Factors influencing rehabilitation decisions of adults with acquired hearing impairment

Laplante-Levesque, Ariane, Hickson, Louise and Worrall, Linda (2010). Factors influencing rehabilitation decisions of adults with acquired hearing impairment. In: Ross J. Roeser, 3rd Conference on Aging and Speech Communication, Bloomington, Indiana, (497-507). 12-14 Oct 2009. doi:10.3109/14992021003645902

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Author Laplante-Levesque, Ariane
Hickson, Louise
Worrall, Linda
Title of paper Factors influencing rehabilitation decisions of adults with acquired hearing impairment
Conference name 3rd Conference on Aging and Speech Communication
Conference location Bloomington, Indiana
Conference dates 12-14 Oct 2009
Journal name International Journal of Audiology   Check publisher's open access policy
Place of Publication Abingdon, Oxford, England
Publisher Taylor & Francis Ltd
Publication Year 2010
Sub-type Fully published paper
DOI 10.3109/14992021003645902
Open Access Status
ISSN 1499-2027
Editor Ross J. Roeser
Volume 49
Issue 7
Start page 497
End page 507
Total pages 10
Collection year 2011
Language eng
Abstract/Summary Several rehabilitation interventions yielding comparable outcomes are available to adults with acquired hearing impairment. However, the reasons why people choose particular interventions and not others have not been systematically investigated. This study explored the factors influencing the rehabilitation decisions of adults with acquired hearing impairment. Four options (hearing aids, group communication program, individual communication program, and no intervention) were discussed using shared decision making with 153 adults with acquired hearing impairment who had not previously received hearing rehabilitation. A selected sub-sample of 22 participants described the factors that influenced their decision during a semi-structured interview. Using qualitative content analysis, seven categories of factors influencing rehabilitation decisions were identified: (1) convenience; (2) expected adherence and outcomes; (3) financial costs; (4) hearing disability; (5) nature of intervention; (6) other people's experiences, recommendations, and support; and (7) preventive and interim solution. All categories of factors were a positive influence for a particular intervention for some participants and a negative influence for the same intervention for other participants. The results support a client-centred approach to decision making. © 2010 British Society of Audiology, International Society of Audiology, and Nordic Audiological Society.
Subjects 1103 Clinical Sciences
Keyword Hearing impairment
Shared decision making
Older adults
Hearing aids
International Outcome Inventory
Aids Ioi-ha
Significant Others
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Paper as listed on conference program: Older Adults with Hearing Impairment Seeking Rehabilitation for the First Time: What They Choose and Why

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Created: Sun, 27 Jun 2010, 00:06:42 EST