Ear Science Institute Australia, Subiaco, Western Australia, Australia.
Ear Hear. 2018 Jan/Feb;39(1):172-187. doi: 10.1097/AUD.0000000000000477.
To gather perspectives of hearing aid owners and hearing healthcare clinicians with regard to problems that arise after hearing aid fitting and use these perspectives to generate a conceptual framework to gain a better understanding of these problems.
Participants included a group of 17 hearing aid owners and a group of 21 hearing healthcare clinicians; data collection occurred separately for each group. Participants each attended two group sessions in Perth, Western Australia, wherein they: (1) generated statements describing the problems associated with hearing aids and (2) grouped and rated the statements to identify key themes. Concept mapping was used to generate a conceptual framework.
Participants identified four concepts regarding hearing aid problems as follows: (1) hearing aid management; (2) hearing aid sound quality and performance; (3) feelings, thoughts, and behaviors; and (4) information and training. While hearing aid owners and clinicians generated similar results regarding the concepts derived, the clinicians reported that the problems identified had a greater negative impact on hearing aid success than did hearing aid owners.
The magnitude and diversity of hearing aid problems identified in this study highlight the ongoing challenges that hearing aid owners face and suggest that current processes for hearing aid fitting can be improved. Problems relating to hearing aid management were most often deemed to have the greatest impact on hearing aid success and be the most preventable/solvable, and thus are a good starting point when addressing hearing aid-related problems.
收集助听器使用者和听力保健临床医生对助听器验配和使用后出现问题的看法，并利用这些观点生成一个概念框架，以更好地理解这些问题。
参与者包括一组 17 名助听器使用者和一组 21 名听力保健临床医生；每组分别进行数据收集。参与者每人参加两次在澳大利亚西澳大利亚州珀斯举行的小组会议，在会议中：(1)生成描述与助听器相关问题的陈述；(2)对陈述进行分组和评分，以确定关键主题。概念映射用于生成概念框架。
参与者确定了四个与助听器问题相关的概念，分别是：(1)助听器管理；(2)助听器音质和性能；(3)感觉、想法和行为；以及(4)信息和培训。虽然助听器使用者和临床医生在得出的概念上产生了相似的结果，但临床医生报告说，他们确定的问题对助听器成功的负面影响大于助听器使用者。
本研究中确定的助听器问题的数量和多样性突显了助听器使用者面临的持续挑战，并表明当前的助听器验配流程可以得到改进。与助听器管理相关的问题被认为对助听器成功的影响最大，也是最可预防/解决的，因此，在解决与助听器相关的问题时，这是一个很好的起点。
