Rehabilitative Online Education versus Internet Discussion Group for Hearing Aid Users: A Randomized Controlled Trial

2011 ◽  
Vol 22 (05) ◽  
pp. 274-285 ◽  
Author(s):  
Elisabet Thorén ◽  
Monica Svensson ◽  
Anna Törnqvist ◽  
Gerhard Andersson ◽  
Per Carlbring ◽  
...  
Keyword(s):  
Online Education ◽  
Hearing Aids ◽  
Online Discussion ◽  
Hearing Aid ◽  
Intervention Group ◽  
Depression Scale ◽  
The Elderly ◽  
Control Group ◽  
Online Discussion Forum

Background: By using the Internet in the audiological rehabilitation process, it might be possible in a cost-effective way to include additional rehabilitation components by informing and guiding hearing aid users about such topics as communication strategies, hearing tactics, and how to handle hearing aids. Purpose: To evaluate the effectiveness of an online education program for adult experienced hearing aid users including professional guidance by an audiologist and compare it with the effects of participation in an online discussion forum without any professional contact. Research Design: A randomized controlled study with two groups of participants. Repeated measures at prestudy, immediate follow-up, and a 6 mo follow-up. Study Sample: Fifty-nine experienced hearing aid users participated in the study, ranging in age from 24 to 84 yr (mean 63.5 yr). Intervention: The intervention group (N = 29) underwent a five-week rehabilitative online education in which activities for each week included information, tasks, and assignments, and contact with a professional audiologist was included. The participants in the control group (N = 30) were referred to an online discussion forum without any audiologist contact. Data Collection and Analysis: A set of questionnaires administered online were used as outcome measures: (1) Hearing Handicap Inventory for the Elderly, (2) International Outcome Inventory for Hearing Aids, (3) Satisfaction with Amplification in Daily Life, and (4) Hospital Anxiety and Depression Scale. Results: Significant improvements measured by the Hearing Handicap Inventory for the Elderly were found in both groups of participants, and the effects were maintained at the 6 mo follow-up. The results on the Hospital Anxiety and Depression Scale showed that the participants in the intervention group showed reduced symptoms of depression immediately/6 mo after the intervention. At the 6 mo follow-up participants in the control group reported fewer symptoms of anxiety than they did before the intervention started. Conclusions: This study provides preliminary evidence that the Internet can be used to deliver education to experienced hearing aid users who report residual hearing problems such that their problems are reduced by the intervention. The study also suggests that online discussion forums could be used in rehabilitation. A combination of online professional supervised education and online informal discussions could be a promising rehabilitation tool.

A Randomized, Controlled Trial of the Short-Term Effects of Complementing an Educational Program for Hearing Aid Users with Telephone Consultations

2011 ◽  
Vol 22 (10) ◽  
pp. 654-662 ◽  
Author(s):  
Milijana Lundberg ◽  
Gerhard Andersson ◽  
Thomas Lunner
Keyword(s):  
Hearing Aids ◽  
Educational Program ◽  
Hearing Aid ◽  
Intervention Group ◽  
Depression Scale ◽  
Control Group ◽  
Short Term ◽  
Randomized Controlled ◽  
Hearing Handicap ◽  
Short Term Effects

Background: Audiologic rehabilitation aims to improve communication for people with hearing impairment. Education is widely regarded as an integral part of rehabilitation, but the effect of the delivery method of an educational program on the experience of hearing problems has rarely been investigated in controlled trials. Purpose: The purpose of this study was to examine the short-term effects of complementing an educational program for hearing aid users with telephone consultations, delivered through weekly discussions with the subjects about information obtained from a book on hearing and hearing aids. Research Design: This study used a randomized, controlled design. Study Sample: In total, 69 hearing aid users were randomly assigned to an intervention group (n = 33) or a control group (n = 36). Intervention: The intervention group had access to a book and received weekly topic-based reading instructions related to the different chapters of the book. Five telephone calls were made to the members of the intervention group. During the calls, an audiologist discussed new information with the participant as needed. The control participants also read the book, but they did not discuss the contents of the book with a professional. Data Collection and Analysis: The Hearing Handicap Inventory for the Elderly (HHIE), the Hospital Anxiety and Depression Scale (HADS), and the International Outcome Inventory for Hearing Aids (IOI-HA) were used to measure the outcomes of this study. Results: Participants in the intervention group had a reduction in self-reported hearing handicap, while there were no significant changes in the control group. In the intervention group, 45% of the participants showed an improvement of ≥36% on the HHIE, while only 17% of the control group showed an improvement of ≥36%. There were also improvements on the HADS total and the depression subscale for the intervention group. No changes occurred on the IOI-HA. Conclusions: Reading about hearing and hearing aids can reduce the hearing handicap and reported anxiety in hearing aid users. In this study, discussing the content of the book that was provided with a professional during weekly telephone consultations and having weekly home assignments further improved emotional well-being, as demonstrated by the HHIE (emotional scale) and HADS (depression scale), but these activities had no effect on hearing aid outcomes as measured by the IOI-HA.

