Older adults’ perceptions of current and future hearing healthcare services in Australia, England, US and Canada

McMahon, Catherine M.; Mosley, Cornetta; Pichora‐Fuller, M. Kathleen; Davis, Adrian; Baylor, Carolyn; Yorkston, Kathryn M.; Tremblay, Kelly L.

doi:10.17061/phrp3152128

Cited by 7 publications

(5 citation statements)

References 21 publications

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“…Participants frequently noted that general practitioners did not discuss hearing loss or refer for testing, mirroring studies revealing disparities in specialty referrals for patients seen in primary care, such as significantly delayed or disparate referrals for Hispanic patients for chronic renal failure (Ifudu et al 1999), coronary artery or congestive heart failure (Cook et al 2009), mental healthcare for the treatment of depression and anxiety (Laomasino et al 2011), and treatment for rheumatoid arthritis (Mariam et al 2020). A lack of referral for a hearing test expressed by participants in the present study also aligns with the findings of McKee et al (2018), Carlson et al (2019), andMcMahon et al (2021), whose qualitative study results revealed that primary care providers did not discuss or minimized hearing loss, screenings, or hearing devices at appointments. However, these studies included few, if any, Hispanic/Latino adults, and is difficult to draw conclusions regarding whether Hispanic/ Latino background was a contributing factor.…”

Section: Structural Clinical and Organizational Barriers To Caresupporting

confidence: 85%

“…Participant discussions revealed an interesting paradox of wanting physical appearance to remain youthful and vibrant for as long as possible, while also embracing and accepting the aging process and the natural sensory losses that occur among older relatives. Those with hearing loss described frustrations when communicating in group situations or other adverse listening environments, a well-documented problem that was also shared by participants in previous qualitative studies investigating attitudes and beliefs of hearing loss (McKee et al 2018;Carlson et al 2019;McMahon et al 2021), including those focused on Korean Americans (Choi et al 2018).…”

Section: Hearing Loss and Hhc Lived Experiencesmentioning

confidence: 85%

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Hispanic/Latino Perspectives on Hearing Loss and Hearing Healthcare: Focus Group Results

et al. 2022

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Objectives: To better understand the hearing health learning needs of Hispanic/Latino adults by assessing hearing healthcare (HHC) knowledge, attitudes, and behaviors to inform the development of a culturally and linguistically appropriate self-management program. Through a series of focus groups with members of the target audience, this study explored knowledge about hearing loss and interventions, cultural facilitators and barriers to HHC utilization, and preferences for hearing health education and information delivery. Opinions were also received on patient education materials designed to increase self-efficacy for managing hearing loss in daily life.Design: This work was guided by a practical framework of culturally competent interventions for addressing disparities in health and healthcare, centered on structural, clinical, and organizational barriers to care. A hybrid individualistic social psychology and social constructionist approach was used to build programmatic theory related to the primary research objective. Focus group goals were to generate a combination of personal opinions and collective experiences from participants with an a priori plan to analyze data using combined content analysis/grounded theory methods. Purposive sampling was used to select 31 participants who were Spanish-speaking, identified as Hispanic/Latino, and who had normal hearing or self-reported hearing difficulties. Thirteen focus groups were conducted using Microsoft Teams, and each group was audio and video recorded for later off-line transcription, translation, and analysis. A constant comparison approach was used to systematically organize focus group data into a structured format for interpretation. Transcripts were coded independently by two investigators, and emergent themes were derived and interpreted from the coded data. Results:Major and minor themes tied to the framework for culturally competent interventions included those related to sociocultural barriers to care. Structural barriers, including inconsistent access to quality care, lack of culturally and linguistically appropriate patient education materials, appointment wait times and intake processes, and referrals to specialty care, were most frequently experienced by participants. Clinical barriers most frequently cited were a lack of culturally and linguistically congruent healthcare providers and lack of language access during healthcare visits. Other major themes included hearing loss lived experiences, family and familism, and hearing-related patient education needs and preferences.Conclusions: Focus group results were integrated into a Spanishlanguage hearing loss self-management program that is currently being evaluated in a randomized controlled trial. The themes uncovered provided insight regarding the knowledge, attitudes, and beliefs about hearing loss and HHC, including hearing-related learning needs, of Hispanic/ Latino adults in this sample.

