Descriptions of Hearing Loss Severity Differentially Influence Parental Concern about the Impact of Childhood Hearing Loss.
Descriptions of Hearing Loss Severity Differentially Influence Parental Concern about the Impact of Childhood Hearing Loss.
复制标题
对听力损失严重程度的描述会不同地影响父母对儿童听力损失影响的担忧。
DOI：
10.1097/aud.0000000000001280
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Walker,Elizabeth
中科院分区：
文献类型：
--
作者：
Sapp,Caitlin;McCreery,Ryan;Holte,Lenore;Oleson,Jacob;Walker,Elizabeth
目的：本研究的目的是衡量父母对儿童听力损失的关注在不同的描述条件下的变化：基于分类、基于可听性和基于模拟的描述。方法：我们随机分配研究参与者（n= 143）完成一项关于听力损失儿童听力障碍情况的在线调查。我们的参与者是0到12个月大的听力正常的孩子的父母。参与者被暴露于一种类型的描述（基于分类、基于听力或基于模拟）和一种听力损失水平（轻度、轻度和中度或其听力和模拟等效），共9组。参与者评估了他们的孩子在给定听力损失的情况下执行与年龄相适应的听力任务的预期困难程度。他们还从一系列越来越激烈的选择中选择了他们认为最合适的干预措施。结果：我们的研究结果显示，与基于分类的策略相比，基于可听性的描述引起了家长对听力损失的更高程度的关注，但基于模拟的描述引起了最高程度的关注。那些被分配到基于模拟和基于听觉的组的人也判断相对于那些被分配到基于分类的组更强烈的干预方案是合适的。结论：本研究扩展了我们对影响听力损失诊断后家长关注程度的描述性因素的知识基础。这对后来的干预行动有潜在的连锁效应，如听力装配技术。它也为开发和测试基于听力的咨询策略的临床应用提供了基础。
Purpose:The purpose of this study was to measure how parent concern about childhood hearing loss varies under different description conditions: classification-based, audibility-based, and simulation-based descriptions.Method:We randomly allocated study participants (n= 143) to complete an online survey about expected child difficulties with listening situations with hearing loss. Our participants were parents of children with typical hearing in the 0-to 12-month age range. Participants were exposed to one type of description (classification-based, audibility-based, or simulation-based) and one level of hearing loss (slight, mild, and moderate or their audibility and simulation equivalents), producing nine total groups. Participants rated the level of expected difficulty their child would experience performing age-appropriate listening tasks with the given hearing loss. They also selected what they perceived as the most appropriate intervention from a list of increasingly intense options.Results:Our findings revealed that audibility-based descriptions elicited significantly higher levels of parent concerns about hearing loss than classification-based strategies, but that simulation-based descriptions elicited the highest levels of concern. Those assigned to simulation-based and audibility-based groups also judged relatively more intense intervention options as appropriate compared to those assigned to classification-based groups.Conclusions:This study expands our knowledge base about descriptive factors that impact levels of parent concern about hearing loss after diagnosis. This has potentially cascading effects on later intervention actions such as fitting hearing technology. It also provides a foundation for developing and testing clinical applications of audibility-based counseling strategies.