Disagreements between clients and family members regarding clients' hearing and rehabilitation within audiology appointments for older adults

Ekberg, Katie, Meyer, Carly, Scarinci, Nerina, Grenness, Caitlin and Hickson, Louise (2014) Disagreements between clients and family members regarding clients' hearing and rehabilitation within audiology appointments for older adults. Journal of Interactional Research in Communication Disorders, 5 2: 217-244. doi:10.1558/jircd.v5i2.217

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Author Ekberg, Katie
Meyer, Carly
Scarinci, Nerina
Grenness, Caitlin
Hickson, Louise
Title Disagreements between clients and family members regarding clients' hearing and rehabilitation within audiology appointments for older adults
Journal name Journal of Interactional Research in Communication Disorders   Check publisher's open access policy
ISSN 2040-5111
2040-512X
Publication date 2014
Sub-type Article (original research)
DOI 10.1558/jircd.v5i2.217
Open Access Status
Volume 5
Issue 2
Start page 217
End page 244
Total pages 28
Place of publication Sheffield, United Kingdom
Publisher Equinox Publishing
Collection year 2015
Language eng
Abstract Family members are significantly affected by the consequences of hearing impairment and can potentially play an important role in a client's hearing rehabilitation. This paper uses two types of interaction analysis (Roter Interaction Analysis System (RIAS) and Conversation Analysis (CA)) to examine family member participation in a corpus of 17 video-recorded initial audiology appointments. RIAS results demonstrated that family members' primary active communication role in consultations involved information provision. The CA findings supported this, and additionally identified that when family members provided additional information, it was often in disaffiliation with clients' descriptions. In particular, disaffiliation arose concerning the extent of the client's hearing difficulties and the client's hearing rehabilitation needs. These 'disagreements' between clients and family members are analysed in detail, including how they were typically responded to by the audiologist. The implications of these disagreements are discussed in relation to family-centred care and effective rehabilitation in audiology.
Keyword Conversational analysis
Audiology
Hearing impairment
Hearing rehabilitation
Family Members
Disaffilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Mon, 04 Aug 2014, 22:20:27 EST by Dr Nerina Scarinci on behalf of School of Health & Rehabilitation Sciences