Purpose The purpose of this study was to compare the motivation to change in relation to hearing problems in adults with normal hearing thresholds but who report hearing problems and that of adults with a mild-to-moderate sensorineural hearing loss. Factors related to their motivation were also assessed. Method The motivation to change in relation to self-reported hearing problems was measured using the University of Rhode Island Change Assessment (McConnaughy, Prochaska, & Velicer, 1983). The relationship between objective and subjective measures and an adult's motivation was examined. Results The level of hearing handicap did not differ significantly between adults with normal hearing who reported problems hearing in background noise and adults who had a mild-to-moderate sensorineural hearing loss. Hearing handicap, personal distress, and minimization of hearing loss were factors significantly related to motivation. Age, degree of hearing loss, speech-in-noise scores, working memory, and extended high-frequency average thresholds were not significantly related to their motivation. Conclusions Adults with normal hearing thresholds but self-reported hearing problems had the same level of hearing handicap and were equally motivated to take action for their hearing problems as age-matched adults with a mild-to-moderate sensorineural hearing loss. Hearing handicap, personal distress, and minimization of hearing loss were most strongly correlated with an individual's motivation to change.

中文翻译：

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解决具有正常听力阈值的成年人自我报告的听力问题的动机。

目的本研究的目的是比较具有正常听力阈值但报告听力问题的成年人和轻度至中度感音神经性听力损失的成年人与听力问题相关的变化动机。还评估了与他们动机有关的因素。方法使用罗德岛大学的变革评估（McConnaughy，Prochaska，＆Velicer，1983）来衡量与自我报告的听力问题相关的变革动机。研究了客观和主观措施与成年人动机之间的关系。结果听力障碍水平在听力正常的成年人中报告有背景噪音的听力问题，与轻度至中度感音神经性听力损失的成年人之间没有显着差异。听力障碍，个人困扰，听力损失和最小化是与动机显着相关的因素。年龄，听力丧失程度，噪音言语分数，工作记忆和扩展的高频平均阈值与其动机没有显着相关。结论听力阈值正常但自我报告的听力障碍的成年人与轻度至中度感觉神经性听力损失的年龄匹配的成年人具有相同的听力障碍水平，并且同样有动机采取行动解决其听力问题。听力障碍，个人痛苦和听力损失最小化与个人改变的动机密切相关。扩展的高频平均阈值与其动机没有明显关系。结论听力阈值正常但自我报告的听力障碍的成年人与轻度至中度感觉神经性听力损失的年龄匹配的成年人具有相同的听力障碍水平，并且同样有动机采取行动解决其听力问题。听力障碍，个人痛苦和听力损失最小化与个人改变的动机密切相关。扩展的高频平均阈值与其动机没有明显关系。结论听力阈值正常但自我报告的听力障碍的成年人与轻度至中度感觉神经性听力损失的年龄匹配的成年人具有相同的听力障碍水平，并且同样有动机采取行动解决其听力问题。听力障碍，个人痛苦和听力损失最小化与个人改变的动机密切相关。