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Motivational engagement in first-time hearing aid users: a feasibility study

Ferguson, Melanie A.; Maidment, David; Russell, Naomi; Gregory, Melanie; Nicholson, Richard

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Authors

Melanie A. Ferguson

David Maidment

Naomi Russell

Melanie Gregory

Richard Nicholson



Abstract

Objective: To assess (1) the feasibility of incorporating the Ida Institute’s Motivation Tools into a UK audiology service, (2) the potential benefits of motivational engagement in first-time hearing aid users, and (3) predictors of hearing aid and general health outcome measures.
Design: A feasibility study using a single-centre, prospective, quasi-randomized controlled design with two arms. The Ida Institute’s Motivation Tools formed the basis for motivational engagement. Study sample: First-time hearing aid users were recruited at the initial hearing assessment appointment. The intervention arm underwent motivational engagement (M+, n = 32), and a control arm (M-, n = 36) received standard care only. Results: The M+ group showed greater self-efficacy, reduced anxiety, and greater engagement with the audiologist at assessment and fitting appointments. However, there were no significant between-group differences 10-weeks post-fitting. Hearing-related communication scores predicted anxiety, and social isolation scores predicted depression for the M+ group. Readiness to address hearing difficulties predicted hearing aid outcomes for the M- group. Hearing sensitivity was not a predictor of outcomes. Conclusions: There were some positive results from motivational engagement early in the patient journey. Future research should consider using qualitative methods to explore whether there are longer-term benefits of motivational engagement in hearing aid users.

Journal Article Type Article
Acceptance Date Dec 14, 2015
Online Publication Date Feb 26, 2016
Deposit Date Mar 14, 2016
Publicly Available Date Mar 14, 2016
Journal International Journal of Audiology
Print ISSN 1499-2027
Electronic ISSN 1708-8186
Publisher Taylor & Francis Open
Peer Reviewed Peer Reviewed
Volume 55
Issue sup3
Article Number S23-S33
DOI https://doi.org/10.3109/14992027.2015.1133935
Keywords Motivation Tools, Self-Efficacy, Readiness, Help-Seeking, Hearing Aid Benefit, Wellbeing, Social Isolation, Hearing Aid Use
Public URL https://nottingham-repository.worktribe.com/output/775104
Publisher URL http://www.tandfonline.com/doi/full/10.3109/14992027.2015.1133935

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