Background: This study identified and explored how National Health Service (NHS) hearing aid clinics address cultural competence concerning Deaf British Sign Language (BSL) users. This was approached by (i) investigating how organisational processes meet the needs of Deaf signers from a hospital and hearing aid clinic perspective, (ii) analysing policies and guidelines to investigate if they equip practitioners to meet the needs of Deaf signers and (iii) exploring with practitioners who work in hearing aid clinics about their experiences of working with Deaf signers.
Methods: This study utilised a mixed-methods multiple case study design, incorporating documentary analysis and semi-structured interviews.
Objectives: This study concerns culturally Deaf signers in the UK who use hearing aids and (i) explores motivations for hearing aid use (ii) identifies barriers and facilitators to accessing NHS hearing aid services, (iii) examines cultural competency of hearing aid clinics and (iv) identifies factors influencing effective adult hearing aid service provision.
Design: Online survey in British Sign Language and English that was informed by Deaf service users.
Study Sample: 75 Deaf adult BSL users who wear hearing aids and use NHS hearing aid clinics.
Objective: To explore the lived experiences of culturally Deaf British Sign Language (BSL) users who access adult hearing aid services.
Design: Semi-structured qualitative interviews were conducted in BSL by the Deaf researcher and analysed using an Interpretative Phenomenological Analysis (IPA) approach.
Study Sample: Eight Deaf BSL expert informants who were experienced users of NHS adult hearing aid clinics.