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A qualitative investigation of decision making during help-seeking for adult hearing loss
Aston University, England.
St Michaels Hospital, England.
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. Eriksholm Research Centre, Denmark.
St Martins Hospital, England.
2016 (English)In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 55, no 11, 658-665 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The Any Qualified Provider framework in the National Health Service has changed the way adult audiology services are offered in England. Under the new rules, patients are being offered a choice in geographical location and audiology provider. This study aimed to explore how choices in treatment are presented and to identify what information patients need when they are seeking help with hearing loss. Design: This study adopted qualitative methods of ethnographic observations and focus group interviews to identify information needed prior to, and during, help-seeking. Observational data and focus group data were analysed using the constant comparison method of grounded theory. Study sample: Participants were recruited from a community Health and Social Care Trust in the west of England. This service incorporates both an Audiology and a Hearing Therapy service. Twenty seven participants were involved in focus groups or interviews. Results: Participants receive little information beyond the detail of hearing aids. Participants report little information that was not directly related to uptake of hearing aids. Conclusions: Participant preferences were not explored and limited information resulted in decisions that were clinician-led. The gaps in information reflect previous data on clinician communication and highlight the need for consistent information on a range of interventions to manage hearing loss.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2016. Vol. 55, no 11, 658-665 p.
Keyword [en]
Adult audiology; decision aid; hearing aid; option grid; shared decision making
National Category
Other Health Sciences
URN: urn:nbn:se:liu:diva-132244DOI: 10.1080/14992027.2016.1202455ISI: 000384319900007PubMedID: 27385528OAI: diva2:1039367

Funding Agencies|British Society of Audiology Stuart Gatehouse Award

Available from: 2016-10-24 Created: 2016-10-21 Last updated: 2016-10-24

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