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Brännström, J., Öberg, M., Ingo, E., Månsson, K. N., Andersson, G., Lunner, T. & Laplante-Lévesque, A. (2016). The initial evaluation of an internet-based support system for audiologists and first-time hearing aid clientsThe process of developing an internet-based support system for audiologists and first-time hearing aid clients. Internet Interventions, 4(1), 82-91
Öppna denna publikation i ny flik eller fönster >>The initial evaluation of an internet-based support system for audiologists and first-time hearing aid clientsThe process of developing an internet-based support system for audiologists and first-time hearing aid clients
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2016 (Engelska)Ingår i: Internet Interventions, ISSN 2214-7829, Vol. 4, nr 1, s. 82-91Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Elsevier, 2016
Nationell ämneskategori
Medicinska och farmaceutiska grundvetenskaper
Identifikatorer
urn:nbn:se:liu:diva-126519 (URN)10.1016/j.invent.2016.01.002 (DOI)
Tillgänglig från: 2016-03-29 Skapad: 2016-03-29 Senast uppdaterad: 2019-06-28
Öberg, M. (2016). Validation of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version) and Evaluation of Its Effect in Hearing Aid Rehabilitation. TRENDS IN HEARING, 20(2331216516639234)
Öppna denna publikation i ny flik eller fönster >>Validation of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version) and Evaluation of Its Effect in Hearing Aid Rehabilitation
2016 (Engelska)Ingår i: TRENDS IN HEARING, ISSN 2331-2165, Vol. 20, nr 2331216516639234Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Self-reports of subjective hearing difficulties by people with hearing loss may be a useful complement to audiometry in hearing aid rehabilitation. To be useful, such self-reports need to be reliable. This study investigated the reliability and the validity of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version; HHIE-S). Sixty-nine participants completed a questionnaire before hearing aid rehabilitation. Of these individuals, 49 completed hearing aid rehabilitation (aged between 23 and 94 years), and 41 of these 49 participants completed the questionnaire after completing the rehabilitation. The Swedish HHIE-S exhibited good internal consistency (Cronbachs alpha coefficient of .77). The questionnaire was effective for evaluating hearing aid rehabilitation, and a statistically significant reduction in hearing difficulties was observed. The clinicians found the questionnaire easy to administer and effective in hearing aid rehabilitation. The findings from the study support the use of the HHIE-S in clinical practice.

Ort, förlag, år, upplaga, sidor
SAGE PUBLICATIONS INC, 2016
Nyckelord
self-reports; hearing aid rehabilitation; activity limitation
Nationell ämneskategori
Oto-rino-laryngologi
Identifikatorer
urn:nbn:se:liu:diva-130145 (URN)10.1177/2331216516639234 (DOI)000377851500001 ()27009755 (PubMedID)
Anmärkning

