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Knoetze M, Beukes E, Manchaiah V, Oosthuizen I, Swanepoel DW. Reasons for hearing aid uptake in the United States: a qualitative analysis of open-text responses from a large-scale survey of user-perspectives. Int J Audiol 2023:1-12. [PMID: 37991050 DOI: 10.1080/14992027.2023.2279513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 10/31/2023] [Indexed: 11/23/2023]
Abstract
OBJECTIVE This study aimed to explore the main reasons for hearing aid uptake from a user perspective and recommendations to others with hearing difficulties. DESIGN A cross-sectional survey design was used. Responses to a single open-ended question were analysed using qualitative content analysis. STUDY SAMPLE Participants (n = 642) included adult hearing aid users sampled from the Hearing Tracker website community and Lexie Hearing user databases in the United States. RESULTS Participants had a mean age of 65.4 years (13.7 SD) and included 61.8% males, 37.7% females, 0.3% non-binary, and 0.2% preferred not to say. Reasons for hearing aid uptake were categorised into three domains (personal impact, social difficulties, and auditory difficulties), containing 11 main categories and 48 sub-categories. User recommendations to others with hearing difficulties constituted eight main categories (timely help, trial period, support, affordability, technology, direct-to-consumer hearing aids, adjustments, and advocacy) and 32 sub-categories. CONCLUSIONS The decision to take up hearing aids included intrinsic factors like readiness to change and extrinsic factors such as the availability of finances. The most frequent recommendation to others was not to delay seeking hearing help and to get hearing aids. Our findings may support strategies to facilitate behaviour change for improved hearing aid uptake.
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Affiliation(s)
- Megan Knoetze
- Department of Speech-language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
- Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine, Aurora, Colorado, USA, and University of Pretoria, Pretoria, South Africa
| | - Eldre Beukes
- Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine, Aurora, Colorado, USA, and University of Pretoria, Pretoria, South Africa
- Vision and Hearing Sciences Research Group, Anglia Ruskin University, Cambridge, Cambridgeshire, UK
| | - Vinaya Manchaiah
- Department of Speech-language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
- Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine, Aurora, Colorado, USA, and University of Pretoria, Pretoria, South Africa
- Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA
- UCHealth Hearing and Balance, University of Colorado Hospital, Aurora, Colorado, USA
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal, India
| | - Ilze Oosthuizen
- Department of Speech-language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
- Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine, Aurora, Colorado, USA, and University of Pretoria, Pretoria, South Africa
| | - De Wet Swanepoel
- Department of Speech-language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
- Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine, Aurora, Colorado, USA, and University of Pretoria, Pretoria, South Africa
- Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA
- Ear Science Institute Australia, Subiaco, Australia
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Powell DS, Reed NS, Oh E, Samus QM, Deal JA, Wolff JL. The role of care partners in medical visits of older adults with hearing loss and dementia: A national study. J Am Geriatr Soc 2023; 71:909-915. [PMID: 36450666 PMCID: PMC10023333 DOI: 10.1111/jgs.18151] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 11/02/2022] [Accepted: 11/10/2022] [Indexed: 12/05/2022]
Abstract
BACKGROUND Dementia and hearing loss (HL) are conditions, which restrict communication ability and amplify the difficulty of implementing effective care coordination and communication with medical providers. We examined how the presence of HL and dementia influence communication with medical providers, and the role of involved care partners during medical visits. METHODS Drawing on responses from 7070 community-dwelling older adults who participated in the 2015 National Health and Aging Trends Study, we used logistic regression to quantify care partner accompaniment to medical visits and the role care partners assume during visits by older adult hearing and dementia status. RESULTS Nearly 4 in 10 older adults with dementia also reported HL. Eighty-two percent of older adults with both HL and dementia were accompanied to medical visits by a care partner. Those with HL and dementia were six times more likely to be accompanied by a care partner to medical visits than those with neither condition (OR: 6.04; 95% CI:4.06, 8.99). Care partners of older adults with both (vs neither) HL and dementia were more actively engaged in: (1) facilitating understanding between the older adult and doctor (OR: 4.55, 95% CI:2.68, 7.71); (2) asking or telling the doctor information (OR: 6.13, 95% CI:3.44, 10.9); and (3) reminding the older adult of their questions (OR: 2.52, 95% CI: 1.66, 3.83). CONCLUSIONS Care partners have an active role during medical visits of older adults with HL and dementia. Efforts to support care partner engagement and teach advocacy skills may close gaps in care quality for the subgroup of older adults who are living with HL and dementia.
