OBJECTIVE:Financial cost is a barrier for many older adults in their decision to obtain hearing aids (HAs). This study aimed to examine conversations about the cost of HAs in detail within initial audiology appointments. DESIGN:Sixty-two initial audiology appointments were video-recorded. The data were analysed using conversation analysis. STUDY SAMPLE:Participants included 26 audiologists, 62 older adults and 17 companions. RESULTS:Audiologists and clients displayed interactional difficulty during conversations about cost. Clients often had emotional responses to the cost of HAs, which were not attended to by audiologists. It was typical for audiologists to present one HA cost option at a time, which led to multiple rejections from clients which made the interactions difficult. Alternatively, when audiologists offered multiple cost options at once this led to a smoother interaction. CONCLUSIONS:Audiologists and clients were observed to have difficulty talking about HA costs. Offering clients multiple HA cost options at the same time can engage clients in the decision-making process and lead to a smoother interaction between audiologist and client in the management phase of appointments.

译文

目标:财务成本是许多老年人决定购买助听器(HAs)的障碍。这项研究旨在详细检查有关初次听力学任命中有关HA成本的对话。
设计:录制了62个初始听力学约会。使用对话分析对数据进行了分析。
研究样本:参与者包括26位听力学家,62位老年人和17位同伴。
结果:听力学家和客户在有关费用的对话中表现出互动困难。客户通常会对HA的成本产生情感上的反应,而听力学家则没有参加。听力学家通常一次提出一个HA成本选项,这导致客户的多次拒绝,使交互变得困难。或者,当听力学家一次提供多种费用选择时,这将导致更顺畅的交互。
结论:观察到听力学家和客户在谈论HA费用方面存在困难。同时为客户提供多种HA成本选择,可以使客户参与决策过程,并在任命的管理阶段使听力学家和客户之间的交流更加顺畅。

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