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Exploring the Factors Influencing Discontinued Hearing Aid Use in Patients With Unilateral Cochlear Implants.
MedLine Citation:
PMID:  21406420     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Studies have shown that unilateral cochlear implant users who have residual hearing in the contralateral ear can benefit from combining a hearing aid in the nonimplanted ear with their cochlear implant. The purpose of this study was to better understand the factors influencing decision making by adults. Adults who had discontinued hearing aid use shortly after cochlear implantation were selected from one Canadian cochlear implant program. An examination of hearing aid use revealed that of 96 patients, who used hearing aids preimplant, 49 had discontinued hearing aid use. Patient perspectives on the decision and experience of combining a hearing aid and a cochlear implant were collected through 12 individual semistructured interviews. The interviews were analyzed qualitatively to identify key themes. Questionnaires, based on the interview findings, were developed and sent to the 49 adults to further explore the factors affecting hearing aid decisions. Interview and questionnaire findings from 28 adults indicated that three factors primarily influenced patients' decision to discontinue hearing aid use: their perceptions of the experience with hearing aids prior to implantation, their views of superiority of a unilateral cochlear implant in comparison with hearing aids, and their perceptions of interference with sound quality when a cochlear implant and hearing aid were combined. This study provides information about patient perceptions, experiences, and understanding of the potential difficulties of a bimodal fitting that may assist clinicians in pre- and postimplant counseling.
Authors:
Elizabeth M Fitzpatrick; Stéphanie Leblanc
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-14
Journal Detail:
Title:  Trends in amplification     Volume:  -     ISSN:  1940-5588     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9709254     Medline TA:  Trends Amplif     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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