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Xiong Y, Nemargut JP, Bradley C, Wittich W, Legge GE. Development and validation of a questionnaire for assessing visual and auditory spatial localization abilities in dual sensory impairment. Sci Rep 2024; 14:7911. [PMID: 38575713 PMCID: PMC10994906 DOI: 10.1038/s41598-024-58363-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Accepted: 03/28/2024] [Indexed: 04/06/2024] Open
Abstract
Spatial localization is important for social interaction and safe mobility, and relies heavily on vision and hearing. While people with vision or hearing impairment compensate with their intact sense, people with dual sensory impairment (DSI) may require rehabilitation strategies that take both impairments into account. There is currently no tool for assessing the joint effect of vision and hearing impairment on spatial localization in this large and increasing population. To this end, we developed a novel Dual Sensory Spatial Localization Questionnaire (DS-SLQ) that consists of 35 everyday spatial localization tasks. The DS-SLQ asks participants about their difficulty completing different tasks using only vision or hearing, as well as the primary sense they rely on for each task. We administered the DS-SLQ to 104 participants with heterogenous vision and hearing status. Rasch analysis confirmed the psychometric validity of the DS-SLQ and the feasibility of comparing vision and hearing spatial abilities in a unified framework. Vision and hearing impairment were associated with decreased visual and auditory spatial abilities. Differences between vision and hearing abilities predicted overall sensory reliance patterns. In DSI rehabilitation, DS-SLQ may be useful for measuring vision and hearing spatial localization abilities and predicting the better sense for completing different spatial localization tasks.
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Affiliation(s)
- Yingzi Xiong
- Lions Vision Research and Rehabilitation Center, Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.
- Center for Applied and Translational Sensory Sciences, University of Minnesota, Minneapolis, USA.
| | | | - Chris Bradley
- Lions Vision Research and Rehabilitation Center, Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA
| | - Walter Wittich
- School of Optometry, Université de Montréal, Montreal, Canada
| | - Gordon E Legge
- Center for Applied and Translational Sensory Sciences, University of Minnesota, Minneapolis, USA
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Xiong YZ, Addleman DA, Nguyen NA, Nelson P, Legge GE. Dual Sensory Impairment: Impact of Central Vision Loss and Hearing Loss on Visual and Auditory Localization. Invest Ophthalmol Vis Sci 2023; 64:23. [PMID: 37703039 PMCID: PMC10503591 DOI: 10.1167/iovs.64.12.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 08/17/2023] [Indexed: 09/14/2023] Open
Abstract
Purpose In the United States, AMD is a leading cause of low vision that leads to central vision loss and has a high co-occurrence with hearing loss. The impact of central vision loss on the daily functioning of older individuals cannot be fully addressed without considering their hearing status. We investigated the impact of combined central vision loss and hearing loss on spatial localization, an ability critical for social interactions and navigation. Methods Sixteen older adults with central vision loss primarily due to AMD, with or without co-occurring hearing loss, completed a spatial perimetry task in which they verbally reported the directions of visual or auditory targets. Auditory testing was done with eyes open in a dimly lit room or with a blindfold. Twenty-three normally sighted, age-matched, and hearing-matched control subjects also completed the task. Results Subjects with central vision loss missed visual targets more often. They showed increased deviations in visual biases from control subjects as the scotoma size increased. However, these deficits did not generalize to sound localization. As hearing loss became more severe, the sound localization variability increased, and this relationship was not altered by coexisting central vision loss. For both control and central vision loss subjects, sound localization was less reliable when subjects wore blindfolds, possibly due to the absence of visual contextual cues. Conclusions Although central vision loss impairs visual localization, it does not impair sound localization and does not prevent vision from providing useful contextual cues for sound localization.
