Skip to main content
Top
Published in: Trials 1/2013

Open Access 01-12-2013 | Study protocol

Use of the ‘patient journey’ model in the internet-based pre-fitting counseling of a person with hearing disability: study protocol for a randomized controlled trial

Authors: Vinaya KC Manchaiah, Dafydd Stephens, Gerhard Andersson, Jerker Rönnberg, Thomas Lunner

Published in: Trials | Issue 1/2013

Login to get access

Abstract

Background

Hearing impairment is one of the most frequent chronic conditions. Persons with a hearing impairment (PHI) have various experiences during their ‘journey’ through hearing loss. In our previous studies we have developed a ‘patient journey’ model of PHI and their communication partners (CPs). We suggest this model could be useful in internet-based pre-fitting counseling of a person with hearing disability (PHD).

Methods/Design

A randomized controlled trial (RCT) with waiting list control (WLC) design will be used in this study. One hundred and fifty eight participants with self-reported hearing disability (that is, score >20 in the Hearing Handicap Questionnaire (HHQ)) will be recruited to participate in this study. They will be assigned to one of two groups (79 participants in each group): (1) Information and counseling provision using the ‘patient journey’ model; and (2) WLC. They will participate in a 30 day (4 weeks) internet-based counseling program based on the ‘patient journey’ model. Various outcome measures which focuses on hearing disability, depression and anxiety, readiness to change and acceptance of hearing disability will be administered pre (one week before) and post (one week and six months after) intervention to evaluate the effectiveness of counseling.

Discussion

Internet-based counseling is being introduced as a viable option for audiological rehabilitation. We predict that the ‘patient journey’ model will have several advantages during counseling of a PHD. Such a program, if proven effective, could yield cost and time-efficient ways of managing hearing disability.

