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A randomized controlled trial evaluating the effects of online rehabilitative intervention for adult hearing-aid users
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuroscience. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology in Linköping.
Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology in Linköping.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0003-4753-6745
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2014 (English)In: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 53, no 7, 452-461 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Informa Healthcare , 2014. Vol. 53, no 7, 452-461 p.
Keyword [en]
Counseling, Hearing loss, Internet, Outcome assessment, Rehabilitation of hearing impaired
National Category
Health Sciences Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-103823DOI: 10.3109/14992027.2014.892643ISI: 000337029000006OAI: oai:DiVA.org:liu-103823DiVA: diva2:691743
Available from: 2014-01-28 Created: 2014-01-28 Last updated: 2017-12-06Bibliographically approved
In thesis
1. Internet Interventions for Hearing Loss: Examing rehabilitation, self-report measures and internet use for hearing-aid users
Open this publication in new window or tab >>Internet Interventions for Hearing Loss: Examing rehabilitation, self-report measures and internet use for hearing-aid users
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

In the future, audiological rehabilitation of adults with hearing loss will be more available, personalized and thorough due to the possibilities offered by the internet. By using the internet as a platform it is also possible to perform the process of rehabilitation in a cost-effective way. With tailored online rehabilitation programs containing topics such as communication strategies, hearing tactics and how to handle hearing aids it might be possible to foster behavioral changes that will positively affect hearing aid users.

Four studies were carried out in this thesis. The first study investigated internet usage among adults with hearing loss. In the second study the administration format, online vs. paper- and pencil, of four standardized questionnaires was evaluated. Finally two randomized controlled trials were performed evaluating the efficacy of online rehabilitation programs including professional guidance by an audiologist. The programs lasted over five weeks and were designed for experienced adult hearing-aid users. The effects of the online programs were compared with the effects of a control group.

It can be concluded that the use of computers and the internet overall is at least at the same level for people with hearing loss as for the general age-matched population in Sweden. Furthermore, for three of the four included questionnaires, the participants’ scores remained the same across formats. It is however recommended that the administration format remain consistent across assessment points. Finally, results from the two concluding intervention studies provide preliminary evidence that the internet can be used to deliver education and rehabilitation to experienced hearing aid users who report residual hearing problems and that their problems are reduced by the intervention; however the content and design of the online rehabilitation program requires further investigation.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2014. 72 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1392Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 57
Keyword
Counseling, hearing loss, hearing aids, rehabilitation of people with hearing loss, internet, outcome assessment, hearing aid satisfaction
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-103824 (URN)10.3384/diss.diva-103824 (DOI)978-91-7519-423-3 (ISBN)
Public defence
2014-02-27, Berzeliussalen, Campus US, Linköpings universitet, Linköping, 13:00 (English)
Opponent
Supervisors
Available from: 2014-01-28 Created: 2014-01-28 Last updated: 2014-11-28Bibliographically approved

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Thorén, ElisabetÖberg, MarieAndersson, GerhardLunner, Thomas

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Division of NeuroscienceFaculty of Health SciencesDepartment of Otorhinolaryngology in LinköpingPsychologyFaculty of Arts and SciencesThe Swedish Institute for Disability ResearchDisability Research
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