Semin Hear 2018; 39(01): 013-031
DOI: 10.1055/s-0037-1613702
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Developing Foundational Counseling Skills for Addressing Adherence Issues in Auditory Rehabilitation

Carole E. Johnson
1   Hearing Evaluation, Rehabilitation, and Outcomes (HERO) Laboratory, Department of Communication Sciences and Disorders, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
,
Anna Marie Jilla
1   Hearing Evaluation, Rehabilitation, and Outcomes (HERO) Laboratory, Department of Communication Sciences and Disorders, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
,
Jeffrey L. Danhauer
2   Department of Speech and Hearing Sciences, University of California Santa Barbara, Santa Barbara, California
› Author Affiliations
Further Information

Publication History

Publication Date:
07 February 2018 (online)

Abstract

Successfully getting patients with confirmed hearing loss to use hearing aids is a major challenge for hearing health care professionals. Treatment adherence has been defined as the active involvement of patients in collaborating with health care providers to plan and manage treatment regimens. Counseling patients with hearing loss on adherence to recommendations of hearing aid uptake and utilization is dependent upon building a patient-centered therapeutic relationship during the initial diagnostic evaluation. The purpose of this article is to provide resources, tools, and engaging learning activities for training students on the development of a hierarchy of counseling skills: informational counseling (e.g., checking comprehension and problem clarification), communication skills (e.g., promotion of shared-communication space, congruence, listening with the third ear, unconditional positive regard, and empathy), and health behavior change (e.g., Motivational Interviewing and the Teach-Back Method) that are prerequisites for addressing treatment adherence.