Trial registration

ClinicalTrials.gov Protocol Registration System NCT01611129.
Appendix
Available only for authorised users
Literature
1.
go back to reference Baker MG, Graham L: The journey: Parkinson’s disease. Br Med J. 2004, 329: 611-614. 10.1136/bmj.329.7466.611.CrossRef Baker MG, Graham L: The journey: Parkinson’s disease. Br Med J. 2004, 329: 611-614. 10.1136/bmj.329.7466.611.CrossRef
2.
go back to reference Chisholm N, Gillet G: The patient’s journey: living with locked-in syndrome. Br Med J. 2005, 331: 94-97. 10.1136/bmj.331.7508.94.CrossRef Chisholm N, Gillet G: The patient’s journey: living with locked-in syndrome. Br Med J. 2005, 331: 94-97. 10.1136/bmj.331.7508.94.CrossRef
3.
go back to reference Levenson RA: Patient’s journey: whooping cough. Br Med J. 2004, 334: 532-533.CrossRef Levenson RA: Patient’s journey: whooping cough. Br Med J. 2004, 334: 532-533.CrossRef
4.
go back to reference Macdonald N, Shapiro A, Bender C, Paolantonio M, Coombs J: Experiences and perspectives on the GIST patient journey. Patient Prefer Adherence. 2012, 2012 (5): 653-662.CrossRef Macdonald N, Shapiro A, Bender C, Paolantonio M, Coombs J: Experiences and perspectives on the GIST patient journey. Patient Prefer Adherence. 2012, 2012 (5): 653-662.CrossRef
5.
go back to reference Simpson C, Franks C, Morrison C, Lempp H: The patient’s journey: rheumatoid arthritis. Br Med J. 2005, 331: 887-889. 10.1136/bmj.331.7521.887.CrossRef Simpson C, Franks C, Morrison C, Lempp H: The patient’s journey: rheumatoid arthritis. Br Med J. 2005, 331: 887-889. 10.1136/bmj.331.7521.887.CrossRef
6.
go back to reference Oliver S, Bosworth A, Airoldi M, Bumyna H, Callum A, Dixon J, Home D, Lax I, O’Brien A, Redmond A, Ryan S, Scott DG, Steuer A, Tanner L: Exploring the healthcare journey of patients with rheumatoid arthritis: a mapping project - implications for practice. Musculoskeletal Care. 2008, 6: 247-266. 10.1002/msc.139.CrossRefPubMed Oliver S, Bosworth A, Airoldi M, Bumyna H, Callum A, Dixon J, Home D, Lax I, O’Brien A, Redmond A, Ryan S, Scott DG, Steuer A, Tanner L: Exploring the healthcare journey of patients with rheumatoid arthritis: a mapping project - implications for practice. Musculoskeletal Care. 2008, 6: 247-266. 10.1002/msc.139.CrossRefPubMed
7.
go back to reference Manchaiah VKC, Stephens D, Meredith R: The patient journey of adults with acquired hearing impairment: the patients’ view. Clin Otolaryngol. 2011, 36: 227-234. 10.1111/j.1749-4486.2011.02320.x.CrossRefPubMed Manchaiah VKC, Stephens D, Meredith R: The patient journey of adults with acquired hearing impairment: the patients’ view. Clin Otolaryngol. 2011, 36: 227-234. 10.1111/j.1749-4486.2011.02320.x.CrossRefPubMed
8.
go back to reference Manchaiah VKC, Stephens D: The patient journey: living with hearing impairment. J Acad Rehabil Audiol. 2011, 44: 29-40. Manchaiah VKC, Stephens D: The patient journey: living with hearing impairment. J Acad Rehabil Audiol. 2011, 44: 29-40.
9.
go back to reference Manchaiah VKC, Stephens D: The ‘patient journey’ of adults with sudden-onset acquired hearing impairment: a pilot study. J Laryngol Otol. 2012, 126 (5): 475-481. 10.1017/S0022215111003197.CrossRefPubMed Manchaiah VKC, Stephens D: The ‘patient journey’ of adults with sudden-onset acquired hearing impairment: a pilot study. J Laryngol Otol. 2012, 126 (5): 475-481. 10.1017/S0022215111003197.CrossRefPubMed
10.
go back to reference Abrams HB, Chisolm TH, Guerreiro SM, Ritterman SI: The effect of intervention strategy on self-perception of hearing handicap. Ear Hear. 1992, 13 (5): 371-377. 10.1097/00003446-199210000-00013.CrossRefPubMed Abrams HB, Chisolm TH, Guerreiro SM, Ritterman SI: The effect of intervention strategy on self-perception of hearing handicap. Ear Hear. 1992, 13 (5): 371-377. 10.1097/00003446-199210000-00013.CrossRefPubMed
11.
