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

Ferguson, Melanie A. and Maidment, David and Russell, Naomi and Gregory, Melanie and Nicholson, Richard (2016) Motivational engagement in first-time hearing aid users: a feasibility study. International Journal of Audiology . pp. 1-11. ISSN 1708-8186

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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.

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis Group in Africa Review on 26/02/2016, available online: http://www.tandfonline.com/doi/full/10.3109/14992027.2015.1133935
Keywords: Motivation Tools, Self-Efficacy, Readiness, Help-Seeking, Hearing Aid Benefit, Wellbeing, Social Isolation, Hearing Aid Use
Schools/Departments: University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine > Division of Clinical Neuroscience
University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine
Identification Number: https://doi.org/10.3109/14992027.2015.1133935
Depositing User: Eprints, Support
Date Deposited: 14 Mar 2016 10:40
Last Modified: 19 Sep 2016 14:27
URI: http://eprints.nottingham.ac.uk/id/eprint/32260

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