TY - JOUR
T1 - Process Evaluation of an Online SUpport PRogram for Older Hearing Aid Users Delivered in a Cluster Randomized Controlled Trial
AU - Meijerink, Janine F.J.
AU - Pronk, Marieke
AU - Lissenberg-Witte, Birgit I.
AU - Jansen, Vera
AU - Kramer, Sophia E.
N1 - Funding Information: This project was funded by AudioNova International. The funder had no role in the data analysis and/or the interpretation of data. Funding Information: The authors would like to thank all clients and HA dispensers of Schoonenberg HoorSupport B.V. (AudioNova International B.V.) who participated in the study. We also thank research assistant Vanessa Feenstra-Kikken, who assisted as an observer in the focus groups and gave valuable input for the qualitative data analysis. We also thank Remy da Thesta Jacobs de Bok and Minouche Haverkort, who facilitated the data collection. Publisher Copyright: Copyright © 2021 Meijerink, Pronk, Lissenberg-Witte, Jansen and Kramer.
PY - 2021/10/22
Y1 - 2021/10/22
N2 - Objectives: To evaluate the process of implementing a web-based support program (SUPR) for hearing aid users in the Dutch dispensing setting in order to allow interpretation of the randomized controlled trial's results (positive effects on hearing-aid related outcomes; no effects on psychosocial outcomes). Design: Measures: context of implementation, recruitment, SUPR's: reach, implementation fidelity, dose delivered, dose received, satisfaction, and benefit. Data collection: quantitative and qualitative. Study Sample: One hundred thirty-eight clients (mean age 68.1 years; 60% male) and 44 dispensers completed questionnaires. Five clients and 6 dispensers participated in interviews and focus groups. Results: Clients and dispensers were generally satisfied with SUPR's usefulness. SUPR-videos were watched by 7–37% of the clients. Around half of the dispensers encouraged clients to watch them or informed them about SUPR. Some clients found the SUPR-materials suboptimal, and changes in personnel and limited dispenser-training were barriers acting on a contextual level. Conclusions: This study identified several factors that contributed to the success of SUPR. Others factors, acting on various levels (e.g., intervention material, dispensers, and implementation context), were suboptimal and may explain the absent psychosocial effects. The identified factors are important to consider in further development of SUPR, and in other web-based support programs.
AB - Objectives: To evaluate the process of implementing a web-based support program (SUPR) for hearing aid users in the Dutch dispensing setting in order to allow interpretation of the randomized controlled trial's results (positive effects on hearing-aid related outcomes; no effects on psychosocial outcomes). Design: Measures: context of implementation, recruitment, SUPR's: reach, implementation fidelity, dose delivered, dose received, satisfaction, and benefit. Data collection: quantitative and qualitative. Study Sample: One hundred thirty-eight clients (mean age 68.1 years; 60% male) and 44 dispensers completed questionnaires. Five clients and 6 dispensers participated in interviews and focus groups. Results: Clients and dispensers were generally satisfied with SUPR's usefulness. SUPR-videos were watched by 7–37% of the clients. Around half of the dispensers encouraged clients to watch them or informed them about SUPR. Some clients found the SUPR-materials suboptimal, and changes in personnel and limited dispenser-training were barriers acting on a contextual level. Conclusions: This study identified several factors that contributed to the success of SUPR. Others factors, acting on various levels (e.g., intervention material, dispensers, and implementation context), were suboptimal and may explain the absent psychosocial effects. The identified factors are important to consider in further development of SUPR, and in other web-based support programs.
KW - communication program
KW - eHealth
KW - hearing aid dispensing practice
KW - hearing aid users
KW - implementation
KW - process evaluation
KW - self-management
UR - http://www.scopus.com/inward/record.url?scp=85118751853&partnerID=8YFLogxK
U2 - https://doi.org/10.3389/fmed.2021.725388
DO - https://doi.org/10.3389/fmed.2021.725388
M3 - Article
C2 - 34746173
SN - 2296-858X
VL - 8
JO - Frontiers in Medicine
JF - Frontiers in Medicine
M1 - 725388
ER -