Abstract
Objective
Hearing aid use is lowest in 0–3-year-olds with hearing loss, placing spoken language development at risk. Existing interventions lack effectiveness and are typically not based on a theoretically driven, comprehensive understanding of the factors influencing infant hearing aid use. The present study is the first to address this gap in understanding.
Design and Study Sample
A 55-item online survey based on the Theoretical Domains Framework (TDF) was completed by 56 parents of 0–3-year-old hearing aid users.
Results
Participants reported a wide range of barriers across TDF domains, which were associated with parent-reported hearing aid use and more pronounced in parents of lower hearing aid users. The most strongly reported domains across participants were “emotion” (e.g. feelings of worry when using hearing aids), “beliefs about capabilities” (e.g. belief in ability to use hearing aids consistently), and “environmental context and resources” (e.g. child removing hearing aids).
Conclusions
Parents report a wider range of barriers to infant hearing aid use than existing investigations suggest and current interventions address. Interventions would benefit from: (i) targeting a wider range of TDF domains in their design; and (ii) implementing the present TDF survey to identify and target family-specific barriers to infant hearing aid use.
Hearing aid use is lowest in 0–3-year-olds with hearing loss, placing spoken language development at risk. Existing interventions lack effectiveness and are typically not based on a theoretically driven, comprehensive understanding of the factors influencing infant hearing aid use. The present study is the first to address this gap in understanding.
Design and Study Sample
A 55-item online survey based on the Theoretical Domains Framework (TDF) was completed by 56 parents of 0–3-year-old hearing aid users.
Results
Participants reported a wide range of barriers across TDF domains, which were associated with parent-reported hearing aid use and more pronounced in parents of lower hearing aid users. The most strongly reported domains across participants were “emotion” (e.g. feelings of worry when using hearing aids), “beliefs about capabilities” (e.g. belief in ability to use hearing aids consistently), and “environmental context and resources” (e.g. child removing hearing aids).
Conclusions
Parents report a wider range of barriers to infant hearing aid use than existing investigations suggest and current interventions address. Interventions would benefit from: (i) targeting a wider range of TDF domains in their design; and (ii) implementing the present TDF survey to identify and target family-specific barriers to infant hearing aid use.
| Original language | English |
|---|---|
| Journal | International Journal of Audiology |
| Early online date | 24 Jun 2024 |
| DOIs | |
| Publication status | E-pub ahead of print - 24 Jun 2024 |
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Manchester Centre for Audiology and Deafness (ManCAD)
Munro, K. (PI), Millman, R. (PI), Lamb, W. (Support team), Dawes, P. (PI), Plack, C. (PI), Stone, M. (PI), Kluk-De Kort, K. (PI), Moore, D. (PI), Morton, C. (PI), Prendergast, G. (PI), Couth, S. (PI), Schlittenlacher, J. (PI), Chilton, H. (PI), Visram, A. (Researcher), Dillon, H. (PI), Guest, H. (Researcher), Heinrich, A. (PI), Jackson, I. (Researcher), Littlejohn, J. (Researcher), Jones, L. (PI), Lough, M. (Researcher), Morgan, R. (Researcher), Perugia, E. (Researcher), Roughley, A. (Researcher), Whiston, H. (Researcher), Wright, C. (Support team), Saunders, G. (PI), Kelly, C. (PI), Cross, H. (Researcher), Loughran, M. (Researcher) & Hoseinabadi, R. (PI)
Project: Research