J Am Acad Audiol 2018; 29(08): 696-705
DOI: 10.3766/jaaa.16184
Articles
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

An Evaluation of Motivational Interviewing for Increasing Hearing Aid Use: A Pilot Study

Jorunn Solheim
*   ENT Department, Lovisenberg Diakonale Hospital, Oslo, Norway
,
Caryl Gay
*   ENT Department, Lovisenberg Diakonale Hospital, Oslo, Norway
,
Anners Lerdal
*   ENT Department, Lovisenberg Diakonale Hospital, Oslo, Norway
†   Department of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
,
Louise Hickson
‡   School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
,
Kari J. Kvaerner
§   C3 Centre for Connected Care, Oslo University Hospital, Oslo, Norway
› Author Affiliations
Further Information

Publication History

Publication Date:
29 May 2020 (online)

Abstract

Background:

Motivational interviewing (MI) has been used in consultation settings to motivate hearing aid users to increase hearing aid usage. However, the effect of MI on those who use their hearing aids only rarely or not at all has not been explored.

Purpose:

The aims of this pilot study were to evaluate the effect of MI counseling with elderly hearing aid recipients found to have low hearing aid use at a six-month follow-up appointment and to describe clients’ subjective assessments of their perceived need for hearing aids three months after MI counseling.

Research Design:

The study had a within-subjects pretest–posttest design.

Study Sample:

Forty seven hearing aid recipients who had used their new hearing aids, an average of <90 min/day, were recruited at a follow-up appointment six months after hearing aid fitting.

Intervention:

Thirty minutes of MI counseling was provided at the six-month follow-up appointment. If needed, hearing aid adjustments and technical support were also provided.

Data Collection and Analysis:

The effect of MI counseling in combination with adjustments and technical support was assessed in relation to datalogged hearing aid use, which was assessed immediately before (at the six-month follow-up) and three months after (at the nine-month follow-up) the intervention. Hearing aid experiences were also assessed three months after MI.

Results:

Thirty seven participants (79%) returned for the nine-month follow-up visit and had modest but significant increases in datalogged hearing aid use in the three months following MI counseling. Of the 37 participants who returned, 51% had increased their hearing aid use to at least 2 h/day after the MI counseling. Most of the 37 participants who attended the nine-month follow-up reported increased need for (59%) or increased benefit and contentment with (57%) their hearing aid three months after MI; these participants also had significantly higher datalogged hearing aid use following MI.

Conclusions:

These findings suggest that follow-up appointments using MI counseling in conjunction with technical support may be useful for increasing hearing aid usage among low-users, and a randomized controlled trial is warranted.

Funding for this research was provided by a grant from the Norwegian Foundation for Health and Rehabilitation (ExtraStiftelsen), awarded to the first author. The Norwegian Association of the Hearing Impaired (HLF) stood as applicant organization.


