Home' Accord : Accord June 16 Contents 30 Feature
20 hearingreview.com i aPriL 2016
ReseaRch // Family-Centered Hearing Care
and optimal ways to implement behav-
iour change in clinical settings, that to
try to do ‘’too much too soon” is a recipe
for noncompliance and disappointment
(for example, see article about Knowledge
Translation at http://www.cihr-irsc.
We therefore rec-
ommend starting with just 3 of the 10 sug-
gestions, as follows:
1) Invite a family member along to audi-
ologic appointments, reinforcing the
reasons why they should attend.
2) Set up the physical environment so
that family are comfortably included
in the consultation rather than being
relegated to a seat at the back of the
3) Start the appointment by letting the
patient and the family member know
that input will be sought from both of
them—patient first and then the fam-
As can be seen from this Top 3 list,
the implementation of family-centered care
requires buy-in from all stakeholders includ-
ing executives, managers, clinicians, support
staff, and of course from patients and their
In light of the changing landscape in
audiology—most notably the increased
commoditization of audiologic services, the
entry into the market of “big box” retail,
and potential regulatory changes such as
those suggested by the President’s Council
of Advisors on Science and Technology47
it will be incumbent upon audiologists to
continue to develop and to increasingly
demonstrate our value as clinicians. We
propose that the provision of audiologic
treatment shift from a site-of-lesion focus
to a family-centered care perspective as a
means to achieve this goal and increase the
value of our services. ◗
1. Hétu R, Jones L, Getty L. The impact of acquired
hearing impairment on intimate relationships:
Implications for rehabilitation. Int J Audiol.
2. Wallhagen MI, Strawbridge WJ, Shema SJ,
Kaplan GA. Impact of self-assessed hearing loss
on a spouse: A longitudinal analysis of couples. J
Gerontology Series B: Psycholog Sci & Soc Sci.
3. Scarinci N, Worrall L, Hickson L. The effect of
hearing impairment in older people on the spouse:
development and psychometric testing of the
significant other scale for hearing disability (SOS-
HEAR). Int J Audiol. 2009;48:671-683 .
4. Preminger JE, Montano JJ, Tjørnhøj-Thomsen T.
Adult-children’s perspectives on a parent’s hearing
impairment and its impact on their relationship and
communication. Int J Audiol. 2015;54(10):720-6. doi:
5. Kamil RJ, Lin FR. The effects of hearing impairment in
older adults on communication partners: A systematic
review. J Am Academy Audiol. 2015;26(2):155-182.
6. Pichora-Fuller MK, Singh G. Effects of age on auditory
and cognitive processing: implications for hearing aid
fitting and audiologic rehabilitation. Trends in Amplif.
7. Montano JJ, Spitzer JB. Adult Audiologic
Rehabilitation. 2nd ed. San Diego: Plural
8. Institute of Medicine (US) Committee on Quality of
Health Care in America. Crossing the quality chasm: A
new health system for the 21st century. Washington,
DC: National Academy Press;2001.
9. Hughes J, Bamford C, May C. Types of centredness
in health care: themes and concepts. Medicine,
Health Care and Philosophy. 2008;11(4), 455-463.
10. Family Voices. Guide to using the family-centered
care self-assessment tool. Albuquerque, NM: Family
11. Kilmer RP, Cook JR, Munsell EP. Moving from
principles to practice: Recommended policy changes
to promote family-centred care. Am J Community
12. Laplante-Lévesque A, Hickson L, Worrall L.
Rehabilitation of older adults with hearing
impairment: A critical review. J Aging Health. 2010.
13. Laplante-Lévesque A, Hickson L, Worrall L.
Predictors of rehabilitation intervention decisions in
adults with acquired hearing impairment. J Sp Lang
Hear Res. 2011;54(5):1385-1399. doi: 10.1044/1092-
14. Poost-Faroosh L, Jennings MB, Cheesman MF.
Comparisons of client and clinician views of the
importance of factors in client-clinician interaction in
hearing aid purchase decisions. J Am Acad Audiol.
