Tools formed the basis for motivational engagement. Study sample: First-time hearing aid users were recruited at the initial hearing assessment appointment. The intervention arm underwent motivational engagement (M+, n = 32), and a control arm (M-, n = 36) received standard care only. Results: The M+ group showed greater self-efficacy, reduced anxiety, and greater engagement with the audiologist at assessment and fitting appointments. However, there were no significant between-group differences 10-weeks post-fitting. Hearing-related communication scores predicted anxiety, and social isolation scores predicted depression for the M+ group. Readiness to address hearing difficulties predicted hearing aid outcomes for the M- group. Hearing sensitivity was not a predictor of outcomes. Conclusions: There were some positive results from motivational engagement early in the patient journey. Future research should consider using qualitative methods to explore whether there are longer-term benefits of motivational engagement in hearing aid users. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF