The Effect of Hearing Aid use on the User's Residual HearingA Follow-up Study

1978 ◽  
Vol 7 (1) ◽  
pp. 19-23 ◽  
Author(s):  
A. Markides ◽  
D. T.-K. Aryee
Keyword(s):  
Hearing Aid ◽  
Follow Up Study ◽  
Hearing Aid Use

Subjective Measures of Hearing Aid Benefit and Satisfaction in the NIDCD/VA Follow-Up Study

2007 ◽  
Vol 18 (04) ◽  
pp. 323-349 ◽  
Author(s):  
Gail Takahashi ◽  
Charles D. Martinez ◽  
Sharon Beamer ◽  
Julie Bridges ◽  
Douglas Noffsinger ◽  
...  
Keyword(s):  
Hearing Aids ◽  
Large Scale ◽  
Hearing Aid ◽  
Use Patterns ◽  
Speech In Noise ◽  
Follow Up Study ◽  
Hearing Aid Use ◽  
Almost All ◽  
Hearing Aid Benefit

Perceived benefit, satisfaction, and hearing aid use patterns were measured in a follow-up study to a large-scale multi-site clinical trial conducted in 1996–97. Measures included the Hearing Aid Status Questionnaire, the Profile of Hearing Aid Benefit, the Glasgow Hearing Aid Benefit Profile, the Satisfaction with Amplification in Daily Life, and the International Outcome Inventory for Hearing Aids. On the Profile of Hearing Aid Benefit, hearing aid users indicated more unaided difficulty in easy listening situations and less aided benefit in more difficult listening situations compared to the original study. Subjects who no longer used hearing aids indicated less difficulty in unaided situations. All measures indicated significant long-term subjective benefit and satisfaction with hearing aids. Although understanding speech in noise or in group situations continues to be problematic, subjects reported wearing their hearing aids almost all of the time in both easy and difficult listening situations. Se midió el beneficio y la satisfacción del paciente y los patrones de uso del auxiliar auditivo (AA) en un estudio de seguimiento de un estudio clínico, multicéntrico, a larga escala, conducido en 1996–97. Las mediciones incluyeron el Cuestionario del Estado de Uso del Auxiliar Auditivo, el Perfil de Beneficio del Auxiliar Auditivo, El Perfil de Glasgow de Beneficio del Auxiliar Auditivo, la Prueba de Satisfacción con la Amplificación en la Vida Diaria, y el Inventario Internacional de Resultados de Auxiliares Auditivos. En el Perfil de Beneficio de Auxiliares Auditivos, los usuarios de AA indicaron más dificultad sin amplificación en situaciones fáciles de escucha y menor beneficio con amplificación en situaciones difíciles de escucha, comparado con el estudio original. Los sujetos que no volvieron a usar sus AA indicaron menos dificultad en situaciones no amplificadas. Todas las medidas indicaron una satisfacción y un beneficio subjetivo y significativo a largo plazo, con los AA. Aunque entender el lenguaje en ruido o en situaciones grupales continúa siendo problemático, los sujetos reportaron la utilización de sus AA casi todo el tiempo, tanto en situaciones fáciles como difíciles de escucha.

A Follow-Up Study of the CROS Hearing Aid

1972 ◽  
Vol 37 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Hedda Aufricht
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Unilateral Hearing Loss ◽  
Conversational Speech ◽  
Noisy Environment ◽  
Follow Up Study ◽  
Speech Distortion ◽  
Male Veterans ◽  
The Mean

A recent development in hearing aids, the contralateral routing of signals (CROS), makes it possible to provide amplification for persons with unilateral hearing loss. In 1967, a CROS eyeglass hearing aid was placed on government contract and made available to veterans. To study the efficiency of the CROS, a follow-up questionnaire was sent to 60 male veterans who had been fitted with this aid. All had demonstrated unilateral hearing losses, and the mean threshold for the speech frequencies (500–2000 Hz) in the good ear was 24 dB. The 54 replies (90%) indicated that 85% wore the aid, liked it, and derived benefit from it; 15% neither liked nor wore the aid. The CROS appeared to be most helpful in listening to conversational speech and at work, and most disturbing in a noisy environment. The complaints about the aid fell into major categories: 33% objected to its poor fit and construction and 11% were disturbed by speech distortion. The CROS aid has been a useful addition to the hearing-aid stock at the clinic reported here. It has expanded the program by providing amplification to veterans who could not be fitted with the conventional stock of aids.

