Chapter 4 100 a speech therapist. A PowerPoint presentation is used to display program information and to provide information during the instructions. One session is partly facilitated by an audiologist who provides instruction about hearing loss and technical devices. During breaks and plenary discussions, interaction between participants is encouraged. AC1 The training inAC1 consists of 6meetings. Per group, 5 to6participants canparticipate together with their significant others (often their spouse).The participants can be both working or non-working. Only working adults were included in this study. In every session, the speech reading training and counselling are provided. The counselling focuses on the themes psychological defense responses (fight, flight, freeze) and communication strategies. The participants are encouraged to reflect on their communication needs and to use CS in their personal lives. At AC1, videos have been made of people coping with hearing loss in different social situations. After watching a video, the strategies that were used are discussed and related to the personal situation of the participants. Participants can also introduce difficulties that they encounter in their personal lives. During one session, the Hoorinfotheek is visited. This is a center that provides information and advices about assistive listening devices, including external microphones, wake-up systems, induction loops, and wireless headphones. AC2 The communication training in AC2 consists of 11 meetings of 120 minutes each. Per group, 3 or 4 participants can take part together with their significant others. Employees participate in groups that include working participants only. Before the first meeting, an individual session takes place to prepare the employee for the communication training. Another individual session takes place three months after the last meeting to evaluate the training. This evaluative session thus took place after T1. In every session, the speech reading training and counselling are provided. Counselling focuses on personal and work situations. Employees are encouraged to reflect on their communication needs, to use CS, and to make PA in personal and work situations. Different personal and work situations are discussed and employees are encouraged to introduce difficulties that they encounter in their personal or work lives.The counselling
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