SLPQualitativeJournal of speech, language, and hearing research : JSLHR2023

Core Values in the Traditional Provision of Hearing Health Care.

Katherine N Menon, Michelle Hoon-Starr, Katie Shilton and 1 others

PMID 36749844

WHAT IT FOUND

Hearing health care documents most often reflected subjective benefit, with 493 mentions.

The study built a codebook of 18 values across logistics, patient experience, and ethics, but it analyzed documents, not patient outcomes or treatment effects.

Key findings

01The analysis produced a codebook of 18 values sorted into instrumental, patient use, and moral categories.

02Subjective benefit was the most frequently identified value overall, with 493 coding references.

03Professional duties was the most frequently coded moral value, but its count was inflated because ethics documents list many specific conduct rules; autonomy was the next most common moral value.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

No patients, clinicians, or interviews were studied. The findings describe documents, not people's values. It did not test any treatment, service model, or outcome, so it cannot support claims about efficacy. The source material was limited to selected English-language documents for American adults. The authors note that other documents might contain values not captured. Coding was subjective and guided by the researchers' framework. The team acknowledges that their academic audiology and research background may bias interpretation. Frequency of coding is not the same as importance. Professional duties was coded often because ethics documents list many conduct rules, not necessarily because it matters more than other values. The analysis covered questionnaires, clinical practice guidelines, and codes of ethics only. Values not expressed in these documents may be missing.

Declared interests

No funding or conflicts-of-interest declaration is included in the supplied text. The publication types list NIH extramural and non-U.S. government research support.

The easy way to misread this

Do not read the 493 coding references as evidence that patients value subjective benefit above all or that any hearing health care model works. The study analyzed documents, not patient outcomes or treatment effects.

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