Document Detail

Factors influencing rehabilitation decisions of adults with acquired hearing impairment.
MedLine Citation:
PMID:  20528667     Owner:  NLM     Status:  MEDLINE    
Several rehabilitation interventions yielding comparable outcomes are available to adults with acquired hearing impairment. However, the reasons why people choose particular interventions and not others have not been systematically investigated. This study explored the factors influencing the rehabilitation decisions of adults with acquired hearing impairment. Four options (hearing aids, group communication program, individual communication program, and no intervention) were discussed using shared decision making with 153 adults with acquired hearing impairment who had not previously received hearing rehabilitation. A selected sub-sample of 22 participants described the factors that influenced their decision during a semi-structured interview. Using qualitative content analysis, seven categories of factors influencing rehabilitation decisions were identified: (1) convenience; (2) expected adherence and outcomes; (3) financial costs; (4) hearing disability; (5) nature of intervention; (6) other people's experiences, recommendations, and support; and (7) preventive and interim solution. All categories of factors were a positive influence for a particular intervention for some participants and a negative influence for the same intervention for other participants. The results support a client-centred approach to decision making.
Ariane Laplante-Lévesque; Louise Hickson; Linda Worrall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of audiology     Volume:  49     ISSN:  1708-8186     ISO Abbreviation:  Int J Audiol     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-10     Completed Date:  2010-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140017     Medline TA:  Int J Audiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  497-507     Citation Subset:  IM    
Communication Disability Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
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MeSH Terms
Aged, 80 and over
Attitude to Health
Decision Making*
Hearing Aids / economics
Hearing Loss / economics,  psychology*,  rehabilitation*
Interviews as Topic
Middle Aged
Patient Acceptance of Health Care / psychology*
Patient Compliance
Severity of Illness Index
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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