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Affiliation(s)
- Danielle S Powell
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Nicholas S Reed
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
- Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Esther Oh
- Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
- Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Quincy M Samus
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
| | - Jennifer A Deal
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
- Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Jennifer L Wolff
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
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Aural Rehabilitation Clinical Practice Guideline Development Panel, Basura G, Cienkowski K, Hamlin L, Ray C, Rutherford C, Stamper G, Schooling T, Ambrose J. American Speech-Language-Hearing Association Clinical Practice Guideline on Aural Rehabilitation for Adults With Hearing Loss. Am J Audiol 2023; 32:1-51. [PMID: 36374028 DOI: 10.1044/2022_aja-21-00252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Hearing loss poses a significant public health challenge as a common chronic condition with many known side effects that are often worse when left untreated. Aural rehabilitation (AR) is an umbrella term that encompasses a range of interventions (e.g., informational counseling and perceptual training) designed to reduce deficits related to hearing loss that may stand alone or be used in combination as part of a holistic plan. PURPOSE This evidence-based clinical practice guideline is intended to inform the implementation of person-centered AR to adults with hearing loss. Given the well-known benefits of sensory management, it was not included within the scope of this guideline. The recommendations aim to help clinicians, individuals with hearing loss, and other stakeholders make evidence-informed treatment decisions and improve clinical outcomes, as well as provide payers and policymakers with information detailing a comprehensive approach to AR. METHOD The American Speech-Language-Hearing Association (ASHA) and a multidisciplinary panel of subject matter experts prioritized key clinical questions and outcomes that served as the foundation of the guideline. The clinical recommendations were based on a comprehensive systematic review and a meta-analysis of 85 studies published between 1978 and 2021. RECOMMENDATIONS Given the current state of the evidence, resource considerations, patient acceptability, clinical feasibility, and the overall balance of benefits and harms, ASHA developed several evidence-based recommendations for the provision of AR to adults with hearing loss. Each recommendation is accompanied by a series of key practice points to support its implementation within a person-centered framework.
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Affiliation(s)
| | - Gregory Basura
- Department of Otolaryngology, University of Michigan, Ann Arbor
| | - Kathleen Cienkowski
- Department of Speech, Language and Hearing Sciences, University of Connecticut, Storrs
| | - Lise Hamlin
- Hearing Loss Association of America, Rockville, MD
| | - Christin Ray
- Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus
| | | | - Greta Stamper
- Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Jacksonville, FL
| | - Tracy Schooling
- National Center for Evidence-Based Practice in Communication Disorders, American Speech-Language-Hearing Association, Rockville, MD
| | - Julie Ambrose
- National Center for Evidence-Based Practice in Communication Disorders, American Speech-Language-Hearing Association, Rockville, MD
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Sanchez VA, Arnold ML, Reed NS, Oree PH, Matthews CR, Eddins AC, Lin FR, Chisolm TH. The Hearing Intervention for the Aging and Cognitive Health Evaluation in Elders Randomized Control Trial: Manualization and Feasibility Study. Ear Hear 2021; 41:1333-1348. [PMID: 32251012 PMCID: PMC10436703 DOI: 10.1097/aud.0000000000000858] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES This work describes the development of a manualized best-practice hearing intervention for older adults participating in the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) randomized controlled clinical trial. Manualization of interventions for clinical trials is critical for assuring intervention fidelity and quality, especially in large multisite studies. The multisite ACHIEVE randomized controlled trial is designed to assess the efficacy of a hearing intervention on rates of cognitive decline in older adults. We describe the development of the manualized hearing intervention through an iterative process that included addressing implementation questions through the completion of a feasibility study (ACHIEVE-Feasibility). DESIGN Following published recommendations for manualized intervention development, an iterative process was used to define the ACHIEVE-hearing intervention elements and create an initial manual. The intervention was then delivered within the ACHIEVE-Feasibility study using one-group pre-post design appropriate for assessing questions related to implementation. Participants were recruited from the Tampa, Florida area between May 2015 and April 2016. Inclusion criteria were cognitively healthy adults aged 70 to 89 with symmetrical mild-to-moderately severe sensorineural hearing loss. The ACHIEVE-Feasibility study sought to assess the implementation of the manualized hearing intervention by: (1) confirming improvement in expected outcomes