What is important for hearing aid satisfaction? Application of the expectancy-disconfirmation model.
What is important for hearing aid satisfaction? Application of the expectancy-disconfirmation model.
复制标题
对于助听器满意度来说什么很重要？
DOI：
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
David Walker
中科院分区：
文献类型：
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作者：
Carly J. Meyer;L. Hickson;Asaduzzaman Khan;David Walker
背景
68.1% - 89.5%的使用者报告对他们的助听器感到满意。被认为会导致对助听器不满意的两个变量是产品性能，以及性能与使用者在佩戴前对助听器性能的期望不匹配（即期望不符）。关注与满意度相关的变量对改善听力康复服务具有重要意义。
目的
本研究的目的是确定与听力能力和助听器问题具体相关的助听器性能及期望不符的测量指标，是否与一组助听器使用者的总体助听器满意度相关。
研究设计
采用回顾性研究设计。
研究样本
共有123人参与了研究（57%为男性；平均年龄：72岁）。所有参与者都拥有助听器。
数据收集与分析
参与者在获得助听器3 - 12个月后完成了一份个人详细信息问卷和助听器消费者满意度概况问卷（Wong等人，2009年）。总体助听器满意度是一个二分类变量（满意与不满意）；因此，对数据应用逻辑回归模型来确定哪些变量与总体助听器满意度相关。
结果
61%的样本报告对他们的助听器满意。助听器满意度与使用助听器的听力能力以及在该领域超出预期的表现相关；助听器问题更少；并且在助听器操作、外观以及佩戴者不适方面的问题比佩戴助听器前预期的要少。
结论
建议为了提高助听器满意度，临床医生应确保在听力受损者最希望听得更好的聆听情境中实现最佳的助听器效果；降低助听器出现问题的可能性；通过向使用者介绍助听器在各种聆听环境中可能带来的益处以及他们在助听器操作和佩戴不适方面可能面临的潜在问题，促进在听力能力和助听器性能方面的正向期望不符（性能超出预期）。
BACKGROUND
Between 68.1-89.5% of clients report that they are satisfied with their hearing aids. Two variables that are thought to contribute to dissatisfaction with hearing aids are product performance, and a mismatch between performance and client prefitting expectations about hearing-aid performance (i.e., disconfirmation). A focus on variables related to satisfaction is relevant to improving hearing rehabilitation services.
PURPOSE
The aim of this study was to determine if measures of hearing-aid performance and disconfirmation, specifically related to hearing ability and hearing-aid problems, were associated with overall hearing-aid satisfaction among a sample of hearing-aid users.
RESEARCH DESIGN
A retrospective research design was employed.
STUDY SAMPLE
A total of 123 individuals participated in the study (57% male; mean age: 72 yr). All participants owned hearing aids.
DATA COLLECTION AND ANALYSIS
A personal details questionnaire and the Profile of Hearing Aid Consumer Satisfaction questionnaire (Wong et al, 2009) were completed by participants, 3-12 mo after they obtained hearing aids. Overall hearing-aid satisfaction was a dichotomized variable (satisfaction vs. dissatisfaction); therefore, logistic regression modeling was applied to the data to determine which variables were associated with overall hearing-aid satisfaction.
RESULTS
Sixty-one percent of the sample reported that they were satisfied with their hearing aids. Hearing-aid satisfaction was associated with the ability to hear with hearing aids and better-than-expected performance in this same area; fewer hearing-aid problems; and fewer problems with hearing-aid manipulation, hearing-aid appearance, and wearer discomfort than were anticipated before hearing-aid fitting.
CONCLUSIONS
It is recommended that to improve hearing-aid satisfaction, clinicians should ensure optimal hearing-aid benefit in the listening situations that the person with hearing impairment most wants to hear better; reduce the likelihood of hearing-aid problems occurring; and promote positive disconfirmation (performance exceeds expectations) with respect to both hearing ability and hearing-aid performance through the education of clients about the likely benefits of hearing aids in a variety of listening environments, and the potential problems they could face with hearing-aid manipulation and wearer discomfort.