Effectiveness of Counseling-Based Adult Group Aural Rehabilitation Programs: A Systematic Review of the Evidence

2005 ◽  
Vol 16 (07) ◽  
pp. 485-493 ◽  
Author(s):  
David B. Hawkins
Keyword(s):  
Hearing Aids ◽  
Controlled Trial ◽  
Communication Strategies ◽  
Rehabilitation Program ◽  
Good Evidence ◽  
Communication Strategy ◽  
Aural Rehabilitation ◽  
Rehabilitation Programs ◽  
Hearing Handicap ◽  
Quasi Experimental

A systematic evidence-based review was conducted to examine the effectiveness of counseling and communication strategy-oriented group adult aural rehabilitation (AR) programs. The literature search for relevant articles focused on studies that (1) employed adults with hearing impairment; (2) used a group aural rehabilitation program that emphasized counseling and communication strategies; (3) utilized a randomized controlled trial, quasi-experimental, or non-intervention cohort design; (4) employed an outcome measure that assessed some aspect of personal adjustment, perceived hearing handicap, or hearing aid benefit and/or satisfaction; and (5) were published in a refereed journal. Twelve articles were found that met these inclusion criteria. Analysis of the 12 studies led to the following conclusion: there is reasonably good evidence that participation in an adult AR program provides short-term reduction in self-perception of hearing handicap and potentially better use of communication strategies and hearing aids. It is less clear whether this advantage over provision of hearing aids alone persists over time.

scholarly journals Tools for evaluation of restriction on auditory participation: systematic review of the literature

CoDAS ◽  
2015 ◽  
Vol 27 (4) ◽  
pp. 400-406 ◽  
Author(s):  
Valquíria Conceição Souza ◽  
Stela Maris Aguiar Lemos
Keyword(s):  
Systematic Review ◽  
Hearing Aids ◽  
Observational Studies ◽  
Web Of Science ◽  
The Elderly ◽  
Review Of The Literature ◽  
Aural Rehabilitation ◽  
Isi Web Of Science ◽  
Hearing Handicap ◽  
Bibliographic Collection

PURPOSE: To systematically review studies that used questionnaires for the evaluation of restriction on auditory participation in adults and the elderly.RESEARCH STRATEGY: Studies from the last five years were selected through a bibliographic collection of data in national and international journals in the following electronic databases: ISI Web of Science and Virtual Health Library - BIREME, which includes the LILACS and MEDLINE databases.SELECTION CRITERIA: Studies available fully; published in Portuguese, English, or Spanish; whose participants were adults and/or the elderly and that used questionnaires for the evaluation of restriction on auditory participation.DATA ANALYSIS: Initially, the studies were selected based on the reading of titles and abstracts. Then, the articles were fully and the information was included in the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist.RESULTS: Three-hundred seventy studies were found in the researched databases; 14 of these studies were excluded because they were found in more than one database. The titles and abstracts of 356 articles were analyzed; 40 of them were selected for full reading, of which 26 articles were finally selected. In the present review, nine instruments were found for the evaluation of restriction on auditory participation.CONCLUSION: The most used questionnaires for the assessment of the restriction on auditory participation were the Hearing Handicap Inventory for the Elderly (HHIE), Hearing Handicap Inventory for Adults (HHIA), and Hearing Handicap Inventory for the Elderly - Screening (HHIE-S). The use of restriction on auditory participation questionnaires can assist in validating decisions in audiology practices and be useful in the fitting of hearing aids and results of aural rehabilitation.

scholarly journals Individualized, Low-Cost And Accessible Pulmonary Rehabilitation Program Based On Functional Clinical Tests For Individuals With Copd– A Study Protocol Of A Randomized Controlled Trial

2021 ◽  
Author(s):  
Marcela Maria Carvalho da SILVA ◽  
JULIANO FERREIRA ARCURI ◽  
VALERIA AMORIM PIRES DI LORENZO
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Low Cost ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Positive Effects ◽  
Rehabilitation Programs

