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Vardonikolaki A, Pavlopoulos V, Pastiadis K, Markatos N, Papathanasiou I, Papadelis G, Logiadis M, Bibas A. Musicians' Hearing Handicap Index: A New Questionnaire to Assess the Impact of Hearing Impairment in Musicians and Other Music Professionals. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2020; 63:4219-4237. [PMID: 33253626 DOI: 10.1044/2020_jslhr-19-00165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Purpose We aimed to develop and validate the Musicians' Hearing Handicap Index (MHHI), a new self-evaluation tool for quantifying occupation-related auditory difficulties in music professionals. Although pure-tone audiometry is often considered the "gold standard" and is usually employed as the main instrument for hearing assessment, it cannot fully describe the impact of hearing dysfunction. The MHHI is an attempt to complement the hearing impairment assessment toolbox and is based on a unique approach to quantify the effects of hearing-related symptoms or hearing loss on the performance of musicians and other music industry professionals. Method An initial set of 143 questionnaire items was successively refined through a series of critical appraisals, modifications, and suggestions. This yielded an intermediate questionnaire consisting of 43 items, which was administered to 204 musicians and sound engineers. After exploratory factor analysis, the final form of the MHHI questionnaire was obtained, consisting of 29 items. The questionnaire's test-retest reliability, internal consistency, discriminating power, content validity, criterion validity, and aspects of construct validity and inherent conceptual structure were assessed. Results Exploratory factor analysis revealed a combination of four common factors for the 29 validated questionnaire items. They were named "impact on social and working lives," "difficulties in performance and sound perception," "communication difficulties," and "emotional distress." The MHHI was shown to be a valid and reliable instrument to assess musicians' and sound engineers' occupational difficulties due to hearing impairment and related symptoms. Conclusion The ability of the MHHI to discriminate between groups of music professionals with different auditory symptoms or pure-tone audiometry thresholds suggests that auditory symptoms might influence a professional's performance to an extent that cannot be assessed by a pure-tone audiogram.
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Affiliation(s)
- Aikaterini Vardonikolaki
- 1st Department of Otorhinolaryngology-Head & Neck Surgery, National and Kapodistrian University of Athens, Greece
| | - Vassilis Pavlopoulos
- Department of Psychology, National and Kapodistrian University of Athens, Greece
| | - Konstantinos Pastiadis
- Faculty of Fine Arts, School of Music Studies, Aristotle University of Thessaloniki, Greece
| | - Nikolaos Markatos
- 1st Department of Otorhinolaryngology-Head & Neck Surgery, National and Kapodistrian University of Athens, Greece
| | | | - Georgios Papadelis
- Faculty of Fine Arts, School of Music Studies, Aristotle University of Thessaloniki, Greece
| | | | - Athanasios Bibas
- 1st Department of Otorhinolaryngology-Head & Neck Surgery, National and Kapodistrian University of Athens, Greece
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Bennett RJ, Barr C, Cortis A, Eikelboom RH, Ferguson M, Gerace D, Heffernan E, Hickson L, van Leeuwen L, Montano J, Preminger JE, Pronk M, Saunders GH, Singh G, Timmer BHB, Weinstein B, Bellekom S. Audiological approaches to address the psychosocial needs of adults with hearing loss: perceived benefit and likelihood of use. Int J Audiol 2020; 60:12-19. [PMID: 33176511 DOI: 10.1080/14992027.2020.1839680] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVE To explore the perceived benefit and likely implementation of approaches used by audiologists to address their adult clients' psychosocial needs related to hearing loss. DESIGN Adults with hearing loss and audiologists completed separate, but related, surveys to rate their perceived benefit and also their likely use of 66 clinical approaches (divided over seven themes) that aim to address psychosocial needs related to hearing loss. STUDY SAMPLE A sample of 52 Australian adults with hearing loss, and an international sample of 19 audiologists. RESULTS Overall, participants rated all of the approaches highly on both benefit and likelihood of use; the highest ranked theme was Providing Emotional Support. Cohort comparisons showed that audiologists ranked the approaches significantly higher than did adults with hearing loss. Overall, participants ranked the themes higher on benefit than on the likelihood to use scales. CONCLUSIONS Adults with hearing loss and audiologists recognise the importance of approaches that address the psychosocial impacts of hearing loss in audiological rehabilitation. However, both groups placed slightly greater value on the internal-based approaches (the clients own emotional response, empowerment, and responsibility), and slightly less emphasis on the external-based approaches (being supported by communication partners, support groups or other health professionals).
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Affiliation(s)
- Rebecca J Bennett
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia.,School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | | | - Alex Cortis
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia
| | - Robert H Eikelboom
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia.,Department of Speech Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Melanie Ferguson
- National Acoustic Laboratories, Macquarie University, Sydney, NSW, Australia
| | - Daniel Gerace
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia
| | - Eithne Heffernan
- Discipline of General Practice, Clinical Science Institute, School of Medicine, National University of Ireland Galway, Galway, Ireland
| | - Louise Hickson
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Lisette van Leeuwen
- Department of Otolaryngology-Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | | | - Jill E Preminger
- Program in Audiology, University of Louisville School of Medicine, Louisville, KY, USA.,Speech, Language and Hearing Sciences, San Diego State University, San Diego, CA, USA
| | - Marieke Pronk
- Department of Otolaryngology-Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Gabrielle H Saunders
- Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK
| | - Gurjit Singh
- Phonak Canada, Mississauga, ON, Canada.,Department of Psychology, Ryerson University, Toronto, ON, Canada.,Department of Speech-Language Pathology, University of Toronto, Toronto, ON, Canada
| | - Barbra H B Timmer
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.,Sonova AG, Staefa, Switzerland
| | | | - Sandra Bellekom
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia
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53
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Herrmann B, Johnsrude IS. Absorption and Enjoyment During Listening to Acoustically Masked Stories. Trends Hear 2020; 24:2331216520967850. [PMID: 33143565 DOI: 10.1177/2331216520967850] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Comprehension of speech masked by background sound requires increased cognitive processing, which makes listening effortful. Research in hearing has focused on such challenging listening experiences, in part because they are thought to contribute to social withdrawal in people with hearing impairment. Research has focused less on positive listening experiences, such as enjoyment, despite their potential importance in motivating effortful listening. Moreover, the artificial speech materials-such as disconnected, brief sentences-commonly used to investigate speech intelligibility and listening effort may be ill-suited to capture positive experiences when listening is challenging. Here, we investigate how listening to naturalistic spoken stories under acoustic challenges influences the quality of listening experiences. We assess absorption (the feeling of being immersed/engaged in a story), enjoyment, and listening effort and show that (a) story absorption and enjoyment are only minimally affected by moderate speech masking although listening effort increases, (b) thematic knowledge increases absorption and enjoyment and reduces listening effort when listening to a story presented in multitalker babble, and (c) absorption and enjoyment increase and effort decreases over time as individuals listen to several stories successively in multitalker babble. Our research indicates that naturalistic, spoken stories can reveal several concurrent listening experiences and that expertise in a topic can increase engagement and reduce effort. Our work also demonstrates that, although listening effort may increase with speech masking, listeners may still find the experience both absorbing and enjoyable.
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Affiliation(s)
- Björn Herrmann
- Rotman Research Institute, Baycrest, Toronto, Ontario, Canada.,Department of Psychology, University of Toronto, Toronto, Ontario, Canada.,Department of Psychology, University of Western Ontario, London, Canada
| | - Ingrid S Johnsrude
- Department of Psychology, University of Western Ontario, London, Canada.,School of Communication Sciences & Disorders, University of Western Ontario, London, Canada
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Herrmann B, Johnsrude IS. A model of listening engagement (MoLE). Hear Res 2020; 397:108016. [DOI: 10.1016/j.heares.2020.108016] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Revised: 04/28/2020] [Accepted: 06/02/2020] [Indexed: 12/30/2022]
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55
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Burden RS, Galloway LN, Rothpletz AM, Glasheen KA, Preminger JE. The Development of an Internet-Based Decision Coaching Guide to Encourage Audiology Care: The Results of a Participatory Design Approach. Am J Audiol 2020; 29:546-563. [PMID: 32946253 DOI: 10.1044/2020_aja-19-00066] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Purpose The purpose of the research described here is to create a theoretically based, interactive online program to motivate adults with untreated hearing loss to seek audiology care. We describe the results of the participatory design (PD) approach used to increase uptake and adherence to the Internet-based program. Method Using information gathered from field experts (n = 7), a program outline was generated by the study team. In keeping with PD principles, multiple focus groups and panels consisting of persons with hearing loss (n = 26), frequent communication partners (n = 6), audiologists (n = 9), and other area experts (n = 16) revised and expanded both content and design of the program in an iterative fashion. Results The proposed program was modified multiple times based on the input of stakeholders throughout the PD process. In particular, the scope of the program shifted from focusing on self-management strategies to decision coaching regarding the choice to visit an audiologist. Other specific program content and activities were modified based on stakeholder input. Conclusions The program evolved dramatically through the influence and input of multiple stakeholders as a result of the implementation of PD principles.
