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UBC Theses and Dissertations

Counselling during real ear measurements : the clients' perspective Ryall, Angela


Objective: Amplification is one intervention to address hearing loss. When dispensing hearing aids, audiologists must follow validated fitting and verification procedures to ensure that the hearing aids are properly fitted to the client’s hearing thresholds. Real ear measurements (REM) are best practice for verifying hearing aids. This study investigated informational counseling throughout REMs by gathering perspectives of first-time hearing aid users regarding the content and format of counselling. Methods: Focus groups were conducted to elicit feedback on a demonstration of informational counselling during REM hearing aid verification. There were 17 adult participants (5 male, 12 female) who all had memory of REMs occurring during their own hearing aid verification. The data from the focus groups were transcribed verbatim and analyzed using qualitative content analysis. Results: Analysis revealed positive aspects, negative aspects, and suggested changes in relation to verbal and visual information presented during the REM verification demonstration. These data fell into two broader categories: the interaction (i.e., relational) and transaction (i.e., content) of informational counselling. Conclusion: Most clients were interested in learning more about REMs if the information was accessible. Results provide recommendations for clinical audiologists and REM system manufacturers to make the visuals and verbal information presented during informational counselling more client-friendly and individualized for client-centred care. To continue exploring this new inquiry, further experimental research is needed to determine if there is any added value of incorporating informational counselling during REMs.

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