scholarly journals Randomised controlled feasibility trial of an active communication education programme plus hearing aid provision versus hearing aid provision alone (ACE To HEAR)

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043364
Author(s):  
Judith Watson ◽  
Elizabeth Coleman ◽  
Cath Jackson ◽  
Kerry Bell ◽  
Christina Maynard ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Intervention Group ◽  
Feasibility Trial ◽  
Control Group ◽  
Communication Education ◽  
Treatment As Usual ◽  
Active Communication ◽  
Randomised Controlled

ObjectiveTo establish the acceptability and feasibility of delivering the Active Communication Education (ACE) programme to increase quality of life through improving communication and hearing aid use in the UK National Health Service.DesignRandomised controlled, open feasibility trial with embedded economic and process evaluations.SettingAudiology departments in two hospitals in two UK cities.ParticipantsTwelve hearing aid users aged 18 years or over who reported moderate or less than moderate benefit from their new hearing aid.InterventionsConsenting participants (along with a significant other) were to be randomised by a remote, centralised randomisation service in groups to ACE plus treatment-as-usual (intervention group) or treatment-as-usual only (control group).Primary outcome measuresThe primary outcomes were related to feasibility: recruitment, retention, treatment adherence and acceptability to participants and fidelity of treatment delivery.Secondary outcome measuresInternational Outcomes Inventory for Hearing Aids, Self-Assessment of Communication, EQ-5D-5L and Short-Form 36. Blinding of the participants and facilitator was not possible.ResultsTwelve hearing aid users and six significant others consented to take part. Eight hearing aid users were randomised: four to the intervention group; and four to treatment-as-usual only. Four significant others participated alongside the randomised participants. Recruitment to the study was very low and centres only screened 466 hearing aid users over the 15-month recruitment period, compared with the approximately 3500 anticipated. Only one ACE group and one control group were formed. ACE could be delivered and appeared acceptable to participants. We were unable to robustly assess attrition and attendance rates due to the low sample size.ConclusionsWhile ACE appeared acceptable to hearing aid users and feasible to deliver, it was not feasible to identify and recruit participants struggling with their hearing aids at the 3-month posthearing aid fitting point.Trial registration numberISRCTN28090877.

Effect of Communication Skills Training Program for Oncologists Based on Patient Preferences for Communication When Receiving Bad News: A Randomized Controlled Trial

2014 ◽  
Vol 32 (20) ◽  
pp. 2166-2172 ◽  
Author(s):  
Maiko Fujimori ◽  
Yuki Shirai ◽  
Mariko Asai ◽  
Kaoru Kubota ◽  
Noriyuki Katsumata ◽  
...  
Keyword(s):  
Communication Skills ◽  
Patient Preferences ◽  
Controlled Trial ◽  
Intervention Group ◽  
Depression Scale ◽  
Skills Training ◽  
Control Group ◽  
Communication Skills Training ◽  
Communication Performance

