Patients and their Psychosocial Concerns
Poost-Foroosh, Jennings, and colleagues (2011) reported eight key factors occurring between the patient and clinician that influence the decision to purchase hearing aids:
- Patient comfort
- An understanding of and provision for patient needs
- Patient-centered traits and actions
- Acknowledgement of the patient as an individual
- Imposition of undue pressure and discomfort
- Presentation of device information by the clinician
- Support of choices and shared decision-making
- Patient readiness
Ekberg, Grenness, and Hickson (2014) state that “despite technological advances, psychosocial concerns of adults with hearing impairment may have a large impact on their audiological help-seeking and rehabilitation….” Ekberg, Grenness, and Hickson note that it has been known for decades that the diagnosis of hearing impairment involves emotional reactions including fear, sadness, disappointment, and worry.
Therefore, the authors examined video-recordings from 63 consultations with 26 different audiologists in Australia. The authors noted that in about half the recordings, when patients expressed concerns about hearing aids, their concerns were essentially psychosocial in nature. However, the response from the audiologist did not “align” with the psychosocial nature of the concern raised by the patient. Therefore, the patient’s concern was not addressed or validated. Ekberg, Grenness, and Hickson concluded that “…older adults’ psychosocial concerns regarding hearing aids may not always be sufficiently addressed…a greater emphasis on personal adjustment counseling within audiology could result in improved outcomes….”
For More Information, References, and Recommendations
Ekberg K, Grenness C, Hickson L. (2014) Addressing Patient’s Psychosocial Concerns Regarding Hearing Aids Within Audiology Appointments for Older Adults. American Journal of Audiology 23:337-350..