Funding Agencies|Ostergotland County Council Research Foundation

Tillgänglig från: 2016-07-12 Skapad: 2016-07-11 Senast uppdaterad: 2019-01-15
Öberg, M., Wänström, G., Andersson, G. & Lunner, T. (2015). Behandlingsprocessens betydelse vid hörapparatanpassning. In: : . Paper presented at TeMA hörsel (Parallellsession 1) Malmö, Sverige, 25-27 mars 2015.
Öppna denna publikation i ny flik eller fönster >>Behandlingsprocessens betydelse vid hörapparatanpassning
2015 (Svenska)Konferensbidrag, Enbart muntlig presentation (Övrigt vetenskapligt)
Nationell ämneskategori
Övrig annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:liu:diva-124036 (URN)
Konferens
TeMA hörsel (Parallellsession 1) Malmö, Sverige, 25-27 mars 2015
Tillgänglig från: 2016-01-18 Skapad: 2016-01-18 Senast uppdaterad: 2019-01-15Bibliografiskt granskad
Naylor, G., Öberg, M., Wänström, G. & Lunner, T. (2015). Exploring the Effects of the Narrative Embodied in the Hearing Aid Fitting Process on Treatment Outcomes. Ear and Hearing, 36(5), 517-526
Öppna denna publikation i ny flik eller fönster >>Exploring the Effects of the Narrative Embodied in the Hearing Aid Fitting Process on Treatment Outcomes
2015 (Engelska)Ingår i: Ear and Hearing, ISSN 0196-0202, E-ISSN 1538-4667, Vol. 36, nr 5, s. 517-526Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives: There is strong evidence from other fields of health, and growing evidence in audiology, that characteristics of the process of intervention as perceived by the client (embodied narratives) can have significant effects on treatment outcomes, independent of the technical properties of the intervention itself. This phenomenon deserves examination because studies of technical interventions that fail to take account of it may reach erroneous conclusions and because clinical practice can put such effects to therapeutic use. The aim of this study was to test the idea that embodied narratives might affect outcomes in hearing aid fitting. This was achieved by carrying out experiments in which technical (acoustic) differences between alternative hearing aid fittings were absent, while providing test subjects with a strong contrast between the processes apparently applied to derive the fittings being compared. Thus, any effects of contrasting narratives could be observed, free of acoustical confounds. The hypothesis was that narrative effects would be observed. Design: A balanced crossover design was used, in which subjects received and evaluated two bilateral hearing aid fittings in succession. Subjects were deceived as to the true identical content of the hearing aid fittings being compared, but encouraged to believe that one fitting process was interactive and the other was diagnostic in character. Two almost identical experiments were undertaken: one with 24 experienced adult hearing aid users and another with 16 adult first-time users. Each hearing aid fitting was worn at home for 2 weeks, after which self-report outcome measures (Hearing Aid Performance Questionnaire, Hearing Handicap Inventory for the Elderly, and International Outcome Inventory for Hearing Aids) were administered. After the second test period, a short preference questionnaire was also completed. Results: Twenty of the 24 experienced users showed a clear preference for one or the other fitting, and their self-report scores reflected these preferences. Effect sizes were comparable with those typically observed for true acoustical contrasts. No order effect was seen in this group. In contrast, 13 of the 16 first-time users preferred the second fitting. Trends in the self-report measures were similar for this group but weaker than for the experienced users. In both groups, the reasons given for subjects preference were predominantly related to sound, despite there being no acoustical differences. Conclusions: This study suggests that the narrative embodied in a given fitting process can have a substantial effect on the perceived benefit of the treatment, independent of any acoustical differences, at least for experienced users. For first-time users, acclimatization seems to overshadow the purely narrative effect of any fitting process. In the future, research study designs should include steps to avoid narrative effects when technical parameters of hearing aids are the intended object of study. In clinical practice, the narrative is part of the therapeutic context, and one may design it for maximum beneficial effect.

Ort, förlag, år, upplaga, sidor
Lippincott Williams & Wilkins, 2015
Nyckelord
Hearing aid fitting; Placebo effect
Nationell ämneskategori
Oto-rino-laryngologi Annan hälsovetenskap
Identifikatorer
urn:nbn:se:liu:diva-122062 (URN)10.1097/AUD.0000000000000157 (DOI)000360630900003 ()25811932 (PubMedID)
Anmärkning

Funding Agencies|Oticon A/S, Denmark

Tillgänglig från: 2015-12-18 Skapad: 2015-10-19 Senast uppdaterad: 2019-01-15Bibliografiskt granskad
Öberg, M. (2015). Hearing Care for Older Adults: Beyond the Audiology Clinic. American Journal of Audiology, 24(2), 104-107
Öppna denna publikation i ny flik eller fönster >>Hearing Care for Older Adults: Beyond the Audiology Clinic
2015 (Engelska)Ingår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 24, nr 2, s. 104-107Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: The purpose of this article is to highlight the importance of hearing health care beyond the clinic for older people with impaired hearing. Method: This article emphasizes factors affecting the success of audiologic rehabilitation for older people and describes practical clinical and community-based strategies for promoting successful hearing health care. Results: Older people are not always aware of the extent of their hearing loss, may not always expect to benefit from using a hearing aid, and often have low self-efficacy for managing to learn to use hearing aids. Increased knowledge and support from other health professionals, family caregivers, and significant others could optimize older peoples participation in everyday activities. Conclusion: Further work is needed to develop new interventions for older people with impaired hearing and to increase collaboration with general practitioners as well as other health care professionals.

Ort, förlag, år, upplaga, sidor
American Speech-Language-Hearing Association, 2015
Nationell ämneskategori
Annan hälsovetenskap
Identifikatorer
urn:nbn:se:liu:diva-120657 (URN)10.1044/2015_AJA-14-0077 (DOI)000358354700009 ()25856775 (PubMedID)
Anmärkning

Funding Agencies|Oticon Foundation Oticon A/S; Swedish Institute of Assistive Technology [2007/0240]; Swedish Hard of Hearing Association [B2009/02]