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Section: Structural Clinical and Organizational Barriers To Caresupporting

confidence: 85%

Section: Hearing Loss and Hhc Lived Experiencesmentioning

confidence: 85%

Hispanic/Latino Perspectives on Hearing Loss and Hearing Healthcare: Focus Group Results

et al. 2022

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“…É dependente de fatores como boa habilidade manual, grau de encaixe/conforto dos moldes auriculares, ruídos ambientais, conhecimento dos familiares sobre deficiência auditiva e apoio social, disponibilidade de atendimento dos serviços de saúde auditiva e de assistência técnica [17][18][19] . O apoio familiar é fundamental na efetividade do processo de reabilitação, pois colaboram na compreensão de instruções, aumentam o sentimento de segurança do usuário, facilitam o reconhecimento de suas dificuldades e o acesso a serviços de saúde 22,23 . Em contrapartida, a descontinuidade dos serviços de saúde auditiva durante a pandemia dificultou o acesso à compra de pilhas, reparo de dispositivos quebrados, confecção de novos moldes auriculares e reprogramação de dispositivos [19][20][21] , com consequente diminuição no tempo de uso diário dos DAES, problemas relacionados à audição (infecções, tontura e zumbido) e dificuldades de comunicação com familiares 19 .…”

Section: Conclusãounclassified

“…A integralidade do indivíduo com perda auditiva deve ser considerada durante os atendimentos em saúde, visto que doenças crônicas podem ser fatores de risco para a perda auditiva 22 . Indivíduos com problemas auditivos frequentemente relatam ter saúde geral ruim, maior número de comorbidades crônicas e de limitações funcionais 15 .…”

Section: Conclusãounclassified

Access to health service and hearing rehabilitation for adult and older adults during the initial period of the COVID-19 pandemic in Brazil

Guesser,

Haas,

Quialheiro

et al. 2024

Distúrb Comun

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Introduction: Hearing loss is a common disability in the world population and contributes to difficulty in verbal communication and reduced quality of life, highlighting the importance of early identification, rehabilitation and audiological monitoring of this disability to mitigate its consequences. During the COVID-19 pandemic, restrictive measures reduced the service capacity of hearing health services and made it difficult to seek help to solve problems related to adaptation to personal sound amplification products (PSAPs), being a barrier in the rehabilitation process of hearing loss. Aim: To characterize PSAPs users and the initial hearing rehabilitation process for adults and elderly people and verify the factors associated with the return to hearing monitoring consultations in the initial period of the COVID-19 pandemic. Methods: Cross-sectional observational study with adults and elderly people: elderly users of an outpatient hearing health service who return for a scheduled hearing monitoring consultation in the initial period of the implementation of restrictive measures of the COVID-19 pandemic in Brazil. Results: Most participants were able to return to the hearing monitoring clinic, the majority of whom were elderly, female and vaccinated against COVID-19. There was a higher prevalence of adequate adaptation to the PSAPs. There was no statistical association between variables related to adaptation to PSAPs, COVID-19 and mental health and return to hearing monitoring consultation. Conclusion: Factors related to adaptation to PSAPs, COVID-19 or mental health did not influence the return to hearing monitoring consultation in the present investigation.

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“…The hearing care culture is becoming more receptive to consumer demands, experiences, and decisions over where to receive their hearing care. 11 As a result of this new dynamic, hearing care must recognize that it is now more important than ever to be adaptable and responsive to consumers.…”

Section: Tablementioning

confidence: 99%

Centering on People: How Hearing Care Professionals Can Adapt to Consumers' Need and Outcomes

Brice

Timmer

Barr³

2023

Semin Hear

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Audiology is experiencing exponential growth in technology, service, and provision options. These advancements give hearing care professionals the opportunity to revise, potentially improve, and adapt to the modern hearing care landscape to better serve the modern consumer. Consumer needs guide care planning and delivery, with the goal of achieving outcomes that are important to both the consumer and the clinician. The changes available to the hearing care industry can also enable consumers' needs to be identified and served in a more holistic and personalized manner than has previously been possible. The purpose of this article is to explain and encourage hearing care professionals to adopt a mindset of doing whatever is reasonable and clinically appropriate to meet the need and desires of the consumer by implementing choice in service, technology, and channel across whichever model of care adopted by a provider.

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Older adults’ perceptions of current and future hearing healthcare services in Australia, England, US and Canada

Cited by 7 publications

References 21 publications

Hispanic/Latino Perspectives on Hearing Loss and Hearing Healthcare: Focus Group Results

Hispanic/Latino Perspectives on Hearing Loss and Hearing Healthcare: Focus Group Results

Access to health service and hearing rehabilitation for adult and older adults during the initial period of the COVID-19 pandemic in Brazil

Centering on People: How Hearing Care Professionals Can Adapt to Consumers' Need and Outcomes

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