Preminger Jill E, Rothpletz Ann M
Department of Otolaryngology and Communicative Disorders, University of Louisville, KY.
Am J Audiol. 2016 Oct 1;25(3S):272-277. doi: 10.1044/2016_AJA-16-0010.
Hearing impairment (HI) is a chronic condition; thus, even with treatment, residual participation restrictions and activity limitations typically remain. Individuals must learn to self-manage their HI. The purpose of this research note is to review components of successful Internet-based self-management programs and to evaluate group auditory rehabilitation (AR) programs with varying content, in order to make recommendations for the design of future Internet-based self-management programs.
Effect sizes for changes in HI-specific quality of life following group AR activities from 4 published studies were calculated to determine if effect size varied systematically as a function of group activities. These findings are described using a self-management framework.
Successful group AR activities include (a) psychosocial activities to promote role management, emotional management, and social support; (b) informational lectures and group discussion to promote education; (c) communication strategy exercises to promote self-efficacy and self-management skills; and (d) the inclusion of a frequent communication partner to promote social support and self-tailoring.
It is recommended that future Internet-based self-management programs focus on the mechanisms of social support and education to promote learning and self-management skills. Future research will determine if these AR activities may be implemented effectively via the Internet.
听力障碍（HI）是一种慢性病；因此，即使经过治疗，通常仍会存在残留的参与限制和活动受限情况。个体必须学会自我管理其听力障碍。本研究报告的目的是回顾成功的基于互联网的自我管理项目的组成部分，并评估内容各异的团体听觉康复（AR）项目，以便为未来基于互联网的自我管理项目的设计提出建议。
计算了4项已发表研究中团体AR活动后HI特定生活质量变化的效应量，以确定效应量是否随团体活动而系统变化。这些发现使用自我管理框架进行描述。
成功的团体AR活动包括：（a）促进角色管理、情绪管理和社会支持的心理社会活动；（b）促进教育的信息讲座和团体讨论；（c）促进自我效能和自我管理技能的沟通策略练习；以及（d）纳入频繁的沟通伙伴以促进社会支持和自我调整。
建议未来基于互联网的自我管理项目关注社会支持和教育机制，以促进学习和自我管理技能。未来的研究将确定这些AR活动是否可以通过互联网有效地实施。
