Thomas Shanice, Griffiths Jane, Saunders Gabrielle, Phipps Denham, Todd Chris, Lewis Penny
The University of Manchester Division of Pharmacy and Optometry, Manchester, United Kingdom.
The University of Manchester Division of Nursing Midwifery and Social Work, Manchester, United Kingdom.
Explor Res Clin Soc Pharm. 2025 May 13;19:100573. doi: 10.1016/j.rcsop.2025.100573. eCollection 2025 Sep.
As populations age, there is a growing number of people who are affected by age-related hearing loss, who are living with chronic health conditions, treated using multiple medicines. Community pharmacy plays an important role in ensuring safe and effective medicine use.
This study explored the barriers and facilitators to effective communication with people with age-related hearing loss in the community pharmacy setting.
Semi-structured interviews were conducted with sixteen pharmacy users with self-reported age-related hearing loss in the United Kingdom (UK). Eight community pharmacists took part across two focus groups and one interview Using a deductive-inductive approach to framework analysis, three overarching themes were generated.
'Navigating the environment' highlights barriers related to pharmacists reportedly high workloads and time pressures, also reflected in pharmacy user's accounts. Background noise reduced the confidentiality and effectiveness of communication. Participants had differing views on the extent to which hearing aids could overcome these challenges. 'Debating the need to communicate and to disclose hearing loss' reflects barriers relating to pharmacy users' tendency to not disclose their needs, in relation to their personal feelings (embarrassment), perceptions of, and limited contact with, community pharmacy services. Yet, pharmacists emphasised a need to know about hearing loss to adapt communication effectively. Participants reported similar and distinct perspectives regarding 'coping strategies and solutions to communicate effectively'.
Participants identified a need to improve pharmacists' capacity to implement communication adaptations for people with hearing loss, for which pharmacists suggested digital interventions, and to visibly recognise sensory needs, to promote disclosure.
随着人口老龄化，受年龄相关性听力损失影响的人数不断增加，这些人同时患有慢性健康疾病，需使用多种药物治疗。社区药房在确保安全、有效用药方面发挥着重要作用。
本研究探讨了在社区药房环境中与年龄相关性听力损失患者进行有效沟通的障碍和促进因素。
对英国16名自我报告有年龄相关性听力损失的药房使用者进行了半结构化访谈。8名社区药剂师参与了两个焦点小组和一次访谈。采用演绎-归纳法进行框架分析，得出了三个总体主题。
“应对环境”突出了与药剂师工作量大、时间压力大相关的障碍，药房使用者的叙述中也有所体现。背景噪音降低了沟通的保密性和有效性。参与者对助听器在多大程度上能够克服这些挑战存在不同看法。“讨论沟通及披露听力损失的必要性”反映了与药房使用者不披露自身需求相关的障碍，这与他们的个人感受（尴尬）、对社区药房服务的认知以及与社区药房服务的有限接触有关。然而，药剂师强调需要了解听力损失情况以便有效调整沟通方式。参与者就“有效沟通的应对策略和解决方案”表达了相似和不同的观点。
参与者认为有必要提高药剂师为听力损失患者调整沟通方式的能力，药剂师建议采用数字干预措施，并明确认识到感官需求以促进信息披露。
