A randomised controlled clinical trial to assess the benefits of a telecare tool delivered prior to the initial hearing assessment.
| Autor: | Maidment, D. W., Heffernan, E., Ferguson, M. A. |
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| Předmět: |
EVALUATION of medical care
STATISTICS HEARING impaired CONFIDENCE intervals RESEARCH methodology INTERVIEWING HEARING aids HEALTH outcome assessment MANN Whitney U Test SELF-efficacy RANDOMIZED controlled trials PRE-tests & post-tests QUALITATIVE research T-test (Statistics) AUDIOMETRY HEARING disorders BLIND experiment DESCRIPTIVE statistics RESEARCH funding QUESTIONNAIRES REHABILITATION STATISTICAL sampling PERSONALITY tests DATA analysis TELEMEDICINE LONGITUDINAL method |
| Zdroj: | International Journal of Audiology; May2023, Vol. 62 Issue 5, p400-409, 10p, 1 Diagram, 3 Charts |
| Abstrakt: | To assess the benefits of the Ida Institute's Why improve my hearing? Telecare Tool used before the initial hearing assessment appointment. A prospective, single-blind randomised clinical trial with two arms: (i) Why improve my hearing? Telecare Tool intervention, and (ii) standard care control. Adults with hearing loss were recruited from two Audiology Services within the United Kingdom's publicly-funded National Health Service. Of 461 individuals assessed for eligibility, 57 were eligible to participate. Measure of Audiologic Rehabilitation Self-efficacy for Hearing Aids (primary outcome) scores did not differ between groups from baseline to post-assessment (Mean change [Δ]= −2.28; 95% confidence interval [CI]= −6.70, 2.15, p=.307) and 10-weeks follow-up (Mean Δ= −2.69; 95% CI= −9.52, 4.15, p =.434). However, Short Form Patient Activation Measure scores significantly improved in the intervention group compared to the control group from baseline to post-assessment (Mean Δ= −6.06, 95% CI= −11.31, −0.82, p =.024, ES=.61) and 10-weeks follow-up (Mean Δ= −9.87, 95% CI= −15.34, −4.40, p =.001, ES= −.97). This study demonstrates that while a patient-centred telecare intervention completed before management decisions may not improve an individual's self-efficacy to manage their hearing loss, it can lead to improvements in readiness. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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