title: Family member involvement in audiology appointments with older people with hearing impairment.
abstract: OBJECTIVE
  This study aimed to investigate family members' involvement in audiology rehabilitation appointments.
  
  
  METHODS
  Audiology appointments were video-recorded and analysed using quantitative coding and conversation analysis (CA).
  
  
  METHODS
  The study sample included 13 audiologists, 17 older adults with hearing impairment, and 17 family members.
  
  
  RESULTS
  Initial coding showed that family members participated in 12% of the total talk time during audiology appointments. The CA results demonstrated that family members were not typically invited to join the conversation. However, family members would self-select to speak by: (1) responding to questions from the audiologist which were directed at the client; (2) self-initiating expansions on clients' turns; and (3) self-initiating questions. When family members did participate in the interaction, audiologists typically responded by shifting the conversation back to the client.
  
  
  CONCLUSIONS
  While family members currently have minimal participation in audiology appointments, they display a strong interest in being involved and sharing their experiences of the client's hearing impairment. The findings suggest support for implementing family-centred care principles in audiology practice.
authors.affiliation: * School of Health and Rehabilitation Sciences, The University of Queensland , St Lucia , Australia.
authors.forename: Katie
authors.initials: K
authors.lastname: Ekberg
authors.forename: Carly
authors.initials: C
authors.lastname: Meyer
authors.forename: Nerina
authors.initials: N
authors.lastname: Scarinci
authors.forename: Caitlin
authors.initials: C
authors.lastname: Grenness
authors.forename: Louise
authors.initials: L
authors.lastname: Hickson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001071:Appointments and Schedules; D001298:Audiology; D003142:Communication; D012048:Correction of Hearing Impairment; D005190:Family; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D034381:Hearing Loss / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011368:Professional-Family Relations; D014741:Video Recording
keywords: Hearing impairment; audiology; conversation analysis; family members; family-centred care; hearing rehabilitation; third-party disability