NIDCD/VA Hearing Aid Clinical Trial and Follow-Up: Background

2007 ◽  
Vol 18 (04) ◽  
pp. 274-281 ◽  
Author(s):  
Gene W. Bratt ◽  
Mia A.L. Rosenfeld ◽  
David W. Williams
Keyword(s):  
Clinical Trial ◽  
Hearing Aids ◽  
Speech Intelligibility ◽  
Hearing Aid ◽  
Calidad De Vida ◽  
Hearing Aid Use ◽  
Life Issues ◽  
Long Term Follow Up

This report provides background regarding the Long Term Follow-Up of Patients in the NIDCD/VA Hearing Aid Clinical Trial study and serves as an introduction to the detailed reports that follow in this issue of Journal of the American Academy of Audiology. The authors investigated five- to seven-year benefit/satisfaction in participants from the original NIDCD/VA Hearing Aid Clinical Trial. The new study was designed to investigate current use of the original study hearing aids, to compare changes in selected audiological measures, and to assess possible predictors of long-term hearing aid use. The outcome measures included estimates of speech intelligibility in quiet and noise, self-reported patterns of hearing aid usage, self-reported estimates of activity limitations and quality-of-life issues, estimates of hearing aid satisfaction, and self-reported hearing aid benefit. Overall, the short-term benefits of hearing aid use observed during the original trial were noted to persist in the long term. Este reporte suministra información relacionada con el Seguimiento a Largo Plazo de los Pacientes del Estudio Clínico de Auxiliares Auditivos del NIDCD/VA, y sirve como una introducción de los reportes detallados que siguen a continuación en esta edición del Journal de la Academia Americana de Audiología. Los autores investigaron por cinco a siete años la satisfacción/beneficio en los participantes del Estudio Clínico de Auxiliares Auditivos del NIDCD/VA original. El nuevo estudio fue designado para investigar el uso actual de los auxiliares auditivos (AA) originales del estudio, para comparar cambios en las medidas audiológicas seleccionadas, y evaluar posibles elementos de predicción a largo plazo en el uso de AA. Las medidas de resultado incluyeron estimados de la inteligibilidad del lenguaje en silencio y en ruido, patrones auto-reportados de uso del AA, estimaciones auto-reportadas de limitación en la actividad y en asuntos de calidad de vida, estimaciones de satisfacción en el uso del AA y auto-reportes de beneficios con el AA. Globalmente, los beneficios a corto plazo del uso de auxiliares auditivos durante el estudio original persistieron en el largo plazo.

scholarly journals Effects of hearing impairment and hearing aid use on the incidence of cognitive impairment among community-dwelling older adults: evidence from the Taiwan Longitudinal Study on Aging (TLSA)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chi-Jung Tai ◽  
Tzyy-Guey Tseng ◽  
Yu-Han Hsiao ◽  
Tsu-Ann Kuo ◽  
Ching-Ya Huang ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Longitudinal Study ◽  
Propensity Score ◽  
Cognitive Decline ◽  
Hearing Impairment ◽  
Hearing Aid ◽  
Community Dwelling ◽  
Geriatric Syndromes ◽  
Hearing Aid Use

