Journal of Applied Linguistics and Professional Practice, Vol 13, No 1-3 (2016)

Patient-centredness in advice delivered during audiology consultations

Louise Collingridge, Elizabeth Bassett
Issued Date: 31 Dec 2018


Patient-centredness in audiological rehabilitation has previously been presented as possible only when attending to psychosocial aspects of hearing loss. Yet, audiologists routinely and by necessity provide technologically orientated advice about hearing aids. Although some advice is resisted, a significant number of patients are assisted and have improved quality of life because of audiological advice. This study investigates moments of advice giving during audiology consultations, in which hearing aids were discussed as rehabilitative options. Two illustrative cases selected from a collection of 20 consultations are presented, in which the audiologists' goals differed from those of the patients, but where after a process of advising (in one case offering explicit advice and in the other implicit advice), rehabilitation including hearing aids was agreed to. Hypothetical questions, voicing and patterns of pronoun use provided evidence of patient-centredness, in the absence of an obvious psychosocial focus. Demonstrating patient-centredness in discussions about hearing aids provides additional perspectives on current public commentary about the sale of hearing aids by audiologists. Additionally, demonstrating patient-centredness during hearing aid discussions suggests that audiologists may be able to transfer their skills to address areas commonly neglected in audiology consultations, including a focus on psychosocial aspects of audiological care.

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DOI: 10.1558/japl.31838


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