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Development of a hearing aid self-efficacy questionnaire.
1Department of Psychology, University of Florida, Gainesville, FL 32611-2250, USA.
International Journal of Audiology
|December 1, 2007
Summary
Low confidence in using hearing aids, known as hearing-aid self-efficacy, often leads to discontinuation. The Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids (MARS-HA) effectively assesses this confidence.
Area of Science:
- Audiology and Hearing Science
- Rehabilitation Psychology
- Medical Device Efficacy
Background:
- Discontinuation of hearing aid use is a significant issue in audiology.
- Low self-efficacy, or confidence in managing hearing aids, is a primary driver of non-use.
- Existing measures may not adequately capture the multifaceted nature of hearing aid self-efficacy.
Purpose of the Study:
- To develop and validate a new self-efficacy questionnaire for hearing aid users.
- To create the Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids (MARS-HA).
- To assess the psychometric properties of the MARS-HA in diverse user groups.
Main Methods:
- Development of the MARS-HA following established psychometric guidelines.
- Evaluation of internal consistency and test-retest reliability in new and experienced hearing aid users.
- Assessment of validity through group comparisons, training effects, and feature impact analyses.
Main Results:
- The MARS-HA demonstrated strong internal consistency and good test-retest reliability.
- Four key subscales were identified: basic handling, advanced handling, adjustment, and aided listening skills.
- Validity was supported by expected differences across user groups and training interventions.
Conclusions:
- The MARS-HA is a reliable and valid instrument for measuring hearing aid self-efficacy.
- This tool can help clinicians identify specific areas where users lack confidence.
- Targeted audiologic rehabilitation can be provided to improve user confidence and potentially hearing aid adoption.
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