A Randomized Controlled Trial Evaluating the Effects of Motivational Interviewing in New Hearing Aid Users
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- Hearing aid use hours
研究概览
简要总结
Hearing loss is one of the most common chronic disabilities in the older adult population and affects their quality of life. Hearing aid use can improve one's quality of life by increasing a person's ability to detect, differentiate and locate sound, and improve speech recognition. Several factors seem to reduce motivation to use a hearing aid. Fears of exclusion and shame due to hearing loss are major deterrents to hearing aid use. Motivational interviewing (MI) is a counselling style aimed at creating desire in patients to change their behavior.
There have been pilot studies that suggest one-on-one MI can increase hearing aid use, but other pilot studies found the reverse hence the evidence is inconclusive. The effectiveness of group MI therapy is also being investigated in MI research. While results in group MI research are promising, studies investigating group MI have been limited to substance abuse.
详细描述
Hearing loss is one of the most common chronic disabilities in the older adult population and affects their quality of life. Hearing aid use can improve one's quality of life by increasing a person's ability to detect, differentiate and locate sound, and improve speech recognition. Several factors seem to reduce motivation to use a hearing aid. Fears of exclusion and shame due to hearing loss are major deterrents to hearing aid use. MI is a counselling style aimed at creating desire in the patient to change their behavior.
To our knowledge, there have been no studies that investigated the impact of group MI on hearing aid use.
Hypothesis Standard care with motivational interviewing in a group setting does not alter the hearing aid usage when compared to the standard care alone in the new hearing aid users.
Study Methodology
Trial Objectives:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
The study will be a multi-center, prospective, randomized patient-blind controlled trial and employ a between-subject, pretest-posttest design.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18 years and older
- •New hearing aid user
- •Unilateral or bilateral hearing threshold above 25 dB in the worse ear (based on four-frequency PTA across 0.5, 1, 2 and 4 kHz, high-frequency PTA across 3, 4, 6, and 8 kHz, and low-frequency PTA across 0.5, 1 and 2 kHz)
排除标准
- •History of hearing aid use
- •Do not understand the English language
- •Unable to complete the online questionnaires in English language
- •Have inconsistent pure-tone audiometric readings
- •Have medical constraints that prohibit them from wearing hearing aids
结局指标
主要结局
Hearing aid use hours
时间窗: Study assessments will be performed during the initial visit, and at 1, 3, 6 and 12-month time points.
Differences in hearing aid use hours will be measured at each time point
Patient reported outcomes
时间窗: Study assessments will be performed during the initial visit, and at 1, 3, 6 and 12-month time points.
International Outcome Inventory for Hearing Aids questionnaire (Cox \& Alexander, 2002) at each time point.
次要结局
未报告次要终点
研究者
Desmond A Nunez
Principal Investigator
University of British Columbia