Improving Collaborative Behaviour Planning in Adult Auditory Rehabilitation: Development of the I-PLAN Intervention Using the Behaviour Change Wheel.
The consequences of poorly managed hearing loss can be ameliorated with hearing aid use but rates of use are sub-optimal. The impact of audiologist behaviour on subsequent use, particularly over the long term, is unknown.



This study aimed to describe the role of the behaviour change wheel in developing an intervention to introduce and embed particular clinical behaviours into adult hearing aid fitting consultations, within the framework of the Medical Research Council guidance on complex interventions.



Following the steps of the behaviour change wheel, audiologist behaviours that might influence hearing aid use were identified based on a systematic review and qualitative work with audiologists. An analysis, using the COM-B model, identified potential drivers of the target behaviours. This was used to select intervention functions and behaviour change techniques likely to influence behaviour in this context.



The target behaviours were as follows: giving information about the benefits of hearing aid use and the negative consequences of non-use, providing prompts for use and engaging in collaborative behavioural planning for use. The behavioural analysis suggested that psychological capability, opportunity and motivation were potential drivers of these behaviours. The intervention functions of education, coercion, training, environmental restructuring, modelling and enablement were selected and combined to develop a single complex intervention that seeks to address the target behaviours.
Department of Clinical Medicine and Aging, University of Surrey, Guildford, UK.
Fiona
F
Barker
Department of Clinical Medicine and Aging, University of Surrey, Guildford, UK.
Simon de
S
Lusignan
School of Health Sciences, University of Surrey, Guildford, UK.
Cooke
C
Deborah
D000328:Adult; D001524:Behavioral Medicine / Q000379:methods*; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006310:Hearing Aids; D034381:Hearing Loss / Q000534:rehabilitation*; D006801:Humans; D036301:Qualitative Research; D000078202:Systematic Reviews as Topic
Ear Hear. 2007 Apr;28(2):187-95
17496670
J Am Geriatr Soc. 2010 Jan;58(1):93-7
20002512
Int J Audiol. 2004 Jul-Aug;43(7):390-8
15515638
J Am Acad Audiol. 2010 Nov-Dec;21(10):642-53
21376005
Soc Sci Med. 2000 Oct;51(7):1087-110
11005395
Br J Audiol. 2001 Jun;35(3):165-71
11548043
Health Serv Res. 2007 Aug;42(4):1443-63
17610432
J Public Health Med. 2000 Dec;22(4):512-7
11192279
Br J Audiol. 1993 Aug;27(4):255-61
8312848
Implement Sci. 2011 Apr 23;6:42
21513547
JAMA. 2002 Oct 9;288(14):1775-9
12365965
J Gerontol A Biol Sci Med Sci. 2011 Oct;66(10):1131-6
21768501
Int J Audiol. 2005 May;44(5):255-64
16028788
Annu Rev Nurs Res. 2000;18:48-90
10918932
Cochrane Database Syst Rev. 2014 Jul 12;(7):CD010342
25019297
Trends Amplif. 2010 Sep;14(3):127-54
21109549
Age Ageing. 2012 Sep;41(5):618-23
22591986
J Am Acad Audiol. 2007 Feb;18(2):151-83
17402301
Int J Audiol. 2015;54(10):691-9
25938504
Int J Audiol. 2012 Feb;51(2):83-92
21916797
Int J Audiol. 2003 Jul;42 Suppl 2:2S17-20
12918624
BMJ. 2008 Sep 29;337:a1655
18824488
Health Soc Care Community. 2013 May;21(3):293-302
23373520
Ann Behav Med. 2003 Aug;26(1):1-7
12867348
Circulation. 2006 Dec 12;114(24):2739-52
17145995
Int J Audiol. 2015 Feb;54(2):70-6
25141941
Lancet. 2013 Mar 23;381(9871):997-1020
23668584
Int J Audiol. 2011 Sep;50(9):594-609
21718228
J Clin Epidemiol. 2005 Feb;58(2):107-12
15680740
J Am Geriatr Soc. 1990 Jan;38(1):45-50
2295767
Eur Arch Otorhinolaryngol. 2006 Apr;263(4):355-60
16283199
Int J Audiol. 2016 Jul;55 Suppl 3:S90-8
27420547
BMJ. 2015 Mar 19;350:h1258
25791983
Implement Sci. 2015 Sep 24;10:132
26404642
Br J Audiol. 1984 Aug;18(3):169-72
6487851
Ear Hear. 2015 Sep-Oct;36(5):567-73
25919402
Int J Audiol. 2014 Feb;53 Suppl 1:S68-75
24528290
Ann Behav Med. 2013 Aug;46(1):81-95
23512568
Pediatrics. 2013 Mar;131 Suppl 1:S110-9
23457146
Lancet. 2002 Apr 27;359(9316):1466-70
11988245
Int J Audiol. 2003 Jul;42 Suppl 2:2S84-91
12918634
Int J Audiol. 2013 May;52(5):360-8
23473329
Int J Audiol. 2012 Feb;51(2):93-102
21942678
Int J Audiol. 2015 May;54(5):291-300
25640403
Int J Audiol. 2016 Nov;55(11):643-52
27366971
Qual Saf Health Care. 2005 Feb;14(1):26-33
15692000
PLoS One. 2015 Jul 10;10(7):e0130990
26162086
BMJ. 2000 Sep 16;321(7262):694-6
10987780
Eur Arch Otorhinolaryngol. 2005 Mar;262(3):165-9
15133689
Ugeskr Laeger. 2008 Oct 20;170(43):3407-11
18976596
Geriatr Gerontol Int. 2012 Jul;12(3):440-5
22212622
Implement Sci. 2014 May 23;9:60
24886520
J Am Acad Audiol. 2015 Jan;26(1):36-50
25597459