关键词: Infant barriers and facilitators hearing aid use parent theoretical domains framework

来  源:   DOI:10.1080/14992027.2024.2358428

Abstract:
UNASSIGNED: Hearing aid use is lowest in 0-3-year-olds with hearing loss, placing spoken language development at risk. Existing interventions lack effectiveness and are typically not based on a theoretically driven, comprehensive understanding of the factors influencing infant hearing aid use. The present study is the first to address this gap in understanding.
UNASSIGNED: A 55-item online survey based on the Theoretical Domains Framework (TDF) was completed by 56 parents of 0-3-year-old hearing aid users.
UNASSIGNED: Participants reported a wide range of barriers across TDF domains, which were associated with parent-reported hearing aid use and more pronounced in parents of lower hearing aid users. The most strongly reported domains across participants were \"emotion\" (e.g. feelings of worry when using hearing aids), \"beliefs about capabilities\" (e.g. belief in ability to use hearing aids consistently), and \"environmental context and resources\" (e.g. child removing hearing aids).
UNASSIGNED: Parents report a wider range of barriers to infant hearing aid use than existing investigations suggest and current interventions address. Interventions would benefit from: (i) targeting a wider range of TDF domains in their design; and (ii) implementing the present TDF survey to identify and target family-specific barriers to infant hearing aid use.
摘要:
0-3岁听力损失儿童的助听器使用率最低,将口语发展置于危险之中。现有的干预措施缺乏有效性,通常不是基于理论驱动的,全面了解影响婴幼儿助听器使用的因素。本研究是第一个解决这一理解差距的研究。
基于理论域框架(TDF)的55项在线调查由0-3岁助听器用户的56位父母完成。
参与者报告了跨TDF领域的各种障碍,这与父母报告的助听器使用情况有关,在较低助听器使用者的父母中更为明显。参与者中报告最强烈的领域是“情绪”(例如使用助听器时的担忧),“关于能力的信念”(例如,对持续使用助听器的能力的信念),和“环境背景和资源”(例如儿童移除助听器)。
父母报告说,婴儿使用助听器的障碍比现有调查和当前干预措施所解决的障碍范围更广。干预措施将受益于:(i)在其设计中瞄准更广泛的TDF域;(ii)实施本TDF调查以识别和瞄准婴儿助听器使用的家庭特异性障碍。
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