Quality of life in bimodal hearing users (unilateral cochlear implants and contralateral hearing aids)

Farinetti, A.; Roman, S.; Mancini, Julien; Baumstarck-Barrau, K.; Meller, Renaud; Lavieille, Jean‐Pierre; Triglia, J.-M.

doi:10.1007/s00405-014-3377-8

Cited by 30 publications

(52 citation statements)

References 27 publications

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“…Because of this, we cannot conclude whether reductions in loneliness were directly caused by CI or HA use. Although it is fair to speculate that CI recipients received more extensive rehabilitation, this study could not account for the degree of improved aural rehabilitation that each individual achieved with HA or CI use; nor could we account for other factors that impact device effectiveness, including the use of assistive listening devices and bilateral amplification or even total hours of use . We found that HA users missed follow‐up visits more often than CI users.…”

Section: Discussionmentioning

confidence: 88%

Change in loneliness after intervention with cochlear implants or hearing aids

et al. 2017

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Objective To investigate the impact of hearing aid and cochlear implant use on loneliness in adults Study Design Prospective observational cohort study Methods 113 adults aged ≥50 years with post-lingual hearing loss receiving routine clinical care at a tertiary academic medical center were evaluated with the UCLA Loneliness Scale before and 6 and 12 months after intervention with hearing aids or cochlear implants. Change in score was assessed using linear mixed effect models adjusted for age, gender, education, and history of hypertension, diabetes, and smoking. Results Significant improvements in loneliness scores were observed in cochlear implant users from baseline to 6 months (−3.79 [95% confidence interval (CI): −5.73, −1.85], P <.001) and baseline to 12 months (−3.26 [95% CI: −5.66, −0.87], P =.007). We did not observe a significant improvement in loneliness scores in hearing aid users from baseline to 6 months (−0.83 [95% CI: −2.68, 1.02], P =.381) or baseline to 12 months (−0.34 [95% CI: −2.77, −2.10], P =.007).The most substantial increases were observed in individuals with the lowest baseline scores. Conclusions Treatment of hearing loss with cochlear implants results in a significant reduction in loneliness symptoms. This improvement was not observed with hearing aids. We observed differential effects of treatment depending on the baseline loneliness score with the greatest improvements observed in individuals with the most loneliness symptoms at baseline.

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Section: Discussionmentioning

confidence: 88%

Change in loneliness after intervention with cochlear implants or hearing aids

et al. 2017

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“…Because we did not include randomization or an untreated control arm, we are unable to definitively say increases in quality of life were directly caused by HA or CI use. We also are not able to investigate the role of determinants of CI and HA effectiveness such as hours of use, assistive listening device use, or unilateral versus bilateral device use . Selection bias and external validity warrant consideration, although this study was completed in a relatively diverse population.…”

Section: Discussionmentioning

confidence: 99%

“…We also are not able to investigate the role of determinants of CI and HA effectiveness such as hours of use, assistive listening device use, or unilateral versus bilateral device use. 35 Selection bias and external validity warrant consideration, although this study was completed in a relatively diverse population. Our analysis was posited on the assumption that data were MAR, but it is possible that those who experienced declines in the quality of life were less likely to attend follow-up visits, or that those who did not attend follow-up visits differed with respect to other potential confounding factors.…”

Section: Discussionmentioning

confidence: 99%

Quality of life after intervention with a cochlear implant or hearing aid

Contrera

Betz

et al. 2016

The Laryngoscope

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Objective To investigate the impact of hearing aid and cochlear implant use on quality of life in adults. Study Design Prospective observational cohort study. Methods 113 adults aged ≥50 years with post-lingual hearing loss receiving routine clinical care at a tertiary academic medical center were evaluated with the Medical Outcome Study Short Form-36 before and 6 and 12 months after intervention with hearing aids or cochlear implants. Change in score was assessed using linear mixed effect models adjusted for age, gender, education, and history of hypertension, diabetes, and smoking. Results A significant increase in mental component summary score was observed in both hearing aid and cochlear implant users from baseline to 12 months, with cochlear implant users increasing nearly twice that of hearing aid users (hearing aid: 2.49 [95% confidence interval 0.11, 4.88], P =.041; cochlear implant: 4.20 [95% confidence interval 1.85, 6.55], P <.001). The most substantial increases were observed in individuals with the lowest baseline scores. There was no significant difference in physical component summary score from baseline to 12 months. Conclusions Treatment of hearing loss with hearing aids and cochlear implants results in significant increases in mental health quality of life. The majority of the increase is observed by 6 months post-treatment and we observed differential effects of treatment depending on the level of baseline quality of life score with the greatest gains observed in those with the lowest scores.

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“…The PTA of the continuing HA group (mean = 78 dB HL, median = 82 dB HL) is substantially better than the average hearing loss that has been reported in some previous studies of the characteristics of bimodal device users (e.g., Devocht et al., 2015; Farinetti et al., 2015; Fitzpatrick et al., 2009). Inspection of our data reveals that 62 of the 80 continuing group were implanted between February 2010 and February 2015.…”

Section: Discussionmentioning

confidence: 99%

“…Other retrospective studies also provide evidence that those who discontinue HA use have less residual hearing in the unimplanted ear than those who continue HA use. In two other studies, mean PTA of nonbimodal users exceeded 100 dB HL in the unimplanted ear (e.g., Farinetti et al., 2015; Fitzpatrick et al., 2009). …”

Section: Introductionmentioning

confidence: 89%

Self-Reported Usage, Functional Benefit, and Audiologic Characteristics of Cochlear Implant Patients Who Use a Contralateral Hearing Aid

et al. 2017

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Ninety-four unilateral CI patients with bimodal listening experience (CI plus HA in contralateral ear) completed a questionnaire that focused on attitudes toward hearing aid use postimplantation, patterns of usage, and perceived bimodal benefits in daily life. Eighty participants continued HA use and 14 discontinued HA use at the time of the questionnaire. Participant responses provided useful information for counseling patients both before and after implantation. The majority of continuing bimodal (CI plus HA) participants reported adapting to using both devices within 3 months and also reported that they heard better bimodally in quiet, noisy, and reverberant conditions. They also perceived benefits including improved sound quality, better music enjoyment, and sometimes a perceived sense of acoustic balance. Those who discontinued HA use found either that using the HA did not provide additional benefit over the CI alone or that using the HA degraded the signal from the CI. Because there was considerable overlap in the audiograms and in speech recognition performance in the unimplanted ear between the two groups, we recommend that unilateral CI recipients are counseled to continue to use the HA in the contralateral ear postimplantation in order to determine whether or not they receive functional or perceived benefit from using both devices together.

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Quality of life in bimodal hearing users (unilateral cochlear implants and contralateral hearing aids)

Cited by 30 publications

References 27 publications

Change in loneliness after intervention with cochlear implants or hearing aids

Change in loneliness after intervention with cochlear implants or hearing aids

Quality of life after intervention with a cochlear implant or hearing aid

Self-Reported Usage, Functional Benefit, and Audiologic Characteristics of Cochlear Implant Patients Who Use a Contralateral Hearing Aid

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