What makes someone choose cochlear implantation?:An exploration of factors that inform patient decision making


Objective: Our objective was to understand the factors that determine whether an adult who is eligible for cochlear implantation (CI) choose to take up or not take up the implant. Design: We conducted a qualitative in-depth interview study, informed by grounded theory methods of constant comparison to build a theory to describe why and how people decide to opt for CI or not. Study sample: Our samples were patients from an audiology service in England. Results: Our results describe the key factors in weighing up risks and benefits. These are influenced by living context and support, information and social identity. We identify the key features that impact decision making for adults eligible for cochlear implants. The importance of the patient lifeworld view is discussed. Conclusions: This qualitative study provides the first in depth examination of how and why patients do and do not take up the offer of cochlear implants. It highlights the complex and iterative nature of this decision making and the individualised risks that trade off benefits of implantation.

Publication DOI: https://doi.org/10.1080/14992027.2019.1660917
Divisions: College of Health & Life Sciences > School of Optometry > Audiology
College of Health & Life Sciences
Additional Information: © 2019 The Authors. Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of British Society of Audiology, International Society of Audiology, and Nordic Audiological Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Uncontrolled Keywords: Decision making,cochlear implant,grounded theory,severe and profound,Language and Linguistics,Linguistics and Language,Speech and Hearing
Publication ISSN: 1708-8186
Last Modified: 15 Apr 2024 07:35
Date Deposited: 28 Aug 2019 14:34
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Related URLs: https://www.tan ... 27.2019.1660917 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2020-01-02
Published Online Date: 2019-09-10
Accepted Date: 2019-08-22
Authors: Dillon, Briony
Pryce, Helen (ORCID Profile 0000-0001-5183-6236)



Version: Accepted Version

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Version: Published Version

License: Creative Commons Attribution Non-commercial No Derivatives

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