title: Measuring motivation using the transtheoretical (stages of change) model: A follow-up study of people who failed an online hearing screening.
abstract: Acceptance and readiness to seek professional help have shown to be important factors for favourable audiological rehabilitation outcomes. Theories from health psychology such as the transtheoretical (stages-of-change) model could help understand behavioural change in people with hearing impairment. In recent studies, the University of Rhode Island change assessment (URICA) has been found to have good predictive validity.
  
  
  
  In a previous study, 224 Swedish adults who had failed an online hearing screening completed URICA and two other measures of stages of change. This follow-up aimed to: (1) determine prevalence of help-seeking at a hearing clinic and hearing aid uptake, and (2) explore the predictive validity of the stages of change measures by a follow-up on the 224 participants who had failed a hearing screening 18 months previously.
  
  
  
  A total of 122 people (54%) completed the follow-up online questionnaire, including the three measures and questions regarding experience with hearing help-seeking and hearing aid uptake.
  
  
  
  Since failing the online hearing screening, 61% of participants had sought help. A good predictive validity for a one-item measure of stages of change was reported.
  
  
  
  The Staging algorithm was the stages of change measure with the best ability to predict help-seeking 18 months later.
authors.affiliation: a Department of Behavioural Sciences and Learning , Swedish Institute for Disability Research, Linköping University , Sweden .
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Ingo
authors.affiliation: a Department of Behavioural Sciences and Learning , Swedish Institute for Disability Research, Linköping University , Sweden .|b Department of Logopedics, Phoniatrics and Audiology , Lund University , Sweden .
authors.forename: K Jonas
authors.initials: KJ
authors.lastname: Brännström
authors.affiliation: a Department of Behavioural Sciences and Learning , Swedish Institute for Disability Research, Linköping University , Sweden .|c Department of Clinical Neuroscience , Karolinska Institute , Sweden , and.|d Eriksholm Research Centre, Oticon a/S , Denmark.
authors.forename: Gerhard
authors.initials: G
authors.lastname: Andersson
authors.affiliation: a Department of Behavioural Sciences and Learning , Swedish Institute for Disability Research, Linköping University , Sweden .|d Eriksholm Research Centre, Oticon a/S , Denmark.
authors.forename: Thomas
authors.initials: T
authors.lastname: Lunner
authors.affiliation: a Department of Behavioural Sciences and Learning , Swedish Institute for Disability Research, Linköping University , Sweden .|d Eriksholm Research Centre, Oticon a/S , Denmark.
authors.forename: Ariane
authors.initials: A
authors.lastname: Laplante-Lévesque
mesh_terms: D000368:Aged; D000465:Algorithms; D001307:Auditory Perception; D012048:Correction of Hearing Impairment / Q000295:instrumentation / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006310:Hearing Aids; D006311:Hearing Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D006320:Hearing Tests; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009042:Motivation; D010342:Patient Acceptance of Health Care; D019986:Persons with Hearing Disabilities / Q000523:psychology* / Q000534:rehabilitation*; D011237:Predictive Value of Tests; D011795:Surveys and Questionnaires; D013548:Sweden; D013997:Time Factors
keywords: Hearing screening; behavioural change; hearing aid uptake; hearing help-seeking; motivation; stages of change