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Moderators and predictors in a parent hearing aid management eHealth program.

Guadalupe G San Miguel1, Karen Muñoz2, Tyson S Barrett1

  • 1Psychology, Utah State University, Logan, UT, USA.

International Journal of Audiology
|March 18, 2022
PubMed
Summary

Parental psychological inflexibility and low parent activation can hinder hearing aid use in children. Addressing these factors in eHealth programs can improve outcomes for children with hearing loss.

Keywords:
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Area of Science:

  • Audiology
  • Pediatric audiology
  • eHealth interventions

Background:

  • Consistent hearing aid use is crucial for spoken language development in children with hearing impairments.
  • An eHealth hearing aid management education program improved parental knowledge and confidence.
  • Identifying moderators and predictors is key to optimizing eHealth intervention outcomes.

Purpose of the Study:

  • To investigate potential moderators and predictors of treatment outcomes in an eHealth hearing aid management program.
  • To understand factors influencing device monitoring and knowledge acquisition among parents.

Main Methods:

  • Randomized controlled trial (RCT) involving 78 parents and their children (≤42 months).
  • Parents were randomized into an intervention group or treatment-as-usual (TAU) group.
  • Analysis of psychological inflexibility, parent activation, and hearing aid use as potential moderators/predictors.

Main Results:

  • High psychological inflexibility, low parent activation, and low hearing aid use moderated device monitoring and knowledge.
  • Parents in the intervention group showed improvements over the TAU group.
  • Psychological inflexibility and parent activation predicted treatment outcomes.

Conclusions:

  • Hearing loss management strategies should address parental psychological inflexibility.
  • Parental role and reported hearing aid use are critical components of service delivery.
  • Identifying barriers to hearing aid management aids audiologists in tailoring support for better outcomes.