Tillgänglig från: 2015-08-20 Skapad: 2015-08-20 Senast uppdaterad: 2019-01-15Bibliografiskt granskad
Sundewall Thoren, E., Öberg, M., Andersson, G. & Lunner, T. (2015). Internet Interventions for Hearing Loss. American Journal of Audiology, 24(3), 316-319
Öppna denna publikation i ny flik eller fönster >>Internet Interventions for Hearing Loss
2015 (Engelska)Ingår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 24, nr 3, s. 316-319Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: The purpose of the two studies presented in this research forum article was to develop audiological rehabilitation programs for experienced hearing aid users and evaluate them in online versions. In this research forum article, the differences between the two studies are discussed. Method: Two randomized controlled trials (RCTs) were performed evaluating the efficacy of online rehabilitation, including professional guidance by an audiologist. In each RCT, the effects of the online programs were compared with the effects measured in a control group. Results: The results from the first RCT showed a significant increase in activity and participation for both groups with participants in the intervention group improving more than those in the control group. At the 6-month follow-up, after the study, the significant increase was maintained; however, amounts of increase in the two groups were no longer significantly different. The results from the second RCT showed significant increase in activity and participation for the intervention group, although the control group did not improve. Conclusions: The results from the RCTs provide evidence that the Internet can be used to deliver rehabilitation to hearing-aid users and that their problems are reduced by the intervention; however, the content of the online rehabilitation program requires further investigation.

Ort, förlag, år, upplaga, sidor
American Speech-Language-Hearing Association, 2015
Nationell ämneskategori
Tillämpad psykologi Oto-rino-laryngologi
Identifikatorer
urn:nbn:se:liu:diva-123083 (URN)10.1044/2015_AJA-15-0009 (DOI)000364315200012 ()26649538 (PubMedID)
Anmärkning

Funding Agencies|Oticon Foundation; Swedish Research Council for Health, Working Life and Welfare (FORTE); Swedish Hard of Hearing Association (HRF)

Tillgänglig från: 2015-12-03 Skapad: 2015-12-03 Senast uppdaterad: 2019-01-15Bibliografiskt granskad
Öberg, M., Elisabet, S. T., Hagejärd, L. & Teodorescu, I. (2015). Online Individualized Active Communication Education- a Swedish pilot study. In: : . Paper presented at 2nd International Meeting of Internet and Audiology, Eriksholm Research Centre, Marienlyst Hotel Eriksholm, Denmark, September 24-25 2015.
Öppna denna publikation i ny flik eller fönster >>Online Individualized Active Communication Education- a Swedish pilot study
2015 (Engelska)Konferensbidrag, Enbart muntlig presentation (Övrigt vetenskapligt)
Nyckelord
Internet, Audiology
Nationell ämneskategori
Övrig annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:liu:diva-124042 (URN)
Konferens
2nd International Meeting of Internet and Audiology, Eriksholm Research Centre, Marienlyst Hotel Eriksholm, Denmark, September 24-25 2015
Tillgänglig från: 2016-01-18 Skapad: 2016-01-18 Senast uppdaterad: 2019-01-15Bibliografiskt granskad
Brännström, J. K., Öberg, M., Ingo, E., Månsson, K. N. T., Andersson, G., Lunner, T. & Laplante-Lévesque, A. (2015). The Process of Developing an Internet-Based Support System for Audiologists and First-Time Hearing Aid Clients. American Journal of Audiology, 24(3), 320-324
Öppna denna publikation i ny flik eller fönster >>The Process of Developing an Internet-Based Support System for Audiologists and First-Time Hearing Aid Clients
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2015 (Engelska)Ingår i: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 24, nr 3, s. 320-324Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: In audiologic practice, complementary information sources and access to the clinician between appointments improve information retention and facilitate adjustment behaviors. An Internet-based support system is a novel way to support information sharing and clinician access. Purpose: This research forum article describes the process of developing an Internet-based support system for audiologists and their first-time hearing aid clients. Method: The iterative development process, including revisions by 4 research audiologists and 4 clinical audiologists, is described. The final system is exemplified. Conclusion: An Internet-based support system was successfully developed for audiologic practice.

Ort, förlag, år, upplaga, sidor
American Speech-Language-Hearing Association, 2015
Nationell ämneskategori
Tillämpad psykologi Psykologi (exklusive tillämpad psykologi)
Identifikatorer
urn:nbn:se:liu:diva-123084 (URN)10.1044/2015_AJA-14-0094 (DOI)000364315200013 ()26649539 (PubMedID)
Anmärkning

Funding Agencies|Swedish Council for Wealth, Working Life and Welfare (FORTE) [2009-0055]