Abstract Background Previous studies have reported associations between hearing impairment (HI) and cognitive impairment, but the evidence is not conclusive while considering concurrent geriatric syndromes. Especially, evidence from previous studies rarely came from Asian studies. This study aimed to evaluate the independent effects of HI and hearing aid use on the incidence of cognitive impairment while considering most geriatric confounders. Methods This population-based, propensity-score matched cohort study used cohort from Waves IV–VII (1999–2011) survey of the Taiwan Longitudinal Study on Aging (TLSA). Cognitive impairment was identified based on Short Portable Mental Status Questionnaire (SPMSQ) scores. The hazard ratio (HR) was calculated using the Cox proportional hazard regression adjusting for age, sex, comorbidities, socioeconomic status, Center for Epidemiologic Studies Depression (CES-D) scores, the instrumental activities of daily living scale, mobility condition and quality of life. In addition, social support and participation were also considered as confounders in the analysis. To assess the robustness of our findings, we conducted a sensitivity analysis designed to access unmeasured confounding factors by calculating E-values. Results After 1:1 propensity-score matching, we included 709 participants in both the HI and non-HI groups with a mean age of 73.4 years and 39.4% of participants were female. The mean follow-up was 8.9 ± 3.9 years. The HI group had a higher incidence of cognitive impairment than the non-HI group (74.5% vs. 69.1%, respectively), with an adjusted HR of 1.16 (95% confidence interval [CI], 1.03–1.32) based on a 12-year follow up. The E-value was 1.45 for the estimate, which provided evidence for this study’s robustness. Although, a subgroup analysis showed that hearing aid use was associated with lower incidences of cognitive impairment (66.3% vs. 75.6%) when compared to non-users in the HI group, the adjusted HR of 0.82 (95% CI, 0.61–1.09) revealed no significant differences. Conclusions HI was an independent risk factor of incident cognitive impairment on top of concurrent geriatric syndromes. Early HI detection may thus be effective for preventing cognitive decline. Further studies are needed to evaluate the effect of hearing aid use on the prevention of cognitive decline.

scholarly journals Effects of hearing impairment and hearing aid use on the incidence of cognitive impairment among community-dwelling older adults: evidence from the Taiwan Longitudinal Study on Aging (TLSA)

2020 ◽  
Author(s):  
Chi-Jung Tai ◽  
Tzyy-Guey Tseng ◽  
Yu-Han Hsiao ◽  
Tsu-Ann Kuo ◽  
Ching-Ya Huang ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Longitudinal Study ◽  
Propensity Score ◽  
Cognitive Decline ◽  
Hearing Impairment ◽  
Hearing Aid ◽  
Community Dwelling ◽  
Geriatric Syndromes ◽  
Hearing Aid Use

Abstract Background: Previous studies have reported associations between hearing impairment (HI) and cognitive impairment, but the evidence is not conclusive while considering concurrent geriatric syndromes. Especially, evidence from previous studies rarely came from Asian studies. This study aimed to evaluate the independent effects of HI and hearing aid use on the incidence of cognitive impairment while considering most geriatric confounders.Methods: This population-based, propensity-score matched cohort study used cohort from Waves IV­–VII (1999–2011) survey of the Taiwan Longitudinal Study on Aging (TLSA). Cognitive impairment was identified based on Short Portable Mental Status Questionnaire (SPMSQ) scores. The hazard ratio (HR) was calculated using the Cox proportional hazard regression adjusting for age, sex, comorbidities, socioeconomic status, Center for Epidemiologic Studies Depression (CES-D) scores, the instrumental activities of daily living scale, mobility condition and quality of life. In addition, social support and participation were also considered as confounders in the analysis. To assess the robustness of our findings, we conducted a sensitivity analysis designed to access unmeasured confounding factors by calculating E-values.Results: After 1:1 propensity-score matching, we included 709 participants in both the HI and non-HI groups with a mean age of 73.4 years and 39.4% of participants were female. The mean follow-up was 8.9±3.9 years. The HI group had a higher incidence of cognitive impairment than the non-HI group (74.5% vs. 69.1%, respectively), with an adjusted HR of 1.16 (95% confidence interval [CI], 1.03–1.32) based on a 12-year follow up. The E-value was 1.45 for the estimate, which provided evidence for this study’s robustness. Although, a subgroup analysis showed that hearing aid use was associated with lower incidences of cognitive impairment (66.3% vs. 75.6%) when compared to non-users in the HI group, the adjusted HR of 0.82 (95% CI, 0.61–1.09) revealed no significant differences.Conclusions: HI was an independent risk factor of incident cognitive impairment on top of concurrent geriatric syndromes. Early HI detection may thus be effective for preventing cognitive decline. Further studies are needed to evaluate the effect of hearing aid use on the prevention of cognitive decline.

