Aural Rehabilitation for Older Adults with Hearing Loss: Impacts on Quality of Life—A Systematic Review of Randomized Controlled Trials

2017 ◽  
Vol 28 (07) ◽  
pp. 596-609 ◽  
Author(s):  
Helen N. Michaud ◽  
Louise Duchesne

AbstractFew systematic reviews have been conducted regarding aural rehabilitation for adults with hearing loss, with none specifically targeting the older adult population. With prevalence rates of hearing loss being highest in older adults, examining the effects of aural rehabilitation on this population is warranted.To evaluate the effects of aural rehabilitation on quality of life in an older adult population presenting with hearing loss.Studies with adults presenting with hearing loss, ≥50 yr of age, with or without hearing aids, receiving interventions such as auditory training, speech-reading, communication strategies training, speech tracking, counseling, or a combination of approaches, and measuring outcomes related to quality of life, in an individual or group format, with or without significant others and with no limitations as to year of publication.Searches in six databases, as well as results from hand-searching, gray literature, and cross-referencing of articles, yielded 386 articles. Of the 145 assessed as full-text articles for eligibility, 8 studies met inclusion criteria.A component-based risk of bias assessment, as recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.No effect sizes were found in group interventions measuring outcomes related to quality of life, such as mental and emotional functions, environmental factors, participation restrictions, and activity limitations. An intervention effect regarding participation was found for a self-administered home training program, but an effect size was unavailable. Small-to-medium effect sizes were found in one of two individual communication training programs, for which outcomes related to quality of life, such as emotional functions, activities, participation, and environmental factors were measured. The results of the component-based risk of bias assessment indicated that the quality of reporting was poor, thus compromising the internal validity of included primary studies.Our results indicate that the combined body of evidence in support of aural rehabilitation for older adults with hearing loss is not sufficient to draw any firm conclusions. We identify a need for more rigorous research to guide clinical decision-making.

2017 ◽  
Vol 26 (2) ◽  
pp. 170-179 ◽  
Author(s):  
Sarah Moser ◽  
Wolfgang Luxenberger ◽  
Wolfgang Freidl

Purpose The consequences of hearing loss hinder the everyday life of older adults and are associated with reduced well-being. The research aim was to explore the influence of hearing problems, various coping strategies, and perceived social support on quality of life. Method Sixty-five older adults with age-related hearing loss (≥55 years) in Austria participated and completed a paper–pencil survey with standardized questionnaires: Hearing Handicap Inventory for the Elderly (Ventry and Weinstein, 1982), Assessment for Coping and Stress (Laireiter, 1997), short form of the Social Support Questionnaire (Fydrich, Sommer, Tydecks, & Brähler, 2009), and World Health Organization Quality of Life Scale–Brief Version (World Health Organization, 1996). Results Quality of life was predicted by perceived social support and the number of comorbid diseases (i.e., the physical, psychological, environmental, and social quality of life was better the greater the extent of perceived social support and poorer the more diseases from which the participants suffered). Conclusions Perceived social support may be a relevant factor to focus on in auditory rehabilitation programs, in particular, for participants who communicate little support in hearing-related situations and are, hence, at a relative disadvantage. The involvement of significant others in counseling could facilitate the everyday life for older adults with age-related hearing loss and their significant others.


2016 ◽  
Vol 21 (Suppl. 1) ◽  
pp. 29-35 ◽  
Author(s):  
Raquel Manrique-Huarte ◽  
Diego Calavia ◽  
Alicia Huarte Irujo ◽  
Laura Girón ◽  
Manuel Manrique-Rodríguez

The study aim was to determine the benefit of cochlear implantation and hearing aids in older adults diagnosed with hearing loss and to evaluate the index of depression, anxiety and quality of life after such treatments. A retrospective cohort comprised 117 patients older than 65 years and diagnosed with moderate to profound hearing loss who were included and classified into 2 groups (treated vs. non-treated). A battery of tests including auditory (pure-tone average, disyllabic words in quiet at 65 dB SPL) and findings from a series of questions relevant to quality of life were compared between both groups. Auditory outcomes for disyllabic words were 58.21% for the cochlear implant-treated group and 82.8% for the hearing aid-treated group. There was a positive effect on anxiety, depression, health status and quality of life in the cochlear implant group versus the profound hearing loss control group. We conclude that older adults with moderate to profound hearing loss gain benefit from hearing aids or cochlear implants not only in terms of improved hearing function, but also in terms of positive effects on anxiety, depression, health status and quality of life.


2003 ◽  
Vol 43 (5) ◽  
pp. 661-668 ◽  
Author(s):  
Dayna S. Dalton ◽  
Karen J. Cruickshanks ◽  
Barbara E. K. Klein ◽  
Ronald Klein ◽  
Terry L. Wiley ◽  
...  

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 86-86
Author(s):  
Marilyn Reed

Abstract While hearing loss is highly prevalent among patients with dementia, it frequently goes unidentified and unmanaged. It has been a commonly-held belief that older adults with dementia are unable to benefit from hearing rehabilitation, but recent evidence shows that many individuals with dementia can successfully use amplification, helping to improve communication, social interaction and quality of life for these individuals and their caregivers. This presentation will describe how modifications to practice led to successful outcomes for the majority of patients of a geriatric audiology clinic with co-morbid hearing loss and cognitive impairment. In a study of hearing aid use in 67 patients with these comorbidities, over 90% used hearing aids successfully with measurable benefit for both patients and caregivers. Furthermore, we will discuss approaches to improving communication for LTC residents with dementia and hearing loss through the support of audiologists during remote visits with physicians and families during the pandemic.


Societies ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. 57 ◽  
Author(s):  
Óscar DelCastillo-Andrés ◽  
Luis Toronjo-Hornillo ◽  
María Toronjo-Urquiza ◽  
Javier Cachón Zagalaz ◽  
María Campos-Mesa

This article reports on the Adapted Utilitarian Judo project. The use of the foundations and technical elements of traditional Judo, adapted and contextualised to the requirements of the older adult population, orienting the activity toward the field of health and the improvement of the quality of life of the older adult. Its mission is to facilitate maintaining and improving the functionality and autonomy of this population, with respect to the performance of the basic and instrumental activities of daily life. At the same it seeks to achieve this while maintaining the essence of the values that are inherent to the practice of Judo as a traditional martial art. It is argued that Judo, once adapted to focus on a utilitarian function, not only allows to actively influence aspects such as maintaining the physical qualities of the elderly but also fosters other key elements for active and healthy ageing by participating in an ongoing group activity, such as socialisation and self-esteem. More specifically, the paper presents how adapted Judo represents an innovation in the treatment of a risk factor associated with aging: the active prevention of falls. We conclude that Adapted Utilitarian Judo (JUA) is both a timely and relevant as a social and educational tool of great value, responds to propos called for by the international scientific community for programs aimed at improving the health and quality of life of the older adult population, especially in Europe, that is ageing at a fast pace.


2010 ◽  
Vol 143 (2_suppl) ◽  
pp. P237-P237
Author(s):  
Miguel Caballero ◽  
Ana Franco ◽  
Pilar Navarrete ◽  
Eduardo Lehrer-Coriat ◽  
Manuel Bernal-Sprekelsen

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