were achieved including aided speech-in-noise performance and perception of disease-specific self-report measures; (2) determining whether the participants would comply with the intervention including session attendance and use of hearing aids; and (3) determining whether the intervention sessions could be delivered within a reasonable timeframe. RESULTS The initial manualized intervention that incorporated the identified best-practice elements was evaluated for feasibility among 21 eligible participants and 9 communication partners. Post-intervention expected outcomes were obtained with speech-in-noise performance results demonstrating a significant improvement under the aided condition and self-reported measures showing a significant reduction in self-perceived hearing handicap. Compliance was excellent, with 20 of the 21 participants (95.2%) completing all intervention sessions and 19 (90.4%) returning for the 6-month post-intervention visit. Furthermore, self-reported hearing aid compliance was >8 hr/day, and the average daily hearing aid use from datalogging was 7.8 hr. Study completion was delivered in a reasonable timeframe with visits ranging from 27 to 85 min per visit. Through an iterative process, the intervention elements were refined, and the accompanying manual was revised based on the ACHIEVE-Feasibility study activities, results, and clinician and participant informal feedback. CONCLUSION The processes for the development of a manualized intervention described here provide guidance for future researchers who aim to examine the efficacy of approaches for the treatment of hearing loss in a clinical trial. The manualized ACHIEVE-Hearing Intervention provides a patient-centered, yet standardized, step-by-step process for comprehensive audiological assessment, goal setting, and treatment through the use of hearing aids, other hearing assistive technologies, counseling, and education aimed at supporting self-management of hearing loss. The ACHIEVE-Hearing Intervention is feasible in terms of implementation with respect to verified expected outcomes, compliance, and reasonable timeframe delivery. Our processes assure intervention fidelity and quality for use in the ACHIEVE randomized controlled trial (ClinicalTrials.gov Identifier: NCT03243422).
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Affiliation(s)
- Victoria A. Sanchez
- Department of Otolaryngology-Head & Neck Surgery, University of South Florida
| | | | - Nicholas S. Reed
- Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine
| | - Preyanca H. Oree
- Department of Communication Sciences & Disorder, University of South Florida
| | | | - Ann Clock Eddins
- Department of Communication Sciences & Disorder, University of South Florida
| | - Frank R. Lin
- Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine
| | - Theresa H. Chisolm
- Department of Communication Sciences & Disorder, University of South Florida
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5
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Chundu S, Manchaiah V, Han W, Thammaiah S, Ratinaud P, Allen PM. Social Representation of "Hearing Loss" Among People with Hearing Loss: An Exploratory Cross-Cultural Study. J Am Acad Audiol 2020; 31:725-739. [PMID: 33321537 DOI: 10.1055/s-0040-1719127] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND Hearing loss can have an effect on the physical, psychosocial, and cognitive wellbeing of an individual. Despite the research on attitudes and stigma associated with hearing loss, people with hearing loss (PHL) continue to delay seeking help. Thus, it is vital to look at alternative theories which have been successfully used in disability research to better understand how PHL perceive hearing loss. PURPOSE The aim of the current exploratory study was to examine the social representation (SR) of "hearing loss" in PHL in India, Republic of Korea (ROK), United Kingdom (UK), and the United States (US). RESEARCH DESIGN The study used a cross-sectional survey design. STUDY SAMPLE In this study, 424 participants were recruited using a consecutive sampling method in four countries (India, Republic of Korea, United Kingdom, and United States). DATA COLLECTION AND ANALYSIS Data collection was conducted using a questionnaire. Data were analyzed using content analysis, similarities analysis, prototypical analysis, and chi-square analysis. RESULTS The free associations of the PHL were grouped into 37 categories. The most commonly reported categories were communication difficulties, negative mental state, aging, assessment and management, causes of hearing loss, hearing ability or disability, hearing instruments, and symptoms of hearing loss. Similarities analysis and prototypical analysis highlighted two main negative categories (negative mental state and communication difficulties) which form the central elements of SR of hearing loss. PHL associated hearing loss mainly as a negative phenomenon, but with some positive and neutral aspects. Respondents from ROK reported a greater number of neutral associations compared with other countries. There were cross-cultural similarities and differences in terms of PHL's SR of hearing loss, but there were more similarities than differences. CONCLUSION The study provides an insight into how PHL collectively view their "hearing loss" and helps to develop our understanding of the influence of culture on the SR of "hearing loss." The results will aid the development of culturally appropriate public education campaigns, marketing material, and appropriate rehabilitation for PHL.
