Identifying clients' readiness for hearing rehabilitation within initial audiology appointments: a pilot intervention study

Int J Audiol. 2020 Aug;59(8):606-614. doi: 10.1080/14992027.2020.1737885. Epub 2020 Mar 6.


Objective: The current study sought to explore audiologists' use of the Ida Institute Motivation Tools to help them identify clients' readiness for change within initial assessment appointments.Design: The study involved a mixed methods intervention design. Data were collected pre- and post-training audiologists to use the Ida Motivation tools in their appointments. Appointments were video-recorded and analysed using conversation analysis. Clients and audiologists also completed questionnaires within each appointment to measure clients' readiness-for-change.Study sample: Participants included 5 audiologists and 22 adult clients from two Audiology clinics.Results: Audiologists incorporated the Ida Motivation tools into the post-training appointments without a significant increase in appointment time. The Ida tools solicited responses from clients that displayed their ambivalence regarding hearing rehabilitation/aids within their talk. Post-training, audiologists' perceptions of clients' stage of readiness were not significantly more likely to match clients' self-reported stage on the URICA.Conclusions: The Ida Motivation tools may be useful to solicit clients' ambivalent feelings towards hearing rehabilitation/aids, however, it is important for audiologists to actively listen for ambivalence within clients' interactional responses to the tools in order judge clients' readiness.

Keywords: Audiology; client readiness; conversation analysis; hearing rehabilitation; patient-centred care; transtheoretical model.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Audiology / methods*
  • Correction of Hearing Impairment / psychology*
  • Decision Making
  • Disability Evaluation*
  • Female
  • Hearing Loss / psychology*
  • Hearing Loss / rehabilitation
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Patient Acceptance of Health Care / psychology*
  • Pilot Projects
  • Young Adult