title: Autonomous motivation is associated with hearing aid adoption.
abstract: OBJECTIVE
  To use the self-determination theory of motivation to investigate whether different forms of motivation were associated with adults' decisions whether or not to adopt hearing aids.
  
  
  METHODS
  A quantitative approach was used in this cohort study. Participants completed the treatment self-regulation questionnaire (TSRQ), which measured autonomous and controlled motivation for hearing aid adoption. Sociodemographic data and audiometric information were also obtained.
  
  
  METHODS
  Participants were 253 adults who had sought information about their hearing but had not consulted with a hearing professional. Participants were categorized as hearing aid adopters if they had been fitted with hearing aids 4-6 months after completing the TSRQ, and as non-adopters if they had not.
  
  
  RESULTS
  Multivariate logistic regression was used to examine associations between autonomous and controlled motivation, sociodemographic and audiometric variables, and hearing aid adoption (n = 160). Three factors were significantly associated with increased hearing aid adoption when the influence of other variables was accounted for: autonomous motivation, perceived hearing difficulty, and poorer hearing. Controlled motivation was not found to influence hearing aid adoption.
  
  
  CONCLUSIONS
  These empirical findings that link autonomous motivation to decisions of hearing help-seekers have implications for the ways practitioners may evaluate motivation and could inform discussions with clients about hearing aid adoption.
authors.affiliation: * School of Health and Rehabilitation Sciences, The University of Queensland , Brisbane , Australia.
authors.forename: Jason
authors.initials: J
authors.lastname: Ridgway
authors.forename: Louise
authors.initials: L
authors.lastname: Hickson
authors.forename: Christopher
authors.initials: C
authors.lastname: Lind
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D012048:Correction of Hearing Impairment / Q000295:instrumentation / Q000523:psychology*; D005260:Female; D006310:Hearing Aids / Q000523:psychology*; D034381:Hearing Loss / Q000523:psychology* / Q000534:rehabilitation; D006320:Hearing Tests; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012649:Self Concept; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Hearing impairment; autonomy; hearing aid adoption; hearing aids; motivation; self-determination theory