Ekberg Katie, Barr Caitlin, Hickson Louise
a School of Health and Rehabilitation Sciences , The University of Queensland , Queensland , Australia.
b HEARing Cooperative Research Centre , Melbourne , Australia , and.
Int J Audiol. 2017 Nov;56(11):854-861. doi: 10.1080/14992027.2017.1339128. Epub 2017 Jun 23.
Financial cost is a barrier for many older adults in their decision to obtain hearing aids (HAs). This study aimed to examine conversations about the cost of HAs in detail within initial audiology appointments.
Sixty-two initial audiology appointments were video-recorded. The data were analysed using conversation analysis.
Participants included 26 audiologists, 62 older adults and 17 companions.
Audiologists and clients displayed interactional difficulty during conversations about cost. Clients often had emotional responses to the cost of HAs, which were not attended to by audiologists. It was typical for audiologists to present one HA cost option at a time, which led to multiple rejections from clients which made the interactions difficult. Alternatively, when audiologists offered multiple cost options at once this led to a smoother interaction.
Audiologists and clients were observed to have difficulty talking about HA costs. Offering clients multiple HA cost options at the same time can engage clients in the decision-making process and lead to a smoother interaction between audiologist and client in the management phase of appointments.
经济成本是许多老年人决定购买助听器（HA）的障碍。本研究旨在详细考察初次听力门诊中有关助听器成本的对话。
对62次初次听力门诊进行了视频记录。采用对话分析方法对数据进行分析。
参与者包括26名听力学家、62名老年人和17名陪同人员。
听力学家和客户在关于成本的对话中表现出互动困难。客户对助听器成本常有情绪反应，而听力学家并未关注到这些反应。听力学家通常一次只提供一种助听器成本选项，这导致客户多次拒绝，使得互动变得困难。相反，当听力学家一次提供多种成本选项时，互动会更顺畅。
观察发现听力学家和客户在谈论助听器成本时存在困难。同时为客户提供多种助听器成本选项可以让客户参与决策过程，并在门诊管理阶段使听力学家和客户之间的互动更顺畅。
