research-article

Breaking the Sound Barrier: Designing for Patient Participation in Audiological Consultations

Authors:

Geir Kjetil HanssenAuthors Info & Claims

CHI '16: Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems

Pages 3079 - 3090

https://doi.org/10.1145/2858036.2858126

Published: 07 May 2016 Publication History

Abstract

This paper explores how interactive technology can help overcome barriers to active patient participation in audiological consultations involving hearing aid tuning. We describe the design and evaluation of a prototype sound simulator intended to trigger reflection in patients regarding their hearing experiences, and help guide the tuning process. The prototype was tested in twelve consultations. Our findings suggest that it helped facilitate patient participation during the tuning process by: (1) encouraging an iterative, patient-driven approach; (2) stimulating context-specific feedback and follow-up questions; (3) helping patients make sense of medical information and treatment actions; (4) offering patient control over the process pace and what situations to optimize for; and (5) promoting reflections on daily hearing aid use. Post-consultation interviews revealed that the prototype was perceived useful in several ways. Our results highlight the benefit of flexible designs that can be appropriated to fit the spontaneous needs of patients and audiologists

References

[1]

Agnew, J. The Causes and Effects of Distortion and Internal Noise in Hearing Aids. Trends Amplif 3, 3 (1998), 82--118.

[2]

Alsos, O.A., Das, A., and Svanæs, D. Mobile health IT: the effect of user interface and form factor on doctor-patient communication. Int J Med Inform 81, 1 (2012), 12--28.

[3]

Bødker, S. Understanding representation in design. Hum.-Comput. Interact. 13, 2 (1998), 107--125.

Digital Library

[4]

Chen, Y., Ngo, V., Harrison, S., and Duong, V. Unpacking exam-room computing: negotiating computer-use in patient-physician interactions, in Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, Vancouver, BC, Canada, ACM (2011), 3343--3352.

Digital Library

[5]

Christiansen, E. Boundary objects, please rise! On the role of boundary objects in distributed collaboration and how to design for them, in CHI 2005 Workshop of Cognition and Collaboration, Portland, OR, (2005),

[6]

Dahl, Y., Linander, H., and Hanssen, G.K. Co-designing interactive tabletop solutions for active patient involvement in audiological consultations, in Proceedings of the 8th Nordic Conference on Human-Computer Interaction: Fun, Fast, Foundational, Helsinki, Finland, ACM (2014), 207--216.

Digital Library

[7]

Dahl, Y. and Svanæs, D. A comparison of location and token-based interaction techniques for point-of-care access to medical information. Personal Ubiquitous Comput. 12, 6 (2008), 459--478.

Digital Library

[8]

Dix, A. Designing for appropriation, in Proceedings of the 21st British HCI Group Annual Conference on People and Computers: HCI...but not as we know it Volume 2, University of Lancaster, United Kingdom, British Computer Society (2007), 27--30.

Digital Library

[9]

Dourish, P. The Appropriation of Interactive Technologies: Some Lessons from Placeless Documents. CSCW 12, (2003), 465--490.

Digital Library

[10]

Elberling, C. and Worsoe, K. Fading Sounds: About Hearing and Hearing Aids. Bording A/S, DK-2730 Herlev, Denmark (2006).

[11]

English, K. Get ready for the Next Big Thing in audiologic counseling. Hearing Journal 58, 7 (2005), 10--15.

[12]

Epstein, R.M. and Street, R.L.J. The Values and Value of Patient-Centered Care. Ann Fam Med 9, 2 (2011), 100--103.

[13]

Goff, A.E., The Use of Hearing Aid Outcome Measures in the Audiologic Treatment of Older Adults, in Ohio State University. Department of Speech and Hearing Sciences. 2013.

[14]

Grenness, C., Hickson, L., Laplante-Lévesque, A., Meyer, C., and Davidson, B. Communication patterns in audiologic rehabilitation history-taking: audiologists, patients, and their companions. Ear Hear 36, 2 (2015), 191--204.

[15]

Humes, L.E. Dimensions of Hearing Aid Outcome. J Am Acad Audiol 10, 26--39 (1999).

[16]

Jang, A., MacLean, D.L., and Heer, J. BodyDiagrams: improving communication of pain symptoms through drawing, in Proceedings of the 32nd annual ACM conference on Human factors in computing systems, Toronto, Ontario, Canada, ACM (2014), 1153--1162.

Digital Library

[17]

Jenstad, L.M., Van Tasell, D.J., and Ewert, C. Hearing aid troubleshooting based on patient's descriptions. Journal of the American Academy of Audiology 14, 7 (2003).

[18]

Kjeldsen, M.P. and Matthews, B. Talking about hearing: designing from users' problematisations, in Proceedings of the 5th Nordic conference on Human-computer interaction: building bridges, Lund, Sweden, ACM (2008), 531--534.

Digital Library

[19]

Knutson, J.F. and Lansing, C.R. The relationship between communication problems and psychological difficulties in persons with profound acquired hearing loss. Journal of Speech and Hearing Disorders 55, 8 (1990).

