A Randomized Controlled Trial Evaluating the Active Communication Education Program for Older People with Hearing Impairment

Hickson, Louise; Worrall, Linda; Scarinci, Nerina

doi:10.1097/aud.0b013e31803126c8

Cited by 161 publications

(217 citation statements)

References 50 publications

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“…Services might include providing guidance to the person with hearing loss and their family members concerning the psychosocial and communicative effects of hearing loss, strategies to function in difficult listening situations, and an orientation to assist in the adaptation to hearing aids. Studies designed to test the use of aural rehabilitation, as an alternative or supplement to hearing aid fittings, to improve communication and quality of life in older adults with hearing loss need to be conducted (20,26).…”

Section: Barriers To Amplificationmentioning

confidence: 99%

Hearing Loss in an Aging American Population: Extent, Impact, and Management

Bainbridge

Wallhagen

2014

Annu. Rev. Public Health

177

122

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Despite contributing substantially to disability in the United States, agerelated hearing loss is an underappreciated public health concern. Loss of hearing sensitivity has been documented in two-thirds of adults aged 70 years and older and has been associated with communication difficulties, lower health-related quality of life, and decreased physical and cognitive function. Management strategies for age-related hearing loss are costly, yet the indirect costs due to lost productivity among people with communication difficulties are also substantial and likely to grow. Hearing aids can improve health-related quality of life, but the majority of people with documented hearing loss do not report using them. Uncovering effective means to improve the utilization of hearing health care services is essential for meeting the hearing health care demands of our aging population. The importance of hearing for general well-being warrants an effort to enhance awareness among the general population of the indications of hearing loss and options for assistance.

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Section: Barriers To Amplificationmentioning

confidence: 99%

Hearing Loss in an Aging American Population: Extent, Impact, and Management

Bainbridge

Wallhagen

2014

Annu. Rev. Public Health

177

122

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“…The program was expanded based on the results and experiences drawn from Study III, with inspiration and some parts drawn from the program developed by Hickson and colleagues (Hickson et al, 2006;Hickson et al, 2007, Öberg et al, in press) and also with information regarding psychosocial-related situations, such as cognition, memory and applied relaxation tasks (Johansson et al, 2012;Pichora-Fuller, 2007). Hickson et al (2007) The participants in the control group were on a waiting list; in the meantime, material about the history of hearing aids (Nielsen, 2008) was sent for them to read. Three months after T1, the participants had to fill out the same self-reports online for a third time.…”

Section: Methodsmentioning

confidence: 99%

“…Many hearing-aid users have further and persistent hearing problems after rehabilitation, including difficulties knowing what actions to take to address problems (Popelka et al, 1998;Southall et al, 2006). Hickson and colleagues have shown that people either stop using their hearing aids or continue searching for more help and guidance (Hickson et al, 2007). For many hearing-aid users, it is essential to obtain further and extended rehabilitation to become satisfied with their hearing aids and overcome participation restrictions and activity limitations (Northern and Beyer, 1999;Sanders, 1971).…”

Section: Elements Included In Audiological Rehabilitationmentioning

confidence: 99%

Internet Interventions for Hearing Loss: Examing rehabilitation, self-report measures and internet use for hearing-aid users

