The role of hope in adjustment to acquired hearing loss PDF
Preview The role of hope in adjustment to acquired hearing loss
Copyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and private study only. The thesis may not be reproduced elsewhere without the permission of the Author. Adjsutmehnotp,ae n dh earlionsgs TheR oleo fH ope InA djustmentto AcquireHde aring Loss A thespirse senitnefu dl filmeonftt her equiremfeonrtt hsed egreoeft he DoctoorfP hilosoipnhH eya ltShc ience. MasseUyn iversity PalmersNtoornt h AotearoaiNZeewa land BrucKee nt 2005 Adjustmheonptae,n hde arilnogs s Abstract Thisst udiyn vestitghaeet xetse anndt n atuorfet hree latiobnesthwiepe n individaunaddl i sability cha(raagcest,ee xdr,ei gsrtoeifech se arilnogs asg,ea to nset ofh earilnogs tsi,m sei ncoen set of lhoesausrs,ieo n fgt ecohlnogayn,du seo f servsi,)ca enda djustmteoan ctq uirheeda rilnogs asn,d t her olheo peha si nt hat relationAs shaimpp.lo ef1 14a dulwtist hhe arilnogsw sh oh ada ccessed hearing therapy spearrvitciecsii pnat theesd t udIyt.w ash ypothestihsahetod p weo uld interactt hweii ntdhi viadnudad li sabiclhiatrya cterainsdtt hiecrse ffuonrcet iaosna moderating vTahreis aebcloenh.dyp othewsaisst hahto pmea yb er elatteod indiviadnudad li sabiclhiatrya cteraisws etlialcs as d justmbeuntat c tually ptrhoev ides onlsyi gnificant ptaota hdwjauys tmmeonrte; simhpolpyme,a yb ea m ediatoofr adjustment. Ther esuilntdsi ctahtaett h dee greoef l oswsa st heo nlsyt atistsiicganlilfiyc ant indiviadnudad li sability chraerlaacttteoead rd ijsutsitcm Tehnett .r aoifht o ped idn ot produacnei nteracetfifoeoncfs t t atisstiigcnailfi ciannt cheme o deratmioodne l. Howevetrh,se t uddyo epsr ovisduep pofrottr h eh ypothetshiatsth etr aoifht o pe serviessa m echanibsymw hicthh ed egreoef losasf feacdtjsu stmHeenatr.i lnogs s affehcotps weh icihnturn affeacdtjsu stmIenno tt.h ewro rdhs,o pwea sf ountdoa ct asa mediatvianrgi abTlheee. x teonftt himse diatrionlgwe a ss ubstanatshi oaplew as fountdoa ccoufnot4r 5 %o ft here latiobnesthwiepte hned egreoef l osasn d adjustmAedndti.t iontahleslt yu,df yo untdh aste lf-efficaancdpy e rsomneaal ning may influheonpcaeen dd espadiirm ensiiondn isf ferweanytsT .h ep erceptoifo n ones'a biltioti yn fluenecvee nitssa m ajocro ntribtuoht oopre fulnwehsisl teh e construcotfmi eoann ianpg peatrobs e r elatteold o welre veolfsd espair. Currernets eairnct hh ae reoaf p ositpisvcyeh oloignyd icattheaistn dividual Adjumsetnhto,p aen hde arilnogs s 11 traiatrsme o difiabalnedt herefhoorpeef indihnogp,be o ndinhgo,p ee nhancement, andh opree mindcianngi nstainldi ncrehaospee T.h ei mplicaotfit ohne sfei ndiinsg s thahte arirnegh abiliptraotgiroanm mneese tdo c onsitdheerro loefh opei n intervesnttriaotne gies. Thes tudsyu ggepsotsss ibifloifurtt iuersre e seairncchl uding the investigation ofm orec omplemxe diaticohnaailnr se,f iniinndgi viadnudad li sabivlairtiya balneds , assesstihneeg f feocfht o pe-fosceudis n tervesnttriaotne gies. Adujstmteh,no paen hde arilnogs s III Acknowledgements ProfesSs.olLr.a G rowp rovidsetdi mulartiignogr,o aunsdv, a lued supervision throughtohuedt e velopmoeftn hti sst udTyh.e r esultlaenarnitng e xpeirenceex tended fabre yontdh per oductoifao t nh esis. Thipsr ojehcatsb eewno vetnh rouygeha rosfa l ifseh arbeydm yw ifeH.e r participiantt hiepo rno ceosfcs o nstructthiipnsig e coefw orki si mmeasuraMbyl e. childhraevnpe a tienstulryv ivreeds tricitmipoonssbe ydt hed iscipolfis nteu dy. DrA .H ogapnr ovidsetdi mualtut sh ien itiaotfti horene seaarncdhD rR . Pernicceo ntribiuntteedl loibgseenarttv iotnhsr outghhew ork. A numbeorffr iendfse,l lsotwu deanntdsc olleaghuaevcseo ntribiunt ed numerous wpaayrst,i cuDlraK ralrye Mnc BrdieB,r iaMno retolne,s siLcias saman, ChrsitiCnaer ra,n dD rE ricHai ll. Ind ifferweanytas n da td iffetrienmtea sn umbeorfo rganisahtaivoen s suppormtye adc tiviitnicelsu dtihnNega :t ionFaolu ndatfiootrnh Dee afL;I FET rust; theL ottery GCroamnmtiss sitohneO; t icFoonu ndattihoMeni ;n istorfEy d ucation (SpecEidaulc ati;ot nh)Nea tionAauld iology Centre. Thipsr ojehcatsb eerne viewaendda pprovbeydt hHeu manE thics CommittMeaes,s eUyn iversHiutmya nE thicCso mmittPeNe P,r oto0co1l/ 2I9tw. a s alseon dorsbeytd h Nea tionFaolu ndatfiootrnh eD ea(fN FD()s eAep pend1i)x . Ethicacoln sideraotfti hoeNn esw Z ealaPnsdy hcologiScoacli eCtoyd eo fE thics (198w6er)oe b served. Fora ltlh aeb ovseu ppotroct o mplettheir se seaIra cmhg rateful. Adjustmehnotp,ea ndh earilnogs s IV Tabloef C ontents page Abstract i ............. .............................................................. ................ Acknowledgements .iii ...................................... .................................. Tabloef C ontents iv ................................. ........................................... Lisotf T ables viii ....... ...................................... .................................... Lisotf F igures .ix ................................................................................ Abbreviations x ................................................................................... Glossaoryf T erms xii ................ ....................... ................................... Tabloef C ontents 1.I ntroduction 1 ............................................................................... 2.A cquireHde arinLgo ssA: BecominIgs sue 9 ........................... 2.1I.n troduction 9 ................................................................................ 2.2T.h eC hallenogfeB ecoming 13 ..................................................... ... 2.3R.i skosf B ecoming 16 ..................................................................... 2.4U.n desiraBbelceo ming 19 .................................................................. 25..C onclusion 27 .............................................................................. 3.A djustmenAtc:c eptabBleei ng 29 ................ .............................. 3.1I.n troduction 29 .......................................................................... 3.2D.e finiAndgj ustment 30 ................................................................. 3.3S.t udieisnA djusmtent 41 ............................................................... 3.4M.e asuremeonftA djustme.n t. 57 ....................................................... 3.5D.i sability, IndCihvairdaucatle riasntdiA cdsj ustment.. 64 ..................... 36..C onclusion 68 .................................. ............................................ Adjutsmenhto,pa en hde arilnogs s v 4.H ope:P otentTioaB le . .. .72 ....................... ... .......................... 4.1 . . . . . 72 ............................ ........... ... ............................... Introduction 4.2. . . 73 ............................................................................ DefiHnoipneg 4.3. . . 82 ............................. ............ ......... StudaineCdso nteoxfHt osp e 4.4. . . 87 ................................................... .......... MeasureomfHe onpte 4.5. .. . . .. 91 .................. . ............ . ............................. Hopaen Add justment 4.6. .. . 95 .................. .. .......................................................... Conclusion 5.M oderatiaonnd M ediati.o.n. .....................................9..7.. .. ........ 5.1. ... .. . . .97 ...... .. .................. . .................................. ...... .. Introduction 5.2. . . . .98 ................... .......... ......................... ................... .. Moderation 5.3. .............................................................1...0. 0. .............. Mediation 5.4. .....................1..0..2.. . StudIinevso lMvoidnegr aatniMdoe nd iation 5.5. . . . . 106 ............ ........................................................ .... Conclusion 6.M ethodolog.y 108 .. ...................................................................... 6.1. . . . 10 8 ................................................... ... ....................... Introduction 6.1.1A.i m . .. ... . 10 8 ... .................... ................................... .............. 6..12.R eseaQrucehis otns. .. . 109 ... ........ .. ..................................... ... 6..13R. eseaHrycpho th.e.s.e.s... .....................................1..1..4. ....... 6.2. . 115 ........................... .................................................. Procedures 6..21S.a mpSleel ieoc.nt. ...........................1..1..5.. ......................... 6.2.E2t. hiIcsaslu es 116 ................................................................. 6.2.P3a.r tinct.is.p .a...................................................1..1...7.. ....... 6.2.T4h.e Q usetionnaire .. . 