Shared Decision Making - A Way to Build Trust with New Patients
In this talk we will review the following. Hearing impairment (HI) is unaddressed in millions of adults around the world. Hearing screening methods are offered in the community, over the telephone, and over the internet in order to address the low uptake of hearing aids. Those who fail a hearing screening are typically referred to an audiologist for a diagnostic hearing evaluation and consideration of hearing aids. However, few adults who fail a hearing screening visit an audiologist, and even fewer take up hearing aids. Numerous studies have investigated reasons for the poor uptake of hearing aids and many of the findings can be explained by theoretical models of health psychology, such as the Health Belief Model (HBM). As applied to HI the HBM model suggests that individuals will visit an audiologist and take-up hearing aids if they believe that their hearing problems are severe, that they have the ability to follow-through with auditory rehabilitation (AR), that the benefits of the AR outweigh the barriers (e.g. lack of Trust in audiologists), that they have the ability to implement the recommended treatment, and if they receive social support from family members or encouragement from a physician or audiologist. This research suggests that when audiologists offer shared decision making and provide a patient- and family-centered approach to service provision, they can improve patient trust and satisfaction with their services, increase adherence to their treatment recommendations, and improve patient outcomes. Specific techniques to promote trust, shared-decision making and family centered care will be reviewed.
Jill E. Preminger, Ph.D. University of Louisville
Dr. Jill Preminger is Professor and Director of the Program in Audiology, University of Louisville School of Medicine and Chief of the Division of Communicative Disorders in the Department of Otolaryngology & Communicative Disorders. Dr. Preminger’s research interests are in adult rehabilitative audiology using both quantitative and qualitative methods. She is interested in understanding the audiologic rehabilitative process (including the uptake and use of hearing aids) from the point of view of adults with hearing loss, their spouses, and their adult children. Currently, she is developing an internet-based self-management program with the intent to improve the uptake of audiology services in adults with unaddressed hearing impairment.
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