Behavior Change in Chronic Health: Reviewing What We Know, What Is Happening, and What Is Next for Hearing Loss

Sophie Brice () and Helen Almond
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Sophie Brice: Department of Nursing and Allied Health Sciences, Faculty of Health Arts and Design, Swinburne University of Technology, Hawthorn, VIC 3122, Australia
Helen Almond: The Australian Institute of Health Service Management, College of Business and Economics, The University of Tasmania, Hobart, TAS 7000, Australia

IJERPH, 2023, vol. 20, issue 8, 1-15

Abstract: Untreated age-related sensorineural hearing loss is challenged by low adoption and adherence to hearing aids for treatment. Hearing care has evolved from traditional clinic-controlled treatment to online consumer-centered hearing care, supported by the increasingly person-centered design of hearing aid technology. Greater evidence and a more nuanced understanding of the personal need for adoption versus adherence to the use of consumer hearing care devices are required. Research considering consumer hearing aid acceptance behavior rests on behavior modification theories to guide clinical approaches to increasing hearing aid adoption and adherence. However, in the context of complex chronic health management, there may be a gap in how these theories effectively align with the needs of consumers. Similarly, market data indicates evolving consumer behavior patterns have implications for hearing care theory and implementation, particularly in terms of sustained behavior change. This essay proposes that evidence, including theory and application, be strengthened by revising basic theoretical premises of personal experience with complex chronic health, in addition to considering recent changes in commercial contexts.

Keywords: adherence; adoption; behavior change; complex chronic health; consumer-centered digital health; hearing care; age-related sensorineural hearing loss; intervention; person-centered (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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