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Affiliation(s)
- Ying-Zi Xiong
- Department of Psychology, University of Minnesota, Minneapolis, Minnesota, United States
- Center for Applied and Translational Sensory Science, University of Minnesota, Minneapolis, Minnesota, United States
- Lions Vision Research and Rehabilitation Center, Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland, United States
| | - Douglas A. Addleman
- Department of Psychology, University of Minnesota, Minneapolis, Minnesota, United States
- Center for Applied and Translational Sensory Science, University of Minnesota, Minneapolis, Minnesota, United States
- Department of Psychological and Brain Sciences, Dartmouth College, Hanover, New Hampshire, United States
| | - Nam Anh Nguyen
- Department of Psychology, University of Minnesota, Minneapolis, Minnesota, United States
| | - Peggy Nelson
- Center for Applied and Translational Sensory Science, University of Minnesota, Minneapolis, Minnesota, United States
- Department of Speech-Language-Hearing Sciences, University of Minnesota, Minneapolis, Minnesota, United States
| | - Gordon E. Legge
- Department of Psychology, University of Minnesota, Minneapolis, Minnesota, United States
- Center for Applied and Translational Sensory Science, University of Minnesota, Minneapolis, Minnesota, United States
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Lundin E, Widén SE, Wahlqvist M, Granberg S, Anderzén-Carlsson A. Experiences of rehabilitation services from the perspective of older adults with dual sensory loss – a qualitative study. Int J Qual Stud Health Well-being 2022; 17:2052559. [PMID: 35350956 PMCID: PMC8973328 DOI: 10.1080/17482631.2022.2052559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Purpose Methods Results Conclusions
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Affiliation(s)
- Elin Lundin
- School of Health Sciences, Örebro University, Örebro, Sweden
- School of Successful Ageing, Örebro University, Örebro, Sweden
- Disability Research, Örebro University, Örebro, Sweden
| | - Stephen E. Widén
- School of Health Sciences, Örebro University, Örebro, Sweden
- Disability Research, Örebro University, Örebro, Sweden
| | - Moa Wahlqvist
- Disability Research, Örebro University, Örebro, Sweden
- The Swedish National Resource Centre for Deafblindness, Lund, Sweden
- Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
- University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Sarah Granberg
- School of Health Sciences, Örebro University, Örebro, Sweden
- Disability Research, Örebro University, Örebro, Sweden
- Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Agneta Anderzén-Carlsson
- Disability Research, Örebro University, Örebro, Sweden
- University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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Jaiswal A, Gupta S, Paramasivam A, Santhakumaran S, Holzhey P, Dupont P, Wittich W. Continuum of Care for Older Adults With Concurrent Hearing and Vision Impairment: A Systematic Review. Innov Aging 2022; 7:igac076. [PMID: 36852347 PMCID: PMC9960032 DOI: 10.1093/geroni/igac076] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Indexed: 12/23/2022] Open
Abstract
Background and Objectives A global report estimates up to 2% of the world population experience concurrent hearing and vision impairment (dual sensory impairment [DSI]). Older adults with DSI are often frequent users of health care, yet the evidence is limited to inform care delivery for this population. This systematic review aimed to synthesize evidence on tools and strategies for screening, assessment, and interventions that promote a continuum of care for older adults with DSI. Research Design and Methods The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews. Electronic databases (CINAHL, Embase, MEDLINE, PsycINFO, Cochrane Library, Global Health, and Web of Science) and clinical trial registries (ISRCTN Registry, WHO ICTRP, and ClinicalTrials.gov) were searched. The quality appraisal was performed using the Mixed Methods Appraisal Tool. Results Of 4,775 identified references, 28 records were selected. The review identified 7 tools and 7 strategies for DSI-specific screening, assessments, and/or interventions. Some of the most promising tools were the interRAI Community Health Assessment with deafblind supplement, adapted Montreal Cognitive Assessment, and the Severe Dual Sensory Loss screening tool. Useful strategies included the use of alternative forms of communication, assistive devices or technology, education and training for service providers, and training of older adults on the use and maintenance of assistive aids/technology. However, quality appraisal indicated a need for more robust evidence to inform clinical practice. Discussion and Implications Reviewed evidence pinpointed the need for training for health care providers on DSI-specific challenges and supports and the use of integrated multidisciplinary care for older adults. Future studies need to explore the development and evaluation of tools and interventions to improve the continuum of care for this group. Systematic Review Registration: PROSPERO registration # CRD42020180545.
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Affiliation(s)
- Atul Jaiswal
- School of Optometry, Université de Montréal, Montreal, Quebec, Canada
- CRIR/Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Longueuil, Quebec, Canada
| | - Shikha Gupta
- School of Optometry, Université de Montréal, Montreal, Quebec, Canada
| | | | | | - Peter Holzhey
- School of Optometry, Université de Montréal, Montreal, Quebec, Canada
| | - Patrice Dupont
- School of Optometry, Université de Montréal, Montreal, Quebec, Canada
| | - Walter Wittich
- School of Optometry, Université de Montréal, Montreal, Quebec, Canada
- CRIR/Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Longueuil, Quebec, Canada
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Aubin G, Elalouf K, Hogan M, Altschuler A, Murphy KJ, Wittich W. Usability and Accessibility of the ArtontheBrain ™ Virtual Recreation Activity for Older Adults With Low Vision Due to Age-Related Macular Degeneration. INQUIRY: THE JOURNAL OF HEALTH CARE ORGANIZATION, PROVISION, AND FINANCING 2022; 59:469580211067446. [PMID: 34985349 PMCID: PMC8743942 DOI: 10.1177/00469580211067446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Experiencing visual art can inspire, be an overall positive leisure activity, and has been linked to improved cognition, especially in older adults. Access to artwork in a museum environment can comprise a variety of barriers, including difficulties linked to its visual experience for persons that are visually impaired. The present study explored the barriers and facilitators experienced by 15 older adults (age 65 to 93) living with age-related macular degeneration when using an iPad to access ArtontheBrain™, a virtual art museum recreation experience created by members of this team. Using the Concurrent Think Aloud method, participants were asked to continuously comment on their experiences with the application while being audio/video recorded. Indeed, codes were determined by identifying frequently stated and emphasized ideas or behaviors of participants using the ArtontheBrain™ application. Transcripts underwent thematic analysis and indicated that the main access barriers were linked to control of the contrast, magnification, and the tactile interface on the tablet device. The learn and play activities as well as the text-to-speech feature were identified as facilitators for ArtontheBrain™ engagement. The present findings should also be considered in the larger context of application development, as this study provides insight pertaining to the needs of low vision individuals regarding usability and accessibility.
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Affiliation(s)
- Gabrielle Aubin
- School of Optometry, Université de Montréal, Montréal, QC, Canada
| | - Karine Elalouf
- School of Optometry, Université de Montréal, Montréal, QC, Canada
| | - Mariah Hogan
- School of Optometry, Université de Montréal, Montréal, QC, Canada
| | | | - Kelly J. Murphy
- Baycrest Health Sciences, Toronto, ON, Canada
- Department of Psychology, University of Toronto, Toronto, ON, Canada
| | - Walter Wittich
- School of Optometry, Université de Montréal, Montréal, QC, Canada
- Centre de Réadaptation Lethbridge-Layton-Mackay du CIUSSS du Centre-Ouest-de-l’Île-de-Montréal, Montréal, QC, Canada
- Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Longueuil, QC, Canada
- Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montréal, QC, Canada
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Cross H, Dawes P, Hooper E, Armitage CJ, Leroi I, Millman RE. Effectiveness of Hearing Rehabilitation for Care Home Residents With Dementia: A Systematic Review. J Am Med Dir Assoc 2021; 23:450-460.e4. [PMID: 34921761 DOI: 10.1016/j.jamda.2021.11.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 11/10/2021] [Accepted: 11/10/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVES To report the effectiveness of, and barriers and facilitators to, hearing rehabilitation for care home residents with dementia. DESIGN Systematic review. SETTING AND PARTICIPANTS Care home residents with dementia and hearing loss. METHODS No restrictions on publication date or language were set and gray literature was considered. Eligible studies were critically appraised and presented via a narrative review. RESULTS Sixteen studies, most of low to moderate quality, were identified. Hearing rehabilitation, including hearing devices, communication techniques, and visual aids (eg, flashcards), was reported to improve residents' communication and quality of life and reduce agitation, with improvements in staff knowledge of hearing loss and job satisfaction. Residents' symptoms of dementia presented barriers, for example, losing or not tolerating hearing aids. Low staff prioritization of hearing loss due to time pressures and lack of hearing-related training for staff were further barriers, particularly for residents who required assistance with hearing devices. Adopting a person-centered approach based on residents' capabilities and preferences and involving family members facilitated hearing device use. CONCLUSIONS AND IMPLICATIONS Residents with dementia can benefit from hearing rehabilitation. Identifying and implementing efficient, individualized hearing rehabilitation is necessary for those with complex cognitive needs. Increased funding and support for the social care sector is required to address systemic issues that pose barriers to hearing rehabilitation, including time pressures, lack of training for staff and access to audiology services for residents.
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Affiliation(s)
- Hannah Cross
- Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, United Kingdom.
