Evaluation of benefits of motivational engagement in first time hearing aid users

Watch sample video clips below from a 30 minute ethnographic documentary filmed in conjunction with the Ida institute, Nottingham Audiology Services and the Nottingham Hearing Biomedical Research Unit.
The clips address some key points revealed during the feasibility stage of our research that aimed to assess the practicalities of implementing motivational tools into clinical practice.

Prior to filming the documentary, audiologists were trained in the principles of motivational engagement during a three day participatory workshop. Following the theoretical learning, they were filmed using the tools with first-time hearing aid patients, as part of the learning process. In the following clips you see their reflections of the training and learning process, and their thoughts about how the tools can be best utilised in the clinic.

When to use the tools?

The principle behind motivational engagement is the transtheoretical model of behaviour change (Prochaska and DiClemente, 1991) that provides a framework upon which to map the stages of change people are likely to experience and go through when diagnosed with a hearing loss, and beyond. This framework can help the audiologist conceptualise where the patient is in terms of their readiness to accept any intervention. The framework is useful in deciding together what approach would be most effective to help the patient progress through the cycle with a view to them living well with hearing loss and adhering to recommended interventions.

The following clip shows Naomi Russell discussing the importance of using the tools at the very beginning of a patient’s journey to assess their readiness for any hearing intervention.

 

Why use the tools?

‘I think it's very easy to say “Yes, the Ida motivational tools work fantastically!”, but why should you believe us?’  Emily Balmer, Audiologist trained in motivational engagement.

The audiologists were amazed at what information the tools could uncover, which hadn’t been revealed in previous appointments with the same patient. Watch the next two clips showing Naomi and Emily’s surprise at how much this patient had disclosed after using ‘the line’ tool.

 

How to use the tools

One concern that audiologists and managers alike have, is often how to introduce something new to an already busy clinic, particularly as appointment times become more restrictive.  Following the training the audiologists were confident that they could preferentially replace some existing parts of patient history taking with the motivational tools, without any detrimental effect to the patient journey. Watch part of their discussion:

 

Management Reflections

After overseeing the training process, William Brassington head of Nottingham Audiology Services has his say:

 

Full Documentary

The full documentary can be viewed below: