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User-Innovated eHealth Solutions for Service Delivery to Older Persons With Hearing Impairment.

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Title: User-Innovated eHealth Solutions for Service Delivery to Older Persons With Hearing Impairment.
Authors: Nielsen, Annette Cleveland1, Rotger-Griful, Sergi1 segr@eriksholm.com, Kanstrup, Anne Marie2, Laplante-Lévesque, Ariane3,4
Source: American Journal of Audiology. Nov2018, Vol. 27, p403-416. 14p. 3 Color Photographs, 1 Diagram, 5 Charts.
Subject Terms: *Treatment of hearing disorders, *Action research, *Focus groups, *Needs assessment, *Patient education, Audiologists, Hard of hearing people, Medical care, Photography, Questionnaires, Rehabilitation, Research funding, Telemedicine, Video recording, Assistive listening systems, Significant others, Thematic analysis, Patient-centered care, Old age
Abstract: Purpose: The successful design and innovation of eHealth solutions directly involve end users in the process to seek a better understanding of their needs. This article presents user-innovated eHealth solutions targeting older persons with hearing impairment. Our research question was: What are the key users' needs, expectations, and visions within future hearing rehabilitation service delivery? Method: We applied a participatory design approach to facilitate the design of future eHealth solutions via focus groups. We involved older persons with hearing impairment (n = 36), significant others (n = 10), and audiologists (n = 8) following 2 methods: (a) human-centered design for interactive systems and (b) user innovation management. Through 3 rounds of focus groups, we facilitated a process progressing from insights and visions for requirements (Phase 1), to app such as paper version wireframes (Phase 2), and to digital prototypes envisioning future eHealth solutions (Phase 3). Each focus group was video-recorded and photographed, resulting in a rich data set that was analyzed through inductive thematic analysis. Results: The results are presented via (a) a storyboard envisioning future client journeys, (b) 3 key themes for future eHealth solutions, (c) 4 levels of interest and willingness to invest time and effort in digital solutions, and (d) 2 technical savviness types and their different preferences for rehabilitation strategies. Conclusions: Future eHealth solutions must offer personalized rehabilitation strategies that are appropriate for every person with hearing impairment and their level of technical savviness. Thus, a central requirement is anchoring of digital support in the clients' everyday life situations by facilitating easy access to personalized information, communication, and learning milieus. Moreover, the participants' visions for eHealth solutions call for providing both traditional analogue and digital services. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: User-Innovated eHealth Solutions for Service Delivery to Older Persons With Hearing Impairment.
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Nov2018, Vol. 27, p403-416. 14p. 3 Color Photographs, 1 Diagram, 5 Charts.
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  Data: *<searchLink fieldCode="DE" term="%22Treatment+of+hearing+disorders%22">Treatment of hearing disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Action+research%22">Action research</searchLink><br />*<searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br />*<searchLink fieldCode="DE" term="%22Needs+assessment%22">Needs assessment</searchLink><br />*<searchLink fieldCode="DE" term="%22Patient+education%22">Patient education</searchLink><br /><searchLink fieldCode="DE" term="%22Audiologists%22">Audiologists</searchLink><br /><searchLink fieldCode="DE" term="%22Hard+of+hearing+people%22">Hard of hearing people</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Photography%22">Photography</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation%22">Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Video+recording%22">Video recording</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+listening+systems%22">Assistive listening systems</searchLink><br /><searchLink fieldCode="DE" term="%22Significant+others%22">Significant others</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Old+age%22">Old age</searchLink>
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  Data: Purpose: The successful design and innovation of eHealth solutions directly involve end users in the process to seek a better understanding of their needs. This article presents user-innovated eHealth solutions targeting older persons with hearing impairment. Our research question was: What are the key users' needs, expectations, and visions within future hearing rehabilitation service delivery? Method: We applied a participatory design approach to facilitate the design of future eHealth solutions via focus groups. We involved older persons with hearing impairment (n = 36), significant others (n = 10), and audiologists (n = 8) following 2 methods: (a) human-centered design for interactive systems and (b) user innovation management. Through 3 rounds of focus groups, we facilitated a process progressing from insights and visions for requirements (Phase 1), to app such as paper version wireframes (Phase 2), and to digital prototypes envisioning future eHealth solutions (Phase 3). Each focus group was video-recorded and photographed, resulting in a rich data set that was analyzed through inductive thematic analysis. Results: The results are presented via (a) a storyboard envisioning future client journeys, (b) 3 key themes for future eHealth solutions, (c) 4 levels of interest and willingness to invest time and effort in digital solutions, and (d) 2 technical savviness types and their different preferences for rehabilitation strategies. Conclusions: Future eHealth solutions must offer personalized rehabilitation strategies that are appropriate for every person with hearing impairment and their level of technical savviness. Thus, a central requirement is anchoring of digital support in the clients' everyday life situations by facilitating easy access to personalized information, communication, and learning milieus. Moreover, the participants' visions for eHealth solutions call for providing both traditional analogue and digital services. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=133101731
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      – Type: doi
        Value: 10.1044/2018_AJA-IMIA3-18-0009
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 403
    Subjects:
      – SubjectFull: Treatment of hearing disorders
        Type: general
      – SubjectFull: Action research
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Needs assessment
        Type: general
      – SubjectFull: Patient education
        Type: general
      – SubjectFull: Audiologists
        Type: general
      – SubjectFull: Hard of hearing people
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Photography
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Rehabilitation
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Telemedicine
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      – SubjectFull: Video recording
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      – SubjectFull: Assistive listening systems
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      – SubjectFull: Significant others
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Old age
        Type: general
    Titles:
      – TitleFull: User-Innovated eHealth Solutions for Service Delivery to Older Persons With Hearing Impairment.
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            NameFull: Nielsen, Annette Cleveland
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            NameFull: Rotger-Griful, Sergi
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            NameFull: Kanstrup, Anne Marie
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            NameFull: Laplante-Lévesque, Ariane
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              Text: Nov2018
              Type: published
              Y: 2018
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              Value: 27
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