Evidence map›Paper›PMID 40587250›Full record

SynthesisTranslational behavioral medicine2025

Understanding engagement with digital health interventions designed for adults with hearing loss and tinnitus: a mixed-method systematic review.

Akshaya Ravichandran, Melanie A Ferguson, Wilhelmina H A M Mulders, Robyn S M Choi, Rebecca J Bennett

Abstract readSystematic Review
In one paragraph

Synthesis in Translational behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Akshaya RavichandranSchool of Human Sciences, University of Western Australia. 35 Stirling Hwy, Crawley, WA 6009, Australia.ORCID 0000-0002-7616-1914
Melanie A FergusonSchool of Human Sciences, University of Western Australia. 35 Stirling Hwy, Crawley, WA 6009, Australia.ORCID 0000-0002-8096-869X
Wilhelmina H A M MuldersSchool of Human Sciences, University of Western Australia. 35 Stirling Hwy, Crawley, WA 6009, Australia.ORCID 0000-0001-8721-7357
Robyn S M ChoiSchool of Human Sciences, University of Western Australia. 35 Stirling Hwy, Crawley, WA 6009, Australia.ORCID 0000-0002-4134-9538
Rebecca J BennettSchool of Human Sciences, University of Western Australia. 35 Stirling Hwy, Crawley, WA 6009, Australia.ORCID 0000-0001-9427-5539

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHearing loss and tinnitus are pervasive disabilities globally, which significantly impact individuals' quality of life. Integrating Digital Health Interventions (DHIs) with traditional audiological management has proven beneficial for hearing loss and tinnitus management. Although it is established that DHI engagement is important for the real-world effectiveness of DHIs, there is a lack of systematic evidence aiming to understand engagement with DHIs in audiology. PURPOSE: This systematic review identified factors associated with hearing healthcare DHI engagement to inform future DHI development and research in audiology.

methodsAdhering to Synthesis without Meta-Analysis guidelines, we conducted a mixed-methods systematic review using a convergent integrated approach. A comprehensive search across seven databases until December 16, 2023, identified 62 studies meeting inclusion criteria. Data extraction involved modifying the Joanna Briggs Institute (JBI) extraction form and deductive coding using the Perski et al. (2017) framework to identify factors related to engagement.

resultsThe review revealed a diverse range of factors associated with DHI engagement in the audiology literature.

conclusionAnalysis within the Perski et al. (2017) framework highlighted the importance of user-related constructs, such as enhancing DHI accessibility, empowering users, and aligning DHIs with user needs and lifestyles in facilitating engagement. Due to the limited number of studies focusing on engagement as the primary outcome, we based our inferences on secondary outcomes and discussions from the available literature. While this review consolidates existing knowledge on engagement, it underscored the imperative for more in-depth investigations into engagement with hearing healthcare DHIs.

Indexed as

Hearing LossTelemedicineTinnitusAdultDigital HealthHumansQuality of LifeDigital Health Interventionse-healthengagementm-healthteleaudiology

Identifiers

PMID40587250
PMCPMC12207976

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.