School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Department of Audiology and Speech Pathology, The University of Melbourne, Carlton, Australia.
Int J Audiol. 2020 Aug;59(8):606-614. doi: 10.1080/14992027.2020.1737885. Epub 2020 Mar 6.
The current study sought to explore audiologists' use of the Ida Institute Motivation Tools to help them identify clients' readiness for change within initial assessment appointments. The study involved a mixed methods intervention design. Data were collected pre- and post-training audiologists to use the Ida Motivation tools in their appointments. Appointments were video-recorded and analysed using conversation analysis. Clients and audiologists also completed questionnaires within each appointment to measure clients' readiness-for-change. Participants included 5 audiologists and 22 adult clients from two Audiology clinics. Audiologists incorporated the Ida Motivation tools into the post-training appointments without a significant increase in appointment time. The Ida tools solicited responses from clients that displayed their ambivalence regarding hearing rehabilitation/aids within their talk. Post-training, audiologists' perceptions of clients' stage of readiness were not significantly more likely to match clients' self-reported stage on the URICA. The Ida Motivation tools may be useful to solicit clients' ambivalent feelings towards hearing rehabilitation/aids, however, it is important for audiologists to actively listen for ambivalence within clients' interactional responses to the tools in order judge clients' readiness.
本研究旨在探讨听力学家如何使用 Ida 研究所动机工具，以帮助他们在初始评估预约中识别客户对改变的准备情况。该研究采用混合方法干预设计。在培训前后收集了听力学家使用 Ida 动机工具的预约数据。使用会话分析对预约进行视频记录和分析。客户和听力学家还在每次预约中完成了问卷，以衡量客户对改变的准备情况。参与者包括来自两个听力诊所的 5 名听力学家和 22 名成年客户。听力学家在培训后将 Ida 动机工具纳入预约，但预约时间没有明显增加。Ida 工具从客户那里收集了回应，这些回应显示了他们在听力康复/助听方面的矛盾心理。培训后，听力学家对客户准备程度的看法与客户在 URICA 上自我报告的阶段不太匹配。Ida 动机工具可能有助于了解客户对听力康复/助听的矛盾感受，但听力学家需要积极倾听客户对工具的互动反应中的矛盾心理，以便判断客户的准备情况。
