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首页> 外文期刊>Trends in Hearing >Predictors of Entering a Hearing Aid Evaluation Period: A Prospective Study in Older Hearing-Help Seekers
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Predictors of Entering a Hearing Aid Evaluation Period: A Prospective Study in Older Hearing-Help Seekers

机译：进入助听器评估期的预测因素：老年助听器的前瞻性研究

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This study aimed to determine the predictors of entering a hearing aid evaluation period (HAEP) using a prospective design drawing on the health belief model and the transtheoretical model. In total, 377 older persons who presented with hearing problems to an Ear, Nose, and Throat specialist (n?=?110) or a hearing aid dispenser (n?=?267) filled in a baseline questionnaire. After 4 months, it was determined via a telephone interview whether or not participants had decided to enter a HAEP. Multivariable logistic regression analyses were applied to determine which baseline variables predicted HAEP status. A?priori, candidate predictors were divided into ‘likely’ and ‘novel’ predictors based on the literature. The following variables turned out to be significant predictors: more expected hearing aid benefits, greater social pressure, and greater self-reported hearing disability. In addition, greater hearing loss severity and stigma were predictors in women but not in men. Of note, the predictive effect of self-reported hearing disability was modified by readiness such that with higher readiness, the positive predictive effect became stronger. None of the ‘novel’ predictors added significant predictive value. The results support the notion that predictors of hearing aid uptake are also predictive of entering a HAEP. This study shows that some of these predictors appear to be gender specific or are dependent on a person’s readiness for change. After assuring the external validity of the predictors, an important next step would be to develop prediction rules for use in clinical practice, so that older persons’ hearing help-seeking journey can be facilitated.
机译：这项研究旨在使用健康信念模型和跨理论模型，采用前瞻性设计来确定进入助听器评估期（HAEP）的预测因素。总共有377名老年人向耳，鼻，喉科专家（n = 110）或助听器分配器（n = 267）出现了听力问题。 4个月后，通过电话采访确定参与者是否决定参加HAEP。应用多变量逻辑回归分析来确定哪些基线变量可预测HAEP状态。先验的预测变量根据文献分为“可能的”和“新颖的”预测变量。事实证明，以下变量是重要的预测指标：预期的助听器收益更大，社会压力更大，自我报告的听力障碍更大。此外，女性的听力障碍严重程度和耻辱感增加是男性的预测因素，而男性则不是。值得注意的是，自我报告的听力障碍的预测效果已通过准备状态进行了修改，因此，准备状态越高，积极的预测效果就越强。 “新颖”的预测因素均未增加明显的预测价值。结果支持这样的观点，助听器吸收的预测因素也可以预测是否会进入HAEP。这项研究表明，其中一些预测指标似乎是针对性别的，或者取决于一个人是否愿意改变。在确定了预测因素的外部有效性之后，下一步重要的工作就是制定用于临床实践的预测规则，以便于老年人的听力寻求帮助的旅程。

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