J Am Acad Audiol 2019; 30(06): 516-532
DOI: 10.3766/jaaa.17129
Articles
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

How do Hearing Aid Owners Acquire Hearing Aid Management Skills?

Rebecca J. Bennett
*   Ear Science Institute Australia, Subiaco, Australia
†   Ear Sciences Centre, The University of Western Australia, Nedlands, Australia
,
Carly J. Meyer
‡   School of Health and Rehabilitation Sciences, University of Queensland, St. Lucia, Australia
,
Robert H. Eikelboom
*   Ear Science Institute Australia, Subiaco, Australia
†   Ear Sciences Centre, The University of Western Australia, Nedlands, Australia
§   Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
› Author Affiliations
Further Information

Publication History

28 February 2018

15 March 2018

Publication Date:
25 May 2020 (online)

Abstract

Background:

Clinical studies have found up to 90% of hearing aid owners demonstrate difficulty with basic hearing aid management tasks and almost 50% of hearing aid owners self-report not receiving enough practical help from their clinician regarding how to use their hearing aid. Although studies have highlighted the overwhelming amount of information and training required to learn how to use a hearing aid appropriately, a gap remains in the literature regarding the range of methods by which hearing aid owners acquire the knowledge and skills for hearing aid use, and whether these approaches are considered beneficial.

Purpose:

To gain insight into how both hearing aid owners and hearing health clinicians view the acquisition of hearing aid management skills and the efficacy of currently used methods of hearing aid training.

Research Design:

Concept mapping techniques were used to identify key themes, wherein participants generated, sorted, and rated the importance of statements in response to the question “How do hearing aid owners learn the skills required to use, handle, manage, maintain, and care for their hearing aids?”

Study Sample:

Twenty-four hearing aid owners (aged 56–91 years; 54.2% male) and 22 clinicians (aged 32–69 years; 9.1% male).

Data collection and Analysis:

Participant perspectives were collected via group concept mapping sessions in October 2015. Hierarchical cluster analysis was used to identify themes and develop a framework for understanding how skill acquisition occurs. Participants rated each method of hearing aid skill acquisition as to how beneficial it was and how often it was used.

Results:

Participants identified 75 unique items describing how hearing aid management skills are acquired within six concepts: (1) Relationship with the clinician, (2) clinician as a source of knowledge and support, (3) hands-on experience, (4) seeking additional information, (5) asking support people for help, and (6) external resources.

Conclusions:

The results of this study highlight the diverse methods and sources by which hearing aid owners learn the skills necessary to use, manage, and maintain their hearing aids. Significant emphasis was placed on the role of the hearing health clinician to provide training, support, and an ongoing professional relationship, with lesser roles played by family, friends, and other health professionals.

This study was supported by Unitron Australia and the Ear Science Institute Australia. Rebecca Bennett was supported by an Australian Government Research Training Program (RTP) Scholarship.