Thorén¹

2014

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In the future, the rehabilitation of adults with hearing loss is likely to involve modern information technology. It is therefore important to determine whether and to what extent adults with hearing losses use the internet. When evaluating hearing rehabilitation, it is reasonable to use self-report questionnaires as outcome measures. The questionnaires used in audiological research are developed and validated for paper-and-pencil administration. Standardized questionnaires used in the audiological context should also be evaluated in an online administration format. Using the internet in the audiological rehabilitation process might be a cost-effective way to include additional rehabilitation components by guiding hearing-aid users on topics such as communication strategies, hearing tactics and how to handle hearing aids. The development of online rehabilitation programs might foster behavioral changes that will positively affect hearing-aid users.Four studies were conducted with a total of 338 participating hearing-aid users. In the first study, the participants' amount of internet use was investigated. In the second study, the administration format (online vs. paper-and-pencil) of four standardized questionnaires used in hearing research and clinics were evaluated. Finally, two randomized controlled trials were performed to evaluate the efficacy of an online rehabilitation program that included professional guidance by an audiologist. The program lasted over five weeks and was designed for adult, experienced hearing-aid users. The effects of the online programs were compared with the effects of a control group. In the first randomized controlled trial, the participants of the control group participated in an online discussion forum without any professional contact (Study III). In the second randomized controlled trial, the control group participants were informed that the rehabilitation program was full and they were transferred to a waiting list pending treatment (Study IV).The results in the first study showed that 60% of the participating hearing-aid users used computers and the internet. The internet use level was at least at the same level for people with hearing loss as for the general age-matched population in Sweden. In the second study a significant main effect of questionnaire format was found for one questionnaire, which evaluated the participants' activity limitations and participation restrictions; the participants had higher scores on the online format than on the paper format. Other than that, no interaction effects for format were found for the other three questionnaires. In the first randomized controlled trial, after the five-week online rehabilitation program, both groups of participants showed significant improvements and the effects were maintained in domains of activity limitation and participation restriction at the six-month follow-up. Moreover, effects in psychosocial domains were found. In the second randomized controlled trial, after the five-week online rehabilitation, the p...

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“…In the currently recommended nomenclature found in World Health Organization (2002) International Classification of Functioning, Disability and Health recommendations, the concepts earlier embodied in "handicap" now are termed participation restrictions and the concepts formerly known as "disability" are now termed activity limitations. In contemporary terms, Hickson, Worrall, and Scarinci (2007) characterized SAC as a measure of communication activity limitation. Although also loaded with communication activity limitation questions, SAC-Hx is by its nature an inventory of multiple domains, and as such, assesses both participation restriction and activity limitation.…”

Section: Treatment Outcome Measure: Sac-hxmentioning

confidence: 99%

Short-Term Hearing Aid Benefit in a Large Group

Ivory

Hendricks

Vliet

et al. 2009

Trends in Amplification

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Short-term benefit in a very large group (N = 4,584) following hearing aid treatment was estimated using a revised version of the Self-Assessment of Communication (SAC-Hx). A total of 4,584 veterans with adult-onset hearing loss and mean audiometric findings consistent with a mild to severe, sloping, symmetrical, sensorineural hearing impairment were fitted with hearing aids. Responses to the SAC-Hx were gathered prior to and then 6 weeks following hearing aid fitting. Benefit was defined as the difference between the baseline and the posttreatment SAC-Hx scores. Hearing aid treatment resulted in robust and statistically significant benefit in each category of self-perceived communication consequences. Prior experience influenced benefit: New hearing aid users demonstrated the greatest magnitude of benefit, but even previously satisfied and dissatisfied users obtained significant benefit after new hearing aid fitting. Duration of experience did not have a remarkable effect on the magnitude of benefit: All groups with various durations of experience obtained comparable benefit. Severity of the baseline scores paralleled degree of hearing impairment when impairment was defined using a better ear pure tone average at 1,000, 2,000, 3,000, and 4,000 Hz. Also, severity of perceived communication consequences paralleled poorer monosyllabic word recognition. Hearing aid treatment provided a functional, robust, and statistically significant benefit to individuals in all categories of hearing impairment (normal, mild, moderate, severe, and profound). This report demonstrates the feasibility of the SAC-Hx as a tool to efficiently assess outcome domains in hearing aid fitting.

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A Randomized Controlled Trial Evaluating the Active Communication Education Program for Older People with Hearing Impairment

Cited by 161 publications

References 50 publications

Hearing Loss in an Aging American Population: Extent, Impact, and Management

Hearing Loss in an Aging American Population: Extent, Impact, and Management

Internet Interventions for Hearing Loss: Examing rehabilitation, self-report measures and internet use for hearing-aid users

Short-Term Hearing Aid Benefit in a Large Group

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