scholarly journals Effects of hearing impairment and hearing aid use on the incidence of cognitive impairment among community-dwelling older adults: evidence from the Taiwan Longitudinal Study on Aging (TLSA)

2020 ◽  
Author(s):  
Chi-Jung Tai ◽  
Tzyy-Guey Tseng ◽  
Yu-Han Hsiao ◽  
Tsu-Ann Kuo ◽  
Ching-Ya Huang ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Longitudinal Study ◽  
Propensity Score ◽  
Cognitive Decline ◽  
Hearing Impairment ◽  
Hearing Aid ◽  
Community Dwelling ◽  
Geriatric Syndromes ◽  
Hearing Aid Use

Abstract Background: Previous studies have reported associations between hearing impairment (HI) and cognitive impairment, but the evidence is not conclusive while considering concurrent geriatric syndromes. Especially, evidence from previous studies rarely came from Asian studies. This study aimed to evaluate the independent effects of HI and hearing aid use on the incidence of cognitive impairment while considering most geriatric confounders.Methods: This population-based, propensity-score matched cohort study used cohort from Waves IV­–VII (1999–2011) survey of the Taiwan Longitudinal Study on Aging (TLSA). Cognitive impairment was identified based on Short Portable Mental Status Questionnaire (SPMSQ) scores. The hazard ratio (HR) was calculated using the Cox proportional hazard regression adjusting for age, sex, comorbidities, socioeconomic status, Center for Epidemiologic Studies Depression (CES-D) scores, the instrumental activities of daily living scale, mobility condition and quality of life. In addition, social support and participation were also considered as confounders in the analysis. To assess the robustness of our findings, we conducted a sensitivity analysis designed to access unmeasured confounding factors by calculating E-values.Results: After 1:1 propensity-score matching, we included 709 participants in both the HI and non-HI groups with a mean age of 73.4 years and 39.4% of participants were female. The mean follow-up was 8.9±3.9 years. The HI group had a higher incidence of cognitive impairment than the non-HI group (74.5% vs. 69.1%, respectively), with an adjusted HR of 1.16 (95% confidence interval [CI], 1.03–1.32) based on a 12-year follow up. The E-value was 1.45 for the estimate, which provided evidence for this study’s robustness. Although, a subgroup analysis showed that hearing aid use was associated with lower incidences of cognitive impairment (66.3% vs. 75.6%) when compared to non-users in the HI group, the adjusted HR of 0.82 (95% CI, 0.61–1.09) revealed no significant differences.Conclusions: HI was an independent risk factor of incident cognitive impairment on top of concurrent geriatric syndromes. Early HI detection may thus be effective for preventing cognitive decline. Further studies are needed to evaluate the effect of hearing aid use on the prevention of cognitive decline.

Long-term follow up study of Rion implantable hearing aid

2010 ◽  
Vol 263 (1-2) ◽  
pp. 241
Author(s):  
Kiyofumi Gyo ◽  
Naohito Hato ◽  
Masahiro Komori ◽  
Naoaki Yanagihara
Keyword(s):  
Hearing Aid ◽  
Implantable Hearing Aid ◽  
Follow Up Study ◽  
Long Term Follow Up

NIDCD/VA Hearing Aid Clinical Trial and Follow-Up: Coupler and Real-Ear Measurement

2007 ◽  
Vol 18 (04) ◽  
pp. 282-291 ◽  
Author(s):  
Barbara F. Peek ◽  
Mia A.L. Rosenfeld ◽  
Gene W. Bratt ◽  
David W. Williams
Keyword(s):  
Clinical Trial ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Original Study ◽  
Follow Up Study ◽  
Clinical Visit ◽  
Long Term Follow Up ◽  
The Mean

