Audiologic Rehabilitation Needs of Adults with Hearing Loss

Abstract

The Living Well with Hearing Loss Audiologic Rehabilitation Program for Adults at the University of Arizona has been in existence since 2010. Over 600 adults with hearing loss and their frequent communication partners have participated in the group audiologic rehabilitation (AR) program at various stages of their journey as a person with hearing loss. This study aims to identify barriers to participation in group AR for University of Arizona Hearing Clinic patients through in-person interview. Patients who receive hearing healthcare services at the UA Hearing Clinic are classified into one of the following billing groups: Medicare, Vocational Rehabilitation (VR), Self-Pay, EPIC provider group, and Sertoma Arizona Hearing Aid Bank (HAB). A purposeful oversampling of HAB patients was performed due to an observed low attendance rate for group AR for this population. Audio-recorded interviews were conducted prospectively with a sample of 30 hearing aid patients between May-October 2016. Content analysis methods were used to gain insight into perspectives of those with hearing loss. Interview response data were coded using the Capability, Opportunity, Motivation and Behavior (COM-B) model (Michie, Atkins, & West, 2014). Results provide insight into current barriers to participation in group AR and specific modifications that may make the program more accessible for adults with hearing loss and their families in Southern Arizona.