Descriptions of Hearing Aids Influence the Experience of Listening to Hearing Aids
Descriptions of Hearing Aids Influence the Experience of Listening to Hearing Aids
复制标题
助听器的描述影响助听器的聆听体验
DOI：
10.1097/aud.0000000000001130
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Gurjit Singh
中科院分区：
文献类型：
--
作者：
Lori Rakita;Huiwen Goy;Gurjit Singh
目的：期望会对体验产生重大影响。在听力保健领域，先前的研究表明，在助听器验配过程中对助听器的描述或情境因素可通过安慰剂效应改变助听器使用的主观甚至客观结果。人格因素也已被证明会影响对安慰剂效应的易感性。本研究的目的是：（a）研究传达旨在培养对助听器积极、消极或中性期望的叙述对患者短期结果的影响；（b）确定人格因素是否能够预测叙述对最终用户结果的影响程度。
设计：19名年龄在54岁至81岁之间的成年人（平均年龄 = 68.5岁，标准差 = 8.9）进行了3次单独的研究预约，每次都让他们处于不同的叙述条件下：积极、消极或中性。预约的设计在外观和感觉上类似于“传统的”助听器验配预约，在此期间，实验者介绍（即叙述条件）并验配一副助听器，要求参与者提供他们对助听器的初始反馈，并进行噪声环境下的言语测试。研究参与者并不知道，在所有3次预约中验配的助听器是相同的，3次预约之间的唯一区别是向参与者描述助听器的方式。
结果：这项研究的结果表明，与消极或中性叙述条件后的表现相比，在助听器验配前传达关于助听器的积极叙述会使QuickSIN测试中的噪声环境下言语表现更好。此外，积极叙述使参与者认为对助听器的适应会比消极或中性叙述条件下更快发生。值得注意的是，对于随和性得分较高的个体，积极叙述的传达效果更强，而对于神经质得分较低的个体，对积极和消极信息的易感性更强。
结论：该研究表明，助听器验配时听力保健提供者所提供的叙述会对助听器的短期评估产生重大影响。
Objectives: Experiences can be strongly influenced by expectations. In hearing healthcare, previous studies have shown that descriptions of hearing aids or contextual factors during the hearing aid fitting process can change subjective and even objective outcomes with hearing aids via the placebo effect. Personality factors have also been shown to affect susceptibility to placebo effects. The purposes of the present study were to (a) investigate the effects of communicating narratives designed to foster positive, negative, or neutral expectations about hearing aids on short-term patient outcomes, and (b) to determine if the degree to which the narratives affected end-user outcomes could be predicted by personality factors. Design: Nineteen adults between the ages of 54 and 81 (mean age = 68.5, SD = 8.9) had 3 separate research appointments, each exposing them to a different narrative condition: positive, negative, or neutral. the appointment was designed to look and feel like a “traditional” hearing aid fitting appointment, during which the experimenter introduced (i.e., the narrative condition) and fit a pair of hearing aids, the participant was asked to provide their initial feedback about the hearing aids, and the participant performed speech-in-noise testing. Unbeknownst to the research participant, the hearing aids fitted at all three appointments were the same, and the only difference between the three appointments was the way the hearing aids were described to the participants. Results: The results of this study showed that communication of a positive narrative about hearing aids before a hearing aid fitting led to better speech-in-noise performance on the QuickSIN as compared with performance following the negative or neutral narrative conditions. Also, the positive narrative led to the perception that acclimatization to the hearing aids would occur faster than the negative or neutral narrative conditions. Notably, the effect of communication of a positive narrative was stronger for individuals who scored higher on agreeableness, and susceptibility to positive and negative messaging was stronger for individuals low in neuroticism. Conclusions: The study suggests that short-term evaluations of hearing aids can be strongly influenced by narratives as provided by the hearing healthcare provider at the time of a hearing aid fitting.