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Affiliation(s)
- Srikanth Chundu
- Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge, United Kingdom.,Audiology India, Mysore, India
| | - Vinaya Manchaiah
- Audiology India, Mysore, India.,Department of Speech and Hearing Sciences, Lamar University, Beaumont, Texas
| | - Woojae Han
- Division of Speech Pathology and Audiology, College of Natural Sciences, Hallym University, Chuncheon, Republic of Korea
| | | | | | - Peter M Allen
- Vision and Hearing Sciences Research Centre, Anglia Ruskin University, Cambridge, United Kingdom
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Karlsson E, Mäki-Torkko E, Widén S, Gustafsson J, Manchaiah V, Mahomed-Asmail F, Swanepoel DW, Yerraguntla K, Granberg S. Validation of the Brief International Classification of Functioning, Disability and Health (ICF) core set for hearing loss: an international multicentre study. Int J Audiol 2020; 60:412-420. [PMID: 33207960 DOI: 10.1080/14992027.2020.1846088] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE Hearing loss (HL) affects the everyday functioning of millions of people worldwide. The Brief International Classification of Functioning Disability and Health (ICF) core sets for HL was developed to meet the complex health care needs of adults with HL. Because the brief core set for HL has not yet been validated internationally, this study aimed to investigate its validity from an international perspective. DESIGN A cross-sectional validation study based on data from structured interviews with adults with HL. STUDY SAMPLE Participants (n = 571) from India, South Africa, Sweden and the US were included. RESULTS A six-factor solution explained 71% of the variance, focussing on issues related to communication, the social environment, participation in society, health care services, support, relationships and emotions (α = 0.915). Three ICF categories demonstrated low reliability - temperament and personality functions, seeing functions and school education. CONCLUSION The Brief ICF core set for HL is valid for adults with HL internationally. However, to further increase its international validity, we recommend adding the categories d920 recreation and leisure and replacing d850 school education with the more inclusive block, d810-d839 education.
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Affiliation(s)
- Elin Karlsson
- Faculty of Medicine and Health, Audiological Research Centre, Örebro University, Örebro, Sweden.,Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.,Swedish Institute of Disability Research (SIDR), Örebro University, Örebro, Sweden
| | - Elina Mäki-Torkko
- Faculty of Medicine and Health, Audiological Research Centre, Örebro University, Örebro, Sweden.,Swedish Institute of Disability Research (SIDR), Örebro University, Örebro, Sweden.,Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, Sweden
| | - Stephen Widén
- Faculty of Medicine and Health, Audiological Research Centre, Örebro University, Örebro, Sweden.,Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.,Swedish Institute of Disability Research (SIDR), Örebro University, Örebro, Sweden
| | - Johanna Gustafsson
- Faculty of Medicine and Health, Audiological Research Centre, Örebro University, Örebro, Sweden.,Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.,Swedish Institute of Disability Research (SIDR), Örebro University, Örebro, Sweden
| | - Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA
| | - Faheema Mahomed-Asmail
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - De Wet Swanepoel
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Krishna Yerraguntla
- Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India
| | - Sarah Granberg
- Faculty of Medicine and Health, Audiological Research Centre, Örebro University, Örebro, Sweden.,Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.,Swedish Institute of Disability Research (SIDR), Örebro University, Örebro, Sweden
