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Randomised controlled feasibility trial of the Active Communication Education programme plus hearing aid provision versus hearing aid provision alone (ACE to HEAR): a study protocol

INTRODUCTION: Up to 30% of hearing aids fitted to new adult clients are reported to be of low benefit and used intermittently or not at all. Evidence suggests that additional interventions paired with service-delivery redesign may help improve hearing aid use and benefit. The range of interventions...

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Autores principales: Thyer, Nicholas J, Watson, Jude, Jackson, Cath, Hickson, Louise, Maynard, Christina, Forster, Anne, Clark, Laura, Bell, Kerry, Fairhurst, Caroline, Cocks, Kim, Gardner, Rob, Iley, Kate, Gailey, Lorraine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074637/
https://www.ncbi.nlm.nih.gov/pubmed/30068614
http://dx.doi.org/10.1136/bmjopen-2018-021502
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author Thyer, Nicholas J
Watson, Jude
Jackson, Cath
Hickson, Louise
Maynard, Christina
Forster, Anne
Clark, Laura
Bell, Kerry
Fairhurst, Caroline
Cocks, Kim
Gardner, Rob
Iley, Kate
Gailey, Lorraine
author_facet Thyer, Nicholas J
Watson, Jude
Jackson, Cath
Hickson, Louise
Maynard, Christina
Forster, Anne
Clark, Laura
Bell, Kerry
Fairhurst, Caroline
Cocks, Kim
Gardner, Rob
Iley, Kate
Gailey, Lorraine
author_sort Thyer, Nicholas J
collection PubMed
description INTRODUCTION: Up to 30% of hearing aids fitted to new adult clients are reported to be of low benefit and used intermittently or not at all. Evidence suggests that additional interventions paired with service-delivery redesign may help improve hearing aid use and benefit. The range of interventions available is limited. In particular, the efficacy of interventions like the Active Communication Education (ACE) programme that focus on improving communication success with hearing-impaired people and significant others, has not previously been assessed. We propose that improved communication outcomes associated with the ACE intervention, lead to an increased perception of hearing aid value and more realistic expectations associated with hearing aid use and ownership, which are reported to be key barriers and facilitators for successful hearing aid use. This study will assess the feasibility of delivering ACE and undertaking a definitive randomised controlled trial to evaluate whether ACE would be a cost-effective and acceptable way of increasing quality of life through improving communication and hearing aid use in a public health service such as the National Health Service. METHODS AND ANALYSIS: This will be a randomised controlled, open feasibility trial with embedded economic and process evaluations delivered in audiology departments in two UK cities. We aim to recruit 84 patients (and up to 84 significant others) aged 18 years and over, who report moderate or less than moderate benefit from their new hearing aid. The feasibility of a large-scale study and the acceptability of the ACE intervention will be measured by recruitment rates, treatment retention, follow-up rates and qualitative interviews. ETHICS AND DISSEMINATION: Ethical approval granted by South East Coast-Surrey Research Ethics Committee (16/LO/2012). Dissemination of results will be via peer-reviewed research publications both online and in print, conference presentations, posters, patient forums and Trust bulletins. TRIAL REGISTRATION NUMBER: ISRCTN28090877.
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spelling pubmed-60746372018-08-09 Randomised controlled feasibility trial of the Active Communication Education programme plus hearing aid provision versus hearing aid provision alone (ACE to HEAR): a study protocol Thyer, Nicholas J Watson, Jude Jackson, Cath Hickson, Louise Maynard, Christina Forster, Anne Clark, Laura Bell, Kerry Fairhurst, Caroline Cocks, Kim Gardner, Rob Iley, Kate Gailey, Lorraine BMJ Open Health Services Research INTRODUCTION: Up to 30% of hearing aids fitted to new adult clients are reported to be of low benefit and used intermittently or not at all. Evidence suggests that additional interventions paired with service-delivery redesign may help improve hearing aid use and benefit. The range of interventions available is limited. In particular, the efficacy of interventions like the Active Communication Education (ACE) programme that focus on improving communication success with hearing-impaired people and significant others, has not previously been assessed. We propose that improved communication outcomes associated with the ACE intervention, lead to an increased perception of hearing aid value and more realistic expectations associated with hearing aid use and ownership, which are reported to be key barriers and facilitators for successful hearing aid use. This study will assess the feasibility of delivering ACE and undertaking a definitive randomised controlled trial to evaluate whether ACE would be a cost-effective and acceptable way of increasing quality of life through improving communication and hearing aid use in a public health service such as the National Health Service. METHODS AND ANALYSIS: This will be a randomised controlled, open feasibility trial with embedded economic and process evaluations delivered in audiology departments in two UK cities. We aim to recruit 84 patients (and up to 84 significant others) aged 18 years and over, who report moderate or less than moderate benefit from their new hearing aid. The feasibility of a large-scale study and the acceptability of the ACE intervention will be measured by recruitment rates, treatment retention, follow-up rates and qualitative interviews. ETHICS AND DISSEMINATION: Ethical approval granted by South East Coast-Surrey Research Ethics Committee (16/LO/2012). Dissemination of results will be via peer-reviewed research publications both online and in print, conference presentations, posters, patient forums and Trust bulletins. TRIAL REGISTRATION NUMBER: ISRCTN28090877. BMJ Publishing Group 2018-08-01 /pmc/articles/PMC6074637/ /pubmed/30068614 http://dx.doi.org/10.1136/bmjopen-2018-021502 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Health Services Research
Thyer, Nicholas J
Watson, Jude
Jackson, Cath
Hickson, Louise
Maynard, Christina
Forster, Anne
Clark, Laura
Bell, Kerry
Fairhurst, Caroline
Cocks, Kim
Gardner, Rob
Iley, Kate
Gailey, Lorraine
Randomised controlled feasibility trial of the Active Communication Education programme plus hearing aid provision versus hearing aid provision alone (ACE to HEAR): a study protocol
title Randomised controlled feasibility trial of the Active Communication Education programme plus hearing aid provision versus hearing aid provision alone (ACE to HEAR): a study protocol
title_full Randomised controlled feasibility trial of the Active Communication Education programme plus hearing aid provision versus hearing aid provision alone (ACE to HEAR): a study protocol
title_fullStr Randomised controlled feasibility trial of the Active Communication Education programme plus hearing aid provision versus hearing aid provision alone (ACE to HEAR): a study protocol
title_full_unstemmed Randomised controlled feasibility trial of the Active Communication Education programme plus hearing aid provision versus hearing aid provision alone (ACE to HEAR): a study protocol
title_short Randomised controlled feasibility trial of the Active Communication Education programme plus hearing aid provision versus hearing aid provision alone (ACE to HEAR): a study protocol
title_sort randomised controlled feasibility trial of the active communication education programme plus hearing aid provision versus hearing aid provision alone (ace to hear): a study protocol
topic Health Services Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074637/
https://www.ncbi.nlm.nih.gov/pubmed/30068614
http://dx.doi.org/10.1136/bmjopen-2018-021502
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