Negative Consequences of Hearing Impairment in Old Age

Strawbridge, William J.; Wallhagen, Margaret; Shema, Sarah J.; Kaplan, George A.

doi:10.1093/geront/40.3.320

Cited by 392 publications

(307 citation statements)

References 29 publications

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“…It is encouraging that psychosocial talk was a focus of one quarter of the history taking phases observed in the current study, given that psychosocial talk is often not a focus of physician-patient interactions in primary health care [14,[30][31][32]. However, given that adults with acquired hearing loss typically attend an audiology appointment because they are experiencing communication difficulties [17,33] and thus may have experienced changes to their lifestyle (e.g., withdrawing from social situations) and/or general well-being [34][35][36][37][38][39], one would expect a greater proportion of audiology appointments to begin with psychosocial interaction.…”

Section: Discussionmentioning

confidence: 92%

Audiologist-patient communication profiles in hearing rehabilitation appointments

Meyer

Barr

Khan

et al. 2017

Patient Education and Counseling

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Highlights Audiology consultations remain clinician-centred.  Three-quarters of appointments began with a biopsychosocial interaction.  All appointments ended with a biomedical interaction dominated by hearing aid talk.  Audiologist-patient communication was not associated with decision to trial HAs. Audiologist-patient communication in hearing rehabilitation 2 AbstractObjective. To profile the communication between audiologists and patients in initial appointments on a biomedical-psychosocial continuum; and explore the associations between these profiles and 1) characteristics of the appointment and 2) patients' decisions to pursue hearing aids.Methods. Sixty-three initial hearing assessment appointments were filmed and audiologistpatient communication was coded using the Roter Interaction Analysis System. A hierarchical cluster analysis was conducted to profile audiologist-patient communication, after which regression modelling and Chi-squared analyses were conducted.Results. Two distinct audiologist-patient communication profiles were identified during both the history taking phase (46 = biopsychosocial profile, 15 = psychosocial profile) and diagnosis and management planning phase (45 = expanded biomedical profile, 11 = narrowly biomedical profile). Shorter appointments were significantly more likely to be associated with a narrowly biomedical interaction during the diagnosis and management planning phase. No significant associations were found between audiologist-patient communication profile and patients' decisions to pursue hearing aids. Conclusion.Initial audiology consultations appear to remain clinician-centred. Three quarters of appointments began with a biopsychosocial interaction; however, 80% ended with an expanded biomedical interaction.Practice Implications. Findings suggest that audiologists could consider modifying their communication in initial appointments to more holistically address the needs of patients.

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Section: Discussionmentioning

confidence: 92%

Audiologist-patient communication profiles in hearing rehabilitation appointments

Meyer

Barr

Khan

et al. 2017

Patient Education and Counseling

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“…34,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55] Of particular concern for rehabilitation providers are studies that find depression is more prevalent among persons with dual loss than those with single impairments in vision or hearing. For example, among community-dwelling older individuals with objective assessments of sensory function (ie, Snellen acuity and free-field voice testing), visual and hearing impairments increased the odds of depression by 2.3 and 1.8, respectively.…”

Section: Dual Sensory Loss and Psychological Functionmentioning

confidence: 99%

Psychosocial Adaptations to Dual Sensory Loss in Middle and Late Adulthood

Brennan

Bally

2007

Trends in Amplification

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Concurrent losses of hearing and vision function, or dual sensory loss, affect a large number of individuals of all ages and particularly older adults. Dual sensory loss may present at any age as a result of genetic defect, accident, injury, disease, or environmental insult; however, most persons develop this condition as a result of age-related disease processes that rarely result in total deafness or blindness. This condition has wide-ranging implications for physical and psychological functioning and quality of life. In this article, we review the prevalence and causes of dual impairment and its effects on functioning for both individuals affected and their families. We examine psychosocial coping and adaptation to this condition using biopsychosocial–spiritual and ecological models and discuss various strategies for coping and adaptation. The impact of larger societal forces on psychosocial adaptation is presented, followed by recommendations for how rehabilitation and other professionals can meet the challenge of dual sensory loss that awaits us with the aging of the population.

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“…Several studies have reported that older adults who are hearing impaired have greater functional disability when compared with their nonimpaired peers [10,12,15,18,[26][27][28]. However, this relationship does not appear to be as strong when compared with the relationship between visual impairment and ADL/IADL disability [25,[29][30].…”

Section: Hearing Impairmentmentioning

confidence: 99%

Longitudinal associations between dual sensory impairment and everyday competence among older adults

Brennan

Su²,

Horowitz³

2006

JRRD

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Abstract-Given the prevalence of sensory impairment in older adults, the relationship of sensory impairment to everyday competence among older adults is gaining attention. Dual impairment, or concurrent impairments of vision and hearing, affects anywhere from 5% to 21% of older adults. Using Longitudinal Study on Aging data, we examined the longitudinal associations of self-reported dual sensory impairment with everyday competence in self-reported activities of daily living among adults aged 70 and older (N = 5,151). Self-reported dual sensory impairment was associated with higher levels of selfreported functional disability at baseline and at the 2-year follow-up interview, but the effect gradually diminished over time. However, self-reported dual sensory impairment was not associated with greater levels of self-reported disability as compared with self-reported visual impairment alone. Findings highlight the importance of vision and aural rehabilitation programs for older adults to mitigate the loss of competence in later life due to sensory impairment.

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Negative Consequences of Hearing Impairment in Old Age

Cited by 392 publications

References 29 publications

Audiologist-patient communication profiles in hearing rehabilitation appointments

Audiologist-patient communication profiles in hearing rehabilitation appointments

Psychosocial Adaptations to Dual Sensory Loss in Middle and Late Adulthood

Longitudinal associations between dual sensory impairment and everyday competence among older adults

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