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Related Concept Videos

Barriers to Effective Communication II01:21

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
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Related Experiment Video

Updated: Sep 8, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Efficacy of the Web-Based Swedish Individualized Active Communication Education (I-ACE) Program in First-Time Hearing

Louise Werther1, Elisabet Sundewall Thorén2,3, Jonas Brännström3

  • 1Department of Otorhinolaryngology in Östergötland and Department of Biomedical and Clinical Sciences, Linköping University, University Hospital, Linköping, 58185, Sweden, 46 0724638793.

Journal of Medical Internet Research
|July 25, 2025
PubMed
Summary

The internet-based Individualized Active Communication Education (I-ACE) program effectively reduced emotional consequences of hearing loss and improved communication strategies in hearing aid users. These positive effects were sustained at a 6-month follow-up.

Keywords:
ACEI-ACEactive communication educationaural rehabilitationcommunication strategieseHealthhearing loss

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Area of Science:

  • Audiology
  • Rehabilitation
  • Digital Health

Background:

  • Hearing loss affects over 20% globally, with many users experiencing persistent communication challenges despite hearing aid fitting.
  • The group-based Active Communication Education (ACE) program addresses these difficulties, and its accessibility was enhanced through an individualized, internet-based version (I-ACE).
  • The efficacy of the Individualized Active Communication Education (I-ACE) program required evaluation through a randomized controlled trial.

Purpose of the Study:

  • To investigate the effects of the internet-based Swedish I-ACE program on communication strategy use, self-perceived hearing difficulties, and emotional impact of hearing loss.
  • To determine if the observed effects of the I-ACE program are sustained long-term.

Main Methods:

  • A randomized controlled trial was conducted with first-time hearing aid users (6-12 months experience).
  • Participants were assigned to either the Swedish I-ACE intervention or a delayed intervention control group.
  • The I-ACE program was delivered online over 5 weeks, with weekly clinician feedback provided via the 1177.se platform. Outcome measures were assessed at baseline, post-intervention, and 6-month follow-up.

Main Results:

  • The I-ACE group showed significant improvements in emotional consequences and acceptance of hearing loss compared to the control group (p=.01).
  • Participants in the I-ACE group also demonstrated increased use of communication strategies (p=.02).
  • No significant differences were found in perceived hearing difficulties or hearing aid efficacy between groups; all outcomes remained stable at 6 months.

Conclusions:

  • The internet-based I-ACE program is an effective intervention for mitigating the emotional burden of hearing loss.
  • I-ACE enhances the use of communication strategies, helping individuals manage residual communication challenges.
  • The program's benefits are durable, offering a valuable tool for audiological rehabilitation.