title: Factors in client-clinician interaction that influence hearing aid adoption.
abstract: The influence of client-clinician interactions has not been emphasized in hearing health care, despite the extensive evidence of the impact of the provider-patient interaction on health outcomes. The purpose of this study was to identify factors in the client-clinician interaction that may influence hearing aid adoption. Thirteen adults who had received a hearing aid recommendation within the previous 3 months and 10 audiologists participated in a study to generate, sort, and rate the importance of factors in client-clinician interaction that may influence the hearing aid purchase decision. A concept mapping approach was used to define meaningful clusters of factors. Quantitative analysis and qualitative interpretation of the statements resulted in eight concepts. The concepts in order of their importance are (a) Ensuring client comfort, (b) Understanding and meeting client needs, (c) Client-centered traits and actions, (d) Acknowledging client as an individual, (e) Imposing undue pressure and discomfort, (f) Conveying device information by clinician, (g) Supporting choices and shared decision making, and (h) Factors in client readiness. Two overarching themes of client-centered interaction and client empowerment were identified. Results highlight the influence of the client-clinician interaction in hearing aid adoption and suggest the possibility of improving hearing aid adoption by empowering clients through a client-centered interaction.
authors.affiliation: The University of Western Ontario, London, Ontario, Canada.
authors.forename: Laya
authors.initials: L
authors.lastname: Poost-Foroosh
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Jennings
authors.forename: Lynn
authors.initials: L
authors.lastname: Shaw
authors.forename: Christine N
authors.initials: CN
authors.lastname: Meston
authors.forename: Margaret F
authors.initials: MF
authors.lastname: Cheesman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002755:Choice Behavior; D016000:Cluster Analysis; D012048:Correction of Hearing Impairment / Q000523:psychology*; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006310:Hearing Aids; D006319:Hearing Loss, Sensorineural / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D010358:Patient Participation; D019986:Persons with Hearing Disabilities / Q000523:psychology / Q000534:rehabilitation*; D010817:Physician-Patient Relations; D011209:Power, Psychological