Abstract Backgroud:Patients with Chronic Obstructive Pulmonary Disease (COPD) present pulmonary and extrapulmonary impairments. In order to mitigate these impairments, pulmonary rehabilitation programs (PRP) it is an important strategy but the access to PRP in specialized center is limited and the studied of low-cost home rehabilitation programs had non-individualized prescription, which might have led to insignificant positive effects. So, it is important to develop new low-cost protocols that involves individualized prescription, and the influence of physiotherapist supervision. The aim of this study was to describe an accessible, low-cost and individualized pulmonary rehabilitation protocol and compare its results when performing it with or without a weekly physiotherapist-supervised session on patients with COPD. Methods: This is a descriptive protocol of a clinical trial with parallel equivalent groups, conducted at the Spirometry and Respiratory Physical Therapy Laboratory of the Federal University of São Carlos (UFSCar). The trial was registered at Brazilian Clinical Trials Registry (ReBec) URL: http://www.ensaiosclinicos.gov.br/rg/RBR-533hht/ with Register Number RBR-533hht. The sample size was 40 patients and was calculated using the results of a pilot study.Discussion- potencial impact and significance of the study: It is expected that the low cost and new supervised rehabilitation program complemented with home exercises will present positive results especially on exercise capacity, which will make available a more accessible and effective PRP for patients with COPD.Trial registration: The name of the registry was Responsibility of functional tests on supervised rehabilitation program and education program in patients with chronic obstructive pulmonary disease,with registration number: RBR-533hht. The date of registration and start data was September 20, 2018.

scholarly journals Individualized, low-cost and accessible pulmonary rehabilitation program based on functional clinical tests for individuals with COPD—a study protocol of a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Marcela Maria Carvalho da Silva ◽  
Juliano Ferreira Arcuri ◽  
Valéria Amorim Pires Di Lorenzo
Keyword(s):  
Pulmonary Rehabilitation ◽  
Low Cost ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Positive Effects ◽  
Link Type ◽  
Rehabilitation Programs ◽  
Clinical Trials Registry

Abstract Background Patients with chronic obstructive pulmonary disease (COPD) present pulmonary and extrapulmonary impairments. The strategies used to mitigate these impairments are pulmonary rehabilitation programs (PRP). However, there is limited access to PRP in specialized centers and the study of low-cost home rehabilitation programs had non-individualized prescription, which might have led to insignificant positive effects. So, it is important to develop new low-cost protocols that involve individualized prescription, as well as physiotherapist supervision. This study describes an accessible, low-cost, and individualized pulmonary rehabilitation protocol and compare its results when performed with or without a weekly physiotherapist-supervised session on patients with COPD. Methods This is a descriptive protocol of a clinical trial, randomized, single-blinded, and type of framework is superiority conducted at the Spirometry and Respiratory Physical Therapy Laboratory of the Federal University of São Carlos (UFSCar). The trial is registered in the Brazilian Clinical Trials Registry (ReBec) URL: http://www.ensaiosclinicos.gov.br/rg/RBR-533hht/ with Register Number UTN code U1111–1220-8245. The sample size is 50 patients and is calculated using the results of a pilot study. Discussion-potential impact and significance of the study It is expected that the low-cost and new supervised rehabilitation program complemented with home exercises will present positive results, especially on exercise capacity, which will make available a more accessible and effective PRP for patients with COPD. Trial registration ClinicalTrials.gov U1111-1220-8245. Registered on September 20, 2018.

scholarly journals Aural rehabilitation programme for hearing impaired: a psychosocial intervention

2020 ◽  
Vol 7 (12) ◽  
pp. 4952
Author(s):  
Manisha K. Juneja ◽  
Mamta Sharma ◽  
Surinder Singhal
Keyword(s):  
Quality Of Life ◽  
Social Isolation ◽  
Hearing Aids ◽  
Learned Helplessness ◽  
Rehabilitation Program ◽  
Hearing Impaired ◽  
Aural Rehabilitation ◽  
Significant Difference ◽  
Perceived Social Isolation

