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ensure that the audiology staff was prepared to address the new questions on the Case History Form with patients, clinicians at the Haley VA Hospital completed the Ida E-Learning course on the Motivation Tools. This allowed the staff to understand the background behind the Line and the Circle and the importance of opening a discussion with the patient about [...] The Audiology Section at the James A. Haley Veterans' Hospital in Tampa, Florida, has integrated the Ida Motivation Tools into their case history form. This represents an innovative way of integrating the Ida tools into current clinical procedures. Questions from the Line and the Circle are found on the case history form that is mailed to every audiology [...] audiology patient at the Haley VA Hospital in Tampa, Florida. The patient fills out the form at home before their appointment and is encouraged to consult with their spouse and family as they answer the questions. At the consultation session, audiologists ask follow-up questions to explore why the patient answered the questions as they did. This discussion

stroke,” states Fiona. “The first part of the recovery process is called ‘static recovery’, where the patient just needs to be still. The second stage, the ongoing ‘dynamic recovery’, requires the patient to make head movements. Unfortunately, moving one’s head can also provoke the same symptoms that were experienced during the spell. If they avoid head [...] sure about their ability to follow-through with the rehabilitation and the unpleasant side-effects. With the Line, one can remind the patient about their motivation to take action, and use that as a powerful, constructive force to deal with their fears and anxiety. “It is easy to use the Line and the Box with vestibular patients. You want to know how [...] movements, in fear of the potential side-effects, it can actually prolong the recovery stage.” Before Fiona Barker refers vestibular patients to another specialist for rehabilitation, she finds it essential to address any ambivalence or concerns the patient may have about the decision by using the Motivation Tools . When using the Line, Fiona finds it common

results of the conversation would be recorded directly in the patient’s electronic record. Because the output from the Line or the Box would be part of the normal workflow, there would be a higher likelihood for the clinician to use the intervention and record the results in the patient’s electronic records. “By incorporating the tool within the normal workflow [...] more of the Ida tools are embedded into a clinician’s normal routine workflow. The added intervention will be fully integrated into the clinician’s electronic record keeping system and will not add more time to the appointment. For example, the Line or the Box would be completed on a computer by the patient under the clinician’s guidance. The results [...] workflow, the professional would not need to physically tick a box and state that they used the tool. Use of the tool would occur automatically as it would be fully integrated into the process. In this way, the entire system would reward clinicians who use the tools with patients,” states Fiona Barker. “If you can prove that the tool improves outcomes

can help patients make the behavioral changes necessary to ensure positive hearing-aid use. Once the data is collected and analyzed, the pilot study can potentially lead to a large-scale randomized trial involving multiple sites in the VA audiology system. “We are very excited about the research project. When looking at the literature in our field [...] how to incorporate the Line tool into their consultation. This will ensure that the consultation sessions are practiced in a way that is consistent with the motivational interviewing principles presented in the 2013 edition of Miller and Rollnick’s book on motivational interviewing . Samantha Lewis is a staff investigator at the U.S. Department of Veterans [...] using the Ida Motivation tools with patients. The VA Audiology System is one of the largest dispensers of hearing aids in the United States. Despite spending millions of dollars on hearing devices each year, however, many veterans do not use their hearing aids consistently. This pilot investigation will explore whether the Ida Motivation Tools and motivational

taken on common misconceptions about the challenges of integrating a patient-centered approach into day-to-day clinic practice in a new “ Mythbusters ” section on the Ida website. Based on a combination of research findings and the real-world experience of private and public clinicians, the new section demonstrates the benefits of patient-centeredness for [...] practicing professionals, videos and research highlights help to clarify the ways in which patient-centered care impacts the patient-practitioner relationship and the clinic’s bottom line. Takes Too Much Time - Shared decision-making, a hallmark of patient-centered care, ensures that the patient and clinician are equal partners in developing a strategy for [...] response allows the patient to feel validated and understood, creating the foundation for a trusting therapeutic alliance. Research has shown that the practitioner’s empathy is the most influential ingredient in building stronger relationships and enhances patient satisfaction and compliance. Patients Are Already Satisfied - Providing the best service