15. Ekberg K, Meyer C, Scarinci N, Grenness C,
Hickson L. Family member involvement in
audiology appointments with older people with
hearing impairment. Int J Audiol. 2015;54(2), 70-76.
16. Meyer C, Scarinci N, Ryan B, Hickson L. There
is a partnership between all of us: Audiologists’
perceptions of family member involvement in
hearing rehabilitation. Am J Audiol. 2015;24:536-548.
17. Charles C, Gafni A, Whelan T. Shared decision-
making in the medical encounter: What does it
mean? (or it takes at least two to tango). Soc Sci
18. Levinson W, Kao A, Kuby A, Thisted RA. Not all
patients want to participate in decision making. A
national study of public preferences. J Gen Intern
19. Stewart M, Brown J, Donnar A, McWhinney I, Oates
J, Weston W, et al. The impact of patient-centred
care on outcomes. J Family Practice. 2000;49:796-
20. Rathert C, Wyrwich MD, Boren SA. Patient-centered
care and outcomes: a systematic review of the
literature. Med Care Res Rev. 2013;70:351-379.
21. Mahoney CFO, Stephens SDG, Cadge BA. Who
prompts patients to consult about hearing loss?. Brit
J Audiol. 1996;30(3):153-158.
22. Laplante-Lévesque A, Hickson L, Worrall L. Factors
influencing rehabilitation decisions of adults
with acquired hearing impairment. Int J Audiol.
23. Manchaiah VK, Stephens D. Perspectives on
defining ‘hearing loss’ and its consequences.
Hearing, Balance and Commun. 2013;11(1):6-16.
24. Meyer C, Hickson L, Lovelock K, Lampert M, Khan
A. An investigation of factors that influence help-
seeking for hearing impairment in older adults. Int J
25. Preminger JE. Should significant others be
encouraged to join adult group audiologic
rehabilitation classes? J Am Acad Audiol.
26. Carson AJ. “What brings you here today?” The role
of self-assessment in help-seeking for age-related
hearing loss. J Aging Studies. 2005;19(2):185-200.
27. Lockey K, Jennings MB, Shaw L. Exploring hearing
aid use in older women through narratives. Int J
28. Hickson L, Meyer C, Lovelock K, Lampert M, Khan
A. Factors associated with success with hearing aids
in older adults. Int J Audiol. 2014;53:S18-S27.
29. Singh G, Lau ST, Pichora-Fuller MK. Social
support and hearing aid satisfaction. Ear Hear.
30. Hallberg LRM, Barrenäs ML. Group rehabilitation of
middle-aged males with noise-induced hearing loss
and their spouses: evaluation of short-and long-term
effects. Brit J Audiol. 1994;28(2):71-79.
31. Habanec OL, Kelly-Campbell RJ. Outcomes of group
audiological rehabilitation for unaided adults with
hearing impairment and their significant others. Am
J Audiol. 2015;24(1):40-52.
32. Seniors Research Group. The consequences of
untreated hearing loss in older persons. Washington,
DC: The National Council on the Aging;1999.
33. Preminger JE, Oxenbøll M, Barnett MB,
Jensen LD, Laplante-Lévesque A. Perceptions
of adults with hearing impairment regarding
the promotion of trust in hearing healthcare
service delivery. Int J Audiol. 2015;54:20-8. doi:
34. English K, Kasewurm G. Audiology and patient trust.
Audiology Today. 2012;24(2):33-38.
35. Levinson W, Roter DL, Mullooly JP, Dull VT,
Frankel RM. Physician-patient communication:
the relationship with malpractice claims among
Family-centered care has become internationally recognized as
a dimension of high-quality health provision. the broad con-
sensus is that family-centered care results in superior health
outcomes, particularly along dimensions such as patient well-
being (less symptomology), adherence to treatment recom-
mendations, and satisfaction with medical services.
Links Archive Accord March 16 AcAud Annual Report 2016 Navigation Previous Page Next Page