Background: Hearing impairment i.e., reduced hearing acuity, has adverse effects on the physical, cognitive, emotional, behavioral, and social functions of an individual, resulting in passivity, social withdrawal, and negative impact on the quality of life (QOL). The present study aimed to determine whether participation in a counseling-based aural rehabilitation program and hearing aids would enhance the QOL of severely hearing-impaired by reducing their learned helplessness and social isolation.Methods: The study included 52 participants (35 males and 17 females) in the age range of 45-65 years having severe hearing loss with high perceived social isolation and learned helplessness and low quality of life. Scales used are Friendship scale for social isolation, LH scale for learned helplessness, and WHOQOL-Bref for quality of life. A paired t-test was applied to see the significant difference between pre and post scores.Results: Pre- and post-intervention analysis showed that learned helplessness and perceived social isolation was significantly reduced as a function of intervention with a substantially better quality of life.Conclusions: Aural rehabilitation program combined with hearing aids resulted in a better quality of life by reducing isolation and helplessness.

scholarly journals Comparative Effects of High-Intensity Interval Training vs Moderate-Intensity Continuous Training in Phase III of a Tennis-Based Cardiac Rehabilitation Program: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 12 (10) ◽  
pp. 4134
Author(s):  
Santos Villafaina ◽  
María José Giménez-Guervós Pérez ◽  
Juan Pedro Fuentes-García
Keyword(s):  
Heart Rate ◽  
Cardiac Rehabilitation ◽  
Controlled Trial ◽  
Interval Training ◽  
Rehabilitation Program ◽  
Moderate Intensity ◽  
P Value ◽  
Continuous Training ◽  
Coronary Syndrome ◽  
Rehabilitation Programs

The aim of the present study was to investigate the effects of two tennis-based cardiac rehabilitation programs using two protocols: high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) in the body composition, physical fitness, heart rate variability, and health-related quality of life. It was performed as a single-blinded randomized controlled trial of 21 people with acute coronary syndrome. The 12-week cardiac rehabilitation program consisted of three sessions per week of 60 min with the main part consisting of 10 sets of 15 s with 15 s of active recovery at 85%–90% of their maximum heart rate or 40 min at 70%–85% of their maximum heart rate in the HIIT and the MICT groups, respectively. Results show that both cardiac rehabilitation programs improved the agility and the mental components of the health-related quality of life (p-value < 0.05). The HIIT protocol also showed a significant improvement in the flexibility of upper and lower limbs (p-value < 0.05). Moreover, significant group × time interaction was found in the handgrip strength in favor of the HIIT group (p-value = 0.035). Nevertheless, no significant effects on cardiorespiratory fitness or heart rate variability were found. Importantly, no adverse event was detected, so HIIT appears to be a safe and effective alternative for the rehabilitation of patients with acute coronary syndrome.

A Randomized Controlled Trial Using Automated Technology for Improving Ototoxicity Monitoring in VA Oncology Patients

2021 ◽  
pp. 1-17
Author(s):  
Dawn Konrad-Martin ◽  
Keri O'Connell Bennett ◽  
Angela Garinis ◽  
Garnett P. McMillan
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Rehabilitation Services ◽  
Surveillance Program ◽  
Department Of Veterans Affairs ◽  
Aural Rehabilitation ◽  
Program Evaluations ◽  
Randomized Controlled ◽  
Hearing Handicap ◽  
Automated Technology

Purpose Determine the efficacy of ototoxicity monitoring (OM) administered as automated protocols with the Oto-ID mobile audiometer (automated ototoxicity monitoring [A-OM]), compared with usual care (UC) OM in cancer patients receiving cisplatin. Method Participants were patients ( n = 46, mean age 64.7 years; range: 30–78 years) receiving cisplatin-based chemotherapy at the Department of Veterans Affairs Portland Health Care System. A randomized controlled trial contrasted A-OM and UC at up to three program evaluations (PEs) conducted by the study audiologist who was blinded to arm through PE1. PE1 occurred before randomization or oncology treatment; PE2 and PE3 occurred during and/or after treatment at 35 and 365 days postrandomization. The A-OM group ( n = 24) used Oto-ID to screen their hearing before each cisplatin dose. Oto-ID results were sent to the study audiologist for interpretation, follow-up, and care coordination. The UC group ( n = 22) received a consult for OM services through the audiology clinic. Outcomes included hearing shift near each patient's high-frequency hearing limit, revised hearing-handicap inventory score, and survival time from the start of treatment. Adherence to OM protocols, patients' use of aural rehabilitation services, and oncologists' treatment decisions were also examined. Results Ototoxicity was identified at a high overall rate (46% and 76% at 35 and 365 days, respectively, postrandomization). Adherence to monitoring prior to each cisplatin dose was 83.3% for those randomized to A-OM compared with 4.5% for UC. Randomization to A-OM was not associated with reduced ototoxic hearing shifts or self-reported hearing handicap relative to UC; neither did it compromise participants' survival. Half of participants in each arm accessed aural rehabilitation services. One in each arm had a documented ototoxicity-related cisplatin dose reduction. Conclusions Auditory impairment was an actionable concern for the participants and their oncology providers. A dedicated surveillance program using the Oto-ID's automated protocols improved adherence to OM recommendations over a traditional UC service delivery model. Supplemental Material https://doi.org/10.23641/asha.16649602