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Affiliation(s)
- Rebecca S. Burden
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
| | - Laura N. Galloway
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
| | - Ann M. Rothpletz
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
| | - Keira A. Glasheen
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
| | - Jill E. Preminger
- Department of Otolaryngology–Head and Neck Surgery and Communicative Disorders, University of Louisville, KY
- School of Speech, Language, and Hearing Sciences, San Diego State University, CA
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Bennett RJ, Barr C, Montano J, Eikelboom RH, Saunders GH, Pronk M, Preminger JE, Ferguson M, Weinstein B, Heffernan E, van Leeuwen L, Hickson L, Timmer BHB, Singh G, Gerace D, Cortis A, Bellekom SR. Identifying the approaches used by audiologists to address the psychosocial needs of their adult clients. Int J Audiol 2020; 60:104-114. [PMID: 32940093 DOI: 10.1080/14992027.2020.1817995] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVE To identify the approaches taken by audiologists to address their adult clients' psychosocial needs related to hearing loss. DESIGN A participatory mixed methods design. Participants generated statements describing the ways in which the psychosocial needs of their adult clients with hearing loss are addressed, and then grouped the statements into themes. Data were obtained using face-to-face and online structured questions. Concept mapping techniques were used to identify key concepts and to map each of the concepts relative to each other. STUDY SAMPLE An international sample of 65 audiologists. RESULTS Ninety-three statements were generated and grouped into seven conceptual clusters: Client Empowerment; Use of Strategies and Training to Personalise the Rehabilitation Program; Facilitating Peer and Other Professional Support; Providing Emotional Support; Improving Social Engagement with Technology; Including Communication Partners; and Promoting Client Responsibility. CONCLUSIONS Audiologists employ a wide range of approaches in their attempt to address the psychosocial needs associated with hearing loss experienced by their adult clients. The approaches described were mostly informal and provided in a non-standardised way. The majority of approaches described were not evidence-based, despite the availability of several options that are evidence-based, thus highlighting the implementation gap between research and clinical practice.
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Affiliation(s)
- Rebecca J Bennett
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia.,School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
| | - Caitlin Barr
- Soundfair, Melbourne, Australia.,Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne Australia
| | | | - Robert H Eikelboom
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia.,Department of Speech Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Gabrielle H Saunders
- Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK
| | - Marieke Pronk
- Department of Otolaryngology-Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Jill E Preminger
- Program in Audiology, University of Louisville School of Medicine, Louisville, KY, USA
| | | | | | - Eithne Heffernan
- Discipline of General Practice, Clinical Science Institute, School of Medicine, National University of Ireland Galway, Galway, Ireland
| | - Lisette van Leeuwen
- Department of Otolaryngology-Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Louise Hickson
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
| | - Barbra H B Timmer
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia.,Sonova AG, Staefa, Switzerland
| | - Gurjit Singh
- Sonova AG, Staefa, Switzerland.,Department of Psychology, Ryerson University, Toronto, Canada.,Department of Speech-Language Pathology, University of Toronto, Toronto, Canada
| | - Daniel Gerace
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia
| | - Alex Cortis
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia
| | - Sandra R Bellekom
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia
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Mealings K, Yeend I, Valderrama JT, Gilliver M, Pang J, Heeris J, Jackson P. Discovering the Unmet Needs of People With Difficulties Understanding Speech in Noise and a Normal or Near-Normal Audiogram. Am J Audiol 2020; 29:329-355. [PMID: 32463705 DOI: 10.1044/2020_aja-19-00093] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose A proportion of people with a normal audiogram or mild hearing loss (NA-MHL) experience greater-than-expected difficulty hearing speech in noise. This preliminary exploratory study employed a design thinking approach to better understand the clinical pathway and treatment options experienced by this population. Method Exploratory survey data were analyzed from 233 people with NA-MHL who had consulted a clinician and 47 clinicians. Qualitative analysis was performed on interview data from 21 people with NA-MHL and seven clinicians. Results Results revealed that noisy environments, such as restaurants, were where many people experienced listening difficulties. Most people with NA-MHL were not offered a treatment option at their audiology appointment, and their satisfaction with the appointment was diverse. Many clients reported frustration at being told that their hearing was "normal." Data from clinicians showed that there is no standard test protocol for this population, and most felt that they did not have adequate training or resources to help NA-MHL clients. Conclusion This study discusses the research needs regarding the experience of those with NA-MHL, their help-seeking behaviors, and treatment options. Understanding these needs is the first step to designing projects to improve the quality of life of this population.
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Affiliation(s)
- Kiri Mealings
- National Acoustic Laboratories, Sydney, New South Wales, Australia
| | - Ingrid Yeend
- National Acoustic Laboratories, Sydney, New South Wales, Australia
| | - Joaquin T. Valderrama
- National Acoustic Laboratories, Sydney, New South Wales, Australia
- Department of Linguistics, Macquarie University, Sydney, New South Wales, Australia
| | - Megan Gilliver
- National Acoustic Laboratories, Sydney, New South Wales, Australia
| | - Jermy Pang
- National Acoustic Laboratories, Sydney, New South Wales, Australia
| | - Jason Heeris
- National Acoustic Laboratories, Sydney, New South Wales, Australia
| | - Pamela Jackson
- National Acoustic Laboratories, Sydney, New South Wales, Australia
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58
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Maidment DW, Heyes R, Gomez R, Coulson NS, Wharrad H, Ferguson MA. Evaluating a Theoretically Informed and Cocreated Mobile Health Educational Intervention for First-Time Hearing Aid Users: Qualitative Interview Study. JMIR Mhealth Uhealth 2020; 8:e17193. [PMID: 32755885 PMCID: PMC7439142 DOI: 10.2196/17193] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 02/21/2020] [Accepted: 03/23/2020] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Adults living with hearing loss have highly variable knowledge of hearing aids, resulting in suboptimal use or nonuse. This issue can be addressed by the provision of high-quality educational resources. OBJECTIVE This study aims to assess the everyday experiences of first-time hearing aid users when using a newly developed, theoretically informed cocreated mobile health (mHealth) educational intervention called m2Hear. This intervention aims to deliver greater opportunities for individualization and interactivity compared with our previously developed multimedia intervention, C2Hear. METHODS A total of 16 first-time hearing aid users trialed m2Hear for a period of 10-weeks in their everyday lives, after which individual semistructured interviews were completed. The data were analyzed using an established deductive thematic analysis procedure underpinned by the Capability, Opportunity, Motivation-Behavior model. The model stipulates that to engage in a target behavior, an individual must have physical and psychological capability, physical and social opportunity, and automatic and reflective motivation. RESULTS Capability-m2Hear was viewed as a concise and comprehensive resource, suitable for a range of digital literacy skills. It was stated that m2Hear could be conveniently reused to provide useful reminders that facilitate knowledge of hearing aids and communication. Opportunity-m2Hear was simple and straightforward to use, enabling greater individualization and independence. The availability of m2Hear via mobile technologies also improved accessibility. Motivation-m2Hear provided greater support and reassurance, improving confidence and empowering users to self-manage their hearing loss. CONCLUSIONS Overall, this qualitative study suggests that m2Hear supports first-time hearing aid users to successfully self-manage their hearing loss postfitting. Furthermore, this study demonstrates the utility of employing a combined theoretical and ecologically valid approach in the development of mHealth educational resources to meet the individual self-management needs of adults living with hearing loss. TRIAL REGISTRATION ClinicalTrials.gov NCT03136718; https://clinicaltrials.gov/ct2/show/NCT03136718.
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Affiliation(s)
- David W Maidment
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom.,National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Rachel Heyes
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Rachel Gomez
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom
| | - Neil S Coulson
- Division of Rehabilitation, Aging and Wellbeing, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Heather Wharrad
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom
| | - Melanie A Ferguson
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom.,Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom.,Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom.,National Acoustic Laboratories, Sydney, Australia
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59
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Niazi Y, Ejaz B, Muazzam A. Impact of hearing impairment on psychological distress and subjective well-being in older adults. Pak J Med Sci 2020; 36:1210-1215. [PMID: 32968382 PMCID: PMC7501003 DOI: 10.12669/pjms.36.6.2457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Objective: The main objective of this study was to explore the impact of hearing impairment on psychological distress and subjective well-being in older adults with hearing impairment. Methods: The study with cross sectional research design was conducted in three public sector hospitals of Lahore, from February 2017 to June 2017. Participants of the study were adults aged 50-90 years and with hearing impairment, selected through non-probability sampling technique. Demographic Information sheet, Kessler psychological distress scale by Kessler, Mroczek. in 1992 and Satisfaction with life scale by Diener, Emmons, Larsen, Griffin in 1985 were used for data collection. SPSS 21 was used to analyze the data. Results: There were 200 participants with age ranged from 53 to 89 years (M= 65.92, SD= 9.70). Of the total, 100 (50%) subjects were men and 100 (50%) were women. Significant gender differences were found in psychological distress, with men reflecting more symptoms of psychological distress (p<0.01), whereas non-significant gender differences were found in case of subjective well-being (p>0.05). Moreover, psychological distress was observed as a predictor of subjective well-being (p<0.01). One-way analysis of variance revealed insignificant differences of psychological distress and subjective well-being across three levels of hearing impairment. Conclusion: Early diagnosis and rehabilitation of age-related hearing loss improves the overall quality of life of older adults living with hearing impairment.
