Gussenhoven Arjenne H M, Singh Amika S, Goverts S Theo, van Til Marten, Anema Johannes R, Kramer Sophia E
* Department of Otolaryngology-Head and Neck Surgery, section Ear & Hearing and EMGO Institute for Health and Care Research, VU University Medical Center , Amsterdam , The Netherlands.
Int J Audiol. 2015 Aug;54(8):507-17. doi: 10.3109/14992027.2015.1009642. Epub 2015 Mar 30.
A multidisciplinary vocational rehabilitation programme, the Vocational Enablement Protocol (VEP) was developed to address the specific needs of employees with hearing difficulties. In the current study we evaluated the process of implementing the VEP in audiologic care among employees with hearing impairment.
In conjunction with a randomized controlled trial, we collected and analysed data on seven process parameters: recruitment, reach, fidelity, dose delivered, dose received and implemented, satisfaction, and perceived benefit.
Sixty-six employees with hearing impairment participated in the VEP. The multidisciplinary team providing the VEP comprised six professionals.
The professionals performed the VEP according to the protocol. Of the recommendations delivered by the professionals, 31% were perceived as implemented by the employees. Compliance rate was highest for hearing-aid uptake (51%). Both employees and professionals were highly satisfied with the VEP. Participants rated good perceived benefit from it.
Our results indicate that the VEP could be a useful treatment for employees with hearing difficulties from a process evaluation perspective. Implementation research in the audiological setting should be encouraged in order to further provide insight into parameters facilitating or hindering successful implementation of an intervention and to improve its quality and efficacy.
制定了一项多学科职业康复计划，即职业赋能方案（VEP），以满足听力有困难员工的特定需求。在本研究中，我们评估了在听力保健中对听力受损员工实施VEP的过程。
结合一项随机对照试验，我们收集并分析了七个过程参数的数据：招募、覆盖范围、保真度、提供的剂量、接受并实施的剂量、满意度和感知效益。
66名听力受损员工参与了VEP。提供VEP的多学科团队由六名专业人员组成。
专业人员按照方案实施了VEP。员工认为专业人员给出的建议中有31%得到了实施。助听器佩戴的依从率最高（51%）。员工和专业人员对VEP都非常满意。参与者认为从中获得了很大的益处。
我们的结果表明，从过程评估的角度来看，VEP可能是一种对听力有困难员工有用的治疗方法。应鼓励在听力学环境中开展实施研究，以便进一步深入了解促进或阻碍干预措施成功实施的参数，并提高其质量和效果。
