Send to

Choose Destination
Int J Audiol. 2017 Jul;56(7):516-520. doi: 10.1080/14992027.2017.1309466. Epub 2017 Apr 19.

Stages of change in audiology: comparison of three self-assessment measures.

Author information

a Department of Behavioural Sciences and Learning , Swedish Institute for Disability Research, Linköping University , Linköping , Sweden.
b Department of Logopedics, Phoniatrics and Audiology , Clinical Sciences in Lund, Lund University , Lund , Sweden , and.
c Eriksholm Research Centre, Oticon A/S , Snekkersten, Denmark.



In a clinical setting, theories of health behaviour change could help audiologists and other hearing health care professionals understand the barriers that prevent people with hearing problems to seek audiological help. The transtheoretical (stages of change) model of health behaviour change is one of these theories. It describes a person's journey towards health behaviour change (e.g. seeking help or taking up rehabilitation) in separate stages: precontemplation, contemplation, preparation, action, and, finally, maintenance. A short self-assessment measure of stages of change may guide the clinician and facilitate first appointments. This article describes correlations between three stages of change measures of different lengths, one 24-item and two one-item.


Participants were recruited through an online hearing screening study. Adults who failed the speech-in-noise recognition screening test and who had never undergone a hearing aid fitting were invited to complete further questionnaires online, including the three stages of change measures.


In total, 224 adults completed the three measures.


A majority of the participants were categorised as being in one of the information- and help-seeking stage of change (contemplation or preparation). The three stages of change measures were significantly correlated. Conclusions Our results support further investigating the use of a one-item measure to determine stages of change in people with hearing impairment.


Hearing screening; motivation; stages of change

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Taylor & Francis
Loading ...
Support Center