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Pajo K, Laakso M. Other-initiation of repair by speakers with mild to severe hearing impairment. CLINICAL LINGUISTICS & PHONETICS 2020; 34:998-1017. [PMID: 32066270 DOI: 10.1080/02699206.2020.1724335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 01/25/2020] [Accepted: 01/28/2020] [Indexed: 06/10/2023]
Abstract
Hearing impairment is a common chronic condition in middle-aged and elderly adults. The number of individuals with hearing impairment is expected to rise because of the longer life expectancies and trends in the population growth. Acquired hearing impairment in adulthood is not just a disorder of the sense of hearing. It is primarily a social disability because its handicapping effect is experienced in interaction with other people. This paper aims to explore how the repair of problems in hearing is initiated by hearing-impaired individuals with acquired mild to severe hearing impairment. By using the method of conversation analysis (CA), this paper examines the occurrence of other-initiations of repair (OIR) and how it is typically resolved in actual mundane interaction. In addition, this paper reveals the challenges and the impact of hearing impairment as the state of hearing deteriorates. This article argues that the frequency of OIR in mild hearing impairment does not differ from normally hearing individuals. However, in a more severe grade of hearing impairment, the OIR sequences are longer, more frequent, multimodal and may require more vigilance from the normally-hearing conversation partner. Implications for counselling are suggested.
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Affiliation(s)
- Kati Pajo
- Hearing Center, Helsinki University Central Hospital , Helsinki, Finland
| | - Minna Laakso
- Department of Logopedics, University of Helsinki , Helsinki, Finland
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Coco L, Ingram M, Marrone N. Qualitative research methods to investigate communication within a group aural rehabilitation intervention. Int J Audiol 2019; 58:651-660. [PMID: 31329481 PMCID: PMC6917821 DOI: 10.1080/14992027.2019.1608377] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Revised: 04/08/2019] [Accepted: 04/09/2019] [Indexed: 10/26/2022]
Abstract
Objective: Aural Rehabilitation (AR) aims to minimise negative effects of hearing loss. However, there has been limited study of the lived experience of clients receiving Aural Rehabilitation services, particularly for disparity populations. The purpose of this study is to demonstrate the use of an innovative qualitative approach to investigating communication in an AR setting among Hispanic/Latino older adult dyads. Design: We developed a qualitative phenomenology approach using observation methods to document and analyse how individuals experience living with acquired hearing loss within group AR. Trained observers collected systematic, detailed notes on observations of participants over the course of a 5-week community-based AR intervention. In partnership with audiologists, Community Health Workers facilitated the intervention, which focussed on decreasing negative communication impacts of hearing loss for families. Audiometric data and subjective hearing disability results, using the HHIE-S Spanish version, are presented as additional context for observation outcomes. Study sample: Participants were older Hispanic/Latino adults with hearing loss and their frequent communication partners (five dyads). Results: Four themes related to the experience of communication emerged among dyads in the intervention: (i) emotions related to hearing loss (ii) communication dynamics, (iii) self-management of hearing loss, and (iv) hearing health advocacy. Conclusions: A mixed methods approach that includes group observation would contribute substantially to comprehensively evaluating group AR interventions.