Tillgänglig från: 2015-12-03 Skapad: 2015-12-03 Senast uppdaterad: 2019-06-28Bibliografiskt granskad
Öberg, M., Bohn, T., Larsson, U. & Hickson, L. (2014). A Preliminary Evaluation of the Active Communication Education Program in a Sample of 87-Year-Old Hearing Impaired Individuals. Journal of the American Academy of Audiology, 25(2), 219-228
Öppna denna publikation i ny flik eller fönster >>A Preliminary Evaluation of the Active Communication Education Program in a Sample of 87-Year-Old Hearing Impaired Individuals
2014 (Engelska)Ingår i: Journal of the American Academy of Audiology, ISSN 1050-0545, Vol. 25, nr 2, s. 219-228Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Previous research suggests that audiological rehabilitation for older adults could include group communication programs in addition to hearing aid fitting or as an alternative to hearing aid fitting for those people who do not wish to proceed with hearing aids. This pilot study was a first attempt to evaluate a Swedish version of such a program, Active Communication Education (ACE), which had been developed and previously evaluated in Australia (Hickson et.al, 2007a). Purpose: The aim of the study was to explore the use of the ACE program in an older-old population of people aged 87 yr in Sweden. Research Design: A within-subject intervention study. Study Sample: The participants were recruited from the Elderly in Linkoping Screening Assessment (ELSA), a population-based study of the functional abilities of all inhabitants of the city of Linkoping aged 85 yr in 2007. Participants who responded to the hearing related items in the ELSA study were approached for this study; 29 people agreed to undertake ACE, and 23 (79%) completed three or more sessions. Intervention: The ACE program consists of five weekly 2 hr group sessions with six to ten participants per group. Data Collection and Analysis: Self-report measures of communication strategy use, activity and participation, health-related quality of life, and depression were obtained preprogram, 3 wk postprogram, and 6 mo postprogram. Within-group changes and effect sizes were calculated. In addition, outcomes were measured postprogram using the International Outcome Inventory Alternative Interventions (IOI-AI; Noble, 2002) and a modified version of the Client Oriented Scale of Improvement (COSI; Dillon et al, 1997; Hickson et al, 2007b), and qualitative feedback was obtained. Results: The effect size of ACE was small (0.03-0.27), and, in the sample of 23 included in this pilot study, differences in pre- and postprogram assessments were not statistically significant. Results from the IOI-Al and the modified COSI indicated that these elderly participants found the program to be beneficial, and 90% stated that the course had increased their ability to deal with hearing loss and the problems it creates. Conclusions: This preliminary investigation indicates the potential benefits of ACE for older adults, and further research is needed with larger numbers of participants in different age groups to draw conclusions about the effectiveness of the ACE program for a general Swedish population.

Ort, förlag, år, upplaga, sidor
American Academy of Audiology, 2014
Nyckelord
Audiological rehabilitation; communication strategies; group programs; hearing impairment; older people
Nationell ämneskategori
Klinisk medicin
Identifikatorer
urn:nbn:se:liu:diva-107467 (URN)10.3766/jaaa.25.2.10 (DOI)000335806400010 ()24828222 (PubMedID)
Tillgänglig från: 2014-06-12 Skapad: 2014-06-12 Senast uppdaterad: 2019-01-15Bibliografiskt granskad
Thorén, E., Öberg, M., Wänström, G., Andersson, G. & Lunner, T. (2014). A randomized controlled trial evaluating the effects of online rehabilitative intervention for adult hearing-aid users. International Journal of Audiology, 53(7), 452-461
Öppna denna publikation i ny flik eller fönster >>A randomized controlled trial evaluating the effects of online rehabilitative intervention for adult hearing-aid users
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2014 (Engelska)Ingår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 53, nr 7, s. 452-461Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: Previous research shows that the internet can be used in the rehabilitation of hearing aid users. By further developing the online program, it might be possible to foster behavioral changes that will positively affect hearing aid users.

Design: A randomized controlled study with two groups of participants. The intervention group underwent a five-week online intervention while the control group was referred to a waiting-list. Questionnaires were used as outcome measures.

Study Sample: Seventy-six experienced hearing aid users participated in the study, ranging in age from 26 to 81 years (mean 69.3 years).

Results: The findings showed significant improvements in the intervention group after the intervention, measured by the Hearing Handicap Inventory for the Elderly. The effects were maintained and improved at the follow-up. Furthermore, the results indicated that the participants in the intervention group improved at two items of the International Outcome Inventory for Hearing Aids, and the effects were partly maintained at the followup. Finally, significant improvements in the domain of psychosocial wellbeing were found at the follow-up.

Conclusions: This study provides further evidence that the internet can be used to deliver intervention of rehabilitation to hearing aid users.

Ort, förlag, år, upplaga, sidor
Informa Healthcare, 2014
Nyckelord
Counseling, Hearing loss, Internet, Outcome assessment, Rehabilitation of hearing impaired
Nationell ämneskategori
Hälsovetenskaper Klinisk medicin
Identifikatorer
urn:nbn:se:liu:diva-103823 (URN)10.3109/14992027.2014.892643 (DOI)000337029000006 ()
Tillgänglig från: 2014-01-28 Skapad: 2014-01-28 Senast uppdaterad: 2019-01-15Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-8743-1636

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