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Active Communication Education (ACE) is a program created to teach adults in groups of 6-10 with hearing loss strategies for effective communication outcomes (Hickson et. al, 2015).
Goal: In 6 months, the participant, will identify component skills necessary for better communication in background noise in 4/5 daily trials with 90% accuracy as measured by self, communication partner and/or SLP.
EBP: ACE is a group communication program aiming at the improvement of communication abilities, reduction of communication breakdowns, and improvement of quality of life and well-being of the participants with hearing loss. The research found significant improvement results in awareness of their hearing loss and willingness to be motivated and participate in the program.
References:
COSI. (n.d.) A clinical tool with a focus on client's individual needs widely adopted when designing rehabilitation program in appointments. NAL. https://www.nal.gov.au/nal_products/cosi/
Hickson, L., Scarinci, N., & Worrall, L. (2015). Active communication education. Ida Institute. Retrieved December 18, 2022, from https://idainstitute.com/what_we_do/research_library/group_audiologic_rehabilitation/active_communication_education/
Maidment, D., Henshaw, H., Heffernan, E., & Ferguson, M. (2019). Evidence-based interventions for adult aural rehabilitation: That was then, this is now. Seminars in Hearing, 40(01), 068–084. https://doi.org/10.1055/s-0038-1676784
This video gives examples of ACE activities.
Video taken from:
Hickson, L., Scarinci, N., & Worrall, L. (2015). Active communication education. Ida Institute. Retrieved December 18, 2022, from https://idainstitute.com/what_we_do/research_library/group_audiologic_rehabilitation/active_communication_education/
Impairment: Adults with hearing loss and hearing aid users & their communication partner (e.g., significant other).
Data Collection Tool:
Whiteboard
marker
post it notes
Handouts from ACE program
COSI (Client Oriented Scale of Improvement)
COSI-Questionnaire.pdfCOSI-administration-instructions.pdfCOSI (Client Oriented Scale of Improvement) Questionnaire & Administration
(COSI, n.d.)
Activity Breakdown for Initial Session
(Hickson et al., 2015)
Step 1: Introduction and welcome to the group (15 min).
The clinician welcomes everyone and explains what is ACE. Each participant introduces themselves and talk about why they decided to be part of ACE program.
Step 2: Communication needs analysis (20 minutes)
Each participant will talk about their communication challenges they face daily and the clinician will write them down on the board.
Step 3: Nominal Group Technique (15 minutes)
Each participant will rate 3 challenges by placing a sticky note on the board, rating as 1, 2, or 3.
Step 4: Tea Break (15 minutes)
Break for everyone meanwhile the clinician pinpoints the 4 most labelled communication challenges.
Step 5: Establishment of ACE goals (15 minutes)
The participants will fill out the handouts about what goals they want to achieve. This includes the significant other's own goals as a communication partner. The clinician will use COSI to rate each participants' listening situations and goals.
Step 6: Problem-solving process (25 minutes)
The clinician introduces a scenario that was not a priority in Step 3 and the whole group comes up with ideas on how to problem-solve.
Step 7: Conclusion and establishment of group rules (15 minutes).
The clinician will summarize what will be expected the following sessions and the participants will receive handouts for homework.
Hierarchy Cuing
Independently: The patient implements independence of identifying background noise factors during a group scenario or handout
Verbal Cue: The clinician will give verbal cues/hints of background noise factors
Direct Instruction: The clinician will directly instruct the patient of identifying factors of background noise
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