 
  • REFERENCES

  • American Speech-Language-Hearing Association 2015 Hearing aids for adults. http://www.asha.org/PRPSpecificTopic.aspx?folderid=8589935381&section=Overview . Accessed June 2016
  • Audiology Australia 2013 Audiology Australia professional practice standards—Part B clinical standards. http://www.audiology.asn.au/standards-downloads/Clinical%20Standards%20-%20whole%20document%20July13%201.pdf . Accessed October 2015
  • Bennett RJ, Meyer C, Eikelboom RH. 2016; Does clinician continuity influence hearing aid outcomes?. Int J Audiol 55 (10) 556-563
  • Bennett RJ, Meyer C, Taljaard DS, Eikelboom RH. 2017; a Are hearing aid owners able to identify and self-report handling difficulties? A pilot study. Int J Audiol 56 (11) 887-893
  • Bennett RJ, Laplante-Levesque A, Meyer CJ, Eikelboom RH. 2018; a Exploring hearing aid problems: perspectives of hearing aid owners and clinicians. Ear Hear 39 (01) 172-187
  • Bennett RJ, Meyer CJ, Eikelboom RH, Atlas MD. 2018; b Investigating the knowledge, skills and tasks required for hearing aid management: perspectives of clinicians and hearing aid owners. Am J Audiol 27: 67-84
  • Bertoli S, Staehelin K, Zemp E, Schindler C, Bodmer D, Probst R. 2009; Survey on hearing aid use and satisfaction in Switzerland and their determinants. Int J Audiol 48 (04) 183-195
  • Brooke RE, Isherwood S, Herbert NC, Raynor DK, Knapp P. 2012; Hearing aid instruction booklets: employing usability testing to determine effectiveness. Am J Audiol 21 (02) 206-214
  • Campos PD, Bozza A, Ferrari DV. 2014; Hearing aid handling skills: Relationship with satisfaction and benefit. Codas 26 (01) 10-16
  • Caposecco A, Hickson L, Meyer C. 2014; Hearing aid user guides: Suitability for older adults. Int J Audiol 53 (1, Suppl) S43-S51
  • Caposecco A, Hickson L, Meyer C, Khan A. 2016; Evaluation of a modified user guide for hearing aid management. Ear Hear 37 (01) 27-37
  • Chisolm TH, Johnson CE, Danhauer JL, Portz LJ, Abrams HB, Lesner S, Newman CW. 2007; A systematic review of health-related quality of life and hearing aids: final report of the American Academy of Audiology Task Force on the health-related quality of life benefits of amplification in adults. J Am Acad Audiol 18 (02) 151-183
  • Concept Systems Incorporated 2011 The Concept System [Computer Software], Version 4, Ithaca, NY. http://www.conceptsystems.com
  • Desjardins JL, Doherty KA. 2009; Do experienced hearing aid users know how to use their hearing AIDS correctly?. Am J Audiol 18 (01) 69-76
  • El-Molla F, Smith Z, Henshaw H, Ferguson M. 2012. Retention of rehabilitation information by first-time hearing aid users with and without interactive patient information. Paper presented at the meeting of the British Academy of Audiology Manchester, UK:
  • English K. 2008; Counseling issues in audiologic rehabilitation. Contemp Issues Commun Sci 35: 93-101
  • Erdman SA, Wark DJ, Montano JJ. 1994; Implications of service delivery models in audiology. J Acad Rehabil Audiol 27: 45-60
  • Ferguson M, Brandreth M, Brassington W, Wharrad H. 2015; Information retention and overload in first-time hearing aid users: an interactive multimedia educational solution. Am J Audiol 24 (03) 329-332
  • Ferrari DV, Jokura PR, Silvestre NA, Campos PD, Paiva PMP. 2015; Practical hearing aid skills test: results at the time of fitting and comparison of inter-rater reliability. Audiol Commun Res 20 (02) 110-115
  • Gilliver M, Hickson L. 2011; Medical practitioners’ attitudes to hearing rehabilitation for older adults. Int J Audiol 50 (12) 850-856
  • Grenness C, Hickson L, Laplante-Levesque A, Davidson B. 2014; Patient-centred audiological rehabilitation: perspectives of older adults who own hearing aids. Int J Audiol 53 (Suppl) S68-S75
  • Hickson L, Scarinci N. 2007; Older adults with acquired hearing impairment: applying the ICF in rehabilitation. Semin Speech Lang 28 (04) 283-290
  • Hickson L, Meyer C, Lovelock K, Lampert M, Khan A. 2014; Factors associated with success with hearing aids in older adults. Int J Audiol 53 (Suppl) S18-S27
  • Hinkle DE, Wiersma W, Jurs SG. 2003; Applied statistics for the behavioral sciences. J Educ Stat 15 (01) 84-87
  • Jackson KM, Trochim WM. 2002; Concept mapping as an alternative approach for the analysis of open-ended survey responses. Organ Res Methods 5: 307-336
  • Kane M, Trochim WM. 2007. Concept Mapping for Planning and Evaluation. Vol. 50 Thousand Oaks, CA: Sage;
  • Kelly TB, Tolson D, Day T, McColgan G, Kroll T, Maclaren W. 2013; Older people’s views on what they need to successfully adjust to life with a hearing aid. Health Soc Care Community 21 (03) 293-302
