Defining universal barriers and incentives to seeking Hearing Health Care

确定寻求听力保健的普遍障碍和激励措施

基本信息

批准号：
8837933
负责人：
Kelly Tremblay
金额：
$ 26.27万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-04-15 至 2016-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8837933
关键词：
Adult Aging Area Audiology Australia Awareness Canada Caring Clinical Services Cognition Communication Community Outreach Contracts Costs and Benefits Country Data Decision Analysis Demographic Aging Demographic Factors Development Diagnosis Diagnostic tests Elderly Employment Epidemiology Family Feedback Focus Groups Friends Fright Goals Health Health Policy Health Services Health Services Accessibility Health Surveys Healthcare Healthcare Systems Hearing Hearing Aids High Prevalence Impaired cognition Incentives Intervention Interviewer Lead Measures Mediating Modeling Motivation Nature Older Population Outcome Participant Patients Policies Policy Maker Population Presbycusis Price Primary Health Care Procedures Process Protocols documentation Provider Public Health Publishing Quality of life Questionnaires Reporting Research Research Design Resources Running Sample Size Sampling Services Social isolation Solutions Surveys System Testing Time Training United Kingdom Validity and Reliability Writing base cost data acquisition depressive symptoms design empowered expectation experience geriatric mental health hearing impairment help-seeking behavior meetings member mental function peer preference response screening social social stigma success

项目摘要

DESCRIPTION (provided by applicant): Adult-onset hearing loss is a public health problem due to its very high prevalence in older adults and its impact on them, their family and friends. The needs of these people are often under-recognized and given a low priority by policy makers, funders, primary care providers and families. This has been attributed to the lack of success of hearing healthcare (HHC) in reaching those who can benefit, whether through lack of appropriate awareness of the range of HHC that can meet their needs, fear of the stigma associated with hearing aids, or lack of resources. Therefore, there is a need to understand the barriers and facilitators that exist to earlier help-seeking, wider participation and effective support for hearing loss in this older population. This understanding will help us in building and validating a values-based model for choices that people with hearing loss have. This proposal will meet this major research need through the development of a survey instrument (adapted to fit local healthcare policy) to be used in four countries with different HHC policies, using the same research design. The survey will aim to examine the impact of organization, financing and management of health care services on the delivery, quality, cost, access to and outcomes of such services. A secondary aim is to explore the acceptability, benefits and costs of non-technical support for people with hearing loss in the over 60s population. The proposed aims are expected to lead to better health care access and outcomes and direct us to solutions that are effective, affordable and deliverable to those who need them.

描述（由申请人提供）：成人发病的听力损失是一个公共健康问题，因为它在老年人中的患病率非常高，并且对他们、他们的家人和朋友都有影响。这些人的需求往往没有得到政策制定者、资助者、初级保健提供者和家庭的充分认识和重视。这归因于听力保健 (HHC) 未能成功惠及那些可以受益的人，无论是由于对能够满足其需求的 HHC 范围缺乏适当的认识、担心与助听器相关的耻辱，还是缺乏对听力保健的了解。的资源。因此，有必要了解老年人听力损失早期寻求帮助、更广泛参与和有效支持所存在的障碍和促进因素。这种理解将帮助我们为听力损失者的选择建立和验证基于价值观的模型。该提案将通过开发一种调查工具（适应当地医疗保健政策）来满足这一主要研究需求，该调查工具将使用相同的研究设计在具有不同 HHC 政策的四个国家中使用。该调查旨在研究医疗保健服务的组织、融资和管理对此类服务的提供、质量、成本、获取和结果的影响。第二个目标是探索 60 岁以上听力损失人群的非技术支持的可接受性、效益和成本。拟议的目标预计将带来更好的医疗保健服务和结果，并指导我们找到有效、负担得起且可交付给有需要的人的解决方案。