Changing the narrative for hearing health in the broader context of healthy living: a call to action

Saunders, Gabrielle H.; Vercammen, Charlotte; Timmer, Barbra H B; Singh, Gurjit; Pelosi, Angela; Meis, Marcus; Launer, Stefan; Kramer, Sophia E.; Gagné, Jean‐Pierre; Bott, Anthea

doi:10.1080/14992027.2021.1905892

Cited by 15 publications

(12 citation statements)

References 51 publications

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“…Discussing the pros and cons (9.2) of HA use vs. non-use in a patient-centered way may facilitate patients’ understanding that the benefits of HA use extend beyond improvement in hearing abilities and can have a direct, positive impact on HA owners’ quality of life. This is in agreement with the models proposed by Vercammen et al (2020) and Saunders et al (2021) based on the idea that improved hearing (using HAs) can positively affect socio-emotional well-being (e.g., improved social interaction) and cognitive well-being (e.g., reduced perceived listening effort and resultant fatigue), leading to improved overall well-being. Joint goal setting (1.3) for optimal HA use tailored to the patient's unique needs and preferences and supporting patients to self-monitor their HA use (2.3) may encourage HA use despite experienced challenges.…”

Section: Discussionsupporting

confidence: 92%

Hearing aid Experiences of Adult Hearing aid Owners During and After Fitting: A Systematic Review of Qualitative Studies

et al. 2022

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There has been an increasing number of qualitative studies exploring the experiences and perceptions of adult hearing aid owners throughout their hearing aid journey. As these studies and reported experiences vary greatly, a systematic review was conducted to identify and synthesize the key concepts in adult hearing aid owners’ experiences during and after fitting. A systematic search of three electronic databases was conducted, yielding 443 results. Articles were evaluated for inclusion based on pre-determined eligibility criteria, including conventional, smartphone-connected, and direct-to-consumer hearing devices. Twenty-five studies met the inclusion criteria. The quality of the included articles was evaluated using the Rating of Qualitative Research scale. Guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) and the Synthesis Without Meta-Analysis (SWiM) were followed. A narrative synthesis was conducted, and studies were grouped into three main domains, namely experiences of owners related to a) hearing aid adoption and fitting (n = 3), b) hearing aid use (n = 20), and c) hearing aid sub-optimal use (n = 25). Hearing aid owners mainly reported on how their attitude towards hearing aids affected experiences during the fitting stage. Improved psychosocial functioning was the most prevalent perceived benefit of hearing aid use. Owners described sub-optimal use in terms of hearing device-related and non-device-related concepts. The COM-B (capability, opportunity, motivation-behavior) model is used to discuss specific service-delivery, hearing-device, and hearing-aid-owner related concepts and clinical implications, including behavior change techniques to enhance understanding of the concepts that hearing aid owners perceive as essential to improve hearing aid experiences.

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Section: Discussionsupporting

confidence: 92%

Hearing aid Experiences of Adult Hearing aid Owners During and After Fitting: A Systematic Review of Qualitative Studies

et al. 2022

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“…The following steps can be taken to increase the social support and help reduce the burden of loneliness and isolation: (i) encourage the use of engaged coping strategies such as managing the hearing loss using hearables/hearing aids or hearing implants or using communication strategies ( Heffernan et al, 2016 ); (ii) provide training to communication partners/significant others on support socially the person with hearing impairment ( Preminger and Meeks, 2010 ) and (iii) train audiologists in providing counseling and emotional support to their patients ( Saunders et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Is There an Association Between Untreated Hearing Loss and Psychosocial Outcomes?

Jayakody

Wishart

Stegeman

et al. 2022

Front. Aging Neurosci.