Purpose The aim of this study was to identify the effects of a communication skills training (CST) program for oncologists, developed based on patient preferences regarding oncologists' communication. Participants and Methods Thirty oncologists were randomly assigned to either an intervention group (IG; 2-day CST workshop) or control group (CG). Participants were assessed on their communication performance during simulated consultation and their confidence in communicating with patients at baseline and follow-up. A total of 1,192 patients (response rate, 84.6%) who had consultations with the participating oncologists at baseline and/or follow-up were assessed regarding their distress using the Hospital Anxiety and Depression Scale, satisfaction with the consultation, and trust in their oncologist after the consultation. Results At the follow-up survey, the performance scores of the IG had improved significantly, in terms of their emotional support (P = .011), setting up a supportive environment (P = .002), and ability to deliver information (P = .001), compared with those of the CG. Oncologists in the IG were rated higher at follow-up than those in the CG in terms of their confidence in themselves (P = .001). Patients who met with oncologists after they had undergone the CST were significantly less depressed than those who met with oncologists in the CG (P = .027). However, the CST program did not affect patient satisfaction with oncologists' style of communication. Conclusion A CST program based on patient preferences is effective for both oncologists and patients with cancer. Oncologists should consider CST as an approach to enhancing their communication skills.

scholarly journals Effect of a Sleep Hygiene Education Program Using Telephone Follow-up Method on the Sleep Quality of the Elderly

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 484-495
Author(s):  
Maryam Moradi ◽  
◽  
Hamideh Mohammadzadeh ◽  
Reza Noori ◽  
Kokab Basiri Moghadam ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Education Program ◽  
Intervention Group ◽  
The Elderly ◽  
Sleep Hygiene ◽  
Control Group ◽  
Hygiene Education ◽  
And Control

Objectives: Low quality sleep is one of the most common problems in old age. The present study aims to determine the effect of a sleep hygiene education program using Telephone Follow-Up (TFU) method on the sleep quality of the elderly. Methods & Materials: This quasi-experimental study was conducted on 80 eligible elderly people aged 60-74 years who were selected using a systematic random sampling method and were randomly assigned into intervention and control groups. The intervention group received a one-hour face-to-face education session on sleep hygiene. The TFU were carried out two times per week in the first month and once a week in the second month after intervention. The control group received routine care. The data collection tools were a demographic form and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The PSQI was completed for both groups immediately after the second month. Results: There was no statistically significant difference in the mean PSQI score before intervention in the intervention (8.02) and control (7.47) groups (P=0.32), but after the intervention, the mean PSQI score in the intervention group (5.42) was significantly reduced compared to the control group (7.67) (P<0.001). Conclusion: Sleep hygiene education program based on TFU improves the sleep quality of the elderly. It is recommended that health care providers use this method to improve the sleep quality of the elderly.

Telephone follow-up of the elderly after cataract surgery

2019 ◽  
Vol 38 (2) ◽  
pp. 184-195
Author(s):  
Tallita Mello Delphino Machado ◽  
Rosimere Ferreira Santana ◽  
Raquel Dantas Vaqueiro ◽  
Carla Targino Bruno dos Santos ◽  
Priscilla Alfradique de Souza
Keyword(s):  
Cataract Surgery ◽  
Older Persons ◽  
Controlled Trial ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
Telephone Intervention ◽  
Nursing Diagnosis ◽  
Surgical Recovery

Study’s purpose: To analyze the effectiveness of telephone intervention for the nursing diagnosis of delayed surgical recovery in older persons who have undergone cataract surgery. Design: Blinded, randomized, and controlled trial. A total of 95 patients of both sexes who were over 60 years old and had undergone cataract surgery were divided into an intervention group (48 patients) and a control group (47 patients), allocated using BioEstat 5.3 Software. Results: The intervention included postoperative follow-up recovery of cataracts and prevention of complications performed on the 1st, 4th, 10th, and 20th postoperative days. After the intervention, the intervention group had a decrease in the length of surgical recovery ( p = .000). The occurrence in the intervention group was 6.3%, while in the control group, it was 36.2% (odds ratio (OR) = 0.118; confidence interval (CI) = 1.02, 10.23). The number of nursing interventions nevertheless decreased during the telephone follow-up. Conclusion: For older persons, the telephone guidelines increase adherence to treatment, promote clinical improvement, promote surgical recovery over time, and improve independence and autonomy.

scholarly journals Improvement of Family Care Ability for Elderly with Depression through Psychoeducation Intervention Program

2020 ◽  
Vol 8 (1) ◽  
pp. 80-89
Author(s):  
Ni Made Riasmini
Keyword(s):  
Older People ◽  
Intervention Program ◽  
Short Form ◽  
Intervention Group ◽  
Depression Scale ◽  
The Elderly ◽  
T Test ◽  
Control Group ◽  
Control Group Design ◽  
Family Behavior