[20]

Kuk, F., Bülow, M., Damsgaard, A., Ludvigsen, C., and Jessen, A. Hearing Aid Fittings and the Use of Simulated Sound Environments. The Hearing Review (2004), 42--49.

[21]

Luff, P. and Heath, C. Mobility in collaboration, in Proceedings of the 1998 ACM conference on Computer supported cooperative work, Seattle, Washington, USA, ACM (1998), 305--314.

Digital Library

[22]

Martin, R.L. "Wear your hearing aids or your brain will rust". Hearing Journal 57, 1 (2004), 46.

[23]

Matthews, B. and Heinemann, T. Technology use and patient participation in audiological consultations. AMJ 1, 12 (2009), 174--180.

[24]

McCormack, A. and Fortnum, H. Why do people fitted with hearing aids not wear them? Int J Audiol 52, 5 (2013), 360--368.

[25]

Mick, P., Foley, D.M., and Lin, F.R. Hearing loss is associated with poorer ratings of patient-physician communication and healthcare quality. J Am Geriatr Soc 62, 11 (2014), 2207--2209.

[26]

Robinson, J., Russ, D., and Siu, B. Effect of multimedia fitting tool on final gain settings. The Hearing Review 9, 3 (2002), 42--45.

[27]

Schmidt, K. and Bannon, L. Taking CSCW seriously: Supporting articulation work. CSCW 1, 1 (1992), 7--40.

[28]

Shield, B. Evaluation of the social and economic costs of hearing impairment: A report for Hear-It. London: London South Bank University (2006).

[29]

Star, S.L. and Griesemer, J.R. Institutional Ecology, 'Translations' and Boundary Objects: Amateurs and Professionals in Berkeley's Museum of Vertebrate Zoology, 1907--39. Social Studies of Science 19, (1989), 387--420.

[30]

Street, R.J., Gordon, H., Ward, M., Krupat, E., and Kravitz, R. Patient participation in medical consultations: why some patients are more involved than others. Med Care 43, 10 (2005), 960--969.

[31]

Tye-Murray, N., Spry, J.L., and Mauzé, E. Professionals with Hearing Loss: Maintaining That Competitive Edge. Ear and Hearing 30, 4 (2009), 475--484.

[32]

Wilcox, L., Morris, D., Tan, D., and Gatewood, J. Designing patient-centric information displays for hospitals, in Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, Atlanta, Georgia, USA, ACM (2010), 2123--2132.

Digital Library

[33]

Öberg, M., Approaches to Audiological Rehabilitation with Hearing Aids: Studies on pre-fitting strategies and assessment of outcomes (Doctoral thesis). 2008, Division of Technical Audiology, Department of Clinical and Experimental Medicine, Linköping University.

Cited By

Cao YCochrane KLoke L(2022)Computationally augmenting traditional embroidery practices: an autobiographical design process with first-person patient experience for amblyopia follow up treatment activityProceedings of the 2022 ACM Designing Interactive Systems Conference10.1145/3532106.3533568(1133-1147)Online publication date: 13-Jun-2022
https://dl.acm.org/doi/10.1145/3532106.3533568
Dahl YSharma K(2022)Six Facets of Facilitation: Participatory Design Facilitators’ Perspectives on Their Role and Its RealizationProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3502013(1-14)Online publication date: 29-Apr-2022
https://dl.acm.org/doi/10.1145/3491102.3502013
Lund KOrdoñez RNielsen JHammershøi D(2020)Sentence-Based Experience Logging in New Hearing Aid UsersAmerican Journal of Audiology10.1044/2020_AJA-19-0007729:3S(631-637)Online publication date: 18-Sep-2020
https://doi.org/10.1044/2020_AJA-19-00077
Show More Cited By

Index Terms

Breaking the Sound Barrier: Designing for Patient Participation in Audiological Consultations
1. Applied computing
  1. Life and medical sciences
2. Human-centered computing
  1. Collaborative and social computing
  2. Human computer interaction (HCI)

Recommendations

Co-designing interactive tabletop solutions for active patient involvement in audiological consultations
NordiCHI '14: Proceedings of the 8th Nordic Conference on Human-Computer Interaction: Fun, Fast, Foundational

Active patient participation in audiological treatment is central in improving the benefits and satisfaction that patients experience in the use of hearing aids. However, involving patients in their own treatment is challenging. Clinics often lack ...
Interactive Evolutionary Computation-Based Hearing Aid Fitting

An interactive evolutionary computation (EC) fitting method is proposed that applies interactive EC to hearing aid fitting and the method is evaluated using a hearing aid simulator with human subjects. The advantages of the method are that it can ...
Immersive auditory display system 'sound cask': three-dimensional sound field reproduction system based on the boundary surface control principle
VRST '18: Proceedings of the 24th ACM Symposium on Virtual Reality Software and Technology

Sound cask was developed to realize the perfect 3D auditory display that creates 3D sound waves around the listener's head just the same as the primary sound field, based on the boundary surface control (BoSC) principle.