go back to reference Hickson L, Worrall L, Scarinci N: A randomized controlled trial evaluating the active communication education program for older people with hearing impairment. Ear Hear. 2007, 28 (2): 212-230. 10.1097/AUD.0b013e31803126c8.CrossRefPubMed Hickson L, Worrall L, Scarinci N: A randomized controlled trial evaluating the active communication education program for older people with hearing impairment. Ear Hear. 2007, 28 (2): 212-230. 10.1097/AUD.0b013e31803126c8.CrossRefPubMed
12.
go back to reference Thorén E, Sevensson M, Törnqvist A, Andersson G, Carlbring P, Lunner T: Rehabilitative online education versus internet discussion group for hearing aid users: a randomized controlled trial. J Am Acad Audiol. 2011, 22: 274-285. 10.3766/jaaa.22.5.4.CrossRefPubMed Thorén E, Sevensson M, Törnqvist A, Andersson G, Carlbring P, Lunner T: Rehabilitative online education versus internet discussion group for hearing aid users: a randomized controlled trial. J Am Acad Audiol. 2011, 22: 274-285. 10.3766/jaaa.22.5.4.CrossRefPubMed
13.
go back to reference Garnefski N, Kraaij V: Effects of a cognitive behavioral self-help program on emotional problems for people with acquired hearing loss: a randomized controlled trial. J Deaf Stud Deaf Ed. 2011, 17 (1): 75-84.CrossRef Garnefski N, Kraaij V: Effects of a cognitive behavioral self-help program on emotional problems for people with acquired hearing loss: a randomized controlled trial. J Deaf Stud Deaf Ed. 2011, 17 (1): 75-84.CrossRef
14.
go back to reference Brooks DN, Johnson DI: Pre-issue assessment and counseling as a component of hearing-aid provision. Brit J Audiol. 1981, 15: 13-19. 10.3109/03005368109108948.CrossRef Brooks DN, Johnson DI: Pre-issue assessment and counseling as a component of hearing-aid provision. Brit J Audiol. 1981, 15: 13-19. 10.3109/03005368109108948.CrossRef
15.
go back to reference Norman M, George CR, McCarthy D: The effect of pre-fitting counseling on the outcome of hearing aid fitting. Scandinavian Audiol. 1994, 23: 257-263. 10.3109/01050399409047517.CrossRef Norman M, George CR, McCarthy D: The effect of pre-fitting counseling on the outcome of hearing aid fitting. Scandinavian Audiol. 1994, 23: 257-263. 10.3109/01050399409047517.CrossRef
16.
go back to reference Öberg M, Andersson G, Wänström G, Lunner T: The effect of sound awareness pre-fitting intervention: a randomized controlled trial. Audiol Med. 2008, 6: 129-140. 10.1080/16513860802042062.CrossRef Öberg M, Andersson G, Wänström G, Lunner T: The effect of sound awareness pre-fitting intervention: a randomized controlled trial. Audiol Med. 2008, 6: 129-140. 10.1080/16513860802042062.CrossRef
17.
go back to reference Dillion H: Hearing aids. 2001, Turramurra, Australia: Boomerang Press Dillion H: Hearing aids. 2001, Turramurra, Australia: Boomerang Press
18.
go back to reference Laplante-Lévesque A, Knudsen LV, Preminger JE, Jones L, Nielsen C, Öberg M, Lunner T, Hickson L, Naylor G, Kramer SE: Hearing help-seeking and rehabilitation: perspectives of adults with hearing impairment. Int J Audiol. 2012, 51 (2): 93-102. 10.3109/14992027.2011.606284.CrossRefPubMed Laplante-Lévesque A, Knudsen LV, Preminger JE, Jones L, Nielsen C, Öberg M, Lunner T, Hickson L, Naylor G, Kramer SE: Hearing help-seeking and rehabilitation: perspectives of adults with hearing impairment. Int J Audiol. 2012, 51 (2): 93-102. 10.3109/14992027.2011.606284.CrossRefPubMed
19.
go back to reference Layton A, Moss F, Morgan G: Mapping out the patient’s journey: experiences of developing pathways of care. Qual Health Care. 1998, 7: S30-S36.PubMed Layton A, Moss F, Morgan G: Mapping out the patient’s journey: experiences of developing pathways of care. Qual Health Care. 1998, 7: S30-S36.PubMed
20.
go back to reference Prochaska J, DiClemente C: Stages and processes of self-change in smoking: toward an integrative model of change. J Consult Clin Psych. 1983, 5: 390-395.CrossRef Prochaska J, DiClemente C: Stages and processes of self-change in smoking: toward an integrative model of change. J Consult Clin Psych. 1983, 5: 390-395.CrossRef
21.
