Patient-centred audiological rehabilitation: perspectives of older adults who own hearing aids

Int J Audiol. 2014 Feb:53 Suppl 1:S68-75. doi: 10.3109/14992027.2013.866280.

Abstract

Objective: Patient-centred care is a term frequently associated with quality health care. Despite extensive literature from a range of health-care professions that provide description and measurement of patient-centred care, a definition of patient-centredness in audiological rehabilitation is lacking. The current study aimed to define patient-centred care specific to audiological rehabilitation from the perspective of older adults who have owned hearing aids for at least one year.

Design: Research interviews were conducted with a purposive sample of older adults concerning their perceptions of patient-centredness in audiological rehabilitation, and qualitative content analysis was undertaken.

Study sample: The participant sample included ten adults over the age of 60 years who had owned hearing aids for at least one year.

Results: Data analysis revealed three dimensions to patient-centred audiological rehabilitation: the therapeutic relationship, the players (audiologist and patient), and clinical processes. Individualised care was seen as an overarching theme linking each of these dimensions.

Conclusions: This study reported two models: the first model describes what older adults with hearing aids believe constitutes patient-centred audiological rehabilitation. The second provides a guide to operationalised patient-centred care. Further research is required to address questions pertaining to the presence, nature, and impact of patient-centred audiological rehabilitation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aging / psychology*
  • Attitude of Health Personnel
  • Audiology / instrumentation*
  • Audiology / standards
  • Auditory Perception
  • Communication
  • Correction of Hearing Impairment / instrumentation*
  • Correction of Hearing Impairment / standards
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Services Research
  • Hearing
  • Hearing Aids* / standards
  • Hearing Loss / diagnosis
  • Hearing Loss / physiopathology
  • Hearing Loss / psychology
  • Hearing Loss / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Patient-Centered Care* / standards
  • Perception
  • Persons With Hearing Impairments / psychology
  • Persons With Hearing Impairments / rehabilitation*
  • Professional-Patient Relations
  • Qualitative Research
  • Quality of Health Care