Journal
INTERNATIONAL JOURNAL OF AUDIOLOGY
Volume 55, Issue -, Pages S3-S12Publisher
TAYLOR & FRANCIS LTD
DOI: 10.3109/14992027.2015.1117663
Keywords
Hearing loss; Leventhal's self-regulatory model; common sense model; illness representations; psychosocial impact; qualitative research
Funding
- National Institute for Health Research (NIHR) Biomedical Research Unit Programme
- MRC [MC_U135097130] Funding Source: UKRI
- Medical Research Council [MC_U135097130] Funding Source: researchfish
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Objective: This study explored the psychosocial experiences of adults with hearing loss using the self-regulatory model as a theoretical framework. The primary components of the model, namely cognitive representations, emotional representations, and coping responses, were examined. Design: Individual semi-structured interviews were conducted. The data were analysed using an established thematic analysis procedure. Study sample: Twenty-five adults with mild-moderate hearing loss from the UK and nine hearing healthcare professionals from the UK, USA, and Canada were recruited via maximum variation sampling. Results: Cognitive representations: Most participants described their hearing loss as having negative connotations and consequences, although they were not particularly concerned about the progression or controllability/curability of the condition. Opinions differed regarding the benefits of understanding the causes of one's hearing loss in detail. Emotional representations: negative emotions dominated, although some experienced positive emotions or muted emotions. Coping responses: engaged coping (e.g. hearing aids, communication tactics) and disengaged coping (e.g. withdrawal from situations, withdrawal within situations): both had perceived advantages and disadvantages. Conclusions: This novel application of the self-regulatory model demonstrates that it can be used to capture the key psychosocial experiences (i.e. perceptions, emotions, and coping responses) of adults with mild-moderate hearing loss within a single, unifying framework.
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