Core Values in the Traditional Provision of Hearing Health Care

Palandrani, Katherine N.; Hoon-Starr, Michelle; Shilton, Katie; Hoover, Eric C.

doi:10.1044/2022_jslhr-22-00540

Cited by 4 publications

(17 citation statements)

References 44 publications

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“…The results of the first analysis showed that the critique and regulatory documents prioritized values differently, so each set of documents was compared to traditional audiology separately. Figure 2 shows the number of words coded to each value in OTC and traditional audiology documents, and Table 2 shows the ranked order of values found in OTC regulation documents compared to the ranked order of values found in documents that represent traditional audiology (data from Menon et al, 2023). Calculation of Kendall's 𝛕 revealed no statistically significant correlation between the ranks of referenced values in regulatory and critique documents (𝛕 = .072, p = .709).…”

Section: Resultsmentioning

confidence: 99%

“…The prioritization of equity and evidence-based practice were elevated in critique documents relative to regulatory documents. In the context of hearing healthcare, equity is defined as "fairness in treatment or outcomes" (Menon et al, 2023). Thus, the high prioritization of equity in the critique documents reflects the goal of ensuring that individuals receive effective hearing healthcare regardless of their background or circumstances.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, values can be used to understand how the introduction of the OTC model represents a challenge to the values of traditional audiology, which, as the dominant model of hearing healthcare, were the source of many systemic barriers identified by PCAST and NASEM. Although access and affordability are valued in traditional audiology, accuracy, safety, efficacy, and other values drive the provision of hearing healthcare in that model (Menon et al, 2023). By gaining a deeper understanding of the values that underlie different hearing healthcare models, we can potentially reduce unintended adverse consequences that major regulatory changes may have on patients and consumers.…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, VSD has been applied in healthcare research to inform both the development of ambulatory therapy technologies for patients in their homes and information and communication technologies for patients with chronic diseases (Mueller & Heger, 2018;Dadgar & Joshi, 2018). Our work is the first to apply this methodology to hearing healthcare (Menon et al, 2023). The goal of this work is to leverage values to encourage the millions of people who could benefit from amplification to obtain the services they need, or to reduce the delay in getting those services (Simpson et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Our recent work developed a comprehensive list of values in traditional audiology through an iterative textual analysis of documents representing the ethics, procedures, and outcome measures used in audiology clinical practice (Menon et al, 2023). In this study, we analyzed documents representing traditional, clinical audiology in order to identify the values instantiated by the current dominant model of hearing healthcare in the United States.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Over-the-counter hearing aids challenge the core values of traditional audiology

Menon¹,

Hoon-Starr²,

Shilton³

et al. 2023

Preprint

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Purpose: Regulatory changes in the United States introduced over-the-counter (OTC) hearing aids with the goal of increasing the accessibility and affordability of hearing healthcare. These changes represent a shift away from the provision of hearing aids by licensed providers. In this study, we evaluated the relative importance of values across service delivery models, and the extent to which OTC hearing aids represents a values shift.Method: We performed a qualitative content analysis of two document categories: critique documents that motivated the creation of OTC hearing aids, and regulatory documents that defined OTC hearing aids. Team members coded portions of text for the values they expressed. In total, 29,235 words were coded across 72 pages in four documents. Rank-order analyses were performed to determine the prioritization of values within each category of documents and subsequently compare values between OTC and traditional audiology documents. Results: The rank order of values was not significantly correlated, but critique and regulatory documents both prioritized values related to reducing barriers to hearing aid access and use. Differences in the rank order of values in the OTC documents compared to traditional audiology were consistent with a values shift.Conclusions: Relative to traditional audiology, the OTC documents highly prioritized access to care and cost, and deprioritized subjective and objective benefit. This research demonstrates a need to establish the values of hearing healthcare service delivery through a consensus of stakeholders, including individuals from diverse backgrounds who were underserved by the traditional model.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Over-the-counter hearing aids challenge the core values of traditional audiology

Menon¹,

Hoon-Starr²,

Shilton³

et al. 2023

Preprint

View full text Add to dashboard Cite

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Over-the-Counter Hearing Aids Challenge the Core Values of Traditional Audiology