If we consider the sound ...

Comments

Please enable JavaScript to view thecomments powered by Disqus.

Information & Contributors

Information

Published In

cover image ACM Conferences

CHI '16: Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems

May 2016

6108 pages

ISBN:9781450333627

DOI:10.1145/2858036

General Chairs:
Jofish Kaye
Yahoo
,
Allison Druin
University of Maryland / National Park Service
,
Program Chairs:
Cliff Lampe
University of Michigan
,
Dan Morris
Microsoft
,
Juan Pablo Hourcade
University of Iowa

Copyright © 2016 ACM.

Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

Sponsors

SIGCHI: ACM Special Interest Group on Computer-Human Interaction

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 07 May 2016

Permissions

Request permissions for this article.

Request Permissions

Check for updates

Badges

Honorable Mention

Author Tags

Qualifiers

Research-article

Funding Sources

The Research Council of Norway

Conference

CHI'16

Sponsor:

SIGCHI

CHI'16: CHI Conference on Human Factors in Computing Systems

May 7 - 12, 2016

California, San Jose, USA

Acceptance Rates

CHI '16 Paper Acceptance Rate 565 of 2,435 submissions, 23%;

Overall Acceptance Rate 6,199 of 26,314 submissions, 24%

Upcoming Conference

CHI '25

Sponsor:
sigchi

CHI Conference on Human Factors in Computing Systems

April 26 - May 1, 2025

Yokohama , Japan

Contributors

Other Metrics

View Article Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

8
Total Citations
View Citations
319
Total Downloads

Downloads (Last 12 months)16
Downloads (Last 6 weeks)2

Reflects downloads up to 16 Nov 2024

Other Metrics

View Author Metrics

Citations

Cited By

Cao YCochrane KLoke L(2022)Computationally augmenting traditional embroidery practices: an autobiographical design process with first-person patient experience for amblyopia follow up treatment activityProceedings of the 2022 ACM Designing Interactive Systems Conference10.1145/3532106.3533568(1133-1147)Online publication date: 13-Jun-2022
https://dl.acm.org/doi/10.1145/3532106.3533568
Dahl YSharma K(2022)Six Facets of Facilitation: Participatory Design Facilitators’ Perspectives on Their Role and Its RealizationProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3502013(1-14)Online publication date: 29-Apr-2022
https://dl.acm.org/doi/10.1145/3491102.3502013
Lund KOrdoñez RNielsen JHammershøi D(2020)Sentence-Based Experience Logging in New Hearing Aid UsersAmerican Journal of Audiology10.1044/2020_AJA-19-0007729:3S(631-637)Online publication date: 18-Sep-2020
https://doi.org/10.1044/2020_AJA-19-00077
O'Kane AAliomar AZheng RSchulte BTrombetta GBrewster SFitzpatrick GCox AKostakos V(2019)Social, Cultural and Systematic Frustrations Motivating the Formation of a DIY Hearing Loss Hacking CommunityProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300531(1-14)Online publication date: 2-May-2019
https://dl.acm.org/doi/10.1145/3290605.3300531
Nielsen ARotger-Griful SKanstrup ALaplante-Lévesque A(2018)User-Innovated eHealth Solutions for Service Delivery to Older Persons With Hearing ImpairmentAmerican Journal of Audiology10.1044/2018_AJA-IMIA3-18-000927:3S(403-416)Online publication date: 19-Nov-2018
https://doi.org/10.1044/2018_AJA-IMIA3-18-0009
Johansen BPetersen MKorzepa MLarsen JPontoppidan NLarsen J(2017)Personalizing the Fitting of Hearing Aids by Learning Contextual Preferences From Internet of Things DataComputers10.3390/computers70100017:1(1)Online publication date: 23-Dec-2017
https://doi.org/10.3390/computers7010001
Johansen BPetersen MPontoppidan NSandholm PLarsen JMark GFussell SLampe Cschraefel mHourcade JAppert CWigdor D(2017)Rethinking Hearing Aid Fitting by Learning From Behavioral PatternsProceedings of the 2017 CHI Conference Extended Abstracts on Human Factors in Computing Systems10.1145/3027063.3053156(1733-1739)Online publication date: 6-May-2017
https://dl.acm.org/doi/10.1145/3027063.3053156
Hanssen GDahl Y(2016)A Participatory Design Approach to Develop an Interactive Sound Environment SimulatorAmerican Journal of Audiology10.1044/2016_AJA-16-000525:3S(268-271)Online publication date: Oct-2016
https://doi.org/10.1044/2016_AJA-16-0005

View Options

Login options

Check if you have access through your login credentials or your institution to get full access on this article.

Full Access

Get this Publication

View options

PDF

View or Download as a PDF file.

eReader

View online with eReader.

Media

Figures

Other

Tables

View Table of Contents