Monday, 16 January 2017

Patients' Experience of Motivational Interviewing for Hearing Aid Use: A Qualitative Study Embedded within a Pilot Randomised Controlled Trial

The aim was to explore patients’ accounts with regard to their experience of taking part in a pilot study evaluating the feasibility of conducting a #randomised controlled trial (RCT) on the effect of #motivational interviewing (MI) on hearing-aid use. This was a qualitative sub-study embedded in a pilot RCT in NHS in which participants who reported using their hearing aid(s) less than four hours per day were randomised to MI combined with audiology standard care (MISC) (n=20), and standard care alone (SC) (n=17). 

audiology journals
Five themes emerged in relation to the participants’ perspectives about the key components of the research programme which influenced their hearing aid use. The themes comprise: additional support, clinician effect, commitment to research, research process, and feeling better about self. The provision of hearing aids in the #NHS may benefit from adopting a more compassionate patient clinician relationship, additional patient education, and post-hearing-aid-fitting support. Finally, this study suggests that the general research participation effect seems to have influenced the levels of #hearing-aid use in both groups. Strategies to minimize the research participation effect need to be considered in the design of the future full-scale trials.