Self‐Reported Hearing Loss in Older Adults Is Associated with Future Decline in Instrumental Activities of Daily Living but Not in Social Participation

Yamada, Masaya; Nishiwaki, Yuji; Michikawa, Takehiro; Takebayashi, Toru

doi:10.1111/j.1532-5415.2012.04039.x

Cited by 42 publications

(41 citation statements)

References 24 publications

(26 reference statements)

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“…In addition, studies have shown that poor hearing is associated with loneliness (Pronk, Deeg, & Kramer, 2013;Sung, Li, Blake, Betz, & Lin, 2015) and social isolation (Mick, Kawachi, & Lin, 2014;Mick & Pichora-Fuller, 2016). However, note that diverging results exist (Mick et al, 2014;Mick & Pichora-Fuller, 2016;Yamada, Nishiwaki, Michikawa, & Takebayashi, 2012), possibly caused by inconsistencies in hearing and social participation measures, and differences in study samples.…”

Section: Interaction Of Hearing Impairment Balance and Social Particmentioning

confidence: 97%

Untitled

Heinrich¹,

Gagné

Viljanen

et al. 2016

SIIW

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Successful communication is vital to active aging and well-being, yet virtually all older adults find it challenging to communicate effectively in noisy environments. The resulting discomfort and frustration can prompt withdrawal or avoidance of social situations, which, in turn, can severely limit the range of activities available to older adults and lead to a less active and satisfying lifestyle, and, in some cases, depression. Using the International Classification of Functioning, Disability and Health's (ICF) multifactorial model (WHO, 2001), we review the wider aspects of functioning and disability as they relate to hearing difficulties and communication, placing a particular emphasis on the work we, an international and interdisciplinary group of researchers, have done in the context of the ERA-NET funded interdisciplinary HEARATTN project. The ICF model is particularly fitting because it allows us to consider how physiological changes in hearing and cognition affect listening in various situations, what the consequences of these changes are for communicative abilities and social participation, and how this in turn affects life-space mobility, self-reported well-being, and, ultimately, quality of life. We will discuss how environmental conditions (both physical and social) and personal factors can affect how well older adults can communicate in the situations characteristic of everyday life. In the concluding section we discuss some behaviours, techniques and strategies that can be adopted to maintain or improve effective communication under difficult listening conditions.

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Section: Interaction Of Hearing Impairment Balance and Social Particmentioning

confidence: 97%

Untitled

Heinrich¹,

Gagné

Viljanen

et al. 2016

SIIW

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“…While these self-report measures provide information about patients’ experiences with hearing aids and listening environments in their everyday lives, the information afforded by self-report measures is limited. Questionnaire responses can be affected by factors such as personality (Cox et al, 1999; 2007), memory (Bradburn et al, 1987; Shiffman et al, 2008), questionnaire structure (Yamada et al, 2012), patient expectations (Vestergaard, 2006), and patient and clinician biases (Bentler et al, 2003). Although standardized self-report measures offer valuable information about patients’ perceptions of their experiences, they often provide little information about the types of auditory environments patients experience or the acoustic characteristics of these environments.…”

Section: Introductionmentioning

confidence: 99%

Using a Digital Language Processor to Quantify the Auditory Environment and the Effect of Hearing Aids for Adults with Hearing Loss

Klein

Stangl

et al. 2018

J Am Acad Audiol

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Background Auditory environments can influence the communication function of individuals with hearing loss and the effects of hearing aids. Therefore, a tool that can objectively characterize a patient’s real-world auditory environments is needed. Purpose To use the Language Environment Analysis (LENA) system to quantify the auditory environments of adults with hearing loss, to examine if the use of hearing aids changes a user’s auditory environment, and to determine the association between LENA variables and self-report hearing aid outcome measures. Research Design This study used a crossover design. Study Sample Participants included 22 adults with mild-to-moderate hearing loss, age 64–82 yr. Intervention Participants were fitted with bilateral behind-the-ear hearing aids from a major manufacturer. Data Collection and Analysis The LENA system consists of a digital language processor (DLP) that is worn by an individual and records up to 16 hr of the individual’s auditory environment. The recording is then automatically categorized according to time spent in different types of auditory environments (e.g., meaningful speech and TV/electronic sound) by the LENA algorithms. The LENA system also characterizes the user’s auditory environment by providing the sound levels of different auditory categories. Participants in the present study wore a LENA DLP in an unaided condition and aided condition, which each lasted six to eight days. Participants wore bilateral hearing aids in the aided condition. Percentage of time spent in each auditory environment, as well as median levels of TV/electronic sounds and speech, were compared between subjects’ unaided and aided conditions using paired sample t tests. LENA data were also compared to self-report measures of hearing disability and hearing aid benefit using Pearson correlations. Results Overall, participants spent the greatest percentage of time in silence (~40%), relative to other auditory environments. Participants spent ~12% and 26% of their time in meaningful speech and TV/electronic sound environments, respectively. No significant differences were found between mean percentage of time spent in each auditory environment in the unaided and aided conditions. Median TV/electronic sound levels were on average 2.4 dB lower in the aided condition than in the unaided condition; speech levels were not significantly different between the two conditions. TV/electronic sound and speech levels did not significantly correlate with self-report data. Conclusions The LENA system can provide rich data to characterize the everyday auditory environments of older adults with hearing loss. Although TV/electronic sound level was significantly lower in the aided than unaided condition, the use of hearing aids seemed not to substantially change users’ auditory environments. Because there is no significant association between objective LENA variables and self-report questionnaire outcomes, these two types of measures may assess different aspects of communication function. The f...

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“…[17]), the extent to which such tests can accurately assess hearing impairment compared with objective hearing measures is not entirely clear [18]. Other factors contribute to the determination of self reported hearing loss such as cognitive abilities, education and individual dispositions [19].…”

Section: Introductionmentioning

confidence: 99%

Validation of the self-reported hearing questions in the Irish Longitudinal Study on Ageing against the Whispered Voice Test

et al. 2014

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BackgroundSelf report questions are often used in population studies to assess sensory efficacy and decline. These questions differ in their validity in assessing sensory impairment depending on the wording of the question and the characteristics of the population. We tested the validity of the self-report questions on hearing efficacy (self reported hearing, ability in following a conversation, use of a telephone and use of hearing aids) used in The Irish Longitudinal Study on Ageing (TILDA).MethodsWe tested sensitivity and specificity, positive and negative predictive values of each question against the Whispered Voice Test, a relatively easy to administer and cost effective alternative to the standard audiometric test.ResultsIn this population the question ‘Is your hearing (with or without a hearing appliance)/ Excellent/Very Good/Good/Fair/Poor?’ showed the best diagnostic value in relation to the other questions (sensitivity 55.56% and specificity 94.67%). The question ‘Can you use a normal telephone?’ was deemed ineffective because of a very poor sensitivity (5.56%) and was proposed for exclusion from subsequent waves of TILDA.ConclusionsWe showed that this validity check was useful to select the questions that most effectively assess hearing deficits and provided crucial information for the subsequent waves. We argue that longitudinal studies using self-reports of sensory efficacy would benefit from a similar check.

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Self‐Reported Hearing Loss in Older Adults Is Associated with Future Decline in Instrumental Activities of Daily Living but Not in Social Participation

Abstract: Self-reported hearing loss was associated with a decline in IADL, but not with social participation.

Cited by 42 publications

References 24 publications

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Using a Digital Language Processor to Quantify the Auditory Environment and the Effect of Hearing Aids for Adults with Hearing Loss

Validation of the self-reported hearing questions in the Irish Longitudinal Study on Ageing against the Whispered Voice Test

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