Beyond motivation: identifying targets for intervention to increase hearing aid use in adults

Chelsea S. Sawyer, Kevin J. Munro, Piers Dawes, Martin P. O'Driscoll, Christopher J. Armitage*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)
51 Downloads (Pure)


Objective: The present study investigated: (a) how motivated patients are to use their hearing aid, and (b) whether post-motivational variables (e.g. action planning, coping planning) have anything to offer in terms of developing interventions to boost hearing aid use. Design: participants completed a questionnaire designed to tap Health Action Process Approach constructs prior to their hearing aid prescription and fitting. Study sample: Sixty-seven patients attending NHS audiology clinics. Results: Participants reported very strong intentions to use hearing aids (Median = 7.00 Q1 and Q3 = 6.67, 7.00, on a +1 to +7 scale) and high self-efficacy (Median = 7.00, Q1 and Q3 = 6.00, on a +1 to +7 scale) leaving little room for improvement. In contrast, participants reported moderate levels of post-motivational variables (action planning Median = 4.25, Q1 and Q3 = 1.13, 7.00 and coping planning Median = 2.75, Q1 and Q3 = 1.00, both measured on +1 to +7 scales) thereby showing significant scope for change. Conclusions: Future interventions to increase hearing aid use should focus on ensuring that patients’ motivation is translated into action, rather than further trying to boost motivation.

Original languageEnglish
Pages (from-to)53-58
Number of pages6
JournalInternational Journal of Audiology
Issue number1
Publication statusPublished - Jan 2019
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • hearing aids
  • health action process approach
  • hearing aid use
  • behaviour change


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