Disagreements between clients and family members regarding clients’ hearing and rehabilitation within audiology appointments for older adults

Authors

  • Katie Ekberg The University of Queensland
  • Carly Meyer The University of Queensland
  • Nerina Scarinci The University of Queensland HEARing Cooperative Research Centre
  • Caitlin Grenness The University of Melbourne HEARing Cooperative Research Centre
  • Louise Hickson The University of Queensland HEARing Cooperative Research Centre

DOI:

https://doi.org/10.1558/jircd.v5i2.217

Keywords:

conversation analysis, audiology, hearing impairment, hearing rehabilitation, family members, misalignment

Abstract

Family members are significantly affected by the consequences of hearing impairment and can potentially play an important role in a client’s hearing rehabilitation. This paper uses two types of interaction analysis (Roter Interaction Analysis System (RIAS) and Conversation Analysis (CA)) to examine family member participation in a corpus of 17 video-recorded initial audiology appointments. RIAS results demonstrated that family members’ primary active communication role in consultations involved information provision. The CA findings supported this, and additionally identified that when family members provided additional information,it was often in disaffiliation with clients’ descriptions. In particular, disaffiliation arose concerning the extent of the client’s hearing difficulties and the client’s hearing rehabilitation needs. These ‘disagreements’ between clients and family members are analysed in detail, including how they were typically responded to by the audiologist. The implications of these disagreements are discussed in relation to family-centred care and effective rehabilitation in audiology.

Author Biographies

  • Katie Ekberg, The University of Queensland

    Katie Ekberg is a Postdoctoral Research Fellow in the School of Health and Rehabilitation Sciences at The University of Queensland, Australia. Her interests involve conversation analysis and healthcare interactions. Her previous research has involved examining client-practitioner communication in Cognitive Behavioural Therapy sessions for clients diagnosed with depression, calls with specialist nurses on a major UK cancer helpline, consultations with neurologists and patients suffering from seizure disorders, and most recently audiology consultations with hearing-impaired clients. Recent publications include: Ekberg, K. & LeCouteur, A. (in press). Co-Implicating and Re-Shaping Clients' Suggestions for Behavioural Change in Cognitive Behavioural Therapy Practice. Qualitative Research in Psychology. Leydon, G., Ekberg, K., & Drew, P. (2013). “How can I help?” Nurse call openings on a cancer helpline and implications for call progressivity. Patient Education and Counseling, 9, 23–30. Address for correspondence: School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, 4072, Australia. Phone: +61 (7) 3365 8547.

  • Carly Meyer, The University of Queensland

    Carly Meyer received her PhD in Speech Pathology from The University of Queensland. Her current position is Postdoctoral Research Fellow in the School of Health and Rehabilitation Sciences at The University of Queensland. Her research primarily focuses on improving hearing rehabilitation outcomes for older adults through the application of novel treatment approaches. Recent publications: Meyer, C. & Hickson, L. (2012). What factors influence help-seeking for hearing impairment and hearing aid adoption in older adults? International Journal of Audiology, 51(2), 66–74; Meyer, C., Hickson, L., Khan, A., Hartley, D., Dillon, H., & Seymour, J. (2011). Investigation of the actions taken by adults who failed a telephone-based hearing screen. Ear & Hearing, 32, 720-731. Address for correspondence: School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, 4072, Australia. E-mail: [email protected]

  • Nerina Scarinci, The University of Queensland HEARing Cooperative Research Centre

    Nerina Scarinci is a Lecturer in Speech Pathology in the School of Health and Rehabilitation Sciences at The University of Queensland, Australia. She is a member of the Communication Disability Centre and the HEARing Cooperative Research Centre (CRC). The overarching theme of Nerina’s programme of research is evaluation of the activity limitations and participation restrictions of people with a communication disability using the International Classification of Functioning, Disability and Health (ICF) framework. She has a special interest in the impact of communication disability on family members using a model of third-party disability. Nerina has published in the ICF, third-party disability, hearing impairment, and service delivery options and outcomes for adults and children with communication disability. Recent publications: Scarinci, N.,= Worrall, L. and Hickson, L. (2012). Factors associated with third-party disability in spouses of older people with hearing impairment. Ear and Hearing, 33, 698–708; Grawburg, M., Howe, T., Worrall, L. and Scarinci, N. (2013). A qualitative investigation into third-party functioning and third-party disability in aphasia: Positive and negative experiences of family members of people with aphasia. Aphasiology, 27, 828–848. Address for correspondence: School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, 4072, Australia. E-mail: [email protected].

  • Caitlin Grenness, The University of Melbourne HEARing Cooperative Research Centre

    Caitlin Grenness is a current PhD candidate with the HEARing Cooperative Research Centre and is a clinical tutor in Audiology in the School of Health Sciences at The University of Melbourne, Australia as is a member of the Communication Disability Centre. Caitlin’s doctoral research focuses on the meaning and nature of patient-centred care in audiological rehabilitation, with a specific focus on exploring whether older adults receive the audiological care they consider to be patient-centred. Caitlin has a particular interest in the implications of this research on education of students and professional development. Recent publications: Grenness, C., Hickson, L., Laplante Lévesque, A. and Davidson, B. (2014). Patient-centred care: A review for rehabilitative audiologists. International Journal of Audiology, 53 (S1), S60–S67. Grenness, C., Hickson, L., Laplante Lévesque, A. and Davidson, B. (2014). Patient-centred audiological rehabilitation: Perspectives of older adult patient who own hearing aids. International Journal of Audiology, 53 (S1), S68–75. Address for correspondence: Department of Audiology and Speech Pathology, The University of Melbourne, 550 Swanston St Carlton, VIC, 3053, Australia. Email: [email protected].

  • Louise Hickson, The University of Queensland HEARing Cooperative Research Centre

    Professor Louise Hickson is Professor of Audiology and Head of the School of Health and Rehabilitation Sciences at The University of Queensland. She is also Co-Director of the Communication Disability Centre at that University. Research interests include age-related hearing impairment, the associated effects of that impairment on the communication abilities and quality of life of older adults, the effects of hearing and vision impairment on driving, and the efficacy of different forms of intervention (e.g., hearing aid fitting, communication education) with this population. Recent publications: Meyer, C., HICKSON, L., Lovelock, K., Lampert, M., & Khan, A. (In Press). An investigation of factors that influence help-seeking for hearing impairment in older adults. International Journal of Audiology. Wong, L. & Hickson, L. (2012). Evidence-Based Practice in Audiology: Evaluating Interventions for Children and Adults with Hearing Impairment. San Diego, CA: Plural Publishing. Address for correspondence: The University of Queensland, School of Health and Rehabilitation Sciences, Therapies Annexe, Building 84A, St Lucia, QLD 4072. E-mail: [email protected].

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Published

2014-07-31

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Vol. 5 No. 2 (2014)

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How to Cite

Ekberg, K., Meyer, C., Scarinci, N., Grenness, C., & Hickson, L. (2014). Disagreements between clients and family members regarding clients’ hearing and rehabilitation within audiology appointments for older adults. Journal of Interactional Research in Communication Disorders, 5(2), 217-244. https://doi.org/10.1558/jircd.v5i2.217

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