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ObjectiveAge-related hearing loss is one of the leading causes of disability in older adults. This cross-sectional study investigated the association between untreated hearing loss, social (perception of quality and quantity of social network) and emotional loneliness (perception of limited emotional support), social isolation (size of the social network), social support (actual or perceived availability of resources from the social network) and psychological discomfort (depression, anxiety, and stress) in older adults.Study DesignCross-sectional study design.MethodsA total of 202 community derived sample of volunteers, age range 40–89 years, mean age (M) = 65.3 ± 11.0 years were recruited. Of these 115 were females (M = 63.2 ± 12.0 years) and 87 were males (M = 68.2 ± 8.9 years). All participants completed a hearing assessment, social interaction and support questionnaire and a social and emotional loneliness questionnaire.ResultsHearing loss significantly contributed to both moderate [P < 0.001, B (95% CI): 0.01 (0.99–1.02)] and intense levels [P < 0.001, 0.02 (1.00–1.04)] of emotional loneliness. Depression was significantly associated with satisfaction with social support [P < 0.001; −0.17 (−0.23 to −0.11), social interaction [P = 0.01; −0.07 (−0.12 to −0.01)], and moderate [P < 0.001; 0.31 (1.22–1.53)] and intense [P < 0.001; 0.29 (1.20–1.50)] levels of emotional loneliness and intense levels of social loneliness [P = 0.01; 0.12 (1.05–1.21)].ConclusionUntreated hearing loss significantly increases the odds of being emotionally lonely. Depression significantly contributes to social and emotional loneliness, satisfaction with social support and social loneliness. Given the higher prevalence of loneliness and psychological discomfort and their associations with untreated hearing loss, hearing-impaired older adults are at significant risk of developing loneliness and psychological discomfort. Therefore, hearing health professionals should be aware of the psychosocial burden that may accompany hearing loss, in order to provide appropriate advice and support.

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“…Numerous studies have concluded that a holistically based view such as that provided by ICF is necessary to address all relevant aspects of adult hearing loss in AR ( 4 , 12 , 29 , 31 ). Saunders et al [( 32 ), p. S86] concluded that a “redefinition of therapeutic goal setting and hearing outcomes to include aspects of well-being so that audiologists can capture and patients realize that good hearing outcomes can have a direct positive impact on a person's quality of life that extends beyond their improved ability to hear” will be necessary for clinical practice to facilitate well-being and healthy living. The audiologists participating in this study worked in a person-centered way, and thus, could incorporate the ICF-based interview tool in their daily practices.…”

Section: Discussionmentioning

confidence: 99%

Enhancing Person-Centered Audiologic Rehabilitation: Exploring the Use of an Interview Tool Based on the International Classification of Functioning, Disability, and Health Core Sets for Hearing Loss

Granberg¹,

Skagerstrand²

2022

Front. Rehabilit. Sci.

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Health care interventions that are intended to improve hearing should be based on the results of individual patient assessments. To improve these assessments, the feasibility of an International Classification of Functioning, Disability, and Health (ICF)-based interview tool was tested in a single clinical setting in Sweden. Audiologists participating in the study used the interview tool during a four-week testing period and provided written reflections after each session. The use of this tool was also evaluated in a focus group interview that took place after the completion of the project. The results of this study identified both process-related and structure-related factors that were highly relevant to the implementation of this interview tool. Overall, the findings revealed that the use of this interview tool promoted person-centered care in encounters focused on clinical audiological rehabilitation. Specifically, the ICF-based holistic approach permitted the audiologists to acquire more comprehensive patient narratives. The use of the ICF interview tool facilitated patient participation and permitted the audiologist to collect more substantial and meaningful information from each patient.

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Changing the narrative for hearing health in the broader context of healthy living: a call to action

Cited by 15 publications

References 51 publications

Hearing aid Experiences of Adult Hearing aid Owners During and After Fitting: A Systematic Review of Qualitative Studies

Hearing aid Experiences of Adult Hearing aid Owners During and After Fitting: A Systematic Review of Qualitative Studies

Is There an Association Between Untreated Hearing Loss and Psychosocial Outcomes?

Enhancing Person-Centered Audiologic Rehabilitation: Exploring the Use of an Interview Tool Based on the International Classification of Functioning, Disability, and Health Core Sets for Hearing Loss

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