Walk, Talk and Listen: a pilot randomised controlled trial targeting functional fitness and loneliness in older adults with hearing loss

Jones, Charlotte; Siever, Jodi; Knuff, Kate; Bergen, Colin Van; Mick, Paul; Little, Jonathan P.; Jones, Gareth R.; Murphy, Michael D.; Kurtz, Donna; Miller, Harry B.

doi:10.1136/bmjopen-2018-026169

Cited by 25 publications

(34 citation statements)

References 56 publications

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“…The HEARS study, a recent pilot of a community-based program, showed promising results for depression symptoms 78. In further support of such interventions, a recently piloted community-based intervention of health education, socialization and group auditory rehabilitation showed improvements in social and emotional loneliness and hearing-related quality of life 79. These types of interventions might assist in overcoming barriers to auditory rehabilitation, such as cost.…”

Section: Clinical Implications: Interventionmentioning

confidence: 96%

<p>Depression in elderly patients with hearing loss: current perspectives</p>

Cosh¹,

Helmer²,

Delcourt³

et al. 2019

CIA

104

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Hearing loss (HL) is highly common in older adulthood, constituting the third most prevalent chronic health condition in this population. In addition to posing a substantial burden to disease and negatively impacting quality of life, an emerging literature highlights that HL is associated with unipolar depression including among older adults. This review outlines evidence examining the HL and depression relationship as well as clinical implications for assessment and treatment of comorbid depression and HL. Although prevalence estimates of comorbid depression in HL vary, as many as 1 in 5 experience clinically relevant depression symptoms. Both cross-sectional and longitudinal studies indicate that HL is related to increased unipolar depression symptoms, although the strength of the association varies between studies. A range of methodological variations, such as inclusion age, severity of HL and assessment of depression, likely underpin this heterogeneity. Overall, however, the evidence clearly points to an association of HL with clinically relevant depression symptoms. The association with the diagnosis of major depression disorder remains less clear and under-researched. HL is also associated with a range of other poor mental health outcomes in older adults, including anxiety and suicidal ideation, and predicts poorer cognitive functioning. Accordingly, assessment and treatment of comorbid depression in HL is pertinent to promote mental well-being among older adults. Currently, evidence regarding best practice for treating depression in HL remains scant. Preliminary evidence indicates that audiological rehabilitation, including use of hearing aids, as well as community-based hearing interventions can also improve mental health. Psychological intervention that enhances communication skills and addresses coping strategies might also be beneficial for this population. Additionally, evidence suggests that online interventions are feasible and may circumvent communication difficulties in therapy associated with HL. Due to poor help-seeking among this population, an enhanced focus on specific and targeted assessment and treatment is likely necessary to ensure reduced mental health burden among older adults with HL.

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Section: Clinical Implications: Interventionmentioning

confidence: 96%

<p>Depression in elderly patients with hearing loss: current perspectives</p>

Cosh¹,

Helmer²,

Delcourt³

et al. 2019

CIA

104

View full text Add to dashboard Cite

show abstract

“…Conversely, loneliness can be an outcome of health when poor health conditions lead to physical and mental restrictions [9,10]. Therefore, the number and variety of interventions which target loneliness, such as social facilitation, psychological therapies, leisure/skill development and smart technology, have increased in recent years [11][12][13]. However, despite efforts to develop evidence-based interventions, few interventions have been effective in alleviating loneliness [14,15].…”

Section: Introductionmentioning

confidence: 99%

The Association between Loneliness and Health Related Quality of Life (HR-QoL) among Community-Dwelling Older Citizens

Tan

Fierloos

Zhang

et al. 2020

IJERPH

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Background: This study aimed to assess the association between loneliness and Health-Related Quality of Life (HR-QoL) among community-dwelling older citizens in five European countries. We characterize loneliness broadly from an emotional and social perspective. Methods: This cross-sectional study measured loneliness with the 6-item De Jong Gierveld Loneliness Scale and HR-QoL with the 12-Item Short-Form Health Survey. The association between loneliness and HR-QoL was examined using multivariable linear regression models. Results: Data of 2169 citizens of at least 70 years of age and living independently (mean age = 79.6 ± 5.6; 61% females) were analyzed. Among the participants, 1007 (46%) were lonely; 627 (29%) were emotionally and 575 (27%) socially lonely. Participants who were lonely experienced a lower HR-QoL than participants who were not lonely (p ≤ 0.001). Emotional loneliness [std-β: −1.39; 95%-CI: −1.88 to −0.91] and social loneliness [−0.95; −1.44 to −0.45] were both associated with a lower physical HR-QoL. Emotional loneliness [−3.73; −4.16 to −3.31] and social loneliness [−1.84; −2.27 to −1.41] were also both associated with a lower mental HR-QoL. Conclusions: We found a negative association between loneliness and HR-QoL, especially between emotional loneliness and mental HR-QoL. This finding indicates that older citizens who miss an intimate or intense emotional relationship and interventions targeting mental HR-QoL deserve more attention in policy and practice than in the past.

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“…The difference between two dependent means on the G * Power program is used. In the literature, the effect size for loneliness was found to be large (1.2 and 0.8; Jones et al, 2019;Käll et al, 2020). Although the effect size was large in the literature studies, Cohen (1988) suggested that ≥0.5 of effect size (medium effect size) should be selected for clinical studies (Bindel, 2018;Myers et al, 2010).…”

Section: Sample Sizementioning

confidence: 99%

Integrative Nursing and Omaha System–Based Nursing Care Interventions in Older Women Feeling Loneliness (INOSEL): Study Protocol for a Randomized Controlled Trial

Ilgaz

Gözüm

2020

J Holist Nurs

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Purpose: This article presents the planned protocol for a study that investigates the effects of nursing care interventions based on Integrative Nursing (IN) and the Omaha System. The Omaha System is a nursing classification system focused on holistic care and used in determining nursing diagnoses and applying and evaluating interventions. Design: This study protocol describes a randomized controlled trial with a parallel group design. Method: Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) Statement 2013 checklist is used in this study. The CONSORT (Consolidated Standards of Reporting Trials) flowchart is used in this protocol. After the level of loneliness of older women is determined by the Loneliness Scale for the Elderly in a family health center, women with high levels of loneliness will be randomly assigned to the intervention and control groups. Nursing care interventions consist of group-based (sightseeing, picnics, theater, cinema, group education, and charity activities) and person-centered interventions, according to IN and the Omaha System, for 12 weeks. Conclusions: This protocol will test the effectiveness of nursing care interventions that include a comprehensive (physical, psychological, social, and spiritual) evaluation. The results will help contribute to the provision of care in terms of IN and the Omaha System and guide health professionals and researchers.

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Walk, Talk and Listen: a pilot randomised controlled trial targeting functional fitness and loneliness in older adults with hearing loss

Cited by 25 publications

References 56 publications

<p>Depression in elderly patients with hearing loss: current perspectives</p>

<p>Depression in elderly patients with hearing loss: current perspectives</p>

The Association between Loneliness and Health Related Quality of Life (HR-QoL) among Community-Dwelling Older Citizens

Integrative Nursing and Omaha System–Based Nursing Care Interventions in Older Women Feeling Loneliness (INOSEL): Study Protocol for a Randomized Controlled Trial

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