A total of 190 individuals participated in a clinical visit during the Cooperative Studies Program (CSP) 418-A Long Term Follow-Up Study. Of this cohort, 158 participants were considered current hearing aid users, and 32 were non–hearing aid users. Of the current hearing aid users, 81 were still using their original 418 study devices, and 77 had acquired new hearing aids. Coupler and real ear measurements were completed on all available hearing aids. Results showed that study aids had remained relatively stable over the six years between CSP 418 and CSP 418-A. On average, these hearing aid wearers preferred use gain settings that were 6–9 dB less than current NAL-RP insertion gain targets. Mean real ear insertion gain (REIG) was comparable to the mean real ear insertion gain of the same participants in the original study, and users did not tend to increase gain as hearing decreased. Real ear saturation responses (RESR) remained unchanged. Loudness discomfort levels (LDL) obtained during 418-A were significantly lower than LDLs obtained on those same participants at both the initial and final visits in the previous study. Un total de 190 individuos participaron de la visita clínica durante el Estudio de Seguimiento a Largo Plazo 418-A del Programa de Estudios Cooperativos (CSP). De esta cohorte, 158 participantes se consideraron usuarios actuales de auxiliares auditivos (AA), y 32 se consideraron no usuarios de AA. De los usuarios actuales de AA, 81 aún utilizaban sus dispositivos 418 del estudio, y 77 había adquiridos nuevos AA. Se completaron mediciones de acoplador y de oído real para todos los AA disponibles. Los resultados mostraron que los AA del estudio había permanecido relativamente estables en los seis años entre el CSP 418 y el CSP 418-A. En promedio, estos usuarios de AA prefirieron el uso de ajustes de ganancia que estaban 6-9 dB por debajo de las metas actuales de ganancia de inserción del NAL-RP. La ganancia media de inserción de oído real (REIG) fue comparable con la ganancia media de inserción de oído real de los mismos participantes en el estudio original, y los sujetos no tendieron a incrementar la ganancia conforme la audición se deterioró. Las respuestas de saturación de oído real (RESR) se mantuvieron sin cambio. Los niveles de incomodidad a la intensidad subjetiva (LDL) obtenidos durante el 419-A fueron significativamente más bajos que los LDL obtenidos en los mismos participantes, tanto en la visita inicial como final del estudio previo.

scholarly journals An Evaluation of Motivational Interviewing for Increasing Hearing Aid Use: A Pilot Study

2018 ◽  
Vol 29 (08) ◽  
pp. 696-705 ◽  
Author(s):  
Jorunn Solheim ◽  
Caryl Gay ◽  
Anners Lerdal ◽  
Louise Hickson ◽  
Kari J. Kvaerner
Keyword(s):  
Pilot Study ◽  
Motivational Interviewing ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Controlled Trial ◽  
Technical Support ◽  
Hearing Aid Use ◽  
Subjective Assessments ◽  
Within Subjects

AbstractMotivational interviewing (MI) has been used in consultation settings to motivate hearing aid users to increase hearing aid usage. However, the effect of MI on those who use their hearing aids only rarely or not at all has not been explored.The aims of this pilot study were to evaluate the effect of MI counseling with elderly hearing aid recipients found to have low hearing aid use at a six-month follow-up appointment and to describe clients’ subjective assessments of their perceived need for hearing aids three months after MI counseling.The study had a within-subjects pretest–posttest design.Forty seven hearing aid recipients who had used their new hearing aids, an average of <90 min/day, were recruited at a follow-up appointment six months after hearing aid fitting.Thirty minutes of MI counseling was provided at the six-month follow-up appointment. If needed, hearing aid adjustments and technical support were also provided.The effect of MI counseling in combination with adjustments and technical support was assessed in relation to datalogged hearing aid use, which was assessed immediately before (at the six-month follow-up) and three months after (at the nine-month follow-up) the intervention. Hearing aid experiences were also assessed three months after MI.Thirty seven participants (79%) returned for the nine-month follow-up visit and had modest but significant increases in datalogged hearing aid use in the three months following MI counseling. Of the 37 participants who returned, 51% had increased their hearing aid use to at least 2 h/day after the MI counseling. Most of the 37 participants who attended the nine-month follow-up reported increased need for (59%) or increased benefit and contentment with (57%) their hearing aid three months after MI; these participants also had significantly higher datalogged hearing aid use following MI.These findings suggest that follow-up appointments using MI counseling in conjunction with technical support may be useful for increasing hearing aid usage among low-users, and a randomized controlled trial is warranted.

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