What Influences Decision-Making for Cochlear Implantation in Adults? Exploring Barriers and Drivers From a...

Area of Science:

• Audiology
• Otorhinolaryngology
• Health Services Research

Background:

• Cochlear implantation is a complex hearing treatment.
• Factors influencing patient decisions are multifaceted.
• Multistakeholder perspectives are vital for understanding the implantation journey.

Purpose of the Study:

• To identify factors influencing cochlear implant (CI) uptake in adults.
• To quantify the impact of each identified factor.
• To conceptualize the CI journey from diverse stakeholder viewpoints.

Main Methods:

• Concept mapping was employed with 93 participants (clients and professionals).
• Qualitative and quantitative data were collected and analyzed.
• Multidimensional scaling visualized concept relationships.

Main Results:

• Six key concepts emerged: external influences, uncertainties/fears, health, hearing difficulties, professionals, and support.
• Client-driven factors (goals, support) were major drivers; external influences were significant barriers.
• Significant differences in concept ratings were observed between client and professional cohorts.

Conclusions:

• Client-specific needs, goals, and support systems are pivotal in CI decisions.
• Addressing external barriers and enhancing professional awareness is essential for improving CI access.
• A collaborative, interdisciplinary approach is needed to support informed CI decision-making.