  • Kochkin S, Beck DL, Christensen LA, Compton-Conley C, Fligor BJ, Kricos PB, McSpaden JB, Gustav Mueller H, Nilsson MJ, Northern JL, Powers TA, Sweetow RW, Taylor B, Turner RG. 2010; MarkeTrak VIII: the impact of the hearing healthcare professional on hearing aid user success. Hear Rev 17 (04) 12-34
  • Kools M, van de Wiel MW, Ruiter RA, Kok G. 2006; Pictures and text in instructions for medical devices: effects on recall and actual performance. Patient Educ Couns 64 (01) 104-111
  • Kumar M, Hickey S, Shaw S. 2000; Manual dexterity and successful hearing aid use. J Laryngol Otol 114 (08) 593-597
  • Laplante-Lévesque A, Hickson L, Worrall L. 2010; a Promoting the participation of adults with acquired hearing impairment in their rehabilitation. J Acad Rehabil Audiol 43: 11-26
  • Laplante-Lévesque A, Hickson L, Worrall L. 2010; b A qualitative study of shared decision making in rehabilitative audiology. J Acad Rehabil Audiol 43: 27-43
  • Laplante-Lévesque A, Jensen LD, Dawes P, Nielsen C. 2013; Optimal hearing aid use: focus groups with hearing aid clients and audiologists. Ear Hear 34 (02) 193-202
  • Ley P, Bradshaw P, Eaves D, Walker C. 1973; A method for increasing patients’ recall of information presented by doctors. Psychol Med 3 (02) 217-220
  • Lilien GL, Rangaswamy A. 2004. Marketing Engineering: Computer-Assisted Marketing Analysis and Planning. Revised 2nd ed. Victoria, Canada: Trafford Publishing;
  • Lustig C, Shah P, Seidler R, Reuter-Lorenz PA. 2009; Aging, training, and the brain: a review and future directions. Neuropsychol Rev 19 (04) 504-522
  • Manchaiah VK, Stephens D, Zhao F, Kramer SE. 2012; The role of communication partners in the audiological enablement/rehabilitation of a person with hearing impairment: an overview. Audiological Med 10 (01) 21-30
  • Meyer C, Grenness C, Scarinci N, Hickson L. 2016; What is the international classification of functioning, disability and health and why is it relevant to audiology?. Semin Hear 37 (03) 163-186
  • Nair EL, Cienkowski KM. 2010; The impact of health literacy on patient understanding of counseling and education materials. Int J Audiol 49 (02) 71-75
  • Poost-Foroosh L, Jennings MB, Cheesman MF. 2015; Comparisons of client and clinician views of the importance of factors in client-clinician interaction in hearing aid purchase decisions. J Am Acad Audiol 26 (03) 247-259
  • Poost-Foroosh L, Jennings MB, Shaw L, Meston CN, Cheesman MF. 2011; Factors in client-clinician interaction that influence hearing aid adoption. Trends Amplification 15 (03) 127-139
  • Preminger JE. 2003; Should significant others be encouraged to join adult group audiologic rehabilitation classes?. J Am Acad Audiol 14 (10) 545-555
  • Preminger JE, Meeks S. 2010; Evaluation of an audiological rehabilitation program for spouses of people with hearing loss. J Am Acad Audiol 21 (05) 315-328
  • Reese JL, Hnath-Chisolm T. 2005; Recognition of hearing aid orientation content by first-time users. Am J Audiol 14 (01) 94-104
  • Rosas SR, Kane M. 2012; Quality and rigor of the concept mapping methodology: a pooled study analysis. Eval Program Plann 35 (02) 236-245
  • Shaw G. 2015; Unbundling hearing healthcare pricing: up-front work pays off. Hear J 68 (09) 28-30
  • Singh G, Hickson L, English K, Scherpiet S, Lemke U, Timmer B, Launer S. 2016; Family-centered adult audiologic care: a phonak position statement. Hear Rev 23 (04) 16
  • Singh G, Lau ST, Pichora-Fuller MK. 2015; Social support predicts hearing aid satisfaction. Ear Hear 36 (06) 664-676
  • Singh G, Pichora-Fuller K, Hayes D, von Schroeder HP, Carnahan H. 2013; The aging hand and the ergonomics of hearing aid controls. Ear Hear 34 (01) e1-e13
  • Solheim J, Kvaerner KJ, Falkenberg ES. 2011; Daily life consequences of hearing loss in the elderly. Disabil Rehabil 33 23–24 2179-2185
  • Stephens D. 2009. Living with Hearing Difficulties: The Process of Enablement. Chichester, West Sussex, UK: John Wiley & Sons;
  • Trochim W. 1993. The reliability of concept mapping. Paper presented at the Annual Conference of the American Evaluation Association Dallas, TX: , November 6, 1993
  • Trochim WM. 1989; An introduction to concept mapping for planning and evaluation. Eval Program Plann 12 (01) 1-16
  • Upfold L, May A, Battaglia J. 1990; Hearing aid manipulation skills in an elderly population: a comparison of ITE, BTE, and ITC aids. Br J Audiol 24 (05) 311-318
  • Wedel M, Kamakura WA. 2000. Market Segmentation: Conceptual and Methodological Foundations. 2nd ed. Boston, MA:: Kluwer Academic Press;
  • West RL, Smith SL. 2007; Development of a hearing aid self-efficacy questionnaire. Int J Audiol 46 (12) 759-771