The increase in the incidence of depression in the elderly can affect the elderly and their families' quality of life. Depression in the elderly is mostly caused by a lack of knowledge, attitudes, and family behavior caring for the elderly. It has an impact on the increasing cases of older people with depression in the community. To prevent increasing depression cases, it is necessary to empower family potential and social support. This study aims to obtain a description of the Psychoeducation Intervention Program (PIP) on families' ability to care for older people with depression in the community. The research method used is a Quasi-experiment with control group design. The sample is families who have elderly with depression by screening using the Geriatric Depression Scale Short Form (GDS-SF). The number of samples was 68 for the intervention group and 68 for the control group—statistical test using dependent t-test, independent t-test, and Mancova test. The results showed an increase in knowledge, attitudes, and family behavior in caring for the elderly before and after PIP. There were differences in the family's ability to care for the depressed elderly between the intervention and control groups. The resulting psycho-educational intervention program can serve as a basis for policymakers and health service managers to carry out various interventions related to family empowerment.

scholarly journals Mamma Mia – A randomized controlled trial of an internet-based intervention for perinatal depression

2018 ◽  
Vol 49 (11) ◽  
pp. 1850-1858 ◽  
Author(s):  
Silje Marie Haga ◽  
Filip Drozd ◽  
Carina Lisøy ◽  
Tore Wentzel-Larsen ◽  
Kari Slinning
Keyword(s):  
Depressive Symptoms ◽  
Controlled Trial ◽  
Intervention Group ◽  
Depression Scale ◽  
Control Group ◽  
Group Data ◽  
Perinatal Depressive Symptoms ◽  
Group 2 ◽  
And Control

AbstractBackgroundStudies suggest that 10–15% of perinatal women experience depressive symptoms. Due to the risks, problems with detection, and barriers to treatment, effective universal preventive interventions are needed. The aim of this study was to assess the effectiveness of an automated internet intervention (‘Mamma Mia’) on perinatal depressive symptoms. Mamma Mia is tailored specifically to the perinatal phase and targets risk and protective factors for perinatal depressive symptoms.MethodsA total of 1342 pregnant women were randomized to an intervention (‘Mamma Mia’) and control group. Data were collected at gestational week (gw) 21–25, gw37, 6 weeks after birth, and 3 and 6 months after birth. We investigated whether (1) the intervention group displayed lower levels of depressive symptoms compared with the control group, (2) the effect of Mamma Mia changed over time, (3) the effect on depressive symptoms was moderated by baseline depressive symptoms, previous depression, and parity, and (4) this moderation changed by time. Finally, we examined if the prevalence of mothers with possible depression [i.e. Edinburgh Postnatal Depression Scale (EPDS)-score ⩾10] differed between the intervention and control group.ResultsParticipants in the Mamma Mia group displayed less depressive symptoms than participants in the control group during follow-up [F(1) = 7.03, p = 0.008]. There were indications that the effect of Mamma Mia was moderated by EPDS score at baseline. The prevalence of women with EPDS-score ⩾10 was lower in the Mamma Mia group at all follow-up measurements.ConclusionsThe study demonstrated the effects of the automated web-based universal intervention Mamma Mia on perinatal depressive symptoms.

scholarly journals Pengaruh Terapi Progressive Muscle Relaxation (PMR) terhadap Depresi Pada Lansia di Panti Sosial Tresna Werdha (PSTW) Sabai Nan Aluih Sicincin

2021 ◽  
Vol 21 (3) ◽  
pp. 1139
Author(s):  
Rezky Pradessetia ◽  
Rika Sabri ◽  
Dewi Eka Putri
Keyword(s):  
Muscle Relaxation ◽  
Intervention Group ◽  
Depression Scale ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Pharmacological Therapy ◽  
The Body ◽  
Progressive Muscle Relaxation ◽  
Control Group

