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Enhancing Screening Systems to Facilitate Hearing-Healthcare Access: A Qualitative Study
Kathleen F Carlson1,2,3, Sara Sell1, Jay Vachhani1
1National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, OR.
Journal of the American Academy of Audiology
|November 22, 2018
Summary
Understanding facilitators like knowledge, trust, and quality of life can improve hearing healthcare access after positive hearing loss screenings. These insights can enhance automated screening systems for better patient outcomes.
Area of Science:
- Audiology and Public Health
- Health Behavior and Technology
Background:
- Hearing loss is prevalent, yet access to hearing healthcare (HHC) remains low.
- Screening for hearing loss is crucial for identifying individuals who need HHC services.
- Automated screening technologies offer potential to personalize information and improve HHC access.
Purpose of the Study:
- To identify facilitators of postscreening HHC access.
- To inform the development of automated hearing screening systems.
Main Methods:
- Qualitative study using focus groups (FGs) with diverse stakeholders.
- Informed by the Health Belief Model to explore barriers, benefits, and cues to action.
- Inductive qualitative content analysis of FG transcripts.
Main Results:
- Five key themes emerged: knowledge, trust, access, quality of life, and interpersonal influence.
- Identified specific ideas for enhancing automated hearing screening systems.
- Findings highlight factors that encourage HHC engagement post-screening.
Conclusions:
- Automated hearing screening systems can be optimized by incorporating identified facilitators.
- Leveraging individual facilitators can enhance HHC access rates.
- This research informs the development of more effective hearing health interventions.
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