The impact of using the Ida “My Hearing Explained” tool on audiologists’ language and patient understanding of hearing test results: a comparison with standard audiogram explanations

Abstract

Objective Explore the impact of Ida’s “My Hearing Explained” (MHE) tool on audiologists’ language and patients’ understanding/interpretation of hearing test results. Design Audiologists were video-recorded in two sequential conditions: 1) giving standard audiogram explanations to 13 patients and, 2) following discretionary self-training, giving explanations using the MHE tool (nine patients). Outcomes of interest were audiologists’ language complexity, use of jargon, and audiologist-patient interactivity. Semi-structured patient interviews, conducted 1-7 days after appointments, were analysed using inductive qualitative content analysis. Patient recall was verified. Study Sample Four audiologists from one United Kingdom audiology service, and 22 patients (mean age 63.5 yrs) participated. Results In comparison to standard audiogram explanations, audiologists’ language was simpler and audiologist-patient interactivity greater with the MHE tool. Interview data analysis revealed differences between explanation types within the themes of “Understanding” and “Interpretation.” 54% (standard audiogram) and 22% (MHE tool) of patients expressed a desire for takeaway information. 31% (standard audiogram) and 67% (MHE tool) of patients reported their explanation helped them relay their results to others. Four patients (one receiving the MHE tool) incorrectly recalled information, suggesting inadequate understanding in these cases. Conclusions The MHE tool has potential for improving the accessibility and comprehensibility of hearing test results.