Menon,

Hoon-Starr,

Shilton

et al. 2024

J Speech Lang Hear Res

Self Cite

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Purpose: Regulatory changes in the United States introduced over-the-counter (OTC) hearing aids with the goal of increasing the accessibility and affordability of hearing health care. It is critical to understand the values inherent to hearing health care systems to evaluate their effectiveness in serving people with hearing difficulty. In this study, we evaluated the relative importance of values across service delivery models and the extent to which the introduction of OTC hearing aids represents a values shift relative to traditional audiology. Method: We performed a qualitative content analysis of two document categories: critique documents that motivated the creation of OTC hearing aids and regulatory documents that defined OTC hearing aids. Team members coded portions of text for the values they expressed. In total, 29,235 words were coded across 72 pages in four documents. Rank-order analyses were performed to determine the prioritization of values within each category of documents and subsequently compare values between OTC and traditional audiology documents analyzed in a previous study. Results: Critique and regulatory documents both prioritized values related to reducing barriers to hearing aid access and use, but the lack of a significant correlation in the rank order of values in these documents was evidence of inconsistency between the motivation and implementation of OTC hearing aids. Differences in the rank order of values in the OTC documents compared to traditional audiology were consistent with a values shift. Conclusions: The introduction of OTC as a solution to low hearing aid use represents a values shift, challenging the values of traditional audiology. This research demonstrates a need to establish the values of hearing health care service delivery through a consensus of stakeholders, including individuals from diverse backgrounds underserved by the traditional model.

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Alignment of Audiologists' Values With Best-Practice Standards: Insights From a National Survey

Menon,

Hoover

2024

Am J Audiol

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Objectives: Previous research documented the values of audiology through a qualitative content analysis of documents representing traditional, best-practice hearing health care. The primary objective of this study was to validate the existing list of audiology values. Through a nationwide survey, this study aimed to elicit the values of practicing audiologists, with a specific focus on the prescription and dispensing of amplification devices, to ensure a comprehensive understanding of their priorities. Additionally, this study sought to identify any values missing from the original list and determine the rank order importance of these values, comparing this to the prioritization of values found in best-practice audiology documents. This comparison aimed to assess the alignment of recommended guidelines and real-world practices in hearing health care. Design: An online survey was distributed to audiologists to elicit the prioritization of values from hearing health care providers. Participants were tasked with sorting and ranking 18 items, each representing a specific value in hearing health care, based on importance. Respondents were encouraged to suggest and rank the importance of additional values not included in the list. Audiologists were recruited from professional association mailing lists and direct contact. Respondent demographics were representative of U.S. audiologists. Qualitative content analysis was used to interpret values suggested by audiologists. Kendall's rank distance test was used to compare values prioritization between audiologists and best-practice audiology documents. Results: After filtering out incomplete or disqualifying responses, data from 289 audiologists across 46 states were analyzed. Additional values suggested by respondents aligned with existing values from best-practice documents; thus, no new values were added as a result of this study. A ranked list of values based on mean order of importance was elicited from U.S.-based audiologists. There was substantial agreement between survey results and the rank order of values found in best-practice audiology documents. A demographic subgroup analysis revealed a broad agreement among audiologists in the rank order of values. Conclusions: This study validated a comprehensive list of values in audiology and identified the rank order of values among a nationally representative sample of audiologists. The findings provide a foundation for future investigations into how these values influence decision-making processes for individuals with hearing difficulty. Addressing values conflicts as potential barriers to hearing health care usage can lead to solutions aligned with values of specific populations, ultimately improving the adoption and effectiveness of hearing health care interventions. Supplemental Material: https://doi.org/10.23641/asha.27478149

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Core Values in the Traditional Provision of Hearing Health Care

Cited by 4 publications

References 44 publications

Over-the-counter hearing aids challenge the core values of traditional audiology

Over-the-counter hearing aids challenge the core values of traditional audiology

Over-the-Counter Hearing Aids Challenge the Core Values of Traditional Audiology

Alignment of Audiologists' Values With Best-Practice Standards: Insights From a National Survey

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