The problem of depression is still common in Indonesia. West Sumatra is in seventh position out of 34 provinces with the most depression problems. There are four treatments for depression in the elderly, namely psychological, medical, spiritual and physical approaches. Progressive Muscle Relaxation (PMR) therapy makes the body relax. feeling calm so tension is reduced. With a feeling of relaxation and calm, individuals will find it easier to feel calm in their thoughts and feelings. Aim Knowing the effect of Progressive Muscle Relaxation (PMR) therapy on depression in the elderly. Experimental research with Quasi experimental design pre and post test with control group. The sampling technique is simple random sampling. The sample consisted of 40 elderly people, who were divided into two groups, namely the intervention group and the control group. Measurement of depression scores using the Geriatric Depression Scale (GDS) questionnaire with a total of 15 questions. Data analysis using Paired Sample T Test test. There was a decrease in depression scores after being treated with Progressive Muscle Relaxation (PMR) therapy in the intervention group, with p = 0.000 (p <0.05). This shows that there is a change in depression scores experienced by the elderly after being given Progressive Muscle Relaxation (PMR) Therapy. Therapy Progressive Muscle Relaxation (PMR) can be applied as a non-pharmacological therapy at the Panti Tresna Werdha (PSTW).

scholarly journals A Randomized Clinical Trial of the Effect of Zinc Supplement on Depression and Anxiety in the Elderly

2021 ◽  
Vol 14 (1) ◽  
pp. 537-544
Author(s):  
Abolfazl Afzali ◽  
Zarichehr Vakili ◽  
Shahrbanoo Goli ◽  
Hossein Bagheri ◽  
Seyedmohammad Mirhosseini ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Zinc Supplementation ◽  
Statistical Tests ◽  
Intervention Group ◽  
Depression Scale ◽  
The Elderly ◽  
Control Group ◽  
Depression And Anxiety ◽  
Zinc Supplements

Background: Anxiety and depression in the elderly are considered important mental disorders. Objective: This study was designed to determine the effect of zinc Supplementation on depression and anxiety in the elderly. Methods: This study was a parallel randomized clinical trial. A total of 150 elderly aged 60 years and older were allocated into intervention and control groups by using the quadruple blocking method. The elderly in the intervention group received a daily dose of 30 mg zinc supplementation pill for 70 days and the elderly in the control group did not receive this supplement. Depression and anxiety in the elderly were measured using the Geriatric Depression Scale and the Beck Anxiety Inventory, respectively. A significance level of 0.05 was considered for all statistical tests. Results: After the intervention, the mean scores of depression and anxiety in the elderly were significantly decreased in the intervention group, as compared with the control group. Moreover, after the intervention, the serum zinc level in the elderly was significantly increased in the intervention group, as compared with the control group (P<0.05). Conclusion: The use of zinc supplements improved depression and anxiety in the elderly. Therefore, it is recommended to use zinc supplements as a new therapeutic strategy for the prevention and treatment of depression and anxiety in the elderly. Registration No: This research was registered in the Iranian clinical trial system with code IRCT2017071635110N1.

scholarly journals Hearing aids reduce daily-life fatigue and increase social activity: a longitudinal study

2021 ◽  
Author(s):  
Jack A Holman ◽  
Graham Naylor ◽  
Avril Drummond
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Social Activity ◽  
Intervention Group ◽  
Activity Level ◽  
Self Report ◽  
Control Group ◽  
Activity Levels ◽  
Hearing Aid Fitting

People with hearing loss experience fatigue, and it is unknown whether this is alleviated by treatment with hearing aids. The objective of this study was to address this issue, and to investigate the possible concomitant effect of hearing-aid fitting on activity levels. An intervention group (n=53) who were due to be fitted with their first ever hearing aid(s) and a control group (n=53) who had hearing loss but no change in hearing aid status completed a battery of self-report outcome measures four times: once before fitting, and at two weeks, three months and six months post fitting. Self-report outcome measures at each assessment captured fatigue, listening effort, hearing handicap, auditory lifestyle, social participation restrictions and work, social and physical activity levels. Hearing-aid fitting led to a significant reduction in listening-related fatigue, but not general fatigue, in the intervention group compared to the control group. Additionally, social activity level increased and social participation restriction decreased significantly after hearing aid fitting in the intervention group compared to the control group. No significant interaction was found between working status and change in listening-related fatigue score. This study is the first to make longitudinal measurement of fatigue before and after first-ever hearing aid fitting and to identify an increase in social activity level after hearing aid fitting. These findings have important implications for future research and the clinical practice of hearing aid fitting.

Sign in / Sign up

Export Citation Format

Share Document