The importance of hearing: a review of the literature on hearing loss for older people with learning disabilities

Bent, Sarah; McShea, Lynzee; Brennan, Siobhan

doi:10.1111/bld.12148

Cited by 12 publications

(20 citation statements)

References 43 publications

(113 reference statements)

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“…Bent S et al which showed results that the prevalence of hearing loss was maximum in age group of 61-80 years followed by age group of 41-60 years which was 45.3%. 10 We found 43% patients had impaired hearing in our study while Lee KYet al also observed similar results of impaired hearing in Korean population which is comparable to our study . 11 Our study shows, 67.44% patients were found bilateral hearing impairment and 32.56% unilateral whereas Balatsouras DG et al study consistent with the findings of our study.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of elderly patients with hearing impairment.

Naqi

Ali

Akhtar³

et al. 2020

TPMJ

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Hearing is decreased in later age is due to aging and is normally seen in most of the elderly people all over the world. Objectives: To ascertain the degree of hearing in elders in relation to age, pattern and extent of hearing weakness in old age so that interventional strategies can be planned to improve their wellbeing. Study Design: Cross Sectional Study. Setting: ENT Outdoor Clinic of Akbar Niazi Teaching Hospital of Islamabad Medical and Dental College, Bhara Kahu, Islamabad. Period: December 2017 to October 2018. Material & Methods: 200 patients were part of the study with age > 50 years and no past history of drug therapy. Data was gathered by detailed clinical history, clinical examination and audiometric findings. Result: 57% patients were found with normal hearing and 43% had variable degree of hearing deterioration. Highest number of hearing weakness was found in 9th decade. Most of hearing deterioration was found in both the ears and that of sensorineural in type. Conclusion: Sensorineural type of hearing impairment is very frequently occurring problem seen in the latter part of life in our community. The frequency and severity of decreased hearing is directly proportional to age.

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Section: Discussionsupporting

confidence: 90%

Evaluation of elderly patients with hearing impairment.

Naqi

Ali

Akhtar³

et al. 2020

TPMJ

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“…Whilst those factors play a role for all people with ID independently of their age, they accumulate over a person’s lifetime and have a greater impact on quality of life as people age [5–9]. Health conditions typically associated with ageing in the general population often occur at a much earlier age, with higher prevalence and in combination [9–14]. There are substantial challenges of identifying health conditions early in this population due to ‘diagnostic overshadowing’, i.e.…”

Section: Introductionmentioning

confidence: 99%

Access to health care for older people with intellectual disability: a modelling study to explore the cost-effectiveness of health checks

et al. 2019

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Background Whilst people with intellectual disability grow older, evidence has emerged internationally about the largely unmet health needs of this specific ageing population. Health checks have been implemented in some countries to address those health inequalities. Evaluations have focused on measuring process outcomes due to challenges measuring quality of life outcomes. In addition, the cost-effectiveness is currently unknown. As part of a national guideline for this population we sought to explore the likely cost-effectiveness of annual health checks in England. Methods Decision-analytical Markov modelling was used to estimate the cost-effectiveness of a strategy, in which health checks were provided for older people with intellectual disability, when compared with standard care. The approach we took was explorative. Individual models were developed for a selected range of health conditions, which had an expected high economic impact and for which sufficient evidence was available for the modelling. In each of the models, hypothetical cohorts were followed from 40 yrs. of age until death. The outcome measure was cost per quality-adjusted life-year (QALY) gained. Incremental cost-effectiveness ratios (ICER) were calculated. Costs were assessed from a health provider perspective and expressed in 2016 GBP. Costs and QALYs were discounted at 3.5%. We carried out probabilistic sensitivity analysis. Data from published studies as well as expert opinion informed parameters. Results Health checks led to a mean QALY gain of 0.074 (95% CI 0.072 to 0.119); and mean incremental costs of £4787 (CI 95% 4773 to 5017). For a threshold of £30,000 per QALY, health checks were not cost-effective (mean ICER £85,632; 95% CI 82,762 to 131,944). Costs of intervention needed to reduce from £258 to under £100 per year in order for health checks to be cost-effective. Conclusion Whilst findings need to be considered with caution as the model was exploratory in that it was based on assumptions to overcome evidence gaps, they suggest that the way health systems deliver care for vulnerable populations might need to be re-examined. The work was carried out as part of a national guideline and informed recommendations about system changes to achieve more equal health care provisions. Electronic supplementary material The online version of this article (10.1186/s12889-019-6912-0) contains supplementary material, which is available to authorized users.

