mHealth technologies to improve hearing aid use and benefit in first-time hearing aid users
AbstractBackground: Despite hearing loss affecting 1 in 6 of the UK population, approximately 20% of patients do not use their hearing aid. Our previous work developed a home-delivered interactive multimedia education programme (C2Hear) using reusable learning objects (RLOs). However, this intervention is a ‘one size fits all’ and has limited tailoring capabilities. The present research will repurpose the C2Hear RLOs into short ‘bite-sized’ m-RLOs that are tailored to individuals’ needs, and incorporate greater user interactivity and self-evaluation. Methods: We will identify the individualised components of the m-RLOs using (i) the COM-B model to classify each m-RLO to a set of domains (e.g. knowledge, physical skills, social influences) necessary to facilitate hearing aid use, and (ii) an ecological approach using a Think Aloud analysis involving existing hearing aid users (n=15), using thematic analysis to identify key themes/words for assigning ‘tags’ to each m-RLO. Combining both the theoretical and ecological approaches will inform the development of a self-evaluation filter aid, which will act as an interface to enable individualised tailoring. Expected results: This work will lead to a theoretically and ecologically grounded suite of RLOs which will be delivered via mobile phone app. Current stage of work: Mapping of the existing C2Hear content against the COM-B is underway. Discussion: Whilst the C2Hear RLOs yielded improvement in hearing aid use in our earlier trial, the repurposing of these using the COM-B model is likely to yield additional patient benefit due to the more personalised and tailored delivery by mobile phone app.
Copyright (c) 2017 N. Coulson, M. Ferguson, D. Maidment, H. Wharrad, W. Brassington
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