| Titre : | Influence of Provider Interaction on Patient's Readiness Toward Audiological Services and Technology (2020) |
| Auteurs : | Amyn M. Amlani |
| Type de document : | Article |
| Dans : | Journal of the American Academy of Audiology (JAAA) (Vol.31, n° 5, May 2020) |
| Article en page(s) : | p. 342-353 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Analyse de la variance (ANOVA) ; Analyse de regroupements ; Information en santé des consommateurs ; Soins centrés sur le patient |
| Résumé : |
Background
Patients and providers recognize the importance of patient-centered care. Clinical interactions, however, suggest that audiologists maintain their traditional provider-centered approach. Purpose The primary purpose of this study was to assess the degree to which provider interaction influenced patient readiness toward audiological services using the neobehavioral concept of need recognition described in consumer decision-making. Research Design We used a randomized, within-group experimental approach using survey responses to quantify predisposed expectations on ten dimensions toward service and technology provision 2 weeks before and 2 weeks after an audiological assessment. Responses were also categorized as a function of the respondent-perceived professional setting of the provider (medical, rehabilitation, and consumer electronics). Study Sample Survey respondents included 618 adults {186 males and 432 females } from across the United States. Data Collection and Analysis Data were analyzed using two approaches. First, we used a two-step cluster analysis procedure that revealed natural groupings (i.e., profiles) of respondent characteristics of the ten dimensions. Second, we compared within-group mean differences between pre- and postappointment responses using a univariate analysis of variance, with mean differences reported as a function of professional setting and preappointment responses serving as the control condition. Results Results revealed that the predisposed expectation profiles among the ten dimensions differed among the professional settings, with rehabilitation having the highest mean response values and consumer electronics having the least mean response values. A descriptive analysis indicated that respondents in the rehabilitation and medical settings presented the greatest interest in amplification before the patient-provider interaction, but the least interest afterward. In addition, postappointment analyses revealed that providers failed statistically to meet patients' predisposed expectations in all three settings. Conclusions Overall, most respondents' predisposed expectations were unmet during their interaction with an audiologist. These expectations differed across professional settings, with the greatest unmet expectations observed in the rehabilitative and medical settings. Patient readiness is influenced by the behavior of the provider which, at present, appears to be a barrier to patients' acceptance of treatment options. |
| Disponible en ligne : | Oui/Non |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://medone-comsci.thieme.com/ejournals/2157-3107_2020_05?context=search#/10.3766-jaaa.19051 |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| Journal of the American Academy of Audiology (JAAA). Vol.31, n°5 (May 2020) | Périodique papier | Ixelles | Rez | Consultation sur place uniquement Exclu du prêt |