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Affiliation(s)
- Yasmeen Niazi
- Yasmeen Niazi, MS Scholar. Department of Applied Psychology, Lahore College for Women University, Lahore, Pakistan
| | - Bisma Ejaz
- Bisma Ejaz, Assistant Professor, Department of Applied Psychology, Lahore College for Women University, Lahore, Pakistan
| | - Amina Muazzam
- Amina Muazzam Tenured Associate Professor, Department of Applied Psychology, Lahore College for Women University, Lahore, Pakistan
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60
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Relationships Between Coping Behaviors and Social Loneliness in Adults With Self-reported Hearing Problems. Ear Hear 2020; 41:1040-1050. [DOI: 10.1097/aud.0000000000000828] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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How Do We Know That Our Patients Have Benefitted From Our ENT/Audiological Interventions? Presented at the Annual Meeting of ADANO 2016 in Berlin. Otol Neurotol 2020; 40:e474-e481. [PMID: 30870383 DOI: 10.1097/mao.0000000000001937] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
: This short review article gives an introduction to some of the fundamental concepts and challenges facing measurement in hearing healthcare practice and research. The impact of hearing loss almost always extends beyond the sensory impairment itself, even when the measured degree of audiometric loss is mild. Yet, going beyond audibility, into the realm of measuring impact, takes us into a much more complex and less well-defined space. How does one therefore best measure the therapeutic benefit for evaluating efficacy or for clinical practice audit? Three case studies illustrate approaches to overcome such challenges. Each example highlights the importance of thinking critically about what it is one is seeking trying to measure, rather than selecting a questionnaire instrument based simply on its popularity or accessibility. We conclude by highlighting the important role that clinicians can play in collecting clinical data about their preferred instruments so that we have some evidence to inform decisions about good practice (content validity etc.). We would also strongly support open data sharing as we think that this is one of the best ways to make the most rapid progress the field.
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62
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Ali YHK, Wright N, Charnock D, Henshaw H, Hoare D. Applications of qualitative grounded theory methodology to investigate hearing loss: protocol for a qualitative systematic review. BMJ Open 2020; 10:e033537. [PMID: 32295772 PMCID: PMC7200034 DOI: 10.1136/bmjopen-2019-033537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Revised: 02/04/2020] [Accepted: 03/11/2020] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Hearing loss is a chronic condition affecting 12 million individuals in the UK. People with hearing loss regularly experience difficulties interacting in everyday conversations. These difficulties in communication can result in a person with hearing loss withdrawing from social situations and becoming isolated. While hearing loss research has largely deployed quantitative methods to investigate various aspects of the condition, qualitative research is becoming more widespread. Grounded theory is a specific qualitative methodology that has been used to establish novel theories on the experiences of living with hearing loss. METHOD AND ANALYSIS The aim of this systematic review is to establish how grounded theory has been applied to investigate the psychosocial aspects of hearing loss. Methods are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols 2015 checklist. Studies included in this review will have applied grounded theory as an overarching methodology or have grounded theory embedded among other methodologies. Studies included will have adult participants (≥18 years) who are either people with an acquired hearing loss, their family and friends (communication partners), or healthcare practitioners including audiologists, general practitioners, ear, nose and throat specialists and hearing therapists. The quality of application of grounded theory in each study will be assessed using the Guideline for Reporting and Evaluating Grounded Theory Research Studies. ETHICS AND DISSEMINATION As only secondary data will be used in this systematic review, ethical approval is not required. No other ethical issues are foreseen. This review is registered with the International Prospective Register of Systematic Reviews (http://www.crd.york.ac.uk/PROSPERO). Findings will be disseminated via peer-reviewed publications and at relevant academic conferences. Findings may also be published in relevant professional and third sector newsletters and magazines as appropriate. Data will inform future research and guideline development. PROSPERO REGISTRATION NUMBER CRD42019134197.
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Affiliation(s)
- Yasmin H K Ali
- Hearing Sciences, National Institute of Health Research Nottingham Biomedical Research Centre, Nottingham, Nottinghamshire, UK
- School of Medicine, Clinical Neuroscience, Hearing Sciences, University of Nottingham, Nottingham, Nottinghamshire, UK
| | - Nicola Wright
- School of Health Sciences, Queen's Medical Centre, University of Nottingham, Nottingham, Nottinghamshire, UK
| | - David Charnock
- School of Health Sciences, Queen's Medical Centre, University of Nottingham, Nottingham, Nottinghamshire, UK
| | - Helen Henshaw
- Hearing Sciences, National Institute of Health Research Nottingham Biomedical Research Centre, Nottingham, Nottinghamshire, UK
- School of Medicine, Clinical Neuroscience, Hearing Sciences, University of Nottingham, Nottingham, Nottinghamshire, UK
| | - Derek Hoare
- Hearing Sciences, National Institute of Health Research Nottingham Biomedical Research Centre, Nottingham, Nottinghamshire, UK
- School of Medicine, Clinical Neuroscience, Hearing Sciences, University of Nottingham, Nottingham, Nottinghamshire, UK
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63
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Rogowsky R, Laidlaw A, Ozakinci G. 'Having come to university my care was very much in my hands': exploration of university students' perceptions of health care needs and services using the common-sense model of self-regulation. J Behav Med 2020; 43:943-955. [PMID: 32219601 PMCID: PMC7674182 DOI: 10.1007/s10865-020-00147-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 03/17/2020] [Indexed: 11/26/2022]
Abstract
The health care needs and service experiences of higher education students require more research attention, given the increase in students who have a long-term illness, medical condition, or disability ("condition"). It is also important to consider the experiences of rising numbers of international students. This exploratory qualitative study used face-to-face interviews and the common-sense model of self-regulation to investigate students' perceptions and coping behaviours, in a higher education institution in the UK. Thematic analysis was used to analyse the data. Twenty students who self-identified as having a condition were interviewed. This study adds depth to the understanding of the connections between students' health-related experiences and their personal, academic, and post-graduation aspirations and the support needs of students, including international students. To optimise institutional support, innovations in partnerships with local care organisations and within the university, staff training about conditions, peer mentorship, and information outreach especially to international students, should be considered.
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Affiliation(s)
- Rayna Rogowsky
- School of Medicine, University of St Andrews, St Andrews, Fife, KY16 9TF, Scotland, UK
| | - Anita Laidlaw
- School of Medicine, University of St Andrews, St Andrews, Fife, KY16 9TF, Scotland, UK
| | - Gozde Ozakinci
- School of Medicine, University of St Andrews, St Andrews, Fife, KY16 9TF, Scotland, UK.
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64
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Gregory S, Billings J, Wilson D, Livingston G, Schilder AG, Costafreda SG. Experiences of hearing aid use among patients with mild cognitive impairment and Alzheimer's disease dementia: A qualitative study. SAGE Open Med 2020; 8:2050312120904572. [PMID: 32166027 PMCID: PMC7054731 DOI: 10.1177/2050312120904572] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 12/26/2019] [Indexed: 11/26/2022] Open
Abstract
Objectives: Hearing aid usage supports communication and independence; however, many do
not use their hearing aids. This study explored the experiences of hearing
aid use in adults with mild cognitive impairment or Alzheimer’s disease. Methods: Participants completed semi-structured interviews which were analysed using
thematic analysis. Ten people (six males, age range 75–86 years old) with
mild cognitive impairment or Alzheimer’s disease who had been fitted with
hearing aids were recruited to the study. Results: We identified four major themes: (1) memory and other cognitive barriers to
using hearing aids, (2) practical aspects of hearing aids, (3) benefits of
hearing aids, and (4) ambivalence towards hearing aids. Conclusions: Participants perceived a significant impact of cognitive impairment on the
experience of using hearing aids. This population may benefit from targeted
strategies to support use of hearing aids. The findings from this study can
inform future research to optimise use of hearing aids in this
population.
