title: Design Considerations for Internet-Delivered Self-Management Programs for Adults With Hearing Impairment.
abstract: OBJECTIVE
  Hearing impairment (HI) is a chronic condition; thus, even with treatment, residual participation restrictions and activity limitations typically remain. Individuals must learn to self-manage their HI. The purpose of this research note is to review components of successful Internet-based self-management programs and to evaluate group auditory rehabilitation (AR) programs with varying content, in order to make recommendations for the design of future Internet-based self-management programs.
  
  
  METHODS
  Effect sizes for changes in HI-specific quality of life following group AR activities from 4 published studies were calculated to determine if effect size varied systematically as a function of group activities. These findings are described using a self-management framework.
  
  
  RESULTS
  Successful group AR activities include (a) psychosocial activities to promote role management, emotional management, and social support; (b) informational lectures and group discussion to promote education; (c) communication strategy exercises to promote self-efficacy and self-management skills; and (d) the inclusion of a frequent communication partner to promote social support and self-tailoring.
  
  
  CONCLUSIONS
  It is recommended that future Internet-based self-management programs focus on the mechanisms of social support and education to promote learning and self-management skills. Future research will determine if these AR activities may be implemented effectively via the Internet.
authors: Department of Otolaryngology and Communicative Disorders, University of Louisville, KY.
authors: Jill E
authors: JE
authors: Preminger
authors: Department of Otolaryngology and Communicative Disorders, University of Louisville, KY.
authors: Ann M
authors: AM
authors: Rothpletz
mesh_terms: D012048:Correction of Hearing Impairment / Q000379:methods* / Q000523:psychology; D006126:Group Processes; D034381:Hearing Loss / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D020407:Internet; D010353:Patient Education as Topic / Q000379:methods; D012380:Role; D012648:Self Care / Q000379:methods* / Q000523:psychology; D020377:Self Efficacy; D012944:Social Support