Gabova Kristyna, Meier Zdenek, Tavel Peter
Palacky University, Olomouc University Social Health Institute (OUSHI), Univerzitni 244/22, 779 00, Olomouc, Czech Republic.
Heliyon. 2022 Sep 13;8(9):e10590. doi: 10.1016/j.heliyon.2022.e10590. eCollection 2022 Sep.
The aim of the study is to explore parents' reasons for not acquiring remote microphones that would compensate for their child's hearing loss and why some children do not use these devices even after they are purchased.
The benefit of remote microphones for better understanding speech has been proven by multiple studies. Consistent with the research, there is an official recommendation that all children who are hard of hearing should be considered as potential candidates for remote microphone systems in classrooms in Western countries, but in the Czech Republic, only a relatively small number of children use them. Therefore, it is important to focus on the reasons why parents do not buy such devices for their child and why some children do not use an already acquired device.
Data from 41 semi-structured interviews were collected and analysed using the DIPEx methodology (personal experiences of health and illness), which involves rigorous analysis of narrative interviews of people with particular conditions chosen to represent the widest practicable range of experiences.
Parents report multiple barriers to buying remote microphones: insecurity about the right moment, financial reasons, a lack of information and the child's refusal to use them. The reasons why children do not use such devices despite their being purchased are the reluctance of children and teachers and the low perceived benefit of remote microphones.
These barriers have to be taken into consideration by audiologists, policymakers and other stakeholders when addressing medical, educational and social systems supporting children who are hard of hearing as well as their families. Socio-political measures, improved systems of support for children who are hard of hearing and direct work with families can reduce these barriers.
本研究旨在探究家长不购买可弥补孩子听力损失的远程麦克风的原因，以及为何有些孩子即使在购买了这些设备后仍不使用。
多项研究已证实远程麦克风有助于更好地理解言语。与该研究一致，西方国家有官方建议，所有听力受损儿童都应被视为课堂上使用远程麦克风系统的潜在候选人，但在捷克共和国，只有相对少数的儿童使用它们。因此，关注家长不为孩子购买此类设备的原因以及一些孩子不使用已购置设备的原因很重要。
收集了41次半结构化访谈的数据，并使用DIPEx方法（健康与疾病的个人经历）进行分析，该方法涉及对具有特定状况的人群的叙事访谈进行严格分析，这些人群被选来代表尽可能广泛的实际经历范围。
家长报告了购买远程麦克风存在的多个障碍：对合适时机的不确定、经济原因、信息缺乏以及孩子拒绝使用。尽管购买了设备，但孩子仍不使用的原因是孩子和教师的不情愿以及对远程麦克风的感知益处较低。
听力学家、政策制定者和其他利益相关者在处理支持听力受损儿童及其家庭的医疗、教育和社会系统时，必须考虑这些障碍。社会政治措施、改善对听力受损儿童的支持系统以及与家庭的直接合作可以减少这些障碍。
