Application of the transtheoretical model of behaviour change for identifying older clients’ readiness for hearing rehabilitation during history-taking in audiology appointments

Ekberg, Katie, Grenness, Caitlin and Hickson, Louise (2016) Application of the transtheoretical model of behaviour change for identifying older clients’ readiness for hearing rehabilitation during history-taking in audiology appointments. International Journal of Audiology, 55 Supp 3: S42-S51. doi:10.3109/14992027.2015.1136080


Author Ekberg, Katie
Grenness, Caitlin
Hickson, Louise
Title Application of the transtheoretical model of behaviour change for identifying older clients’ readiness for hearing rehabilitation during history-taking in audiology appointments
Journal name International Journal of Audiology   Check publisher's open access policy
ISSN 1708-8186
1499-2027
Publication date 2016-04-13
Year available 2016
Sub-type Article (original research)
DOI 10.3109/14992027.2015.1136080
Open Access Status Not Open Access
Volume 55
Issue Supp 3
Start page S42
End page S51
Total pages 10
Place of publication Abingdon, Oxfordshire United Kingdom
Publisher Taylor & Francis
Collection year 2017
Language eng
Formatted abstract
Objectives: The transtheoretical model (TTM) of behaviour change focuses on clients’ readiness for adopting new health behaviours. This study explores how clients’ readiness for change can be identified through their interactions with audiologists during history-taking in initial appointments; and whether clients’ readiness has consequences for the rehabilitation decisions they make within the initial appointment. Design: Conversation analysis (CA) was used to examine video-recorded initial audiology appointments with older adults with hearing impairment. Study sample: The data corpus involved 62 recorded appointments with 26 audiologists and their older adult clients (aged 55+ years). Companions were present in 17 appointments. Results: Clients’ readiness for change could be observed through their interaction with the audiologist. Analysis demonstrated that the way clients described their hearing in the history-taking phase had systematic consequences for how they responded to rehabilitation recommendations (in particular, hearing aids) in the management phase of the appointment. In particular, clients identified as being in a pre-contemplation stage-of-change were more likely to display resistance to a recommendation of hearing aids (80% declined). Conclusions: The transtheoretical model of behaviour change can be useful for helping audiologists individualize management planning to be congruent with individual clients’ needs, attitudes, desires, and psychological readiness for action in order to optimize clients’ hearing outcomes.
Keyword Audiology
Hearing rehabilitation
Behaviour change
Transtheoretical model
Clinician-client communication
Patient-centred care
Conversation analysis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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Created: Tue, 26 Apr 2016, 13:46:58 EST by Katie Ekberg on behalf of School of Health & Rehabilitation Sciences