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Predictors of rehabilitation intervention decisions in adults with acquired hearing impairment.
MedLine Citation:
PMID:  21386043     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: This study investigated the predictors of rehabilitation intervention decisions in middle-aged and older adults with acquired hearing impairment seeking help for the first time. METHOD: Using shared decision making, 139 participants were offered intervention options: hearing aids, communication programs (group or individual), and no intervention. Multivariate analysis (logistic regression) provided odds ratios and 95% confidence intervals for intervention decision predictors when all other variables were held constant. RESULTS: Seven intervention decision predictors were identified: 1) application for subsidized hearing services (participants more likely to choose hearing aids and less likely to choose communication programs); 2) hearing impairment (hearing aids more likely and no intervention less likely); 3) communication self-efficacy (hearing aids less likely); 4) powerful others as locus of control (hearing aids less likely); 5) hearing disability perceived by others and self (hearing aids more likely); 6) perceived communication program effectiveness (communication programs more likely); and 7) perceived suitability of individual communication program (hearing aids less likely and communication programs more likely). CONCLUSION: Findings suggest the need for clinicians to explicitly elicit the predictors identified by this study when involving adults with acquired hearing impairment in intervention decisions.
Authors:
Ariane Laplante-Lévesque; Louise Hickson; Linda Worrall
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-8
Journal Detail:
Title:  Journal of speech, language, and hearing research : JSLHR     Volume:  -     ISSN:  1558-9102     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9705610     Medline TA:  J Speech Lang Hear Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Communication Disability Centre, University of Queensland.
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