117 .......................... . .............................. 6.3. 119 .................................................................................. Analysis Adjustmehnotp,ea ndh earinlgo ss Vl 7.R esults .122 .............................................................................. .. 71..I nitAinaall yses 122 ........................................................................ 7.1.I1n.d ividaunadlD isabilCihtayr acteristics . .. 122 .............. .......... .... 7.1.A2d.j ustment 124 ..................................................................... 7.1.S3t.e pwiRseeg ressAinoanl ysteosP rediAcdtj ustment 128 .............. 7.1.H4o.p e . 131 .......................................................... .................. 7.2M.o deratiaonnd M ediatiAonna lyses 135 ........................................... 7.2.H1o.p ea sa Moderator 136 ....................................................... 7.2.H2o.p ea sa Mediator 139 .......................................................... 8.D iscussion . 144 ............................................. .............................. 81..L imitations . . . . 153 ....................................... ........ ............. ........ ...... 8.2S.u ggestiofnosrF uturRee search 155 ............................................. 8.3C.o nclusi.on . . 158 . ............. ........................................................... 9.R efeernces . . 160 .............................. .............................. .............. 10.A ppendices . 182 ................. ....................................................... 1D .1 .A ppendi1x EthiAcpsp roavnaNdlF D Endorsement . 182 .............................................. .... 10.A2p.p endi2x ApparcohteoAs d just.m ent . . ..185 ......................................................................... ... 10.3A.pp endi3x QuestniaoiIrnnoefr mat..i.o.n. .........................................1...8 .9. ................. 10.4A.pp endi4x HerainTgh epriasItnsofr'm at..i.o..n.. .........................................1.9.5. .......... 10.5A.pp endi5x CilenDta ta 199 ....................................................................................... 10.6A.pp endi6x NottinAgdhjaums tSmcean(ltNe A S...). .......................2.0.3. ........................ �A�djustme�nt,�h opea ndh e�a�rinlgo ss ------ ------ vu -- -- ---- -- -------- ------ ------------ 10.7Ap.p endi7x HOPESSc ale 210 ................................................................................... Ad�jsutm�e�nhto,pe a ndh e�a�rinlgo ss ---- -- viii -- -- ------ ------------------------ ------ ---- Lisotf T ables Tabl1e Particiipnadnitvsai'nd ddui asla bcihlairtayc teristics 122 ..................................... Tabl2e NASn ormasns da mpdlaet a 125 .................................................................. Tabl3e PearPsroond -uMcotmnetc orrteiloaanmso nign divaindddui asla bainladid tjyu stment varbilaes 126 ......................................................................................... Tabl4e Stepsweri egresosfiio nnd ivaindddui asla bvialriitatybop l reesda idcjtu esnttm.12 9 .... Tabl5e PearsPorno d-uMcotemnct orrteiloamanosn gN ASs usbc alaensdd egreoef l oss varlieasb 130 ........................................................................................ Tabl6e HOPEnSo rmasns da mpdlae.t. .a... ....................................................... 131 Tabl7e PearPsroond Muocmtn-etC orrteilobanest weGePnHa nNdA Ss usbcales 132 ............ Tabl8e PearsPorno ducmte-nMtco orrteilonabse tweNeAnS ,G PH andH OPES subscales 133 ....................................................................................... Tabl9e PearsPorno dMuocmtn-etC orrteilobanest weNeAnS a ndd imensoifoH nOsP SE susbc ales 134 ..................................................................................... . Tabl1e0 Summasrtya tiosfltoishcsos,p a en add justsmceonrte s l35 ................................. Tabl1e1 Corrteilobanest weleonsh so,pa en,ad jd ustment. l36 ...................................... . Tabl1e2 Tesotfm oderaDteigornoe:fle o shso,pa en add just.m.e nt l37 ............................. Tabl1e3 Tesotfq uadrmaodteirca tDieogrneo:ef l oshso,ps ec oraenadsd just.m enlt38 ......... Tabl1e4 Tesotfm edaitiDoengr:e oefl oshso,pa en add justment l39 ...............................
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