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Evaluating the process of change:

Studies on patient journey, hearing disability acceptance and stages-of-change

Vinaya K. C. Manchaiah

Linköping Studies in Arts and Science Dissertations, No. 587 Studies from the Swedish Institute for Disability Research, No. 52

Linköping Studies in Arts and Science Dissertations, No. 587, 2013 Studies from the Swedish Institute for Disability Research, No. 52

Department of Behavioural Sciences and Learning Linköping University

SE-581 83 Linköping, Sweden www.liu.se

2013

Vinaya K. C. Manchaiah has a wide range of educational background with degrees in Audiology, Speech Language Pathology, Teaching and Learning, and Business Administration.

He has worked in many positions with clinical, educational, research and management responsibilities. He is currently working as a Senior Lecturer in Audiology at Anglia Ruskin University, Cambridge, UK. In addition, he is also involved in various external activities including acting as Co-founder and President of a non-profit and non-governmental organisation (NGO) ‘Audiology India’ and Board of Director for the ‘British Academy of Audiology’.

This thesis was carried out within the Swedish Institute for Disability Research (SIDR), Linköping University, although most of the research was conducted in Wales.

Inspiration for research in this area came from his attendance at a collaborative seminar at the Ida Institute, Denmark in 2009. After the seminar, he and late Professor Dafydd Stephens started working on studies related to the patient journey which resulted in some initial publications. Subsequently, he continued his research work in this area with guidance and support from Professors Thomas Lunner, Jerker Rönnberg and Gerhard Andersson.

Several studies were conducted with the broad aim of understanding the process of change in adults with hearing impairment and their communication partners. This thesis includes a summary of five main studies which have used both qualitative and quantitative research methods. A few additional studies conducted in this area have been used as supplementary evidence. The theoretical concepts and the research methods used in these studies draw inspirations from many disciplines including psychology, health science, disability studies, social sciences, and business management. The implications of these studies for clinical practice and directions of further research have also been discussed.

Vinaya K. C. ManchaiahEvaluating the process of change

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