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Affiliation(s)
- Sarah Gregory
- Centres for Dementia Prevention and Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
| | - Jo Billings
- Division of Psychiatry, University College London, London, UK
| | - Danielle Wilson
- Oxford Imaging Trials Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, USA
| | - Gill Livingston
- Division of Psychiatry, University College London, London, UK
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Fletcher C, Wilson C, Flight I, Gunn K, Patterson P. Illness Cognitions Among Adolescents and Young Adults Who Have a Parent with Cancer: a Qualitative Exploration Using the Common-Sense Model of Self-regulation as a Framework. Int J Behav Med 2019; 26:531-541. [PMID: 31161590 DOI: 10.1007/s12529-019-09793-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
BACKGROUND Individuals construct beliefs about an illness based on their own perceptions, interpretation, and understanding of the illness and its treatment. These beliefs (collectively referred to as "illness cognitions" or "representations") can have implications for psychological outcomes in family members and carers of an individual with an illness. The aim of this study was to explore young people's perceptions of their parent's cancer using the Common-Sense Model of Self-Regulation as a theoretical framework. METHODS Semi-structured, one-on-one interviews were conducted with young people who had a parent diagnosed with cancer. Interview transcripts were analysed using deductive thematic analysis techniques. RESULTS Eleven young people aged 15-24 years participated in the study. Major themes aligned with the dimensions of the Common-Sense Model of Self-Regulation. Young people described their experiences with parental cancer with reference to cognitive representations (beliefs about the illness identity, their understanding or coherence of the illness, and consequences, curability or controllability, timeline, and cause of the illness) and emotional representations (emotional beliefs and subjective feelings about the illness). CONCLUSIONS Findings indicate that young people's perceptions of their parent's cancer can be usefully described within the framework of the Common-Sense Model of Self-Regulation. Future research should investigate the relationships between young people's illness cognitions, coping strategies, and psychological adjustment following their parent's cancer diagnosis. This will provide valuable insights for the development of interventions that target specific types of illness cognitions associated with maladaptive coping strategies and poor adjustment.
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Affiliation(s)
- Chloe Fletcher
- Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders University, Sturt Road, Bedford Park, SA, 5042, Australia.
| | - Carlene Wilson
- Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders University, Sturt Road, Bedford Park, SA, 5042, Australia.,Olivia Newton-John Cancer Wellness and Research Centre, 145 Studley Road, Heidelberg, VIC, 3084, Australia.,School of Psychology and Public Health, La Trobe University, Bundoora, VIC, 3086, Australia
| | - Ingrid Flight
- Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders University, Sturt Road, Bedford Park, SA, 5042, Australia
| | - Kate Gunn
- Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders University, Sturt Road, Bedford Park, SA, 5042, Australia.,University of South Australia Cancer Research Institute, University of South Australia, North Terrace, Adelaide, SA, 5000, Australia
| | - Pandora Patterson
- CanTeen Australia, 75 King Street, Newtown, NSW, 2042, Australia.,Cancer Nursing Research Unit, University of Sydney, Camperdown, NSW, 2006, Australia
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66
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Fuentes-López E, Fuente A, Valdivia G, Luna-Monsalve M. Does educational level predict hearing aid self-efficacy in experienced older adult hearing aid users from Latin America? Validation process of the Spanish version of the MARS-HA questionnaire. PLoS One 2019; 14:e0226085. [PMID: 31856164 PMCID: PMC6922414 DOI: 10.1371/journal.pone.0226085] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 11/18/2019] [Indexed: 11/20/2022] Open
Abstract
Hearing aids are the most common rehabilitation strategy for age-related hearing loss. However, 25% to 50% of older adults fitted with hearing aids do not wear them post-fitting. Hearing aid self-efficacy has been suggested as one of the key factors that may explain adherence to hearing aids in older adults. The primary aim of this study was to determine a possible association between educational level and hearing aid self-efficacy in older adult hearing aid users from a Latin American country (i.e., Chile). The secondary aim was to determine if in this sample of older adults, hearing aid self-efficacy predicted hearing aid adherence as previously suggested by other studies. The MARS-HA (Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids) questionnaire was used to measure hearing aid self-efficacy. This questionnaire was initially adapted into Spanish (S-MARS-HA) using forward and backward translations by bilingual English-Spanish speakers. A sample of 252 older adults fitted with hearing aids at a public hospital in Santiago, Chile, was investigated. Educational level was measured as the number of years of formal education. Participants responded to the S-MARS-HA along with questions exploring social support, attitudes in using hearing aids, participation in social events, and vision and joint problems. Hearing aid adherence was investigated with the use of a question from the International Outcome Inventory for Hearing Aids. All these procedures were conducted at the participants' homes. Pure-tone average (PTA; 500-4000 Hz) in the fitted ear was obtained from the participants' medical records. Univariate and multivariate regression models were constructed to investigate the association between educational level and hearing aid self-efficacy controlling for the covariates of interest (e.g., social support, attitudes in using hearing aids, PTA). The S-MARS-HA showed an adequate construct validity along with a good reliability. Results of the multivariate regression analyses showed that educational level significantly predicted hearing aid self-efficacy. Covariates significantly associated with this outcome included attitudes in using hearing aids and PTA in the fitted ear. Finally, a significant association between hearing aid self-efficacy and adherence to hearing aid use was observed. In conclusion, this study showed a significant association between educational level and hearing aid self-efficacy in older adults from a developing Latin American country. Thus, this variable should be considered when designing and delivering aural rehabilitation programs such as hearing aids to older adults, especially those from developing countries.
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Affiliation(s)
- Eduardo Fuentes-López
- Carrera de Fonoaudiología, Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Adrian Fuente
- École d’orthophonie et d’audiologie, Faculté de Médecine, Université de Montréal, Montréal, Québec, Canada
- Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, Montréal, Québec, Canada
| | - Gonzalo Valdivia
- Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Manuel Luna-Monsalve
- Escuela de Fonoaudiología, Facultad de Ciencias de la Salud, Universidad San Sebastián, Concepción, Chile
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67
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Barker BA, Scharp KM, Long SA, Ritter CR. Narratives of identity: understanding the experiences of adults with hearing loss who use hearing aids. Int J Audiol 2019; 59:186-194. [DOI: 10.1080/14992027.2019.1683626] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Brittan A. Barker
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, UT, USA
| | - Kristina M. Scharp
- Department of Language, Philosophy, and Communication Studies, Utah State University, Logan, UT, USA
- Department of Communication, University of Washington, Seattle, WA, USA
| | - Shea A. Long
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, UT, USA
| | - Caitlyn R. Ritter
- Department of Communicative Disorders and Deaf Education, Utah State University, Logan, UT, USA
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68
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Hearing-impaired elderly people have smaller social networks: A population-based aging study. Arch Gerontol Geriatr 2019; 83:75-80. [DOI: 10.1016/j.archger.2019.03.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 02/23/2019] [Accepted: 03/05/2019] [Indexed: 11/22/2022]
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69
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Bradbury-Jones C, Bradshaw S, Clark M, Lewis A. "I keep hearing reports on the news that it's a real problem at the moment": Public health nurses' understandings of sexting practices among young people. HEALTH & SOCIAL CARE IN THE COMMUNITY 2019; 27:1063-1073. [PMID: 30806007 DOI: 10.1111/hsc.12723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 12/04/2018] [Accepted: 01/15/2019] [Indexed: 06/09/2023]
Abstract
Over the past decade, the potential harms regarding young people's use of technology have attracted mounting political, media and research attention worldwide. One practice engaged in by many young people is that of "sexting" and the sharing of partially, or complete nude images ("selfies"). Such images are not always retained within private spaces and are prone to be shared, with significant psychosocial consequences for young people involved. A significant risk is the hidden nature of some online interactions, with potential for grooming and child sexual exploitation. As key professionals working with young people, public health nurses have potential to educate and explore the risks with them. Yet to date, to our knowledge there has been no research in relation to public health nurses' understandings of the practices involved or their potential harms. A qualitative study was undertaken drawing theoretically on the common-sense model (CSM) to frame the analysis. Eighteen semi-structured interviews were conducted with public health nurses in a region of England in 2016. Data were analysed through thematic analysis, and mapped to the five domains of CSM. Public health nurses' understandings of young people's sexting practices were shaped largely by media reports, rather than scientific, disciplinary knowledge. Sexting did not resonate with many public health nurses' own experiences of being a young person and was therefore difficult to understand. All were able to express an opinion about the causes and consequences of sexting and we present these as a "perceived hierarchy of risk". All public health nurses acknowledged the importance of their role in dealing with harm reduction associated with sexting among young people, but they need education and support to do this effectively and confidently. Findings can be transferred carefully to many contexts and countries because sexting is a practice among young people that transcends geographical boundaries.
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Affiliation(s)
- Caroline Bradbury-Jones
- College of Medical and Dental Sciences, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK
| | - Sally Bradshaw
- College of Medical and Dental Sciences, Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Maria Clark
- College of Medical and Dental Sciences, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK
| | - Alison Lewis
- Institute of Health and Society, University of Worcester, Worcester, UK
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Ruusuvuori JE, Aaltonen T, Koskela I, Ranta J, Lonka E, Salmenlinna I, Laakso M. Studies on stigma regarding hearing impairment and hearing aid use among adults of working age: a scoping review. Disabil Rehabil 2019; 43:436-446. [PMID: 31177867 DOI: 10.1080/09638288.2019.1622798] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
PURPOSE Research on stigma has been criticized for centering on the perceptions of individuals and their effect on social interactions rather than studying stigma as a dynamic and relational phenomenon as originally defined by Goffman. This review investigates whether and how stigma has been evaluated as a social process in the context of hearing impairment and hearing aid use. MATERIALS AND METHODS Systematic literature searches were conducted within four major databases for peer-reviewed journal articles on hearing impairment and hearing aid rehabilitation. In these, 18 studies with stigma, shame or mental wellbeing as the primary research interest were identified. The reports were examined for their methodology, focus and results. RESULTS The reviewed studies used both quantitative and qualitative methodologies, questionnaires and interviews being the most common methods. All studies concentrated on the participants' experiences or views concerning stigma. Studies examining the social process of stigmatization were lacking. Most studies pointed out the negative effect of stigma on the use of hearing aids. CONCLUSIONS In order to understand the process of stigmatization, more studies using observational methods are needed. Moreover, additional research should also focus on how stigma as a social and relational phenomenon can be alleviated. IMPLICATIONS FOR REHABILITATION Low adherence in hearing aid use is connected to fear of stigma related to hearing impairment and hearing aids. Hearing health services should include counseling to deal with individual's experiences and fear of stigma. Stigmatization is a social process that concerns individuals with hearing impairment in contact with their social environment. Hearing health professionals should consider including close relatives and/or partners of hearing impaired individuals in discussions of starting hearing aid rehabilitation. In consulting patients with hearing impairment professionals should give advice about how to deal with questions of hearing aid, hearing impairment and fear of stigma at work.
