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Developing an intervention to implement an ICF-based e-intake tool in clinical otology and audiology practice
Lisette M van Leeuwen1, Marieke Pronk1, Paul Merkus1
1Otolaryngology-Head and Neck Surgery, Ear and Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
This study developed a multifaceted intervention to implement an International Classification of Functioning, Disability and Health (ICF)-based electronic intake tool for oto-audiology practices. The intervention addresses barriers for both hearing health professionals and patients to improve tool adoption.
Area of Science:
- Audiology
- Health Informatics
- Behavioral Science
Background:
- Implementing new digital tools in clinical practice presents challenges.
- The International Classification of Functioning, Disability and Health (ICF) provides a framework for understanding health and disability.
- An ICF-based electronic intake tool aims to standardize patient assessment in oto-audiology.
Purpose of the Study:
- To design an intervention strategy for implementing an ICF-based e-intake tool.
- To address identified barriers and enablers for hearing health professionals (HHPs) and patients.
- To utilize the Behaviour Change Wheel framework for intervention development.
Main Methods:
- Intervention design study employing the eight-stepped Behaviour Change Wheel.
- Previous research identified barriers and enablers for HHPs and patients.
- Intervention functions, policy categories, behavior change techniques, and delivery modes were systematically selected.
Main Results:
- For HHPs, intervention functions included education, training, enablement, modeling, persuasion, and environmental restructuring.
- For patients, intervention functions focused on education and enablement, supported by service provision.
- Specific behavior change techniques and delivery modes were identified for both professional and patient groups.
Conclusions:
- A comprehensive, multifaceted intervention strategy was developed.
- The proposed intervention aims to facilitate the successful integration of the ICF-based e-intake tool into clinical oto-audiology practice.
- This approach addresses user needs and practical implementation factors.
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