Communication Partners, Hearing Impairment, Nursing, Older Adults
Conditions
Keywords
group-based multi-component interventions, psychoeducation, hearing impairment, older adults, communication partners, burden, depression, coping, quality of life
Brief summary
Hearing impairment is a critical health problem throughout the world. In addition, having an impact on the biopsychosocial functioning of older adults, it places enormous stress and burden on communication partners who interact with older adults with hearing impairment every day. These communication partners generally have restrictions to their social lives and an increased communication burden, as well as symptoms of depression and adopting maladaptive coping and poorer quality of life. Therefore, group-based multi-component psycho-educational interventions are recommended. The purposes of this study are to examine the effects of group-based multi-component psycho-educational interventions (GMC-PEIs) on burden, depression, coping and quality of life in communication partners of older adults with hearing impairment. The single-blind, randomized control trial will include communication partners of older adults with hearing impairment. Participants will be randomized to either intervention groups or control groups.
Detailed description
The study will be an experimental design featuring repeated measures, with data collected from a pretest, a posttest and a follow-up test. An estimated total of 92 participants will be randomly assigned to experimental and control groups. The experimental group will participate in a 6-week group-based multi-component psycho-educational interventions (GMC-PEIs), including provide information on communication skills training, clear speech training, psychosocial support, stress management and successful person testimonial, consisting of 60-minute sessions once per week, while the control group will be put on a waiting-list group. Each group will be assessed of the outcomes at 3 time points: baseline (T0), three months following the intervention (T1) and again at six months following the intervention (T2). The investigators will use the Significant Other Scale for Hearing Disability (SOS-HEAR), the 10-item version of the Center for Epidemiological Studies Depression Scale (10-Item CES-D), the Brief Coping Orientation to Problems Experienced Scale (B-COPE), the Short Form Health Survey (SF-12) and the International Outcome Inventory for Hearing Aids-Significant Other (IOI-HA-SO) as the outcome indicators. The principle of intention-to-treat (ITT) analysis will be used, and the result will be analyzed mainly by generalized estimating equation (GEE).
Interventions
BEHAVIORALGroup-based multi-component psychoeducational inventions (GMC-PEIs)
The participants were randomly assigned to either the experimental group, using a computer-generated list of random numbers.
Sponsors
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Intervention model description
In this single-blind, randomized controlled trial, adults aged years or older living with hearing impairment elderly will be randomized into either the intervention group (group-based multi-component psychoeducational inventions, GMC-PEIs intervention group) or the control group (waitlist control group).
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* being18 or older * living with older adults with hearing impairment * they were indicated that as primary communication partner * no known hearing loss * having normal cognitive function * articulate in the Mandarin Chinese language * signing a consent form to participate
Exclusion criteria
* severe psychiatric disorders * the communication partner who is hired as a caregiver
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline the Significant Other Scale for Hearing Disability, at 3 months, and 6 months. | baseline, 3th, 6th month | A score of participants in baseline burden as assessed by the Significant Other Scale for Hearing Disability. The overall score ranging from 0 to 108, which higher scores indicating higher severe burden. |
| Change from baseline the 10-item version of the Center for Epidemiological Studies Depression Scale at 3 months, and 6 months. | baseline, 3th, 6th month | A score of participants in baseline depression as assessed by the 10-item version of the Center for Epidemiological Studies Depression Scale. The overall score ranging from 0 to 30, which higher scores indicating severe depression. |
| Change from baseline the Brief Coping Orientation to Problems Experienced Scale at 3 months, and 6 months. | baseline, 3th, 6th month | A score of participants in baseline coping as assessed by the Brief Coping Orientation to Problems Experienced Scale. The overall score ranging from 0 to 100, which higher scores indicating better coping. |
| Change from baseline the Short Form Health Survey(SF-12) at 3 months, and 6 months. | baseline, 3th, 6th month | A score of participants in baseline quality of life as assessed by the Short Form Health Survey(SF-12) . The overall score ranging from 0 to 100, which higher scores indicating better quality of life. |
| Change from baseline the International Outcome Inventory for Hearing Aids-Significant Other at 3 months, and 6 months. | baseline, 3th, 6th month | A score of participants in baseline overall intervention effectiveness and hearing aids satisfaction as assessed by the International Outcome Inventory for Hearing Aids-Significant Other. The overall score ranging from 7 to 35, which higher scores indicating better effectiveness of the intervention and aids satisfaction. |
Countries
Taiwan
Contacts
Primary ContactMeei-Fang Lou, Ph.D
Outcome results
None listed