Evaluating a theoretically informed and co-created mHealth educational intervention for first-time hearing aid users: a qualitative interview study

Maidment, David; Heyes, Rachel; Gomez, Rachel; Coulson, Neil S.; Wharrad, Heather; Ferguson, Melanie A.

Abstract

Background:
Knowledge of hearing aids in adults living with hearing loss is highly variable, resulting in suboptimal or non-use. This issue can be addressed by the provision of high-quality educational information.

Objective:
This study assessed the everyday experiences of first-time hearing aid users toward a newly developed theoretically informed and co-created mHealth educational intervention. Branded m2Hear, the intervention delivers greater opportunities for individualisation and interactivity compared to our previously developed multimedia materials, C2Hear.

Methods:
Sixteen first-time hearing aid users trialled m2Hear for a period of 10-weeks in their everyday lives, after which individual semi-structured interviews were completed. The data were analysed using an established deductive thematic analysis procedure underpinned by the COM-B model. The model stipulates that to engage in a target behaviour (B), an individual must have physical and psychological capability (C), physical and social opportunity (O), and automatic and reflective motivation (M).

Results:
Capability: m2Hear was viewed as a concise and comprehensive resource, providing useful reminders to facilitate knowledge of hearing aids and communication. Opportunity: m2Hear was simple and straightforward to use, enabling greater individualisation and independence. The availability of m2Hear via mobile technologies also improved accessibility. Motivation: m2Hear provided greater support and reassurance, improving confidence and empowering users to self-manage their hearing loss.

Conclusions:
Overall, this qualitative study suggests that m2Hear supports first-time hearing aid users to successfully self-manage their hearing loss post-fitting. Furthermore, this study demonstrates the utility of employing a theoretical and ecologically valid approaches in the development of mHealth educational interventions to meet the individual needs of the end user.

• Other Type: Other
• Deposit Date: Jan 7, 2021
• DOI: https://doi.org/10.2196/preprints.17193
• Public URL: https://nottingham-repository.worktribe.com/output/3611117
• Related Public URLs: https://preprints.jmir.org/preprint/17193
• Additional Information: JMIR Preprint. Final version of article can be found at https://nottingham-repository.worktribe.com/output/4211634