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Original Articles

Identifying clients’ readiness for hearing rehabilitation within initial audiology appointments: a pilot intervention study

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Pages 606-614 | Received 12 Nov 2018, Accepted 27 Feb 2020, Published online: 06 Mar 2020
 

Abstract

Objective: The current study sought to explore audiologists’ use of the Ida Institute Motivation Tools to help them identify clients’ readiness for change within initial assessment appointments.

Design: The study involved a mixed methods intervention design. Data were collected pre- and post-training audiologists to use the Ida Motivation tools in their appointments. Appointments were video-recorded and analysed using conversation analysis. Clients and audiologists also completed questionnaires within each appointment to measure clients’ readiness-for-change.

Study sample: Participants included 5 audiologists and 22 adult clients from two Audiology clinics.

Results: Audiologists incorporated the Ida Motivation tools into the post-training appointments without a significant increase in appointment time. The Ida tools solicited responses from clients that displayed their ambivalence regarding hearing rehabilitation/aids within their talk. Post‐training, audiologists’ perceptions of clients’ stage of readiness were not significantly more likely to match clients’ self-reported stage on the URICA.

Conclusions: The Ida Motivation tools may be useful to solicit clients’ ambivalent feelings towards hearing rehabilitation/aids, however, it is important for audiologists to actively listen for ambivalence within clients’ interactional responses to the tools in order judge clients’ readiness.

Acknowledgements

Thank you to Samantha Tai and Simone Schuetz for their help with data collection/entry for this project.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This project was funded by an Ida Institute Research Grant.

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