Improving the implementation of family-centred care in adult audiology appointments: a feasibility intervention study

There is mounting evidence for implementing family-centred care (FCC) in adult audiology services, however FCC is not typically observed in adult clinical practice. This study implemented an intervention to increase family member attendance and involvement within adult audiology appointments. The study involved a mixed method design over three key phases: Standard Care, Intervention I (increasing family member attendance), and Intervention II (increasing family member involvement). Staff from four private audiology clinics within one organisation participated in the intervention. Data was collected from different clients in each phase (<i>n</i> = 27 Standard Care, <i>n</i> = 30 Intervention I, and <i>n</i> = 23 Intervention II). Family member attendance increased from 26% of appointments in Standard Care to 40% at Intervention I, and 48% at Intervention II. Family member involvement also showed improvement on some measures (video analysis) although talk time did not significantly increase. Significant improvements in client satisfaction with services were found (Net Promoter Score and Measure of Processes of Care). The implementation of FCC in audiology clinics needs to be an ongoing, whole-of-clinic approach, including staff in all roles. Increasing family member attendance at adult audiology appointments can lead to benefits to client satisfaction with services.

越来越多的证据表明，成人听力学服务中应推行家庭中心照护（family-centred care, FCC），但当前成人临床实践中却鲜有应用该模式的情况。本研究设计并实施了一项干预措施，以提升成人听力学诊疗预约中家属的到场率与参与度。本研究采用混合方法研究设计，涵盖三个核心阶段：标准照护组、干预一（提升家属到场率）与干预二（提升家属参与度）。某机构旗下四家私立听力学诊所的工作人员参与了本次干预。各阶段均纳入不同的受试患者收集数据：标准照护组n=27，干预一组n=30，干预二组n=23。家属到场率从标准照护组的26%提升至干预一组的40%，并进一步升至干预二组的48%。尽管谈话时长未出现显著提升，但家属参与度在部分测评指标（如视频分析）上仍有所改善。受试患者对服务的满意度亦出现显著提升（体现在净推荐值（Net Promoter Score）与照护过程量表（Measure of Processes of Care）结果中）。在听力学诊所推行家庭中心照护需形成持续性、覆盖全诊所的实施路径，涵盖各岗位工作人员。提升成人听力学诊疗预约中家属的到场率，可有效改善受试患者的服务满意度。