go back to reference Prochaska JO, Velicer WE: The transtheoretical model of health behaviour change. Am J Health Promot. 1997, 12 (1): 38-48. 10.4278/0890-1171-12.1.38.CrossRefPubMed Prochaska JO, Velicer WE: The transtheoretical model of health behaviour change. Am J Health Promot. 1997, 12 (1): 38-48. 10.4278/0890-1171-12.1.38.CrossRefPubMed
22.
go back to reference Manchaiah VKC: Health behaviour change in hearing healthcare: a discussion paper. Audiol Res. 2012, 2 (e4): 12-16. Manchaiah VKC: Health behaviour change in hearing healthcare: a discussion paper. Audiol Res. 2012, 2 (e4): 12-16.
23.
go back to reference Janz NK, Becker MH: The health belief model: a decade later. Health Educ Q. 1984, 11: 1-47. 10.1177/109019818401100101.CrossRefPubMed Janz NK, Becker MH: The health belief model: a decade later. Health Educ Q. 1984, 11: 1-47. 10.1177/109019818401100101.CrossRefPubMed
24.
go back to reference Cummings JN, Sproull L, Kiesler SB: Beyond hearing: where real-world and online support meet. Group Dynamics: Theory, Research and Practice. 2002, 6: 78-88.CrossRef Cummings JN, Sproull L, Kiesler SB: Beyond hearing: where real-world and online support meet. Group Dynamics: Theory, Research and Practice. 2002, 6: 78-88.CrossRef
25.
go back to reference Laplante-Lévesque A, Pichora-Fuller MK, Gangé J-P: Providing an internet-based audiological counseling program to new hearing aid users: a qualitative study. Int J Audiol. 2006, 45: 697-706. 10.1080/14992020600944408.CrossRefPubMed Laplante-Lévesque A, Pichora-Fuller MK, Gangé J-P: Providing an internet-based audiological counseling program to new hearing aid users: a qualitative study. Int J Audiol. 2006, 45: 697-706. 10.1080/14992020600944408.CrossRefPubMed
26.
go back to reference Manchaiah VKC, Stephens D, Lunner T: Communication partners’ journey through their partner’s hearing impairment. Int J Otolaryngol. 2013, Published Online Manchaiah VKC, Stephens D, Lunner T: Communication partners’ journey through their partner’s hearing impairment. Int J Otolaryngol. 2013, Published Online
27.
go back to reference Hétu R, Getty L, Philibert L, Noble WG, Stephens D: Development of a clinical tool for the measurement of severity of hearing disabilities and handicaps. J Speech-Lang Path Audiol. 1994, 18: 83-95. Hétu R, Getty L, Philibert L, Noble WG, Stephens D: Development of a clinical tool for the measurement of severity of hearing disabilities and handicaps. J Speech-Lang Path Audiol. 1994, 18: 83-95.
28.
go back to reference Gatehouse S, Noble W: The speech, spatial and qualities of hearing scale (SSQ). Int J Audiol. 2004, 43 (2): 85-99. 10.1080/14992020400050014.CrossRefPubMed Gatehouse S, Noble W: The speech, spatial and qualities of hearing scale (SSQ). Int J Audiol. 2004, 43 (2): 85-99. 10.1080/14992020400050014.CrossRefPubMed
29.
go back to reference Noble W, Tyler R, Dunn C, Bhullar N: Hearing handicap ratings among different profiles of adult cochlear implant users. Ear Hear. 2008, 29 (1): 112-120.PubMed Noble W, Tyler R, Dunn C, Bhullar N: Hearing handicap ratings among different profiles of adult cochlear implant users. Ear Hear. 2008, 29 (1): 112-120.PubMed
30.
go back to reference Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychatrica Scandivinavica. 1983, 67 (6): 361-370. 10.1111/j.1600-0447.1983.tb09716.x.CrossRef Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychatrica Scandivinavica. 1983, 67 (6): 361-370. 10.1111/j.1600-0447.1983.tb09716.x.CrossRef
31.
go back to reference Herrmann C: International experience with the hospital anxiety and depression scale - a review of validation data and clinical results. J Psychosom Res. 1997, 42 (1): 17-41. 10.1016/S0022-3999(96)00216-4.CrossRefPubMed Herrmann C: International experience with the hospital anxiety and depression scale - a review of validation data and clinical results. J Psychosom Res. 1997, 42 (1): 17-41. 10.1016/S0022-3999(96)00216-4.CrossRefPubMed
32.