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Affiliation(s)
| | - Tarja Aaltonen
- Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland
| | - Inka Koskela
- Finnish Institute of Occupational Health, Helsinki, Finland
| | - Juha Ranta
- Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland
| | - Eila Lonka
- Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland
| | | | - Minna Laakso
- Faculty of Medicine, University of Helsinki, Helsinki, Finland
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71
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Abstract
Objective: Hearing impairment is linked to increased fatigue, yet little is known about the real-world impact of this fatigue. This qualitative study investigated the experience of daily-life fatigue in people with a hearing impairment. Design: Individual face-to-face semi-structured interviews were conducted. Thematic analysis was then used to analyse the data. Study sample: Fourteen hearing impaired participants (aged 44-70 years) who varied in terms of hearing loss, hearing aid status, age and gender. Results: The themes and sub-themes that emerged from the transcripts were: Fatigue (effort-driven fatigue, emotion-driven fatigue, breaks and recovery, the perceived relationship between hearing impairment and fatigue, and sleep), Effort (cognitive effort and physical effort), Coping Strategies (withdrawal, avoidance and planning), Relationships and Emotions, Hearing Aid Impact. Conclusions: The study highlights that hearing impairment-related fatigue is experienced by many but not all, and to different extents. Hearing aids were weakly linked to a beneficial effect on fatigue. In addition to the more widely researched effort-driven fatigue, participants described fatigue linked to the negative emotions related to having a hearing impairment. These findings, in conjunction with the widespread utilisation of different coping strategies, demonstrate that the experience of fatigue is varied and likely dependent on personal factors and lifestyle.
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Affiliation(s)
- Jack A Holman
- a Hearing Sciences (Scottish Section), Division of Clinical Neuroscience , School of Medicine, University of Nottingham , Glasgow , UK
| | - Avril Drummond
- b School of Health Sciences, University of Nottingham , Nottingham , UK
| | - Sarah E Hughes
- c School of Medicine, Swansea University , Swansea , UK.,d South Wales Cochlear Implant Programme , Bridgend , UK
| | - Graham Naylor
- a Hearing Sciences (Scottish Section), Division of Clinical Neuroscience , School of Medicine, University of Nottingham , Glasgow , UK
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72
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Manchaiah V, Granberg S, Grover V, Saunders GH, Ann Hall D. Content validity and readability of patient-reported questionnaire instruments of hearing disability. Int J Audiol 2019; 58:565-575. [DOI: 10.1080/14992027.2019.1602738] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, India
- Audiology India, Mysore, India
| | - Sarah Granberg
- The Swedish Institute for Disability Research (SIDR), School of Health Sciences, Örebro University, Örebro, Sweden
- Audiological Research Center, Örebro University Hospital, Örebro, Sweden
| | - Vibhu Grover
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA
| | | | - Deborah Ann Hall
- NIHR Biomedical Research Centre, University of Nottingham, Nottingham, UK
- Hearing Sciences, Division of Clinical Neuroscience School of Medicine, University of Nottingham, Nottingham, UK
- Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK
- University of Nottingham Malaysia, Semenyih, Malaysia
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73
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Tahden MAS, Gieseler A, Meis M, Wagener KC, Colonius H. What Keeps Older Adults With Hearing Impairment From Adopting Hearing Aids? Trends Hear 2019; 22:2331216518809737. [PMID: 30451099 PMCID: PMC6243636 DOI: 10.1177/2331216518809737] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The aim of this study was to compare elderly individuals who are hearing impaired but inexperienced in using hearing aids (hearing aid non-users; HA-NU) with their aided counterparts (hearing aid users; HA-U) across various auditory and non-auditory measures in order to identify differences that might be associated with the low hearing aid uptake rate. We have drawn data of 72 HA-NU and 139 HA-U with a mild-to-moderate hearing loss, and matched these two groups on the degree of hearing impairment, age, and sex. First, HA-NU and HA-U were compared across 65 auditory, cognitive, health-specific, and socioeconomic test measures as well as measures assessing technology commitment. Second, a logistic regression approach was performed to identify relevant predictors for using hearing aids. Finally, we conducted a sensitivity analysis for the matching approach. Group comparisons indicated that HA-NU perceive their hearing problem as less severe than their aided counterparts. Furthermore, HA-NU showed worse technology commitment and lower socioeconomic status than HA-U. The logistic regression revealed self-reported hearing performance, technology commitment, and the socioeconomic and health status as the most important predictors for using hearing aids.
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Affiliation(s)
- Maike A S Tahden
- 1 Cluster of Excellence 'Hearing4all', University of Oldenburg, Germany.,2 Cognitive Psychology Lab, Department of Psychology, University of Oldenburg, Germany
| | - Anja Gieseler
- 1 Cluster of Excellence 'Hearing4all', University of Oldenburg, Germany.,2 Cognitive Psychology Lab, Department of Psychology, University of Oldenburg, Germany
| | - Markus Meis
- 1 Cluster of Excellence 'Hearing4all', University of Oldenburg, Germany.,3 Hörzentrum Oldenburg GmbH, Germany.,4 HörTech gGmbH, Oldenburg, Germany
| | - Kirsten C Wagener
- 1 Cluster of Excellence 'Hearing4all', University of Oldenburg, Germany.,3 Hörzentrum Oldenburg GmbH, Germany.,4 HörTech gGmbH, Oldenburg, Germany
| | - Hans Colonius
- 1 Cluster of Excellence 'Hearing4all', University of Oldenburg, Germany.,2 Cognitive Psychology Lab, Department of Psychology, University of Oldenburg, Germany
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74
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Giving permission to care for people with dementia in residential homes: learning from a realist synthesis of hearing-related communication. BMC Med 2019; 17:54. [PMID: 30827280 PMCID: PMC6398258 DOI: 10.1186/s12916-019-1286-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Accepted: 02/11/2019] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Managing hearing communication for residents living with hearing loss and dementia in long-term care settings is challenging. This paper explores how care can be effective in optimising hearing communication for residents living with dementia. We argue that the underlying notion of permission or authorisation allows care staff to do what they know will be effective in providing person-centred care that enhances hearing communication. The paper also indicates that this notion of permission can usefully be applied to other areas of care home practice. METHODS To address hearing-related communication in care homes, we conducted a realist synthesis (RS). As a theory-driven approach to reviewing literature, it also uses expert opinion to understand complex health situations. Using RS, we developed a theory surrounding the management of hearing-related communication in care homes. Applying formal processes to the literature search and data extraction, the analysis uncovered relevant mechanisms and contexts to help confirm, refute or refine our understanding of how hearing communication could be improved. RESULTS Forty-three papers were selected for the realist synthesis. The documents were analysed to construct five context-mechanism-outcome configurations (CMOCs). The CMOCs represent possible care interventions to optimise hearing-related communication in care homes for person living with dementia and hearing loss (PLWDHL). They include leadership promoting positive regard and empathy through person-centred care, communication training for staff, 'knowing the person' and relationship building for responsive awareness of residents' hearing needs, maintaining and monitoring hearing communication through care planning, and managing noise in the care home environment. CONCLUSIONS Leadership that provides appropriate training and resources is likely to enhance knowledge and skills, leading to staff feeling able and equipped to respond to the hearing-related communication needs of PLWDHL. Collaboration with local hearing services is likely to raise awareness of hearing loss among care home staff. Importantly, care staff require a sense of permission from leadership, to work with knowledge and autonomy in the interest of residents living with dementia and hearing loss.
