Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers
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 ENT-specialist (n = 110) or a hearing ai...
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| Format: | Article |
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Sage
2017
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| Online Access: | https://eprints.nottingham.ac.uk/47908/ |
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| author | Pronk, Marieke Deeg, Dorly J.H. Versfeld, Niek J. Heymans, Martijn Naylor, Graham Kramer, Sophia E. |
| author_facet | Pronk, Marieke Deeg, Dorly J.H. Versfeld, Niek J. Heymans, Martijn Naylor, Graham Kramer, Sophia E. |
| author_sort | Pronk, Marieke |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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 ENT-specialist (n = 110) or a hearing aid dispenser (n = 267) filled in a baseline questionnaire. After four 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. |
| first_indexed | 2025-11-14T20:07:12Z |
| format | Article |
| id | nottingham-47908 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:07:12Z |
| publishDate | 2017 |
| publisher | Sage |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-479082020-05-04T19:22:24Z https://eprints.nottingham.ac.uk/47908/ Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers Pronk, Marieke Deeg, Dorly J.H. Versfeld, Niek J. Heymans, Martijn Naylor, Graham Kramer, Sophia E. 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 ENT-specialist (n = 110) or a hearing aid dispenser (n = 267) filled in a baseline questionnaire. After four 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. Sage 2017-12-14 Article PeerReviewed Pronk, Marieke, Deeg, Dorly J.H., Versfeld, Niek J., Heymans, Martijn, Naylor, Graham and Kramer, Sophia E. (2017) Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers. Trends in Hearing, 21 . pp. 1-20. ISSN 2331-2165 Hearing help-seeking; Hearing aids; Older adults; Health Belief Model; Stages of Change http://journals.sagepub.com/doi/10.1177/2331216517744915 doi:10.1177/2331216517744915 doi:10.1177/2331216517744915 |
| spellingShingle | Hearing help-seeking; Hearing aids; Older adults; Health Belief Model; Stages of Change Pronk, Marieke Deeg, Dorly J.H. Versfeld, Niek J. Heymans, Martijn Naylor, Graham Kramer, Sophia E. Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers |
| title | Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers |
| title_full | Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers |
| title_fullStr | Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers |
| title_full_unstemmed | Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers |
| title_short | Predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers |
| title_sort | predictors of entering a hearing aid evaluation period: a prospective study in older hearing-help seekers |
| topic | Hearing help-seeking; Hearing aids; Older adults; Health Belief Model; Stages of Change |
| url | https://eprints.nottingham.ac.uk/47908/ https://eprints.nottingham.ac.uk/47908/ https://eprints.nottingham.ac.uk/47908/ |