| | - Piers Dawes
- Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, United Kingdom; School of Health and Rehabilitation Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Australia
| | - Emma Hooper
- Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, United Kingdom; Department of Rehabilitation and Sports Science, Institute of Health, University of Cumbria, United Kingdom
| | - Christopher J Armitage
- Manchester Centre for Health Psychology, University of Manchester, Manchester, United Kingdom; Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom; NIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, United Kingdom; NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom
| | - Iracema Leroi
- Global Brain Health Institute, School of Medicine, Trinity College Dublin, Dublin, Ireland
| | - Rebecca E Millman
- Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, United Kingdom; NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom
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Wittich W, Granberg S, Wahlqvist M, Pichora-Fuller MK, Mäki-Torkko E. Device abandonment in deafblindness: a scoping review of the intersection of functionality and usability through the International Classification of Functioning, Disability and Health lens. BMJ Open 2021; 11:e044873. [PMID: 33495263 PMCID: PMC7839866 DOI: 10.1136/bmjopen-2020-044873] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
OBJECTIVES Abandonment of vision, hearing or mobility aids suggests common barriers and facilitators to ongoing device use. However, the possible interactive effects of combined hearing and vision disabilities on device use by those living with deafblindness are unclear. Here we summarise existing knowledge on variables influencing assistive technology use from the perspective of persons living with deafblindness. We used the WHO's International Classification of Functioning, Disability and Health (ICF) framework to contextualise the findings, asking 'What is currently known about variables influencing the (non-)use of assistive devices recommended for persons with deafblindness?' DESIGN A scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist. DATA SOURCES PubMed; ProQuest: ERIC; ProQuest Dissertation; ProQuest: Sociological Thesaurus; Web of Science; Scientific Electronic Library Online; Bielefeld Academic Search Engine; Pascal & Francis; APA PsycINFO and Ebsco for CINAHL were searched through 9 November 2020. ELIGIBILITY CRITERIA We included peer-reviewed studies that reported on assistive technology, device abandonment/utilisation and provided data from persons living with deafblindness. DATA EXTRACTION AND SYNTHESIS Four team members independently scored 83 studies for eligibility. RESULTS Ten articles were chosen for data extraction. The emerging variables replicated established categories of barriers and facilitators: personal, device-related, environmental and intervention variables. The use of the ICF highlighted how an intermediate variable (eg, device acceptability) was necessary in order for a variable to become a barrier or a facilitator to device use. CONCLUSIONS The variables influencing device use by persons with deafblindness followed the same categories described for single impairments. Usability was challenged in devices that rely on the 'other' sense. Haptic and tactile aids are rarely studied. The limited available information and the dire need for assistive technologies for people with deafblindness emphasises the urgency of research and technology development for this marginalised population.
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Affiliation(s)
- Walter Wittich
- School of Optometry, Université de Montréal, Montréal, Québec, Canada
- Institut Nazareth et Louis-Braille du Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre, Longueuil, Québec, Canada
| | - Sarah Granberg
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
- Audiological Research Centre, Faculty of Medicine and Health, Örebro Universitet, Örebro, Sweden
| | - Moa Wahlqvist
- Audiological Research Centre, Faculty of Medicine and Health, Örebro Universitet, Örebro, Sweden
- Swedish Institute for Disability Research, Örebro, Sweden
| | | | - Elina Mäki-Torkko
- Audiological Research Centre, Faculty of Medicine and Health, Örebro Universitet, Örebro, Sweden
- Swedish Institute for Disability Research, Örebro, Sweden
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Urqueta Alfaro A, Guthrie DM, McGraw C, Wittich W. Older adults with dual sensory loss in rehabilitation show high functioning and may fare better than those with single sensory loss. PLoS One 2020; 15:e0237152. [PMID: 32745118 PMCID: PMC7398548 DOI: 10.1371/journal.pone.0237152] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Accepted: 07/21/2020] [Indexed: 11/25/2022] Open
Abstract
The population of older adults that have Dual Sensory Loss (DSL) is increasing, yet most research to date has focused on single sensory impairment and is inconclusive as to whether DSL is associated with worse impact on health and well-being over single sensory loss. The primary aim of this study was to characterize the health and functioning of community-dwelling older adults with DSL who were receiving sensory rehabilitation, using an understudied assessment: the interRAI Community Health Assessment (CHA). The secondary aim was to investigate whether older adults with DSL had worse health-related outcomes than their peers with only vision loss (VL) or only hearing loss (HL). We report and compare the interRAI CHA results in a sample of 200 older adults (61+ years of age) who had DSL, VL or HL. Overall, all sensory impairment groups showed high functioning in the areas of cognition, communication, activities of daily living, depression, and psycho-social well-being. DSL was not always associated with worse outcomes compared to a single sensory loss. Rather, the results varied depending on the tasks assessed, as well as which groups were compared. Our findings highlight that despite the negative impact of sensory losses, community-dwelling older adults receiving sensory rehabilitation services tend to have overall good health and a high level of independence. These results also show that DSL is not always associated with worse outcomes compared to a single sensory loss. Further research is needed to better characterize older adults with DSL who have more severe sensory and cognitive difficulties than those in our sample, and among those who are not receiving rehabilitation services.
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Affiliation(s)
- Andrea Urqueta Alfaro
- School of Optometry, University of Montréal, Montréal, Quebec, Canada
- Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montreal, Canada
- * E-mail:
| | - Dawn M. Guthrie
- Department of Kinesiology & Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada
- Department of Health Sciences, Wilfrid Laurier University, Waterloo, Ontario, Canada
| | - Cathy McGraw
- CRIR/Lethbridge-Layton-Mackay Rehabilitation Centre of West-Central Montreal, Montréal, Quebec, Canada
| | - Walter Wittich
- School of Optometry, University of Montréal, Montréal, Quebec, Canada
- CRIR/Lethbridge-Layton-Mackay Rehabilitation Centre of West-Central Montreal, Montréal, Quebec, Canada
- CRIR/Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Montréal, Quebec, Canada
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