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75
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Refinement and Validation of the Social Participation Restrictions Questionnaire: An Application of Rasch Analysis and Traditional Psychometric Analysis Techniques. Ear Hear 2019; 40:328-339. [DOI: 10.1097/aud.0000000000000618] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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76
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Punch JL, Hitt R, Smith SW. Hearing loss and quality of life. JOURNAL OF COMMUNICATION DISORDERS 2019; 78:33-45. [PMID: 30639959 DOI: 10.1016/j.jcomdis.2019.01.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Revised: 12/31/2018] [Accepted: 01/03/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE We sought to identify multidimensional factors associated with health-related quality of life (HRQoL) for use in developing an inventory in which HRQoL is a core concept in evaluating the impact of hearing loss and the efficacy of rehabilitative interventions. METHOD A qualitative approach was used in which we posed two major questions to a focus group consisting of eight adults with self-reported, bilateral sensorineural hearing loss of varying degrees. In essence, those questions were: (1) How do you define quality of life?, and (2) Can you describe specific incidents in your everyday life in which your hearing loss has impacted your quality of life? The discussion was embedded within a framework that utilized a modification of the Critical Incident Technique (CIT). We used well-established analytic techniques to translate the data into unitized thought units, which we coded into meaningful categories. Response frequency was used to determine the salience of responses in addressing the research questions. RESULTS Participants defined QoL in terms of a number of primary dimensions, most of which were directly or indirectly associated with specific recalled incidents in which those dimensions have played a notable role in contributing to their QoL. CONCLUSIONS The use of well-established methods to gather and analyze qualitative data generated by self-report techniques offers a promising direction for developing a standardized inventory for identifying the factors that impact QoL for persons with hearing loss and for evaluating the success of intervention strategies aimed at improving their HRQoL.
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Affiliation(s)
- Jerry L Punch
- Department of Communicative Sciences and Disorders, Herbert J. Oyer Speech & Hearing Center, Michigan State University, 1026 Red Cedar Road, East Lansing, MI 48824, United States.
| | - Rose Hitt
- Department of Communication, Michigan State University, United States
| | - Sandi W Smith
- Department of Communication, Michigan State University, United States
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77
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Ferguson M, Maidment D, Henshaw H, Gomez R. Knowledge Is Power: Improving Outcomes for Patients, Partners, and Professionals in the Digital Age. ACTA ACUST UNITED AC 2019. [DOI: 10.1044/2018_pers-sig7-2018-0006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Purpose
The aim of this research was to develop and evaluate methods to address poor knowledge of hearing aids, hearing loss, and communication in patients, partners, and nonaudiologic health and social care professionals.
Method
An interactive multimedia educational program (C2Hear) has been co-produced with hearing aid users and audiologists to provide high-quality information and demonstrate complex concepts relating to hearing aids and communication.
Results
A randomized controlled trial showed numerous benefits for first-time hearing aid users that included better knowledge and skill, and increased hearing aid use and satisfaction. Patients reported that C2Hear was highly useful, enjoyable, and preferable to written information. C2Hear Online is now freely available on YouTube and has global reach, well in excess of 150,000 views. Further developments include a version for communication partners, which showed that joint-working between hearing aid users and their communication partners resulted in joint responsibility for communication that facilitated communication behaviors. In addition, a behavior theory-driven version for use with mobile technologies (m2Hear) has been designed to be tailored to the needs of individual hearing aid users. m2Hear includes more activities/interaction to maximize user engagement and learning. Finally, C2Hear has been used to improve hearing-related knowledge in other health and social care professionals, such as carehome assistants.
Conclusion
This range of educational programs and tools aims to improve knowledge and skills, leading to better outcomes for patients, partners, and health care professionals.
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Affiliation(s)
- Melanie Ferguson
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
- Nottingham University Hospitals NHS Trust, Queens Medical Centre, Nottingham, United Kingdom
| | - David Maidment
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Helen Henshaw
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Rachel Gomez
- National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, United Kingdom
- Nottingham University Hospitals NHS Trust, Queens Medical Centre, Nottingham, United Kingdom
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78
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Ferguson M, Maidment D, Henshaw H, Heffernan E. Evidence-Based Interventions for Adult Aural Rehabilitation: That Was Then, This Is Now. Semin Hear 2019; 40:68-84. [PMID: 30728650 PMCID: PMC6363556 DOI: 10.1055/s-0038-1676784] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
More than a decade after Arthur Boothroyd published "Adult Aural Rehabilitation: What Is It and Does It Work?," the four cornerstones of adult aural rehabilitation are re-examined in terms of research that we and others in the field have undertaken. The focus is on novel advances in high-quality research relating to interventions to support self-management for hearing aids and other listening devices (sensory management), knowledge and skill (instruction), auditory and cognitive training (perceptual training), and motivational engagement (counseling). Much of this new research has a theoretical underpinning (e.g., behavior change theory) to better guide the development and evaluation of interventions, with a focus on self-management and patient-centered approaches. New and emerging technologies that support e- and m-health delivery of interventions provide greater personalization and interactivity to promote self-management of hearing loss. Looking to the future, there remains a requirement for a set of relevant and appropriate outcome measures to evaluate the effectiveness of interventions trialed in clinical studies. There is a continuing need for high-quality evidence, underpinned by contemporary theory, to increase the likelihood that translational adult aural rehabilitation research that aims to benefit patients will be applied in future clinical practice.
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Affiliation(s)
- Melanie Ferguson
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, United Kingdom
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
- Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom
| | - David Maidment
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, United Kingdom
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Helen Henshaw
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, United Kingdom
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Eithne Heffernan
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, United Kingdom
- Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom
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Pronk M, Deeg DJH, Versfeld NJ, Heymans MW, Naylor G, Kramer SE. Predictors of Entering a Hearing Aid Evaluation Period: A Prospective Study in Older Hearing-Help Seekers. Trends Hear 2019; 21:2331216517744915. [PMID: 29237333 PMCID: PMC5734439 DOI: 10.1177/2331216517744915] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
This study aimed to determine the predictors of entering a hearing aid evaluation period (HAEP) using a prospective design drawing on the health belief model and the transtheoretical model. In total, 377 older persons who presented with hearing problems to an Ear, Nose, and Throat specialist (n = 110) or a hearing aid dispenser (n = 267) filled in a baseline questionnaire. After 4 months, it was determined via a telephone interview whether or not participants had decided to enter a HAEP. Multivariable logistic regression analyses were applied to determine which baseline variables predicted HAEP status. A priori, candidate predictors were divided into ‘likely’ and ‘novel’ predictors based on the literature. The following variables turned out to be significant predictors: more expected hearing aid benefits, greater social pressure, and greater self-reported hearing disability. In addition, greater hearing loss severity and stigma were predictors in women but not in men. Of note, the predictive effect of self-reported hearing disability was modified by readiness such that with higher readiness, the positive predictive effect became stronger. None of the ‘novel’ predictors added significant predictive value. The results support the notion that predictors of hearing aid uptake are also predictive of entering a HAEP. This study shows that some of these predictors appear to be gender specific or are dependent on a person’s readiness for change. After assuring the external validity of the predictors, an important next step would be to develop prediction rules for use in clinical practice, so that older persons’ hearing help-seeking journey can be facilitated.
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Affiliation(s)
- Marieke Pronk
- 1 Department of Otolaryngology-Head and Neck Surgery, section Ear & Hearing, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands
| | - Dorly J H Deeg
- 2 Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands
| | - Niek J Versfeld
- 1 Department of Otolaryngology-Head and Neck Surgery, section Ear & Hearing, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands
| | - Martijn W Heymans
- 2 Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands
| | - Graham Naylor
- 3 MRC/CSO Institute of Hearing Research (Part of the University of Nottingham), Scottish Section, Glasgow, UK
| | - Sophia E Kramer
- 1 Department of Otolaryngology-Head and Neck Surgery, section Ear & Hearing, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands
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Vas V, Akeroyd MA, Hall DA. A Data-Driven Synthesis of Research Evidence for Domains of Hearing Loss, as Reported by Adults With Hearing Loss and Their Communication Partners. Trends Hear 2019; 21:2331216517734088. [PMID: 28982021 PMCID: PMC5638151 DOI: 10.1177/2331216517734088] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
A number of assessment tools exist to evaluate the impact of hearing loss, with little
consensus among researchers as to either preference or psychometric adequacy. The item
content of hearing loss assessment tools should seek to capture the impact of hearing loss
on everyday life, but to date no one has synthesized the range of hearing loss complaints
from the perspectives of the person with hearing loss and their communication partner. The
current review aims to synthesize the evidence on person with hearing loss- and
communication partner-reported complaints of hearing loss. Searches were conducted in Cos
Conference Papers Index, the Cumulative Index to Nursing and Allied Health Literature,
Excerpta Medica Database, PubMed, Web of Science, and Google Scholar to identify
publications from May 1982 to August 2015. A manual search of four relevant journals
updated the search to May 2017. Of the 9,516 titles identified, 78 records (comprising
20,306 participants) met inclusion criteria and were taken through to data collection.
Data were analyzed using meta-ethnography to form domains representing the person with
hearing loss- and communication partner-reported complaints of hearing loss as reported in
research. Domains and subdomains mutual to both perspectives are related to “Auditory”
(listening, communicating, and speaking), “Social” (relationships, isolation, social life,
occupational, and interventions), and “Self” (effort and fatigue, emotions, identity, and
stigma). Our framework contributes fundamental new knowledge and a unique resource that
enables researchers and clinicians to consider the broader impacts of hearing loss. Our
findings can also be used to guide questions during diagnostic assessment and to evaluate
existing measures of hearing loss.