The Nottingham Hearing Biomedical Research Unit won first prize in the clinical science poster category at the British Academy of Audiology Conference this November. Their winning poster highlighted the interim results of the unit’s ongoing research on the clinical benefits of using the Ida Motivation Tools with patients. Based on the interim results [...] engagement could have the potential to increase patient confidence in following recommended interventions. The research on the Ida Motivation Tools is a collaborative effort between the NIHR Nottingham Hearing Biomedical Research Unit and the Nottingham University Hospitals Audiology Services. The aims of the research were to assess the feasibility of i [...] appears that the patient group who received counseling with the Ida Motivation Tools showed an increase in reported self-efficacy and confidence in using their hearing instruments between the initial assessment and hearing aid fitting. While the research is still ongoing, this interim sample from the feasibility study suggests that the use of motivational

activity limitation 3 months after the online program concluded. Thorén sees the Internet as an untapped resource for hearing care professionals and clinics. By entering the online space, professionals can expand the amount of services and information they provide to the patient, as they are not constrained by the time limits of a consultation session [...] hearing loss. The research can help pave the way to an expansion of hearing care services and educational programs delivered via the Internet. As part of her PhD research at Linköping University, Elisabet Sundewall Thorén conducted four studies to explore the effectiveness of online surveys and rehabilitation courses. Her studies found that the Internet [...] stopped or avoided. The online program, which included professional guidance by an audiologist, significantly decreased participation restriction and activity limitation as measured by the online HHIE questionnaire. Moreover, the study found that there is a long-term effect of using online tools in the rehabilitation process. The researchers observed

hearing loss in the context of health aging and the public health agenda. The Institute of Medicine recently held a workshop on hearing loss and health aging. This is a great step towards setting the agenda and getting the conversation going about this topic in the United States.” You can watch Frank Lin's entire presentation here . Frank Lin, MD, PhD, is [...] and increased mortality. Lin contends that linking hearing loss to the broader agenda on healthy aging has the potential to raise the status of hearing loss among policy makers and health groups. “As much as we like to think that hearing loss is important, most people consider it as a normal process of aging,” states Frank Lin. “It is super important [...] Frank Lin’s ongoing research at John Hopkins University has shed light on how hearing loss, cognitive functioning, and aging relate to each other. Lin shared his public health perspective on hearing loss and aging at our recent series on Vision 2020: Creating a Future for Hearing Health Care. In his presentation, Lin explains how hearing loss can contribute

This point was further illustrated by the short ethnographic film “The Color of My Hair.” The film provided a jumping off point for discussing motivational engagement, and an introduction to the Line, the Box, and the Circle . After lunch, the session started up again with the ethnographic video “Gill and John.” The film, which focuses on how John supports [...] supports his wife, Gill, who has hearing loss, was used to introduced the Communication Rings and the GPS . The room was then divided into Gills and Johns, and participants filled out the GPS from those perspectives. The final tool taught was the Living Well tool. The film “Joe, John, and Dana,” which focuses on how John copes with his hearing loss and [...] different ethnographic films and explained the relevance of ethnography in audiology to the group. Participants were taught the Motivational, Communication Partner, and Living Well tools. The daylong session began with a role playing exercise that allowed participants to get to know each other, as well as introducing the communication skills necessary for patient

Because the pre-session is held for groups, progress isn’t affected if patients cancel at the last minute. Level 2 involves discussing the Line and the Box with the patient at their first proper session. “Patients seem already geared to the tasks and find it easier to engage in the process if they have completed the tools at home,” she says. The clinician [...] with the help of our in-house clinic psychologist modified the tools for the use in our clinics.” The clinic measures patient motivation in a two-step process. Level 1 of this process is a group pre-session of six people, where the nature of the rehabilitation is explained. Patients then opt into treatment, and are sent home with the Line and the Box [...] patients in our clinic and noticed that the rate was much higher than that for general hearing aid clinics,” says Topass. “We had already offered a customized approach which the current research had suggested was the best treatment approach. I had then attended the BAA conference and heard about the Motivation Tools that the research group in Nottingham was