Patients' Experience of Motivational Interviewing for Hearing Aid Use: A Qualitative Study Embedded within a Pilot Randomised Controlled TrialHashir Aazh*
Audiology Department, Royal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX, UK
- *Corresponding Author:
- Hashir Aazh
Audiology Department, Royal Surrey County Hospital
Egerton Road, Guildford, GU2 7XX, UK
Tel: 01483 57112
Fax: 01483 408338
E-mail: [email protected]
Received date: December 03, 2015; Accepted date: January 29, 2016; Published date: February 01, 2016
Citation: Aazh H (2016) Patients' Experience of Motivational Interviewing for Hearing Aid Use: A Qualitative Study Embedded within a Pilot Randomised Controlled Trial. J Phonet and Audiol 2:110. doi:10.4172/2471-9455.1000110
Copyright: © 2016 Aazh H. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: The aim was to explore patients’ accounts with regard to their experience of taking part in a pilot study evaluating the feasibility of conducting a randomised controlled trial (RCT) on the effect of motivational interviewing (MI) on hearing-aid use.
Design: This was a qualitative sub-study embedded in a pilot RCT in NHS in which participants who reported using their hearing aid(s) less than four hours per day were randomised to MI combined with audiology standard care (MISC) (n=20), and standard care alone (SC) (n=17).
A constructivist approach informed by grounded theory was used. 34/37 patients who took part in the pilot RCT underwent in-depth interviews one-month after the interventions. All interviews were audio-recorded, transcribed and analysed thematically.
Results: Five themes emerged in relation to the participants’ perspectives about the key components of the research programme which influenced their hearing aid use. The themes comprise: (1) additional support, (2) clinician effect, (3) commitment to research, (4) research process, and (5) feeling better about self. Most people highlighted a combination of the themes related to the target interventions provided as well as the themes related to the research participation effect in general.
Conclusions: The provision of hearing aids in the NHS may benefit from adopting a more compassionate patientclinician relationship, additional patient education, and post-hearing-aid-fitting support. These were among the main themes which seemed to have helped people to improve their hearing-aid use.
Finally, this study suggests that the general research participation effect seems to have influenced the levels of hearing-aid use in both groups. Strategies to minimize the research participation effect need to be considered in the design of the future full-scale trials.