Application of Transtheoretical (Stages of Change) Model in Studying Attitudes and Behaviors of Adults with Hearing Loss: A Descriptive Review

Abstract

Understanding the readiness toward help-seeking and uptake of intervention in people with hearing loss based on TTM may help clinicians develop more focused management strategies. However, additional longitudinal and interventional studies are needed to further test the predictive validity of the stages of change model.

Climbing up the hearing rehabilitation ladder

“…Studies point to positive associations between Stages of change and help-seeking, rehabilitation uptake, and outcomes. No associations between Stages of change and intervention decision and intervention use were reported (Manchaiah et al, 2018).…”

“…The Transtheoretical Model (e.g. the Stages of change model) and the Health Belief Model are the most commonly applied in audiology (Manchaiah, Hernandez, & Beck, 2018).…”

“…Within audiology, the five-stage version of the model is the most commonly used. The relapse and termination stages seldom apply to an audiology context (Manchaiah et al, 2018). Fifteen years ago, Babeu and colleagues published an interpretation of the Stages of change model adopted to the hearing rehabilitation journey and proposed strategies to help patients through the cognitive and behavioral processes required to advance stages (Babeu et al, 2004).…”

“…Prochaska, & Velicer, 1983) measures Stages of change. URICA is the most commonly assessment for Stages of change in audiology (Manchaiah et al, 2018).…”

“…Previous studies have reported positive associations between Stages of change, rehabilitation uptake, and benefit of/satisfaction with hearing aids. However, most studies in audiology applying the Stages of change model have been crosssectional and performed in high-income countries (Manchaiah et al, 2018). Longitudinal studies on the Stages of change model for hearing impairment has been asked for in previous research (Sutton, 2000).…”