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Affiliation(s)
- Laura Coco
- Department of Speech, Language, and Hearing Sciences, College of Science, University of Arizona, Tucson, AZ
- Department of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
| | - Maia Ingram
- Department of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
| | - Nicole Marrone
- Department of Speech, Language, and Hearing Sciences, College of Science, University of Arizona, Tucson, AZ
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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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10
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Manchaiah V, Ratinaud P, Tympas A, Danermark B, Germundsson P. Examination of Previously Published Data to Identify Patterns in the Social Representation of 'Hearing Aids' Across Countries. J Audiol Otol 2018; 22:96-104. [PMID: 29471613 PMCID: PMC5894490 DOI: 10.7874/jao.2017.00318] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2017] [Revised: 01/04/2018] [Accepted: 01/10/2018] [Indexed: 11/28/2022] Open
Abstract
Background and Objectives Societal factors seem to exercise a strong influence on hearing aid uptake, use, and satisfaction. In particular, knowledge, perception, and attitude of people will have bearing towards their and others health behavior and decisions. The current study aimed at understanding the perception of hearing aids by adults belonging to the general population in different countries. Subjects and Methods The study employed a crosssectional design. A sample of 404 adults from India, Iran, Portugal, and the United Kingdom were recruited by relying on a convenience sampling. Previously published data was re-analyzed but it was applied for different approach. Free association task was used to collect the data. They were asked to provide up to five words or phrases that come to mind when thinking about “hearing aids.” The data was initially analyzed based on qualitative content analysis. This was followed by quantitative cluster analysis and chi square analysis. Results The content analysis suggested 39 main categories of responses related to hearing aids. The cluster analysis resulted in five main clusters, namely: 1) positive attitude, 2) external factors, 3) hearing aid use and satisfaction, 4) etiology, and 5) benefits and limitations of technology. A few demographic factors (i.e., education, occupation type, country) showed association with different clusters, although country of origin seemed to be associated with most clusters. Conclusions The study provides us with unique insights into the perception of hearing aids by the general public, and additionally, the way demographic variables may influence these perceptions.
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Affiliation(s)
- Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.,Audiology India, Mysore, India.,Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, India
| | | | - Aristotle Tympas
- Department of Philosophy and History of Science, National and Kapodistrian University of Athens, Athens, Greece
| | - Berth Danermark
- The Swedish Institute for Disability Research, Örebro University, Örebro, Sweden
| | - Per Germundsson
- The Department of Health and Welfare Studies, Malmö University, Malmö, Sweden
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11
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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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12
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Meyer C, Scarinci N, Ryan B, Hickson L. "This Is a Partnership Between All of Us": Audiologists' Perceptions of Family Member Involvement in Hearing Rehabilitation. Am J Audiol 2015; 24:536-48. [PMID: 26649683 DOI: 10.1044/2015_aja-15-0026] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Accepted: 09/25/2015] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The purpose of the study was to explore the perceptions of audiologists about the role of family members in hearing rehabilitation for older adults with hearing impairment (HI), the influence of family member involvement on outcomes, and factors affecting family members' involvement. METHOD A qualitative descriptive research study was undertaken. Using a purposeful sampling strategy, 9 audiologists were recruited. Audiologists participated in individual semistructured interviews. Interview transcripts were analyzed using thematic analysis, and a process of member checking was used to enhance the trustworthiness of findings reported. RESULTS The importance of promoting partnership emerged as the overarching theme. Audiologists valued promoting partnership with family members so that a shared understanding could be established, family members could be active participants with distinct roles in hearing rehabilitation, and the rehabilitation outcomes for the person with HI could be improved. Audiologists generally reported low attendance rates of family members to appointments and identified 5 major factors affecting family participation. CONCLUSIONS There is growing recognition among audiologists of the importance of promoting partnership with family members during the hearing rehabilitation process. More research is needed to develop and evaluate a family-centered model of hearing health care that considers the service-level barriers identified by audiologists in the present study.
