Meijerink Janine Fj, Pronk Marieke, Paulissen Bernadette, Witte Birgit I, Wouden Bregje van der, Jansen Vera, Kramer Sophia E
Department of Otolaryngology, Head and Neck Surgery, Section Ear & Hearing, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.
AudioNova International B.V., Rotterdam, The Netherlands.
BMJ Open. 2017 Jun 20;7(5):e015012. doi: 10.1136/bmjopen-2016-015012.
An educational SUpport PRogramme called SUPR has been developed for hearing aid users (HAUs) and their communication partners (CPs) offering care beyond hearing aid fitting. SUPR teaches its users communication strategies, hearing aid handling skills and personal adjustment to hearing impairment.
METHODS/DESIGN: Using a cluster randomised controlled trial design, 70 Dutch hearing aid dispenser practices were randomised into hearing aid fitting (care as usual, 34 practices) and hearing aid fitting including SUPR (36 practices). The aim was to recruit a total of 569 older (aged 50+ years) first-time (n=258) and experienced (n=311) HAUs and their CPs. SUPR consists of a Practical Support Booklet and online material offered via email over a period of 6-7 months. The booklet provides practical information on hearing aids, advice on communication strategies and home exercises. The online material consists of educational videos on hearing aid functionality and usage, communication strategies and peer testimonials. Finally, noncommittal email contact with the dispenser is offered. Every HAU is asked to assign a CP who is advised to be involved intensively. Effect measurements for HAUs and their CPs will occur at baseline and at 6, 12 and 18 months follow-up via online questionnaires. The primary outcomes for HAUs will be the use of communication strategies as measured by the subscales of the Communication Profile for the Hearing Impaired. A process evaluation will be performed.
The study was approved by the Dutch Institutional Review Board of the VU Medical University Center Amsterdam. This intervention could contribute to lowering the hearing impairment burden in our ageing society. The results will be disseminated through peer-reviewed publications and scientific conferences.
ISRCTN77340339; Pre-results.
已为助听器使用者（HAUs）及其交流伙伴（CPs）开发了一个名为SUPR的教育支持计划，该计划提供超出助听器验配的护理服务。SUPR向其使用者传授交流策略、助听器操作技能以及对听力障碍的个人调整方法。
方法/设计：采用整群随机对照试验设计，将70家荷兰助听器验配机构随机分为仅进行助听器验配组（常规护理，34家机构）和进行助听器验配并包含SUPR组（36家机构）。目标是总共招募569名年龄较大（50岁及以上）的首次使用助听器者（n = 258）和有经验的使用者（n = 311）及其交流伙伴。SUPR包括一本实用支持手册和在6 - 7个月内通过电子邮件提供的在线材料。该手册提供有关助听器的实用信息、交流策略建议和家庭练习。在线材料包括关于助听器功能和使用、交流策略以及同伴推荐的教育视频。最后，提供与验配师的不具约束力的电子邮件联系。要求每位助听器使用者指定一名交流伙伴，并建议该伙伴积极参与。将通过在线问卷在基线以及随访6、12和18个月时对助听器使用者及其交流伙伴进行效果评估。助听器使用者的主要结局将是通过《听力障碍者交流概况》子量表衡量的交流策略使用情况。将进行过程评估。
该研究获得了阿姆斯特丹VU医学大学中心荷兰机构审查委员会的批准。这种干预措施有助于减轻我们老龄化社会中的听力障碍负担。研究结果将通过同行评审出版物和科学会议进行传播。
ISRCTN77340339；预结果。