go back to reference McConnaughy EN, Prochaska JO, Velicer WF: Stages of change in psychotherapy: measurement and sample profiles. Psychotherapy: Theory, Research and Practice. 1983, 20: 368-375.CrossRef McConnaughy EN, Prochaska JO, Velicer WF: Stages of change in psychotherapy: measurement and sample profiles. Psychotherapy: Theory, Research and Practice. 1983, 20: 368-375.CrossRef
33.
go back to reference DiClemente CC, Prochaska J: Toward a comprehensive, transtheoretical model of change. Treating Addictive Behaviors. Edited by: Miller W, Heather N. 1998, New York: Plenum Press, 3-24. 2CrossRef DiClemente CC, Prochaska J: Toward a comprehensive, transtheoretical model of change. Treating Addictive Behaviors. Edited by: Miller W, Heather N. 1998, New York: Plenum Press, 3-24. 2CrossRef
34.
go back to reference Lam CS, McMahon BT, Priddy DA, Gehred-Schultz A: Deficit awareness and treatment performance among traumatic head injury adults. Brain Inj. 1988, 2: 235-242. 10.3109/02699058809150947.CrossRefPubMed Lam CS, McMahon BT, Priddy DA, Gehred-Schultz A: Deficit awareness and treatment performance among traumatic head injury adults. Brain Inj. 1988, 2: 235-242. 10.3109/02699058809150947.CrossRefPubMed
35.
go back to reference Treasure JL, Katzman M, Schmidt U, Troop N, Todd G, de Silva P: Engagement and outcome in the treatment of bulimia nervosa: first phase of a sequential design comparing motivation enhancement therapy and cognitive behavioral therapy. Behav Res Ther. 1999, 37: 405-418. 10.1016/S0005-7967(98)00149-1.CrossRefPubMed Treasure JL, Katzman M, Schmidt U, Troop N, Todd G, de Silva P: Engagement and outcome in the treatment of bulimia nervosa: first phase of a sequential design comparing motivation enhancement therapy and cognitive behavioral therapy. Behav Res Ther. 1999, 37: 405-418. 10.1016/S0005-7967(98)00149-1.CrossRefPubMed
36.
go back to reference Laplante-Lévesque A, Hickson L, Worral L: 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. in press Laplante-Lévesque A, Hickson L, Worral L: 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. in press
37.
go back to reference Westin V, Hayes SC, Andersson G: Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact. Behav Res Ther. 2008, 46: 1259-1265. 10.1016/j.brat.2008.08.008.CrossRefPubMed Westin V, Hayes SC, Andersson G: Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact. Behav Res Ther. 2008, 46: 1259-1265. 10.1016/j.brat.2008.08.008.CrossRefPubMed
38.
go back to reference Laplante-Lévesque A, Hickson L, Worrall L: What makes adults with hearing impairment take up hearing aids or communication programs and achieve successful outcomes?. Ear Hear. 2012, 33 (1): 79-93. 10.1097/AUD.0b013e31822c26dc.CrossRefPubMed Laplante-Lévesque A, Hickson L, Worrall L: What makes adults with hearing impairment take up hearing aids or communication programs and achieve successful outcomes?. Ear Hear. 2012, 33 (1): 79-93. 10.1097/AUD.0b013e31822c26dc.CrossRefPubMed
39.
go back to reference Marwala T: Computational Intelligence for Missing Data Imputation, Estimation, and Management Knowledge Optimization Techniques. 2009, Herhsey, USA: Information Science ReferenceCrossRef Marwala T: Computational Intelligence for Missing Data Imputation, Estimation, and Management Knowledge Optimization Techniques. 2009, Herhsey, USA: Information Science ReferenceCrossRef
40.
go back to reference Kochkin S: MarkeTrak V: ‘Why my hearing aids are in the drawer’: the consumers perspectives. Hearing J. 2000, 53: 34-42.CrossRef Kochkin S: MarkeTrak V: ‘Why my hearing aids are in the drawer’: the consumers perspectives. Hearing J. 2000, 53: 34-42.CrossRef
41.
go back to reference Davis A, Smith P, Ferguson M, Stephens D, Gianopoulos I: Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models. Health Technol Assess. 2007, 11 (42): 1-294.CrossRef Davis A, Smith P, Ferguson M, Stephens D, Gianopoulos I: Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models. Health Technol Assess. 2007, 11 (42): 1-294.CrossRef