Use of a Mild-Gain Hearing Aid by Middle-Age Normal-Hearing Adults Who Do and Do Not Self-Report Trouble Hearing in Background Noise

2020 ◽  
Vol 29 (3) ◽  
pp. 419-428
Author(s):  
Jasleen Singh ◽  
Karen A. Doherty
Keyword(s):  
Hearing Aids ◽  
Background Noise ◽  
Middle Age ◽  
Hearing Aid ◽  
Normal Hearing ◽  
Self Report ◽  
Hearing Aid Use ◽  
Hearing Handicap ◽  
Before And After ◽  
Hearing Problems

Purpose The aim of the study was to assess how the use of a mild-gain hearing aid can affect hearing handicap, motivation, and attitudes toward hearing aids for middle-age, normal-hearing adults who do and do not self-report trouble hearing in background noise. Method A total of 20 participants (45–60 years of age) with clinically normal-hearing thresholds (< 25 dB HL) were enrolled in this study. Ten self-reported difficulty hearing in background noise, and 10 did not self-report difficulty hearing in background noise. All participants were fit with mild-gain hearing aids, bilaterally, and were asked to wear them for 2 weeks. Hearing handicap, attitudes toward hearing aids and hearing loss, and motivation to address hearing problems were evaluated before and after participants wore the hearing aids. Participants were also asked if they would consider purchasing a hearing aid before and after 2 weeks of hearing aid use. Results After wearing the hearing aids for 2 weeks, hearing handicap scores decreased for the participants who self-reported difficulty hearing in background noise. No changes in hearing handicap scores were observed for the participants who did not self-report trouble hearing in background noise. The participants who self-reported difficulty hearing in background noise also reported greater personal distress from their hearing problems, were more motivated to address their hearing problems, and had higher levels of hearing handicap compared to the participants who did not self-report trouble hearing in background noise. Only 20% (2/10) of the participants who self-reported trouble hearing in background noise reported that they would consider purchasing a hearing aid after 2 weeks of hearing aid use. Conclusions The use of mild-gain hearing aids has the potential to reduce hearing handicap for normal-hearing, middle-age adults who self-report difficulty hearing in background noise. However, this may not be the most appropriate treatment option for their current hearing problems given that only 20% of these participants would consider purchasing a hearing aid after wearing hearing aids for 2 weeks.

Use of Vestibular Rehabilitation in the Pediatric Population

2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Pediatric Population ◽  
Dynamic Balance ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Gross Motor ◽  
Gaze Stabilization ◽  
Motor Delay ◽  
Rehabilitation Programs ◽  
Motor Practice ◽  
Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

Using Binding Communication to Promote Conservation Among Hotel Guests

2015 ◽  
Vol 74 (3) ◽  
pp. 169-175 ◽  
Author(s):  
Lohyd Terrier ◽  
Benedicte Marfaing
Keyword(s):  
Low Cost ◽  
Communication Strategies ◽  
Communication Strategy ◽  
Communication Model ◽  
Classical Communication ◽  
Persuasive Message ◽  
Sustainable Behavior ◽  
And Behavior ◽  
Attitudes And Behavior

This research applies the binding communication model to the sustainable communication strategies implemented in most hotels. The binding communication model links a persuasive message with the implementation of a low-cost commitment to strengthen the link between the attitudes and behavior of those receiving the message. We compared the effectiveness of a classical communication strategy (n = 86) with that of a binding communication strategy (n = 101) to encourage guests to choose sustainable behavior. Our results show that using the binding communication strategy generates significantly more sustainable behavior in guests than using the classical communication strategy. We discuss our results and suggest future avenues of research.

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