Development of a Hearing Help-seeking Questionnaire Based on the Theory of Planned Behavior

Overview

Journal Int J Audiol

Publisher Informa Healthcare

Specialty Otorhinolaryngology

Date 2019 Feb 16

PMID 30767581

Citations 1

Authors

Michelle Arnold

Brent J Small

Kathryn Hyer

Theresa Chisolm

Melissa T Frederick

ShienPei C Silverman

Gabrielle H Saunders

Affiliations

Soon will be listed here.

Abstract

Objective: Our objective was to develop and assess a questionnaire measuring the constructs of the theory of planned behaviour (TPB) regarding older adults' behaviours towards seeking a hearing test.

Design: Older adults who failed a hearing screening completed a newly developed Theory of Planned Behavior-Hearing Help Seeking (TPB-HHS) questionnaire. A principal components analysis (PCA) examined the factor structure of the questionnaire, and a reliability analysis determined the internal consistency of the factors. An examination of six-month follow-up data determined whether the questionnaire differentiated between individuals who did and did not seek out a hearing test by comparing their TPB-HHS scores.

Study Sample: Participants were 407 adults aged 50 to 89 recruited at community hearing screenings.

Results: PCA and reliability analyses resulted in a 4-factor, 18 item questionnaire. Three of four factors demonstrated acceptable internal consistency. The TPB-HHS explained 60.18% of the variance and factors were interpreted to be measuring the constructs of Intentions, Perceived Behavioral Control, Attitudes, and Subjective Norms. Individuals who sought a hearing test scored significantly higher on the Intentions, Perceived Behavioral Control, and Attitudes scales than those who did not.

Conclusions: The TPB-HHS provides insight into underlying psychological mechanisms that drive behaviours related to hearing help-seeking in older adults.

Citing Articles

Behavior Change in Chronic Health: Reviewing What We Know, What Is Happening, and What Is Next for Hearing Loss.

Brice S, Almond H Int J Environ Res Public Health. 2023; 20(8).

PMID: 37107887 PMC: 10138368. DOI: 10.3390/ijerph20085605.

References

Kim H . Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis. Restor Dent Endod. 2013; 38(1):52-4. PMC: 3591587. DOI: 10.5395/rde.2013.38.1.52. View

Kramer S, Kapteyn T, Kuik D, Deeg D . The association of hearing impairment and chronic diseases with psychosocial health status in older age. J Aging Health. 2002; 14(1):122-37. DOI: 10.1177/089826430201400107. View

Cummings K, Jette A, Rosenstock I . Construct validation of the health belief model. Health Educ Monogr. 1978; 6(4):394-405. DOI: 10.1177/109019817800600406. View

Saunders G, Frederick M, Silverman S, Penman T, Gardner A, Chisolm T . Hearing Screening in the Community. J Am Acad Audiol. 2018; 30(2):145-152. PMC: 8095241. DOI: 10.3766/jaaa.17103. View

Cobelli N, Gill L, Cassia F, Ugolini M . Factors that influence intent to adopt a hearing aid among older people in Italy. Health Soc Care Community. 2014; 22(6):612-22. DOI: 10.1111/hsc.12127. View

Gopinath B, Schneider J, Hartley D, Teber E, McMahon C, Leeder S . Incidence and predictors of hearing aid use and ownership among older adults with hearing loss. Ann Epidemiol. 2011; 21(7):497-506. DOI: 10.1016/j.annepidem.2011.03.005. View

Kim K, Reicks M, Sjoberg S . Applying the theory of planned behavior to predict dairy product consumption by older adults. J Nutr Educ Behav. 2003; 35(6):294-301. DOI: 10.1016/s1499-4046(06)60343-6. View

Fischer M, Cruickshanks K, Wiley T, Klein B, Klein R, Tweed T . Determinants of hearing aid acquisition in older adults. Am J Public Health. 2011; 101(8):1449-55. PMC: 3134488. DOI: 10.2105/AJPH.2010.300078. View

Nash S, Cruickshanks K, Huang G, Klein B, Klein R, Nieto F . Unmet hearing health care needs: the Beaver Dam offspring study. Am J Public Health. 2013; 103(6):1134-9. PMC: 3670658. DOI: 10.2105/AJPH.2012.301031. View

10.

Wewers M, Lowe N . A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990; 13(4):227-36. DOI: 10.1002/nur.4770130405. View

11.

Malloy K, Proj A, Battles H, Juster T, Ortega-Peluso C, Wu M . Smoking Cessation Benefit Utilization: Comparing Methodologies for Measurement using New York State's Medicaid Data. Nicotine Tob Res. 2017; 20(12):1467-1473. DOI: 10.1093/ntr/ntx250. View

12.

Knudsen L, Oberg M, Nielsen C, Naylor G, Kramer S . Factors influencing help seeking, hearing aid uptake, hearing aid use and satisfaction with hearing aids: a review of the literature. Trends Amplif. 2010; 14(3):127-54. PMC: 4111466. DOI: 10.1177/1084713810385712. View

13.

Aminzadeh F, Edwards N . Factors associated with cane use among community dwelling older adults. Public Health Nurs. 2000; 17(6):474-83. DOI: 10.1046/j.1525-1446.2000.00474.x. View

14.

VENTRY I, Weinstein B . The hearing handicap inventory for the elderly: a new tool. Ear Hear. 1982; 3(3):128-34. DOI: 10.1097/00003446-198205000-00006. View

15.

Meister H, Grugel L, Meis M . Intention to use hearing aids: a survey based on the theory of planned behavior. Patient Prefer Adherence. 2014; 8:1265-75. PMC: 4172200. DOI: 10.2147/PPA.S65008. View

16.

Bainbridge K, Ramachandran V . Hearing aid use among older U.S. adults; the national health and nutrition examination survey, 2005-2006 and 2009-2010. Ear Hear. 2014; 35(3):289-94. PMC: 3999213. DOI: 10.1097/01.aud.0000441036.40169.29. View

17.

Prochaska J, DiClemente C . Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983; 51(3):390-5. DOI: 10.1037//0022-006x.51.3.390. View

18.

Saunders G, Forsline A, Fausti S . The performance-perceptual test and its relationship to unaided reported handicap. Ear Hear. 2004; 25(2):117-26. DOI: 10.1097/01.aud.0000120360.05510.e5. View

19.

Saunders G, Frederick M, Silverman S, Papesh M . Application of the health belief model: development of the hearing beliefs questionnaire (HBQ) and its associations with hearing health behaviors. Int J Audiol. 2013; 52(8):558-67. DOI: 10.3109/14992027.2013.791030. View

20.

Kamil R, Genther D, Lin F . Factors associated with the accuracy of subjective assessments of hearing impairment. Ear Hear. 2014; 36(1):164-7. PMC: 4272625. DOI: 10.1097/AUD.0000000000000075. View