Amplified hearing device use in acute care settings for patients with hearing loss: A feasibility study

Kimball, Amber; Roscigno, Cecelia I.; Jenerette, Coretta; Hughart, Kimberly M.; Jenkins, W.; Hsu, Wesley

doi:10.1016/j.gerinurse.2017.10.009

Cited by 6 publications

(13 citation statements)

References 31 publications

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“…In a health care setting, a simple noncustom amplifier can be used by clinicians to improve communication in real time with their patients. 222,223 Given that the majority of communication in a health care interaction is auditory, the use of amplification will reduce the effort needed by the patient with untreated hearing loss to communicate and fully participate in care decisions. 224 These low-cost amplifiers can be used with headset covers that can be disposed of after single use and the device can be wiped with a cleaning solution, allowing the device to be used across patients.…”

Section: Aldsmentioning

confidence: 99%

“…In a health care setting, a simple noncustom amplifier can be used by clinicians to improve communication in real time with their patients 222,223 . Given that the majority of communication in a health care interaction is auditory, the use of amplification will reduce the effort needed by the patient with untreated hearing loss to communicate and fully participate in care decisions 224 .…”

Section: Statement 7: Communication Strategies and Assistive Technolo...mentioning

confidence: 99%

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Clinical Practice Guideline: Age‐Related Hearing Loss

Tsai Do,

Bush,

Weinreich

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveAge‐related hearing loss (ARHL) is a prevalent but often underdiagnosed and undertreated condition among individuals aged 50 and above. It is associated with various sociodemographic factors and health risks including dementia, depression, cardiovascular disease, and falls. While the causes of ARHL and its downstream effects are well defined, there is a lack of priority placed by clinicians as well as guidance regarding the identification, education, and management of this condition.PurposeThe purpose of this clinical practice guideline is to identify quality improvement opportunities and provide clinicians trustworthy, evidence‐based recommendations regarding the identification and management of ARHL. These opportunities are communicated through clear actionable statements with explanation of the support in the literature, evaluation of the quality of the evidence, and recommendations on implementation. The target patients for the guideline are any individuals aged 50 years and older. The target audience is all clinicians in all care settings. This guideline is intended to focus on evidence‐based quality improvement opportunities judged most important by the guideline development group (GDG). It is not intended to be a comprehensive, general guide regarding the management of ARHL. The statements in this guideline are not intended to limit or restrict care provided by clinicians based on their experience and assessment of individual patients.Action StatementsThe GDG made strong recommendations for the following key action statements (KASs): (KAS 4) If screening suggests hearing loss, clinicians should obtain or refer to a clinician who can obtain an audiogram. (KAS 8) Clinicians should offer, or refer to a clinician who can offer, appropriately fit amplification to patients with ARHL. (KAS 9) Clinicians should refer patients for an evaluation of cochlear implantation candidacy when patients have appropriately fit amplification and persistent hearing difficulty with poor speech understanding. The GDG made recommendations for the following KASs: (KAS 1) Clinicians should screen patients aged 50 years and older for hearing loss at the time of a health care encounter. (KAS 2) If screening suggests hearing loss, clinicians should examine the ear canal and tympanic membrane with otoscopy or refer to a clinician who can examine the ears for cerumen impaction, infection, or other abnormalities. (KAS 3) If screening suggests hearing loss, clinicians should identify sociodemographic factors and patient preferences that influence access to and utilization of hearing health care. (KAS 5) Clinicians should evaluate and treat or refer to a clinician who can evaluate and treat patients with significant asymmetric hearing loss, conductive or mixed hearing loss, or poor word recognition on diagnostic testing. (KAS 6) Clinicians should educate and counsel patients with hearing loss and their family/care partner(s) about the impact of hearing loss on their communication, safety, function, cognition, and quality of life (QOL). (KAS 7) Clinicians should counsel patients with hearing loss on communication strategies and assistive listening devices. (KAS 10) For patients with hearing loss, clinicians should assess if communication goals have been met and if there has been improvement in hearing‐related QOL at a subsequent health care encounter or within 1 year. The GDG offered the following KAS as an option: (KAS 11) Clinicians should assess hearing at least every 3 years in patients with known hearing loss or with reported concern for changes in hearing.

