title: Bridging the Gap Between Hearing Screening and Successful Rehabilitation: Research Protocol of a Randomized Controlled Trial of Motivational Interviewing via Internet.
abstract: OBJECTIVE
  Studies point to low help-seeking after a failed hearing screening. This research forum article presents the research protocol for a randomized controlled trial of motivational interviewing via the Internet to promote help-seeking in people who have failed an online hearing screening.
  
  
  METHODS
  Adults who fail a Swedish online hearing screening, including a speech-in-noise recognition test, will be randomized to either an intervention group (participating in motivational interviewing) or an active control group (reading a book on history of hearing aids). Both of the conditions will be delivered via the Internet. The primary outcome is experience with seeking health care and using hearing aids 9 months after the intervention. Secondary outcomes are changes in before and after measures of self-reported hearing difficulties, anxiety, depression, and quality of life. Stages of change and self-efficacy in hearing help-seeking are measured immediately after intervention and at a 9-month follow-up for the purpose of mediation analysis.
  
  
  RESULTS
  The results of this randomized controlled trial may help bridge the gap between hearing screening and successful hearing rehabilitation.
  
  
  CONCLUSIONS
  Although no large instantaneous benefits are expected, a slow change toward healthy behaviors—seeking health care and using hearing aids—would shed light on how to use the Internet to assist people with hearing impairment.
authors.forename: Sandra Mikaela
authors.initials: SM
authors.lastname: Weineland
authors.forename: Gerhard
authors.initials: G
authors.lastname: Andersson
authors.forename: Thomas
authors.initials: T
authors.lastname: Lunner
authors.forename: Per
authors.initials: P
authors.lastname: Carlbring
authors.forename: Hugo
authors.initials: H
authors.lastname: Hesser
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Ingo
authors.forename: Peter
authors.initials: P
authors.lastname: Molander
authors.forename: Peter
authors.initials: P
authors.lastname: Nordqvist
authors.forename: Ariane
authors.initials: A
authors.lastname: Laplante-Lévesque
mesh_terms: D012048:Correction of Hearing Impairment; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D034381:Hearing Loss / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D000066505:Help-Seeking Behavior; D006801:Humans; D020407:Internet; D008403:Mass Screening; D062405:Motivational Interviewing / Q000379:methods*; D010342:Patient Acceptance of Health Care / Q000523:psychology; D012017:Referral and Consultation; D020377:Self Efficacy; D013069:Speech Reception Threshold Test / Q000379:methods; D013813:Therapy, Computer-Assisted / Q000379:methods