42.
go back to reference Knudsen LV, Oberg M, Nielsen C, Naylor G, Kramer SE: Factors influencing help-seeking, hearing-aid uptake, hearing aid use and satisfaction with hearing aids: a review of literature. Trends Amplif. 2010, 14 (3): 127-154. 10.1177/1084713810385712.CrossRefPubMedPubMedCentral Knudsen LV, Oberg M, Nielsen C, Naylor G, Kramer SE: Factors influencing help-seeking, hearing-aid uptake, hearing aid use and satisfaction with hearing aids: a review of literature. Trends Amplif. 2010, 14 (3): 127-154. 10.1177/1084713810385712.CrossRefPubMedPubMedCentral
43.
go back to reference Meyer C, Hickson L: What factors influence help-seeking for hearing impairment and hearing aid adoption in older adults?. Int J Audiol. 2012, 51 (2): 66-74. 10.3109/14992027.2011.611178.CrossRefPubMed Meyer C, Hickson L: What factors influence help-seeking for hearing impairment and hearing aid adoption in older adults?. Int J Audiol. 2012, 51 (2): 66-74. 10.3109/14992027.2011.611178.CrossRefPubMed
44.
go back to reference Hannula S, Bloigu R, Majamaa K, Sorri M, Mäki-Torkko E: Self-reported hearing problems among older adults: prevalence and comparison to measured hearing impairment. J Am Acad Audiol. 2011, 22: 550-559. 10.3766/jaaa.22.8.7.CrossRefPubMed Hannula S, Bloigu R, Majamaa K, Sorri M, Mäki-Torkko E: Self-reported hearing problems among older adults: prevalence and comparison to measured hearing impairment. J Am Acad Audiol. 2011, 22: 550-559. 10.3766/jaaa.22.8.7.CrossRefPubMed
45.
go back to reference Bagai A, Thavendiranathan P, Detsky AS: Does this patient have hearing impairment?. J Am Med Assoc. 2006, 295 (4): 416-428. 10.1001/jama.295.4.416.CrossRef Bagai A, Thavendiranathan P, Detsky AS: Does this patient have hearing impairment?. J Am Med Assoc. 2006, 295 (4): 416-428. 10.1001/jama.295.4.416.CrossRef
46.
go back to reference Gopinath B, Schneider J, Hickson L, McMahon CM, Burlutsky G, Leeder SR, Mitchell P: Hearing handicap, rather than measured hearing impairment, predicts poorer quality of life over 10 years in older adults. Maturitas. 2012, 72: 146-151. 10.1016/j.maturitas.2012.03.010.CrossRefPubMed Gopinath B, Schneider J, Hickson L, McMahon CM, Burlutsky G, Leeder SR, Mitchell P: Hearing handicap, rather than measured hearing impairment, predicts poorer quality of life over 10 years in older adults. Maturitas. 2012, 72: 146-151. 10.1016/j.maturitas.2012.03.010.CrossRefPubMed
47.
go back to reference Stephens D, Kramer SE: Living with Hearing Difficulties: The Process of Enablement. 2009, Chichester: Wiley Stephens D, Kramer SE: Living with Hearing Difficulties: The Process of Enablement. 2009, Chichester: Wiley
48.
go back to reference Meyer C, Hickson L, Khan A, Hartley D, Dillion H, Seymour J: Investigation of the actions taken by adults who failed a telephone-based hearing screen. Ear Hear. 2011, 32 (6): 720-731. 10.1097/AUD.0b013e318220d973.CrossRefPubMed Meyer C, Hickson L, Khan A, Hartley D, Dillion H, Seymour J: Investigation of the actions taken by adults who failed a telephone-based hearing screen. Ear Hear. 2011, 32 (6): 720-731. 10.1097/AUD.0b013e318220d973.CrossRefPubMed
50.
go back to reference Laplante-Lévesque A, Hickson L, Worrall L: A qualitative study of shared decision making in rehabilitative audiology. J Acad Rehab Audiol. 2011, 43: 27-43. Laplante-Lévesque A, Hickson L, Worrall L: A qualitative study of shared decision making in rehabilitative audiology. J Acad Rehab Audiol. 2011, 43: 27-43.
Metadata
Title
Use of the ‘patient journey’ model in the internet-based pre-fitting counseling of a person with hearing disability: study protocol for a randomized controlled trial
Authors
Vinaya KC Manchaiah
Dafydd Stephens
Gerhard Andersson
Jerker Rönnberg
Thomas Lunner
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Trials / Issue 1/2013
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-14-25

Other articles of this Issue 1/2013

Trials 1/2013 Go to the issue