Abstract:
PURPOSE: The aim of this study was to determine the effect
of self-perceived digital proficiency on the uptake of hearing
services through a hybrid online and face-to-face hearing
health care model.
METHOD: Adults were recruited via online methods to complete
an online hearing screening test within the greater Durban
area in South Africa. On submission of contact details after
failing the screening, contact was made via telephone to
assess readiness for further hearing care. If motivated and
willing to continue, a face-to-face appointment for diagnostic
hearing testing was confirmed, at which time an e-mail with
an online mobile device and computer proficiency survey was
sent. Hearing services were offered using combined online
and face-to-face methods.
RESULTS: Within 2 years (June 2017 to June 2019), 1,259
people from the target location submitted their details for
the clinic audiologist to contact, of whom 931 participants
(73.95%) failed the screening test. Of these participants,
5.69% (53/931, 57.41% men) attended a face-to-face
diagnostic hearing evaluation. Mobile device and computer
proficiency scores were not a predictor of acquiring hearing
services. Age was the only significant predictor (p = .018)
for those continuing with hearing care. Patients who
continued with hearing care by acquiring hearing aids and
support services were older (M = 73.63 years, SD = 11.62)
and on average aware of their hearing loss for a longer
time (M = 14.71 years, SD = 15.77), as compared to those
who discontinued hearing health care who were younger
(M = 59.21 years, SD = 14.42) and on average aware of their
hearing loss for a shorter time (M = 6.37 years, SD = 9.26).
CONCLUSIONS: Digital proficiency is not a predictor for
acquiring hearing services through a hybrid online and
face-to-face hearing care model. Hybrid services could
allow professionals to assist patients in a combination of
face-to-face and online services tailored to meet individual
needs, including convenience and personalized care.
