Communication Disability Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Int J Audiol. 2010 Jul;49(7):497-507. doi: 10.3109/14992021003645902.
Several rehabilitation interventions yielding comparable outcomes are available to adults with acquired hearing impairment. However, the reasons why people choose particular interventions and not others have not been systematically investigated. This study explored the factors influencing the rehabilitation decisions of adults with acquired hearing impairment. Four options (hearing aids, group communication program, individual communication program, and no intervention) were discussed using shared decision making with 153 adults with acquired hearing impairment who had not previously received hearing rehabilitation. A selected sub-sample of 22 participants described the factors that influenced their decision during a semi-structured interview. Using qualitative content analysis, seven categories of factors influencing rehabilitation decisions were identified: (1) convenience; (2) expected adherence and outcomes; (3) financial costs; (4) hearing disability; (5) nature of intervention; (6) other people's experiences, recommendations, and support; and (7) preventive and interim solution. All categories of factors were a positive influence for a particular intervention for some participants and a negative influence for the same intervention for other participants. The results support a client-centred approach to decision making.
有几种康复干预措施对后天性听力损伤的成年人效果相当，但人们选择特定干预措施而非其他措施的原因尚未得到系统研究。本研究旨在探讨后天性听力损伤成年人康复决策的影响因素。研究采用共同决策方法，与 153 名未接受过听力康复的后天性听力损伤成年人讨论了 4 种选择（助听器、集体交流项目、个别交流项目和不干预）。其中 22 名参与者的一个选定子样本在半结构化访谈中描述了影响其决策的因素。使用定性内容分析，确定了影响康复决策的 7 个因素类别：（1）便利性；（2）预期坚持和结果；（3）经济成本；（4）听力障碍；（5）干预措施的性质；（6）他人的经验、建议和支持；（7）预防和临时解决方案。对于某些参与者而言，所有类别的因素对特定干预措施都是积极影响，而对其他参与者而言，同一干预措施的所有类别因素都是消极影响。研究结果支持以客户为中心的决策方法。
