Department of Otolaryngology-Head and Neck Surgery and Communicative Disorders, University of Louisville, KY.
School of Speech, Language, and Hearing Sciences, San Diego State University, CA.
Am J Audiol. 2020 Sep 18;29(3S):546-563. doi: 10.1044/2020_AJA-19-00066.
Purpose The purpose of the research described here is to create a theoretically based, interactive online program to motivate adults with untreated hearing loss to seek audiology care. We describe the results of the participatory design (PD) approach used to increase uptake and adherence to the Internet-based program. Method Using information gathered from field experts ( = 7), a program outline was generated by the study team. In keeping with PD principles, multiple focus groups and panels consisting of persons with hearing loss ( = 26), frequent communication partners ( = 6), audiologists ( = 9), and other area experts ( = 16) revised and expanded both content and design of the program in an iterative fashion. Results The proposed program was modified multiple times based on the input of stakeholders throughout the PD process. In particular, the scope of the program shifted from focusing on self-management strategies to decision coaching regarding the choice to visit an audiologist. Other specific program content and activities were modified based on stakeholder input. Conclusions The program evolved dramatically through the influence and input of multiple stakeholders as a result of the implementation of PD principles.
目的 本研究旨在创建一个基于理论的、互动式的在线项目，以激励未接受治疗的听力损失成年人寻求听力学护理。我们描述了参与式设计（PD）方法在提高基于互联网的项目参与度和依从性方面的应用结果。 方法 研究小组利用从现场专家（n=7）那里收集到的信息，生成了一个项目大纲。根据 PD 原则，由听力损失者（n=26）、经常的沟通伙伴（n=6）、听力学家（n=9）和其他领域专家（n=16）组成的多个焦点小组和小组，以迭代的方式对内容和设计进行了修订和扩展。 结果 该方案在 PD 过程中根据利益相关者的意见进行了多次修改。特别是，该方案的范围从侧重于自我管理策略转变为针对是否选择看听力学家的决策辅导。根据利益相关者的意见，对其他具体的方案内容和活动进行了修改。 结论 由于实施了 PD 原则，该方案在多个利益相关者的影响和意见下发生了巨大变化。
