Stages of Change in Adults Who Have Failed an Online Hearing Screening

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Fältnamn	Indikatorer	Metadata
000		06709naa a2200469 4500
001		oai:DiVA.org:liu-113726
003		SwePub
008		150129s2015 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:lup.lub.lu.se:c1ebba6d-b2e6-48b9-967d-424aa07d0006
009		oai:prod.swepub.kib.ki.se:130389956
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1137262 URI
024	7	a https://doi.org/10.1097/AUD.00000000000000852 DOI
024	7	a https://lup.lub.lu.se/record/46138422 URI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1303899562 URI
040		a (SwePub)liud (SwePub)lud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Laplante-Lévesque, Arianeu Linköpings universitet,Handikappvetenskap,Filosofiska fakulteten,Oticon AS, Denmark4 aut0 (Swepub:liu)arila03
245	1 0	a Stages of Change in Adults Who Have Failed an Online Hearing Screening
264	1	b LIPPINCOTT WILLIAMS and WILKINS,c 2015
338		a print2 rdacarrier
500		a Funding Agencies\|Swedish Research Council for Health, Working Life and Welfare [2009-0055]
520		a Objectives: Hearing screening has been proposed to promote help-seeking and rehabilitation in adults with hearing impairment. However, some longitudinal studies point to low help-seeking and subsequent rehabilitation after a failed hearing screening (positive screening result). Some barriers to help-seeking and rehabilitation could be intrinsic to the profiles and needs of people who have failed a hearing screening. Theories of health behavior change could help to understand this population. One of these theories is the transtheoretical (stages-of-change) model of health behavior change, which describes profiles and needs of people facing behavior changes such as seeking help and taking up rehabilitation. According to this model, people go through distinct stages toward health behavior change: precontemplation, contemplation, action, and finally, maintenance. The present study describes the psychometric properties (construct validity) of the stages of change in adults who have failed an online hearing screening. Stages of change were measured with the University of Rhode Island Change Assessment (URICA). Principal component analysis is presented, along with cluster analysis. Internal consistency was investigated. Finally, relationships between URICA scores and speech-in-noise recognition threshold, self-reported hearing disability, and self-reported duration of hearing disability are presented. Design: In total, 224 adults who had failed a Swedish online hearing screening test (measure of speech-in-noise recognition) completed further questionnaires online, including the URICA. Results: A principal component analysis identified the stages of precontemplation, contemplation, and action, plus an additional stage, termed preparation (between contemplation and action). According to the URICA, half (50%) of the participants were in the preparation stage of change. The contemplation stage was represented by 38% of participants, while 9% were in the precontemplation stage. Finally, the action stage was represented by approximately 3% of the participants. Cluster analysis identified four stages-of-change clusters: they were named decision making (44% of sample), participation (28% of sample), indecision (16% of sample), and reluctance (12% of sample). The construct validity of the model was good. Participants who reported a more advanced stage of change had significantly greater self-reported hearing disability. However, participants who reported a more advanced stage of change did not have a significantly worse speech-in-noise recognition threshold or reported a significantly longer duration of hearing impairment. Conclusions: The additional stage this study uncovered, and which other studies have also uncovered, preparation, highlights the need for adequate guidance for adults who are yet to seek help for their hearing. The fact that very few people were in the action stage (approximately 3% of the sample) signals that screening alone is unlikely to be enough to improve help-seeking and rehabilitation rates. As expected, people in the later stages of change reported significantly greater hearing disability. The lack of significant relationships between stages-of-change measures and speech-in-noise recognition threshold and self-reported duration of hearing disability highlights the complex interplay between impairment, disability, and behaviors in adults who have failed an online hearing screening and who are yet to seek help.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaper0 (SwePub)3012 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Basic Medicine0 (SwePub)3012 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Annan medicin och hälsovetenskapx Övrig annan medicin och hälsovetenskap0 (SwePub)305992 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Other Medical and Health Sciencesx Other Medical and Health Sciences not elsewhere specified0 (SwePub)305992 hsv//eng
653		a Hearing screening in adults; Stages of change; Transtheoretical model of health behavior change
700	1	a Brännström, Jonasu Lund University,Lunds universitet,Logopedi, foniatri och audiologi,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Logopedics, Phoniatrics and Audiology,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University, Sweden4 aut0 (Swepub:lu)ling-jbr
700	1	a Ingo, Elisabethu Linköpings universitet,Handikappvetenskap,Filosofiska fakulteten4 aut0 (Swepub:liu)eliin54
700	1	a Andersson, Gerhardu Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Institute, Sweden4 aut0 (Swepub:liu)geran87
700	1	a Lunner, Thomasu Linköpings universitet,Handikappvetenskap,Institutet för handikappvetenskap (IHV),Filosofiska fakulteten,Oticon AS, Denmark4 aut0 (Swepub:liu)tholu94
710	2	a Linköpings universitetb Handikappvetenskap4 org
773	0	t Ear and Hearingd : LIPPINCOTT WILLIAMS and WILKINSg 36:1, s. 92-101q 36:1<92-101x 0196-0202x 1538-4667
856	4	u http://www.ncbi.nlm.nih.gov/pubmed/25158981?dopt=Abstracty FULLTEXT
856	4	u http://dx.doi.org/10.1097/AUD.0000000000000085y FULLTEXT
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-113726
856	4 8	u https://doi.org/10.1097/AUD.0000000000000085
856	4 8	u https://lup.lub.lu.se/record/4613842
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:130389956

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