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Affiliation(s)
- Carly Meyer
- HEARing CRC, Australia
- University of Queensland, Brisbane, Australia
| | - Nerina Scarinci
- HEARing CRC, Australia
- University of Queensland, Brisbane, Australia
| | - Brooke Ryan
- HEARing CRC, Australia
- University of Queensland, Brisbane, Australia
| | - Louise Hickson
- HEARing CRC, Australia
- University of Queensland, Brisbane, Australia
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13
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Niemensivu R, Manchaiah V, Roine RP, Kentala E, Sintonen H. Health-related quality of life in adults with hearing impairment before and after hearing-aid rehabilitation in Finland. Int J Audiol 2015; 54:967-75. [DOI: 10.3109/14992027.2015.1077400] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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14
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Pyykkö I, Manchaiah VKC, Kentala E, Levo H. Significant others of patients with hearing and balance disorders report positive experiences. Int J Audiol 2015; 53:285-6. [PMID: 24617594 DOI: 10.3109/14992027.2013.869840] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Ilmari Pyykkö
- * Department of Otorhinolaryngology, University of Tampere , Tampere , Finland
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15
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Pyykkő I, Manchaiah V, Levo H, Kentala E, Rasku J. Attitudes of significant others of people with Ménière's disease vary from coping to victimization. Int J Audiol 2015; 54:316-22. [DOI: 10.3109/14992027.2014.989547] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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16
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Manchaiah V, Baguley DM, Pyykkö I, Kentala E, Levo H. Positive experiences associated with acquired hearing loss, Ménière's disease, and tinnitus: A review. Int J Audiol 2014; 54:1-10. [DOI: 10.3109/14992027.2014.953217] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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17
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Ekberg K, Meyer C, Scarinci N, Grenness C, Hickson L. Family member involvement in audiology appointments with older people with hearing impairment. Int J Audiol 2014; 54:70-6. [DOI: 10.3109/14992027.2014.948218] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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18
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Granberg S, Swanepoel DW, Englund U, Möller C, Danermark B. The ICF core sets for hearing loss project: International expert survey on functioning and disability of adults with hearing loss using the international classification of functioning, disability, and health (ICF). Int J Audiol 2014; 53:497-506. [DOI: 10.3109/14992027.2014.900196] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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19
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Manchaiah V, Pyykkö I, Kentala E, Levo H, Stephens D. Positive impact of Ménière's disorder on significant others as well as on patients: Our experience from eighty-eight respondents. Clin Otolaryngol 2013; 38:550-4. [DOI: 10.1111/coa.12190] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2013] [Indexed: 12/01/2022]
Affiliation(s)
- V.K.C. Manchaiah
- Department of Vision and Hearing Sciences; Anglia Ruskin University; Cambridge UK
- Department of Behavioral Science and Learning; Linnaeus Centre HEAD; Swedish Institute for Disability Research; Linköping University; Linköping Sweden
| | - I. Pyykkö
- Department of Otorhinolaryngology; Medical School; University of Tampere; Tampere Finland
| | - E. Kentala
- Department of Otorhinolaryngology; Helsinki University Central Hospital; Helsinki Finland
| | - H. Levo
- Department of Otorhinolaryngology; Helsinki University Central Hospital; Helsinki Finland
| | - D. Stephens
- Department of Psychological Medicine and Neurology; School of Medicine; Cardiff University; Cardiff UK
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Hallam RS, Corney R. Conversation tactics in persons with normal hearing and hearing-impairment. Int J Audiol 2013; 53:174-81. [DOI: 10.3109/14992027.2013.852256] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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21
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Communication Partners' Journey through Their Partner's Hearing Impairment. Int J Otolaryngol 2013; 2013:707910. [PMID: 23533422 PMCID: PMC3600184 DOI: 10.1155/2013/707910] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2012] [Accepted: 01/04/2013] [Indexed: 11/17/2022] Open
Abstract
The objective of this study was to further develop the Ida Institute model on communication partners' (CPs) journey through experiences of person with hearing impairment (PHI), based on the perspectives of CPs. Nine CPs of hearing aid users participated in this study, recruited through the Swansea hearing impaired support group. Semi-structured interviews were conducted, the data were analysed using qualitative thematic analysis and presented with the use of process mapping approach. Seven main phases were identified in the CP journey which includes: (1) contemplation, (2) awareness, (3) persuasion, (4) validation, (5) rehabilitation, (6) adaptation, and (7) resolution. The Ida Institute model (based on professionals' perspective) was compared with the new template developed (based on CPs' perspectives). The results suggest some commonalities and differences between the views of professionals and CPs. A new phase, adaptation, was identified from CPs reported experiences, which was not identified by professionals in the Ida Institute model. The CP's journey model could be a useful tool during audiological enablement/rehabilitation sessions to promote discussion between the PHI and the CP. In addition, it can be used in the training of hearing healthcare professionals.
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Manchaiah VKC, Stephens D. Perspectives on defining ‘hearing loss’ and its consequences. HEARING BALANCE AND COMMUNICATION 2013. [DOI: 10.3109/21695717.2012.756624] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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23
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Stephens D, Pyykkö I, Kentala E, Levo H, Rasku J. The effects of Ménière's disorder on the patient's significant others. Int J Audiol 2012; 51:858-63. [DOI: 10.3109/14992027.2012.723141] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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