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Section: Aldsmentioning

confidence: 99%

Section: Statement 7: Communication Strategies and Assistive Technolo...mentioning

confidence: 99%

Clinical Practice Guideline: Age‐Related Hearing Loss

Tsai Do,

Bush,

Weinreich

et al. 2024

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

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“…These relatively inexpensive tools are useful for patients with milder forms of unaided hearing loss. A recent pilot study demonstrated the feasibility of providing personal amplifiers for patients with a hearing loss in a hospital setting and documented the users' improvement in quality and satisfaction of health care communication with inpatient nurses ( Kimball et al, 2018 ). Other accommodation devices include the availability of web- or iPad-based captioning or interpreting services (i.e., Video Remote Interpreting), which patients may only prefer at certain times ( James et al, 2022 ), and Communication Access Realtime Translation (CART) as a form of real-time captioning.…”

Section: Clinic- and System-level Issues And Approachesmentioning

confidence: 99%

Reframing Our Health Care System for Patients With Hearing Loss

McKee

James

Helm

et al. 2022

J Speech Lang Hear Res

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Purpose: Nearly 20% of U.S. Americans report a hearing loss, yet our current health care system is poorly designed and equipped to effectively care for these individuals. Individuals with hearing loss report communication breakdowns, inaccessible health information, reduced awareness and training by health care providers, and decreased satisfaction while struggling with inadequate health literacy. These all contribute to health inequities and increased health care expenditures and inefficiencies. It is time to reframe the health care system for these individuals using existing models of best practices and accessibility to mitigate inequities and improve quality of care. Method: A review of system-, clinic-, provider-, and patient-level barriers, along with existing and suggested efforts to improve care for individuals with hearing loss, are presented. Results: These strategies include improving screening and identification of hearing loss, adopting universal design and inclusion principles, implementing effective communication approaches, leveraging assistive technologies and training, and diversifying a team to better care for patients with hearing loss. Patients should also be encouraged to seek social support and resources from hearing loss organizations while leveraging technologies to help facilitate communication. Conclusions: The strategies described introduce actionable steps that can be made at the system, clinic, provider, and patient levels. With implementation of these steps, significant progress can be made to more proactively meet the needs of patients with hearing loss.

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“…A potential tool is the use of personal sound amplification products (PSAPs); these devices, not much larger than a smartphone, amplify sounds close to the user while reducing noises farther away. In previous small studies, PSAPs have shown benefits in improving the quality of hearing and communication …”

mentioning

confidence: 99%

“…In previous small studies, PSAPs have shown benefits in improving the quality of hearing and communication. 8,9 In this issue of JAMA, Nieman et al 10 report a randomized trial of a community health worker-delivered PSAP intervention among 151 older adults with hearing loss. Participants in the intervention group received 1 of 2 PSAPs and were encouraged to use the device in their daily routines.…”

mentioning

confidence: 99%

Technological Tools to Improve Communication in Patients With Hearing Loss

James

McKee

2022

JAMA

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The risk of hearing loss increases as the population ages, with approximately 23 million adults aged 70 years or older (63%) in the US having diminished speech perception. 1 Although hearing loss is common in elderly people, management is largely ineffective due to several factors: poor screening, high cost of hearing aids, vanity, hearing loss stigma, and inadequate training of health care practitioners. As a result, hearing loss results in adverse consequences both in health care settings and in everyday life. 2 Studies have demonstrated that those with untreated hearing loss use hospitals and emergency departments more often than those without hearing loss and generate, on average, an additional $22 000 in health care expenses over 10 years. 3 Chang et al 4 analyzed Medicare recipients with hearing loss and selfreported communication difficulties and found that they were 32% more likely to be readmitted to the hospital within 30 days of discharge compared with those who did not report hearing loss or communication difficulties.Hearing loss is a major source of social isolation among older adults and causes health care communication breakdowns between clinicians and patients, 5 reducing patients' health care satisfaction and adherence. 6 Despite the considerable adverse effects of age-related hearing loss, hearing aid use remains low even though these aids provide communication benefits, reduce social isolation, and improve quality of life. Less than 20% of those aged 70 years or older with hearing loss reported hearing aid use. 7 Due to infrequent use of hearing aids, many older adults with hearing loss struggle with understanding clinicians. 6 A potential tool is the use of personal sound amplification products (PSAPs); these devices, not much larger than a smartphone, amplify sounds close to the user while reducing noises farther away. In previous small studies, PSAPs have shown benefits in improving the quality of hearing and communication. 8,9 In this issue of JAMA, Nieman et al 10 report a randomized trial of a community health worker-delivered PSAP intervention among 151 older adults with hearing loss. Participants in the intervention group received 1 of 2 PSAPs and were encouraged to use the device in their daily routines. The community health worker-led device instruction took place in 1 to 2 individual sessions in less than 2 hours of total time. The primary outcome was self-perceived communication at 3 months; secondary outcomes included physical health, depression, social isolation, loneliness, and self-efficacy in

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Amplified hearing device use in acute care settings for patients with hearing loss: A feasibility study

Cited by 6 publications

References 31 publications

Clinical Practice Guideline: Age‐Related Hearing Loss

Clinical Practice Guideline: Age‐Related Hearing Loss

Reframing Our Health Care System for Patients With Hearing Loss

Technological Tools to Improve Communication in Patients With Hearing Loss

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