 
  • REFERENCES

  • Aazh H. 2016; a Patients’ experience of motivational interviewing for hearing aid use: a qualitative study embedded within a pilot randomised controlled trial. J Phonet and Audiol 2: 1-13
  • Aazh H. 2016; b Feasibility of conducting a randomized controlled trial to evaluate the effect of motivational interviewing on hearing-aid use. Int J Audiol 55 (03) 149-156
  • Barrenäs ML, Holgers KM. 2000; A clinical evaluation of the hearing disability and handicap scale in men with noise induced hearing loss. Noise Health 2 (06) 67-78
  • Cassin SE, von Ranson KM, Heng K, Brar J, Wojtowicz AE. 2008; Adapted motivational interviewing for women with binge eating disorder: a randomized controlled trial. Psychol Addict Behav 22 (03) 417-425
  • Chang YS, Choi J, Moon IJ, Hong SH, Chung WH, Cho YS. 2016; Factors associated with self-reported outcome in adaptation of hearing aid. Acta Otolaryngol 136 (09) 905-911
  • Chen DS, Genther DJ, Betz J, Lin FR. 2014; Association between hearing impairment and self-reported difficulty in physical functioning. J Am Geriatr Soc 62 (05) 850-856
  • Cherko M, Hickson L, Bhutta M. 2016; Auditory deprivation and health in the elderly. Maturitas 88: 52-57
  • D’Amico EJ, Houck JM, Hunter SB, Miles JN, Osilla KC, Ewing BA. 2015; Group motivational interviewing for adolescents: change talk and alcohol and marijuana outcomes. J Consult Clin Psychol 83 (01) 68-80
  • Dray J, Gilchrist P, Singh D, Cheesman G, Wade TD. 2014; Training mental health nurses to provide motivational interviewing on an inpatient eating disorder unit. J Psychiatr Ment Health Nurs 21 (07) 652-657
  • Ferguson MA, Woolley A, Munro KJ. 2016; The impact of self-efficacy, expectations, and readiness on hearing aid outcomes. Int J Audiol 55 Suppl 3 S34-S41
  • Gianopoulos I, Stephens D, Davis A. 2002; Follow up of people fitted with hearing aids after adult hearing screening: the need for support after fitting. BMJ 325: 471
  • Gimsing S. 2008; Use of hearing aids five years after issue. Ugeskr Laeger 170 (43) 3407-3411
  • Gispen FE, Chen DS, Genther DJ, Lin FR. 2014; Association between hearing impairment and lower levels of physical activity in older adults. J Am Geriatr Soc 62 (08) 1427-1433
  • Gopinath B, Schneider J, Hartley D, Teber E, McMahon CM, Leeder SR, Mitchell P. 2011; Incidence and predictors of hearing aid use and ownership among older adults with hearing loss. Ann Epidemiol 21 (07) 497-506
  • Graves E, Watkins RW. 2015; Motivational interviewing: patient engagement as the key to healthy practices, patients, and practitioners. N C Med J 76 (03) 175-176
  • Gussekloo J, de Bont LE, von Faber M, Eekhof JA, de Laat JA, Hulshof JH, van Dongen E, Westendorp RG. 2003; Auditory rehabilitation of older people from the general population--the Leiden 85-plus study. Br J Gen Pract 53 (492) 536-540
  • Ha YS, Choi YH. 2012; Effectiveness of a motivational interviewing smoking cessation program on cessation change in adolescents. J Korean Acad Nurs 42 (01) 19-27
  • Hardcastle S, Blake N, Hagger MS. 2012; The effectiveness of a motivational interviewing primary-care based intervention on physical activity and predictors of change in a disadvantaged community. J Behav Med 35 (03) 318-333
  • Hartley D, Rochtchina E, Newall P, Golding M, Mitchell P. 2010; Use of hearing AIDS and assistive listening devices in an older Australian population. J Am Acad Audiol 21 (10) 642-653
  • Hickson L, Meyer C, Lovelock K, Lampert M, Khan A. 2014; Factors associated with success with hearing aids in older adults. Int J Audiol 53 (Suppl 1) S18-S27
  • Hickson L, Worrall L. 2003; Beyond hearing aid fitting: improving communication for older adults. Int J Audiol 42 (Suppl 2) 2S84-2S91
  • Kaplan-Neeman R, Muchnik C, Hildesheimer M, Henkin Y. 2012; Hearing aid satisfaction and use in the advanced digital era. Laryngoscope 122 (09) 2029-2036
