The First Step to Early Intervention Following Diagnosis: Communication in Pediatric Hearing Aid Orientation Sessions

Am J Audiol. 2017 Dec 12;26(4):576-582. doi: 10.1044/2017_AJA-17-0027.

Abstract

Purpose: This preliminary study aimed to explore communication processes and information exchange in pediatric hearing aid orientation (HAO) sessions. Effective information exchange in such sessions is crucial to support appropriate hearing aid use.

Method: Using a qualitative sociolinguistic framework, we recorded and analyzed 5 HAO sessions between 2 audiologists and 5 caregivers of children who had just been fitted with hearing aids. We also conducted semistructured interviews with the audiologists and caregivers and analyzed these using content analysis.

Results: By necessity, audiologists provide a significant amount of information about hearing aids to caregivers in HAO sessions. Although caregivers in our study recalled and understood certain points such as the importance of not getting the hearing aids wet, crucial information about insertion and cleaning was often not recalled. Some caregivers misunderstood how the hearing aids would assist their child.

Conclusions: Caregivers need time to practice and absorb the information given, particularly given the emotional aspects associated with the diagnosis and "switch-on." There is a need to revisit approaches to information giving, which align with the ongoing early intervention process. We offer some suggestions for improving HAO sessions and information giving about hearing aids.

MeSH terms

  • Adult
  • Audiologists*
  • Caregivers
  • Child, Preschool
  • Communication*
  • Comprehension*
  • Culturally Competent Care
  • Early Medical Intervention
  • Female
  • Hearing Aids*
  • Hearing Loss / diagnosis*
  • Hearing Loss / rehabilitation
  • Humans
  • Middle Aged
  • Patient Education as Topic*
  • Professional-Family Relations*
  • Qualitative Research
  • South Africa
  • Video Recording