"I feel a little bit clueless" perceived barriers and enablers to help-seeking and informed decision-making in hearing care: a qualitative study.

IF 1.8 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Audiology Pub Date : 2025-05-16 DOI:10.1080/14992027.2025.2493918

Ellen Bothe, Rebecca J Bennett, Kerry A Sherman, Barbra H B Timmer, Bronwyn Myers, Melanie A Ferguson

{"title":"\"I feel a little bit clueless\" perceived barriers and enablers to help-seeking and informed decision-making in hearing care: a qualitative study.","authors":"Ellen Bothe, Rebecca J Bennett, Kerry A Sherman, Barbra H B Timmer, Bronwyn Myers, Melanie A Ferguson","doi":"10.1080/14992027.2025.2493918","DOIUrl":null,"url":null,"abstract":"Objective: To explore perceived barriers and enablers to help-seeking and informed decision-making in hearing care in order to inform an intervention targeted at maximising uptake of hearing care (HearChoice).Design: Data were collected using semi-structured interviews and analysed qualitatively using a hybrid deductive and inductive thematic analysis approach based on the COM-B model of behaviour change.Study sample: Sixteen adults with hearing difficulty took part (9 male, 7 female, age range 27 - 90), nine of whom had sought professional help for hearing difficulties and seven of whom had not.Results: Participants described a range of interacting barriers and enablers to help-seeking and decision-making for hearing care that relate to psychological capability (e.g. knowledge; skills), environmental and social opportunity (e.g. supportive social circle and health care providers) and automatic and reflective motivation (e.g. shame; trust; beliefs about effectiveness of hearing aids).Conclusion: Interventions to facilitate help-seeking and informed decision-making about care options for adults with hearing difficulties are likely to be most effective if factors that increase psychological capability, environmental and social opportunity, and automatic and reflective motivation are maximised. The framework developed from this study will inform the development of HearChoice and future research on help-seeking and decision-making.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8000,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Audiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/14992027.2025.2493918","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To explore perceived barriers and enablers to help-seeking and informed decision-making in hearing care in order to inform an intervention targeted at maximising uptake of hearing care (HearChoice).

Design: Data were collected using semi-structured interviews and analysed qualitatively using a hybrid deductive and inductive thematic analysis approach based on the COM-B model of behaviour change.

Study sample: Sixteen adults with hearing difficulty took part (9 male, 7 female, age range 27 - 90), nine of whom had sought professional help for hearing difficulties and seven of whom had not.

Results: Participants described a range of interacting barriers and enablers to help-seeking and decision-making for hearing care that relate to psychological capability (e.g. knowledge; skills), environmental and social opportunity (e.g. supportive social circle and health care providers) and automatic and reflective motivation (e.g. shame; trust; beliefs about effectiveness of hearing aids).

Conclusion: Interventions to facilitate help-seeking and informed decision-making about care options for adults with hearing difficulties are likely to be most effective if factors that increase psychological capability, environmental and social opportunity, and automatic and reflective motivation are maximised. The framework developed from this study will inform the development of HearChoice and future research on help-seeking and decision-making.

查看原文本刊更多论文

“我感到有点无能为力”在听力保健中寻求帮助和知情决策的感知障碍和推动因素：一项定性研究。

目的：探讨听力保健中寻求帮助和知情决策的感知障碍和促进因素，以便为最大化听力保健的干预提供信息（HearChoice）。设计：使用半结构化访谈收集数据，并使用基于COM-B行为改变模型的混合演绎和归纳主题分析方法进行定性分析。研究样本：16名有听力困难的成年人（男9名，女7名，年龄在27 - 90岁之间），其中9人因听力困难寻求过专业帮助，7人没有。结果：参与者描述了一系列相互作用的障碍和促进因素，这些障碍和促进因素与心理能力(如知识；技能)、环境和社会机会（例如支持性社交圈和卫生保健提供者）以及自动和反思动机(例如羞耻；信任;对助听器有效性的看法)。结论：如果增加心理能力、环境和社会机会以及自动和反思动机的因素最大化，促进听力障碍成人寻求帮助和知情决策的干预措施可能是最有效的。从这项研究中发展出来的框架将为心脏选择的发展和未来关于求助和决策的研究提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Audiology 医学-耳鼻喉科学

CiteScore

4.90

自引率

14.80%

发文量

133

审稿时长

4-8 weeks

期刊介绍： International Journal of Audiology is committed to furthering development of a scientifically robust evidence base for audiology. The journal is published by the British Society of Audiology, the International Society of Audiology and the Nordic Audiological Society.