Department of Communication Sciences and Disorders, University of South Florida, Tampa, FL.
Lively Hearing Corporation, New York, NY.
Am J Audiol. 2022 Sep 21;31(3S):1043-1051. doi: 10.1044/2022_AJA-21-00204. Epub 2022 Sep 1.
The remote delivery of health care services (i.e., telehealth) has steadily increased across the health care landscape over the past decade with a dramatic increase following the onset of the COVID-19 pandemic. Remote audiology delivery (i.e., teleaudiology), by contrast, has traditionally been characterized by relatively low utilization. While teleaudiology services increased during the COVID-19 lockdown period, most of those services were generally limited to follow-up care and postfitting consultations to existing patients. Furthermore, there is reason to believe that, despite the benefits that remote care provides, the use of teleaudiology services has decreased as in-person care has increased following the lifting of mandatory COVID-related lockdowns. The purpose of this viewpoint article is to posit that existing theories of health behavior, usually applied to patient-specific behaviors (e.g., hearing aid uptake) may explain the reluctance of audiologists to "uptake" a teleaudiology model of care. We also explore the potential of motivational engagement strategies as a means to allow audiologists to examine their sources of ambivalence as they consider adopting a remote service-delivery model.
Health behavior models such as the Health Belief, Transtheoretical, and capability, opportunity, motivation, and behavior (COM-B) models represent theories that may help to explain audiologists' resistance to adopting remote delivery services. Motivational engagement strategies, such as decisional balance, can provide useful tools for audiologists to examine their attitudes toward the adoption of teleaudiology.
在过去十年中，医疗保健领域的远程医疗服务（即远程医疗）稳步增加，并且在 COVID-19 大流行开始后急剧增加。相比之下，远程听力学服务（即远程听力学）的利用率一直相对较低。虽然在 COVID-19 封锁期间远程听力学服务有所增加，但这些服务大多仅限于对现有患者的随访护理和售后咨询。此外，有理由相信，尽管远程护理提供了诸多好处，但随着强制性 COVID 相关封锁的解除，面对面护理的增加，远程听力学服务的使用有所减少。本文的目的是提出这样一种观点，即通常应用于患者特定行为（例如助听器的采用）的健康行为理论可能解释了听力学家不愿意“采用”远程护理模式的原因。我们还探讨了动机参与策略的潜力，以帮助听力学家在考虑采用远程服务提供模式时检查其矛盾心理的根源。
健康行为模型，如健康信念、跨理论和能力、机会、动机和行为（COM-B）模型，代表了可以帮助解释听力学家对采用远程交付服务的抵制的理论。动机参与策略，如决策平衡，可以为听力学家提供有用的工具，以检查他们对采用远程听力学的态度。