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“…Bent et al () and McShea () identified concerns about the assessment of hearing loss within the health check. Despite hearing loss having a greater prevalence within the learning disability population, estimated at 40% (Carvill 2001) and being included in the health check, detection rates remain low.…”

Section: Introductionmentioning

confidence: 99%

“…They identified a lack of awareness and training, not knowing how to complete a hearing assessment and a reluctance to refer to specialised services by practice nurses and GPs. Bent et al () identified the impact of identification of hearing loss in several individuals and its resultant significant positive impact including examples of a reduction in the level of support required for what been perceived as challenging behaviour.…”

Section: Introductionmentioning

confidence: 99%

Can point‐of‐care testing improve access to diagnostic screening and testing for people with learning disabilities? Exploring perspectives to improve access and equity

Giles¹,

Ling²,

Gordon³

2019

Brit J Learn Disabil

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Funding information NHS England Chief Scientific Office Accessible summary• People with learning disabilities, like everyone else, need to have their health checked, but this can sometimes be difficult.• We asked people with learning disabilities and the people who look after them what they thought about how they have blood tests done or their hearing checked.• We found out the things that make it a positive experience.• We learnt that people with learning disabilities and the people who look after them thought point-of-care testing would be a good idea.• We learnt what things they thought should be put in place to make this type of testing work well for them. AbstractBackground: People with learning disabilities have an increased risk of diabetes, cardiovascular disease and hearing loss. This study explored service users' and health professionals' perspectives and experiences of adopting minimally invasive diagnostic and screening devices, known as point-of-care testing (POCT) as a means of improving access and engagement. Materials and Methods:Focus groups and semi-structured interviews were undertaken with attendees at a nonhealthcare day centre, specialist learning disability clinical network and national leads as well as researchers into learning disability and point-of-care issues. Thematic analysis of the data was undertaken.Results: There was a lack of awareness and experience of POCT across the users and health professionals. Despite this, on seeing the devices and discussing application there was strong support and acceptability across all participants for their use so long as individual needs were addressed. There was no consistent sense of where this testing should be done but support for the flexibility this could provide in terms of nonmedicalised locations and individual needs. Strategies for success included the use of specific adjustments such as the presence of a known carer, pretesting information in an appropriate format and taking into account each individual's preferences. Conclusions:POCT is considered a viable and useful method for improving access to testing for people with learning disabilities. Adoption barriers in implementation identified as specific to the field of learning disabilities included lack of POCT | 29 GILES Et aL. | CON CLUS IONThis evaluation has taken the first steps to explore the feasibility and acceptability of point-of-care testing for people with learning disabilities. Point-of-care testing was described as having the potential to enable access to a range of diagnostics for people with a learning disability; however, this needs to be with some adjustments. It has the potential to widen this access through both the uptake and ability to perform screening as well as increasing flexibility in where these could be undertaken.The findings raise questions and opportunities about how and where POCT could be used. Whilst the context of this study was about health checks and access to health assessments, our findings provide information that could be used to further explore...

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The importance of hearing: a review of the literature on hearing loss for older people with learning disabilities

Cited by 12 publications

References 43 publications

Evaluation of elderly patients with hearing impairment.

Evaluation of elderly patients with hearing impairment.

Access to health care for older people with intellectual disability: a modelling study to explore the cost-effectiveness of health checks

Can point‐of‐care testing improve access to diagnostic screening and testing for people with learning disabilities? Exploring perspectives to improve access and equity

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