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Affiliation(s)
- Venessa Vas
- 1 National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.,2 Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, 170718 University of Nottingham , UK
| | - Michael A Akeroyd
- 3 Medical Research Council Institute of Hearing Research, School of Medicine, The 170718 University of Nottingham , University Park, Nottingham, UK
| | - Deborah A Hall
- 1 National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.,2 Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, 170718 University of Nottingham , UK
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81
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Heffernan E, Habib A, Ferguson M. Evaluation of the psychometric properties of the social isolation measure (SIM) in adults with hearing loss. Int J Audiol 2019; 58:45-52. [DOI: 10.1080/14992027.2018.1533257] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Eithne Heffernan
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
| | - Alia Habib
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- School of Life & Health Sciences, Aston University, Birmingham, UK
| | - Melanie Ferguson
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- Queens Medical Centre, Nottingham University Hospitals National Health Service (NHS) Trust, Nottingham, UK
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82
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Maidment DW, Barker AB, Xia J, Ferguson MA. A systematic review and meta-analysis assessing the effectiveness of alternative listening devices to conventional hearing aids in adults with hearing loss. Int J Audiol 2018; 57:721-729. [DOI: 10.1080/14992027.2018.1493546] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- David W. Maidment
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
| | - Alexander B. Barker
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
| | - Jun Xia
- Systematic Review Solutions Limited, Nottingham, UK
| | - Melanie A. Ferguson
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- Nottingham University Hospitals NHS Trust, Queens Medical Centre, Nottingham, UK
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83
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Heffernan E, Coulson NS, Ferguson MA. Development of the Social Participation Restrictions Questionnaire (SPaRQ) through consultation with adults with hearing loss, researchers, and clinicians: a content evaluation study. Int J Audiol 2018; 57:791-799. [PMID: 29966457 DOI: 10.1080/14992027.2018.1483585] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVE This research aimed to evaluate the content of the Social Participation Restrictions Questionnaire (SPaRQ) in terms of its relevance, clarity, comprehensiveness, acceptability to adults with hearing loss, and responsiveness. DESIGN Cognitive interviews and a subject matter expert survey were conducted. The interview data were analysed using thematic analysis and a taxonomy of questionnaire clarity problems. Descriptive statistics were calculated for the survey data. STUDY SAMPLE Fourteen adults with hearing loss participated in the cognitive interviews. Twenty clinicians and academics completed the subject matter expert survey. RESULTS The majority of the SPaRQ content was found to be relevant, clear, comprehensive, and acceptable. However, an important clarity problem was identified: many adults with hearing loss struggled to switch from answering positively worded items (e.g. "I can attend social gatherings") to answering negatively-worded items (e.g. "I feel isolated"). Several subject matter experts found responsiveness difficult to assess. The SPaRQ was amended where necessary. CONCLUSION Few hearing-specific questionnaires have undergone content evaluation. This study highlights the value of content evaluation as a means of identifying important flaws and improving the quality of a measure. The next stage of this research is a psychometric evaluation of the measure.
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Affiliation(s)
- Eithne Heffernan
- a National Institute for Health Research Nottingham Biomedical Research Centre , Nottingham , UK.,b Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine , University of Nottingham , Nottingham , UK
| | - Neil S Coulson
- c Division of Rehabilitation and Ageing, School of Medicine , University of Nottingham , Nottingham , UK
| | - Melanie A Ferguson
- a National Institute for Health Research Nottingham Biomedical Research Centre , Nottingham , UK.,b Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine , University of Nottingham , Nottingham , UK.,d Nottingham University Hospitals National Health Service Trust , Nottingham , UK
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84
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Pisano M, Miller S. Counseling our aging population: A training program for pharmacy students on hearing loss. CURRENTS IN PHARMACY TEACHING & LEARNING 2018; 10:757-761. [PMID: 30025777 DOI: 10.1016/j.cptl.2018.03.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 11/08/2017] [Accepted: 03/02/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND AND PURPOSE Hearing loss affects approximately one-third of adults age 61-70 and >80% of those older than 85 years. This can impede the ability to hear medication administration instructions, leading to poor adherence and unnecessary disease progression and complications. The study purpose was to educate students on hearing loss and identify program impact. EDUCATIONAL ACTIVITY AND SETTING An online program for advanced pharmacy practice experience (APPE) students was developed to train students how to counsel patients with hearing loss to improve medication understanding and adherence. The purpose of the training program was to provide background on hearing loss, increase understanding of the impact hearing loss, and to prepare students to counsel this population. A link from SurveyMonkey was provided upon training program completion. FINDINGS Ninety-two students completed the survey. Prior to training, < 20% (18.5%) were comfortable interacting with patients with hearing impairment, despite ∼50% of these students completing more than three APPEs with direct patient care. The majority (88%) recognized that hearing loss contributes to poor medication adherence. More than 80% believed that the training program improved their understanding of the psychological consequences of hearing loss and ability to counsel patients with hearing loss. Over 70% agreed that the training program made them feel more prepared to counsel patients with hearing loss. DISCUSSION AND SUMMARY It is crucial to prepare students to better understand this population in order to meet their needs. This program enhanced students' knowledge of hearing loss and increased their understanding of communication barriers.
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Affiliation(s)
- Michele Pisano
- St. John's University, College of Pharmacy and Health Sciences, Department of Clinical Health Professions, 8000 Utopia Parkway, St. Albert Hall, Room 114, Queens, New York, NY 11439, United States.
| | - Suzanne Miller
- St. John's University, Department of Communication Sciences and Disorders, 8000 Utopia Parkway, St. John Hall, Room 344J, Queens, New York, NY 11439, United States.
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85
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Ferguson M, Leighton P, Brandreth M, Wharrad H. Development of a multimedia educational programme for first-time hearing aid users: a participatory design. Int J Audiol 2018; 57:600-609. [PMID: 29718733 DOI: 10.1080/14992027.2018.1457803] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
OBJECTIVE To develop content for a series of interactive video tutorials (or reusable learning objects, RLOs) for first-time adult hearing aid users, to enhance knowledge of hearing aids and communication. DESIGN RLO content was based on an electronically-delivered Delphi review, workshops, and iterative peer-review and feedback using a mixed-methods participatory approach. STUDY SAMPLE An expert panel of 33 hearing healthcare professionals, and workshops involving 32 hearing aid users and 11 audiologists. This ensured that social, emotional and practical experiences of the end-user alongside clinical validity were captured. RESULTS Content for evidence-based, self-contained RLOs based on pedagogical principles was developed for delivery via DVD for television, PC or internet. Content was developed based on Delphi review statements about essential information that reached consensus (≥90%), visual representations of relevant concepts relating to hearing aids and communication, and iterative peer-review and feedback of content. CONCLUSIONS This participatory approach recognises and involves key stakeholders in the design process to create content for a user-friendly multimedia educational intervention, to supplement the clinical management of first-time hearing aid users. We propose participatory methodologies are used in the development of content for e-learning interventions in hearing-related research and clinical practice.
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Affiliation(s)
- Melanie Ferguson
- a National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Otology and Hearing Group, Division of Clinical Neuroscience , School of Medicine, University of Nottingham , Nottingham , UK.,b Nottingham University Hospitals NHS Trust , Nottingham , UK
| | - Paul Leighton
- c School of Medicine , University of Nottingham , Nottingham , UK
| | - Marian Brandreth
- a National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Otology and Hearing Group, Division of Clinical Neuroscience , School of Medicine, University of Nottingham , Nottingham , UK.,b Nottingham University Hospitals NHS Trust , Nottingham , UK
| | - Heather Wharrad
- d Faculty of Medicine and Health Sciences , University of Nottingham , Nottingham , UK
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86
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David D, Zoizner G, Werner P. Self-Stigma and Age-Related Hearing Loss: A Qualitative Study of Stigma Formation and Dimensions. Am J Audiol 2018; 27:126-136. [PMID: 29379957 DOI: 10.1044/2017_aja-17-0050] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Accepted: 10/11/2017] [Indexed: 11/09/2022] Open
Abstract
PURPOSE This study explored experiences of self-stigma among older persons with age-related hearing loss (ARHL) using Corrigan's conceptualization of self-stigma process formation and the attribution model as its theoretical framework. METHOD In-depth semistructured interviews were conducted with 11 older persons (mean age = 81 years) with ARHL. RESULTS Self-stigma was present in the lives of the participants. Analysis revealed the existence of 3 stages of self-stigma in which the 3 core dimensions of stigma (cognitive attributions: being old, stupid, and crippled; emotional reactions: shame, pity, and feeling ridiculed; and behavioral reactions: concealment, distancing, and adapting to hearing aids) were observed. Hearing devices emerged as having a significant influence on stigmatic experiences in all stages and dimensions of self-stigma. CONCLUSION The study contributes to the theoretical and practical understanding of self-stigma regarding ARHL as well as to the understanding of the role of hearing devices in the development of this stigma.
