Addressing patients’ psychosocial concerns regarding hearing aids within audiology appointments for older adults.

Ekberg, Katie, Grenness, Caitlin and Hickson, Louise (2014) Addressing patients’ psychosocial concerns regarding hearing aids within audiology appointments for older adults.. American Journal of Audiology, 23 3: 337-350. doi:10.1044/2014_AJA-14-0011


Author Ekberg, Katie
Grenness, Caitlin
Hickson, Louise
Title Addressing patients’ psychosocial concerns regarding hearing aids within audiology appointments for older adults.
Journal name American Journal of Audiology   Check publisher's open access policy
ISSN 1558-9137
1059-0889
Publication date 2014-09-01
Year available 2014
Sub-type Article (original research)
DOI 10.1044/2014_AJA-14-0011
Open Access Status Not yet assessed
Volume 23
Issue 3
Start page 337
End page 350
Total pages 14
Place of publication Rockville, MD, United States
Publisher American Speech - Language - Hearing Association
Language eng
Abstract Purpose: It has long been documented that patients may experience emotional reactions to a diagnosis of hearing impairment and recommendation of hearing aids. Because of this, patients may raise psychosocial concerns regarding their hearing rehabilitation during audiology appointments, particularly in relation to getting hearing aids. However, thus far there has been little systematic research exploring how patients' concerns about hearing aids are addressed by audiologists within appointments.
Formatted abstract
Purpose: It has long been documented that patients may experience emotional reactions to a diagnosis of hearing impairment and recommendation of hearing aids. Because of this, patients may raise psychosocial concerns regarding their hearing rehabilitation during audiology appointments, particularly in relation to getting hearing aids. However, thus far there has been little systematic research exploring how patients' concerns about hearing aids are addressed by audiologists within appointments.

Method: This study used conversation analysis to examine a corpus of 63 video-recorded initial audiology appointments with older adults with hearing impairment.

Results: The findings demonstrated that when patients expressed concerns regarding hearing aids, these concerns were typically psychosocial in nature and expressed in a way that carried a negative emotional stance. These types of turns thus invited an empathic response. However, patients' concerns were not typically addressed by audiologists during the appointment. As a consequence, patients persistently re-raised their concerns in subsequent turns, leading to expanded sequences of interaction during the management phase of the appointment.

Conclusions: Older adults' psychosocial concerns regarding hearing aids may not always be sufficiently addressed within audiology appointments. A greater emphasis on emotionally focused communication within audiology could result in improved outcomes from hearing health care services.
Keyword Audiology
Psychosocial concerns
Patient-centered care
Hearing aids
Counseling
Conversation analysis
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
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 18 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 24 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 18 Feb 2015, 00:35:55 EST by Katie Ekberg on behalf of School of Health & Rehabilitation Sciences