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应用COM-B行为模型和行为改变轮来开发一种干预措施,以改善成人听觉康复中的助听器使用情况。

Applying the COM-B behaviour model and behaviour change wheel to develop an intervention to improve hearing-aid use in adult auditory rehabilitation.

作者信息

Barker Fiona, Atkins Lou, de Lusignan Simon

机构信息

a Department of Clinical Medicine and Aging , University of Surrey , Guildford , UK and.

b Centre for Behaviour Change , University College London , 1-19 Torrington Place , London , UK.

出版信息

Int J Audiol. 2016 Jul;55 Suppl 3:S90-8. doi: 10.3109/14992027.2015.1120894. Epub 2016 Jan 12.

DOI:10.3109/14992027.2015.1120894
PMID:27420547
Abstract

OBJECTIVES

To introduce a psychological model of behaviour; the COM-B model and describe how this has been used in combination with the behaviour change wheel (BCW) in developing an intervention which aims to promote regular, long-term use of hearing aids by adults with acquired hearing loss.

DESIGN

Qualitative structured interview study using the COM-B model to identify the determinants of behavioural planning on the part of audiologists; a potentially important factor in encouraging long-term hearing-aid use.

STUDY SAMPLE

Ten audiologists drawn from a random sample of five English audiology departments.

RESULTS

The analysis suggests that behavioural planning might be more likely to occur if audiologists' psychological capability, physical and social opportunity, and reflective and automatic motivation were addressed. This analysis forms the basis of an intervention design, using the BCW, to encourage behavioural planning by audiologists and subsequent hearing-aid use by people with hearing loss.

CONCLUSIONS

The COM-B model and BCW can be applied successfully in the context of audiology to analyse the behaviour of both people with hearing loss and professionals working with them, supplying information that is being used in intervention design. The effectiveness of the intervention will be tested in a clinical trial.

摘要

目标

介绍一种行为心理学模型——COM-B模型,并描述该模型如何与行为改变轮(BCW)结合使用,以制定一项旨在促进后天性听力损失成人定期、长期使用助听器的干预措施。

设计

采用COM-B模型的定性结构化访谈研究,以确定听力学家行为规划的决定因素,这是鼓励长期使用助听器的一个潜在重要因素。

研究样本

从五个英国听力科随机抽取的十名听力学家。

结果

分析表明,如果解决听力学家的心理能力、身体和社会机会以及反思性和自动性动机问题,行为规划可能更有可能发生。该分析构成了一项干预设计的基础,利用行为改变轮鼓励听力学家进行行为规划,进而促使听力损失者使用助听器。

结论

COM-B模型和行为改变轮可成功应用于听力学领域,以分析听力损失者及其相关专业人员的行为,为干预设计提供信息。该干预措施的有效性将在一项临床试验中进行测试。

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