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Affiliation(s)
- Dana David
- Department of Community Mental Health, University of Haifa, Israel
| | | | - Perla Werner
- Department of Community Mental Health, University of Haifa, Israel
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87
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Wagner-Hartl V, Kallus KW. Investigation of Psychophysiological and Subjective Effects of Long Working Hours - Do Age and Hearing Impairment Matter? Front Psychol 2018; 8:2167. [PMID: 29379452 PMCID: PMC5770792 DOI: 10.3389/fpsyg.2017.02167] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Accepted: 11/28/2017] [Indexed: 12/11/2022] Open
Abstract
Following current prognosis, demographic development raises expectations of an aging of the working population. Therefore, keeping employees healthy and strengthening their ability to work, becomes more and more important. When employees become older, dealing with age-related impairments of sensory functions, such as hearing impairment, is a central issue. Recent evidence suggests that negative effects that are associated with reduced hearing can have a strong impact at work. Especially under exhausting working situations such as working overtime hours, age and hearing impairment might influence employees’ well-being. Until now, neither the problem of aged workers and long working hours, nor the problem of hearing impairment and prolonged working time has been addressed explicitly. Therefore, a laboratory study was examined to answer the research question: Do age and hearing impairment have an impact on psychophysiological and subjective effects of long working hours. In total, 51 white-collar workers, aged between 24 and 63 years, participated in the laboratory study. The results show no significant effects for age and hearing impairment on the intensity of subjective consequences (perceived recovery and fatigue, subjective emotional well-being and physical symptoms) of long working hours. However, the psychophysiological response (the saliva cortisol level) to long working hours differs significantly between hearing impaired and normal hearing employees. Interestingly, the results suggest that from a psychophysiological point of view long working hours were more demanding for normal hearing employees.
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Affiliation(s)
- Verena Wagner-Hartl
- Department of Psychology, University of Graz, Graz, Austria.,Faculty Industrial Technologies, Furtwangen University, Campus Tuttlingen, Tuttlingen, Germany
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88
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Impact of Age and Hearing Impairment on Work Performance during Long Working Hours. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15010098. [PMID: 29315260 PMCID: PMC5800197 DOI: 10.3390/ijerph15010098] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Revised: 12/19/2017] [Accepted: 01/04/2018] [Indexed: 11/17/2022]
Abstract
Based on demographic prognoses, it must be assumed that a greater number of older workers will be found in the future labor market. How to deal with their possible age-related impairments of sensory functions, like hearing impairment and work performance during extended working time, has not been addressed explicitly until now. The study addresses this interplay. The study was performed on two consecutive days after normal working hours. The 55 participants had to “work” in the study at least three additional hours to simulate a situation of long working hours. The tested measures for (job) performance were: general attention, long-term selective attention, concentration, and reaction time. All of the investigated variables were taken at both days of the study (2 × 2 × 2 repeated measurement design). The results show effects for age, the interaction of hearing impairment and time of measurement, and effects of the measurement time. Older participants reacted slower than younger participants did. Furthermore, younger participants reacted more frequently in a correct way. Hearing impairment seems to have a negative impact especially on measures of false reactions, and therefore especially on measurement time 1. The results can be interpreted in a way that hearing-impaired participants are able to compensate their deficits over time.
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89
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Lucas L, Katiri R, Kitterick PT. The psychological and social consequences of single-sided deafness in adulthood. Int J Audiol 2017; 57:21-30. [DOI: 10.1080/14992027.2017.1398420] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Laura Lucas
- National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham, UK,
- Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK, and
| | - Roulla Katiri
- Department of Audiology, Mater Misericordiae University Hospital, Dublin, Ireland
| | - Pádraig Thomas Kitterick
- National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham, UK,
- Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK, and
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90
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91
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Barker AB, Leighton P, Ferguson MA. Coping together with hearing loss: a qualitative meta-synthesis of the psychosocial experiences of people with hearing loss and their communication partners. Int J Audiol 2017; 56:297-305. [PMID: 28599604 DOI: 10.1080/14992027.2017.1286695] [Citation(s) in RCA: 85] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To examine the psychosocial experiences of hearing loss from the perspectives of both the person with hearing loss and their communication partner. DESIGN A meta-synthesis of the qualitative literature. STUDY SAMPLE From 880 records, 12 qualitative papers met the inclusion criteria, (i) adults with hearing loss, communication partners, or both, and (ii) explored psychosocial issues. RESULTS Four themes related to the psychosocial experience of hearing loss were found, (i) the effect of the hearing loss, (ii) the response to hearing aids, (iii) stigma and identity, and (iv) coping strategies. Hearing loss affected both people with hearing loss and communication partners. Hearing aids resulted in positive effects, however, these were often outnumbered by negative effects. Non-use of hearing aids was often influenced by stigma. Coping strategies used were related to how the person with hearing loss perceived their self and how the communication partner perceived the relationship. Aligned coping strategies appeared to have a positive effect. CONCLUSIONS Hearing loss affects both people with hearing loss and their communication partners. Aligned coping strategies can facilitate adjustment to hearing loss.
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Affiliation(s)
- Alex B Barker
- a NIHR Nottingham Biomedical Research Centre, Division of Clinical Neuroscience , School of Medicine
| | - Paul Leighton
- b NIHR Research Design Service for the East Midlands, Faculty of Medicine & Health Sciences , University of Nottingham , Nottingham , UK , and
| | - Melanie A Ferguson
- a NIHR Nottingham Biomedical Research Centre, Division of Clinical Neuroscience , School of Medicine.,c Nottingham University Hospitals NHS Trust , Nottingham , UK
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92
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Ferguson MA, Woolley A, Munro KJ. The impact of self-efficacy, expectations, and readiness on hearing aid outcomes. Int J Audiol 2016; 55 Suppl 3:S34-41. [DOI: 10.1080/14992027.2016.1177214] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Melanie A. Ferguson
- NIHR Nottingham Hearing Biomedical Research Unit,
- Division of Clinical Neuroscience, School of Medicine, Nottingham University Hospitals NHS Trust, Nottingham University, Nottingham, UK,
| | - Annie Woolley
- NIHR Nottingham Hearing Biomedical Research Unit,
- School of Psychological Sciences, University of Manchester, UK,
| | - Kevin J. Munro
- School of Psychological Sciences, University of Manchester, UK,
- Audiology Department, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
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93
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Heinrich A, Henshaw H, Ferguson MA. Only Behavioral But Not Self-Report Measures of Speech Perception Correlate with Cognitive Abilities. Front Psychol 2016; 7:576. [PMID: 27242564 PMCID: PMC4876806 DOI: 10.3389/fpsyg.2016.00576] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Accepted: 04/07/2016] [Indexed: 11/13/2022] Open
Abstract
Good speech perception and communication skills in everyday life are crucial for participation and well-being, and are therefore an overarching aim of auditory rehabilitation. Both behavioral and self-report measures can be used to assess these skills. However, correlations between behavioral and self-report speech perception measures are often low. One possible explanation is that there is a mismatch between the specific situations used in the assessment of these skills in each method, and a more careful matching across situations might improve consistency of results. The role that cognition plays in specific speech situations may also be important for understanding communication, as speech perception tests vary in their cognitive demands. In this study, the role of executive function, working memory (WM) and attention in behavioral and self-report measures of speech perception was investigated. Thirty existing hearing aid users with mild-to-moderate hearing loss aged between 50 and 74 years completed a behavioral test battery with speech perception tests ranging from phoneme discrimination in modulated noise (easy) to words in multi-talker babble (medium) and keyword perception in a carrier sentence against a distractor voice (difficult). In addition, a self-report measure of aided communication, residual disability from the Glasgow Hearing Aid Benefit Profile, was obtained. Correlations between speech perception tests and self-report measures were higher when specific speech situations across both were matched. Cognition correlated with behavioral speech perception test results but not with self-report. Only the most difficult speech perception test, keyword perception in a carrier sentence with a competing distractor voice, engaged executive functions in addition to WM. In conclusion, any relationship between behavioral and self-report speech perception is not mediated by a shared correlation with cognition.
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Affiliation(s)
- Antje Heinrich
- Medical Research Council Institute of Hearing Research, Nottingham UK
| | - Helen Henshaw
- Otology and Hearing Group, National Institute for Health Research Nottingham Hearing Biomedical Research Unit, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham UK
| | - Melanie A Ferguson
- Otology and Hearing Group, National Institute for Health Research Nottingham Hearing Biomedical Research Unit, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, NottinghamUK; Nottingham University Hospitals NHS Trust, NottinghamUK
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94
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Ferguson M, Maidment D, Russell N, Gregory M, Nicholson R. Motivational engagement in first-time hearing aid users: A feasibility study. Int J Audiol 2016; 55 Suppl 3:S23-33. [DOI: 10.3109/14992027.2015.1133935] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Melanie Ferguson
- NIHR Nottingham Hearing Biomedical Research Unit, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK,
- Nottingham University Hospitals NHS Trust, Nottingham, UK,
| | - David Maidment
- NIHR Nottingham Hearing Biomedical Research Unit, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK,
| | - Naomi Russell
- Nottingham Audiology Services, Nottingham University Hospitals NHS Trust, Nottingham, UK,
| | | | - Richard Nicholson
- Nottingham Audiology Services, Nottingham University Hospitals NHS Trust, Nottingham, UK,
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