Denial by Patients of Hearing Loss And
Their Rejection of Hearing Health Care:
A Review

Rawool, Vishakha W.

doi:10.17430/906204

Cited by 13 publications

(6 citation statements)

References 64 publications

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“…In Thailand, the Universal Health Coverage Scheme requires an additional legal disability registration ( 20 ), which could enhance the stigma of being labelled as disabled. The denial of hearing problems and rejection to adopt hearing aids can be a defense mechanism ( 21 ). The visibility of a disability may have further effects on self-concept.…”

Section: Discussionmentioning

confidence: 99%

Attitudes towards hearing difficulties, health-seeking behaviour, and hearing aid use among older adults in Thailand

Pornprasit,

Utoomprurkporn,

Areekit

et al. 2024

Front. Digit. Health

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IntroductionThis qualitative study explores older adults' attitudes towards hearing difficulties, health-seeking behaviour and hearing aid use in Samutprakarn, Thailand.MethodThree focus groups (n=25), with adults aged 60-88 years, were conducted within a residential complex for older adults. Qualitative data analysis, employing a phenomenological approach was completed.ResultsFour themes are presented: (1) Perception of hearing difficulties, (2) Experience of receiving care, (3) Attitudes towards wearing hearing aids, and (4) Raising awareness of hearing difficulties in older adults. Findings indicate that Thai older adults may not be aware or accepting of their hearing difficulties, due to the stigma associated hearing loss, older age, and disability. The consequential impact of these unacknowledged issues manifest in communication challenges and the adoption of avoidance behaviours across diverse situational contexts.ConclusionThis study enhances our understanding of how Thai older adults perceive hearing problems and ear care. Findings underscore the potential pivotal role of familial and social networks in mitigating barriers associated with hearing difficulties among older adults in Thailand. These insights can raise awareness and inform effective management for older adults and their families. Additionally, the findings could guide healthcare providers, researchers, and policy makers, fostering improved care for this demographic.

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Section: Discussionmentioning

confidence: 99%

Attitudes towards hearing difficulties, health-seeking behaviour, and hearing aid use among older adults in Thailand

Pornprasit,

Utoomprurkporn,

Areekit

et al. 2024

Front. Digit. Health

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“…There are different amplification strategies available that can solve a variety of temporal processing deficits. 45 The sound signal processing algorithms must be chosen based on scientific recommendations and adapted to the target population. Factors such as choosing the proper prescriptive method and restoring the dynamic hearing range 41 improve audibility and the processing of signals through the CANS, both in silence and in noise.…”

Section: Discussionmentioning

confidence: 99%

Temporal Ordering and Auditory Resolution in Individuals with Sensorineural Hearing Loss

Andrade,

Sanfins,

Skarzynska

et al. 2023

Int Arch Otorhinolaryngol

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Introduction Peripheral hearing loss, besides causing inadequate auditory input, can lead to distortions in the tonotopic auditory map and reorganization of neural networks. Therefore, the processing of temporal aspects of a sound stimulus and, consequently, the effectiveness of human communication can be negatively impacted. Objective To test the temporal ordering and auditory resolution of people with mild and moderate sensorineural hearing loss and to compare them with the those of people with normal hearing. Methods A total of 19 right-handed individuals aged 16 to 59 years with mild to moderate postlingually acquired symmetric bilateral sensorineural hearing loss participated in the study. They were submitted to frequency and duration pattern tests and a random gap detection test. Results The mean correct response rate in the frequency pattern test was of 66.3%, and, in the duration pattern test, 71.7%. The mean threshold in the random gap detection test was of 14.1 ms. A comparison with the criteria established for normal subjects without peripheral hearing loss revealed that more than half the subjects had abnormal results in the temporal ordering test, while a smaller fraction had reduced temporal resolution. Conclusions The performance of the subjects with acquired sensorineural hearing loss was poorer than that of the participants without peripheral hearing loss. Their results on the temporal ordering test were also poorer than in the temporal resolution test, demonstrating the importance of analyzing both these auditory skills in people with peripheral hearing loss.

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“…A relative gap in the literature involves the lack of studies exploring how the denial of presbycusis or resistance to hearing intervention may impact communication partners, and any possible benefit from hearing intervention. Although some studies have qualitatively explored these areas (Armero 2001; Rawool 2018), quantitative studies would be beneficial. It was also considered that studies may have systematic variation in baseline scores on emotional measures (e.g., baseline ceiling effects for older participants).…”

Section: Discussionmentioning

confidence: 99%

Hear Me Out: A Meta-Analysis of Third-Party Disability Due to Presbycusis

Picard,

Bentvelzen,

Savage

et al. 2023

Ear &Amp; Hearing

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Objectives: Hearing-related third-party disability is the transferrable impact of presbycusis on an affected individual’s surrounding social network. Previous research suggests that interventions to overcome hearing-related communication challenges benefit both the individual with presbycusis and their communication partner. However, there have been no comparisons of the effects of different interventions on third-party disability. We conducted meta-analyses of hearing aid or communication-based longitudinal interventions to determine if: both kinds of interventions significantly benefit communication partners across three categories of third-party disability (communication, emotional health and lifestyle outcomes), hearing aid and communication interventions differ in the size of treatment effects, and demographic variables moderate intervention efficacy. Design: Four databases were systematically searched for studies published after 1990 that included preintervention and postintervention data for communication partners of individuals receiving a hearing aid or communication-based intervention. Studies were included if participants had presbycusis, were aged 45 or over, with no known physical or mental disorders, and had a willing study partner over 18 years old. Databases were last comprehensively and hand-searched in January 2023. One researcher applied the inclusion and exclusion criteria to select studies and complete data extraction. Depending on study design, risk of bias was assessed using the “Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group” or the “Risk of Bias 2.” Random effects models were run for effect sizes for both intervention types (together and separately) for each third-party disability category. Meta-regressions were run to inspect the effect of demographic variables on intervention efficacy. Results: Six studies satisfied inclusion criteria and showed that for both hearing and communication interventions, communication partners experienced significant improvements in all three outcomes. Communication interventions showed greater benefits for lifestyle outcomes, but hearing aid and communication interventions did not differ for communication and emotional health outcomes. Meta-regressions revealed previously undetected relationships between demographic variables and intervention efficacy. Conclusions: The results of this meta-analysis and meta-regressions may have clinical and real-world implications in terms of highlighting the widespread benefits of these interventions, and the need to build in greater consideration of an individual’s wider network when designing and implementing interventions. Noted limitations included certain combinations of intervention type and third-party disability category that were underrepresented (in absolute and/or relative terms), a lack of combined intervention (hearing aids and communication training) studies, and variation in the types of questionnaires used between studies. The current study discusses possible ways to unite the current literature for more consistent research practices.

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Denial by Patients of Hearing Loss And Their Rejection of Hearing Health Care: A Review

Cited by 13 publications

References 64 publications

Attitudes towards hearing difficulties, health-seeking behaviour, and hearing aid use among older adults in Thailand

Attitudes towards hearing difficulties, health-seeking behaviour, and hearing aid use among older adults in Thailand

Temporal Ordering and Auditory Resolution in Individuals with Sensorineural Hearing Loss

Hear Me Out: A Meta-Analysis of Third-Party Disability Due to Presbycusis

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