  • Kohler S, Hofmann A. 2015; Can motivational interviewing in emergency care reduce alcohol consumption in young people? A systematic review and meta-analysis. Alcohol Alcohol 50 (02) 107-117
  • Korcha RA, Polcin DL, Evans K, Bond JC, Galloway GP. 2015; Intensive motivational interviewing for women with alcohol problems. Counselor (Deerfield Beach) 16 (03) 62-69
  • Laplante-Lévesque A, Hickson L, Worrall L. 2013; Stages of change in adults with acquired hearing impairment seeking help for the first time: application of the transtheoretical model in audiologic rehabilitation. Ear Hear 34 (04) 447-457
  • Lupsakko TA, Kautiainen HJ, Sulkava R. 2005; The non-use of hearing aids in people aged 75 years and over in the city of Kuopio in Finland. Eur Arch Otorhinolaryngol 262 (03) 165-169
  • Maeda Y, Sugaya A, Nagayasu R, Nakagawa A, Nishizaki K. 2016; Subjective hearing-related quality-of-life is a major factor in the decision to continue using hearing aids among older persons. Acta Otolaryngol 136 (09) 919-922
  • Meyer C, Hickson L, Khan A, Walker D. 2014; What is important for hearing aid satisfaction? Application of the expectancy-disconfirmation model. J Am Acad Audiol 25 (07) 644-655
  • Meyer C, Hickson L, Lovelock K, Lampert M, Khan A. 2014; An investigation of factors that influence help-seeking for hearing impairment in older adults. Int J Audiol 53 (Suppl 1) S3-S17
  • Miller WR, Rollnick S. 1991. Motivational Interviewing: Preparing People to Change Addictive Behaviour. New York, NY: Guilford Press;
  • Miller WR, Rollnick S. 2012. Motivational Interviewing: Helping People Change. United Kingdom: Guilford Press;
  • Miller WR, Rollnick S. 2013. Motivational Interviewing: Helping People Change. 3rd ed. New York, NY: Guilford Press;
  • Miller-Matero LR, Cano A. 2015; Encouraging couples to change: a motivational assessment to promote well-being in people with chronic pain and their partners. Pain Med 16 (02) 348-355
  • Öberg M, Marcusson J, Nägga K, Wressle E. 2012; Hearing difficulties, uptake, and outcomes of hearing aids in people 85 years of age. Int J Audiol 51 (02) 108-115
  • Ridgway J, Hickson L, Lind C. 2015; Autonomous motivation is associated with hearing aid adoption. Int J Audiol 54 (07) 476-484
  • Rubak S, Sandbaek A, Lauritzen T, Christensen B. 2005; Motivational interviewing: a systematic review and meta-analysis. Br J Gen Pract 55 (513) 305-312
  • Satre DD, Leibowitz A, Sterling SA, Lu Y, Travis A, Weisner C. 2016; A randomized clinical trial of motivational interviewing to reduce alcohol and drug use among patients with depression. J Consult Clin Psychol 84 (07) 571-579
  • Saunders GH, Lewis MS, Forsline A. 2009; Expectations, prefitting counseling, and hearing aid outcome. J Am Acad Audiol 20 (05) 320-334
  • Solheim J. 2011; Preconceptions and expectations of older adults about getting hearing aids. J Multidiscip Healthc 4: 1-8
  • Solheim J, Kværner KJ, Falkenberg ES. 2011; Daily life consequences of hearing loss in the elderly. Disabil Rehabil 33 23–24 2179-2185
  • Solheim J, Kvaerner KJ, Sandvik L, Falkenberg ES. 2012; Factors affecting older adults’ hearing-aid use. Scand J Disabil Res 14: 300-312
  • Stark P, Hickson L. 2004; Outcomes of hearing aid fitting for older people with hearing impairment and their significant others. Int J Audiol 43 (07) 390-398
  • Tripp SB, Perry JT, Romney S, Blood-Siegfried J. 2011; Providers as weight coaches: using practice guides and motivational interview to treat obesity in the pediatric office. J Pediatr Nurs 26 (05) 474-479
  • Vuorialho A, Sorri M, Nuojua I, Muhli A. 2006; Changes in hearing aid use over the past 20 years. Eur Arch Otorhinolaryngol 263 (04) 355-360
  • Weiss CV, Mills JS, Westra HA, Carter JC. 2013; A preliminary study of motivational interviewing as a prelude to intensive treatment for an eating disorder. J Eat Disord 1: 34