Department of Hearing and Speech Sciences, University of Maryland, College Park.
College of Information Studies, University of Maryland, College Park.
J Speech Lang Hear Res. 2023 Feb 13;66(2):750-764. doi: 10.1044/2022_JSLHR-22-00540. Epub 2023 Feb 7.
Untreated hearing loss is a significant public health issue affecting the quality of life of millions of Americans. Barriers to treatment invite novel and innovation solutions, but as these solutions create new treatment delivery models, they also may-purposefully or accidentally-challenge the values of the field.
Value-sensitive design methodology is used in this study to identify the values in current hearing health care service delivery. We performed qualitative content analysis of questionnaires, clinical practice guidelines, and professional ethics documents that represent the intended and enacted values in audiology.
The result is a comprehensive list of values that can be used as a structured codebook for systematic textual analysis of materials representing current best practices in the provision of hearing health care services. A secondary result is an analysis of the relative importance of values in audiology, inferred from the frequency of references to each value.
Subjective benefit, professional duties, and self-efficacy were the core values identified in the current provision of audiologic care, and these values should be central to considerations for new hearing health care models and technologies.
未经治疗的听力损失是一个重大的公共卫生问题,影响着数百万美国人的生活质量。治疗障碍需要新颖和创新的解决方案,但随着这些解决方案创造新的治疗提供模式,它们也可能有意或无意地挑战该领域的价值观。
本研究采用价值敏感设计方法来确定当前听力保健服务提供中的价值观。我们对代表听力学中预期和实施的价值观的问卷、临床实践指南和职业道德文件进行了定性内容分析。
结果是一份全面的价值观清单,可作为系统文本分析当前听力保健服务提供最佳实践材料的结构化代码本。次要结果是根据对每种价值观的引用频率推断出听力学中价值观的相对重要性。
主观收益、专业职责和自我效能是当前提供听力学护理中确定的核心价值观,这些价值观应成为新的听力保健模式和技术考虑的核心。