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Effectiveness of a Web-Based SUpport PRogram (SUPR) for Hearing Aid Users Aged 50+: Two-Arm, Cluster Randomized
Janine Fj Meijerink1, Marieke Pronk1, Birgit I Lissenberg-Witte2
1Otolaryngology-Head and Neck Surgery, Ear and Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Journal of Medical Internet Research
|September 22, 2020
Summary
Web-based self-management programs improved hearing aid (HA) outcomes for older adults. While communication strategy use did not change, self-efficacy and HA satisfaction showed lasting benefits.
Area of Science:
- Audiology
- Rehabilitation
- Digital Health
Background:
- Hearing aid (HA) use improves outcomes but remains suboptimal, with persistent communication challenges.
- Web-based self-management programs offer a potential solution for individuals with hearing loss.
Purpose of the Study:
- To evaluate the short- and long-term effects of a web-based self-management support program (SUPR) on communication strategy use and other outcomes in HA users aged 50+.
Main Methods:
- Randomized controlled trial comparing SUPR (n=180) with care as usual (n=163) over a 6-month rehabilitation period.
- Measurements included communication strategy use, HA satisfaction, self-efficacy, and hearing disability at baseline, and 6 and 12 months post-intervention.
Main Results:
- No significant difference in communication strategy use between groups.
- SUPR recipients showed sustained improvements in self-efficacy for HA handling and HA satisfaction at 12 months.
- Initial improvements in HA use for SUPR recipients were not sustained at 12 months.
Conclusions:
- Adding SUPR to standard HA care shows promise for modest, long-term improvements in HA outcomes.
- Further research is needed to optimize SUPR for long-term psychosocial benefits.
