The objective is to determine the prevalence of hearing loss in people over 65 years of age, to describe the functional status of people with hearing loss and to identify the need for hearing aid use. In a cross-sectional study, a random sample of 1387 people aged 65 years and over was selected. The primary study variables were: hearing level by audiometric assessment, self-perceived hearing loss, screening for hypoacusia using the Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) and physical, cognitive and emotional functional status. Using the HHIE-S it was determined that 11.3% of the subjects had severe hearing handicap. According to the Ventry/Weinstein criteria 43.6% had hearing handicap. When asked about the use of hearing aids, 4.5% of the study subjects said they used them, although 41.9% had hearing loss of 35 dB or more in their better ear. The variables associated with the need for a hearing aid were age >75 years (odds ratio=OR=3.2), ADL dependence (OR=2.7), cognitive impairment (OR=2.0), multiple health problems (OR=1.8), male sex (OR=1.6) and single/widowed (OR=1.5). In conclusion, there is a high prevalence of hearing loss associated with other functional limitations. Of those people who would benefit from a hearing aid (more than a third of people over 65 years old), 89.3% do not own one. The screening of hearing loss needs to be improved.
"Given the low response rate the eight respondents who were approaching 60 were included in the statistical analyses. This is not unreasonable given the association of age-related hearing problems as a manifestation of physiological ageing and a likely predictor of other geriatric syndromes (Gates & Mills 2005, Lopez-Torres et al. 2009). The mean length of time participants reported being hard of hearing was approximately 14 years, though the time ranged from 1 to 76 years. "
[Show abstract][Hide abstract] ABSTRACT: This article reports a study exploring what older people believe would enable them to adjust to and gain maximum benefit from wearing a hearing aid. A mixed methods approach was employed during 2006 involving interviews with key stakeholders, a survey across three Scottish health board areas and focus groups. Nine key stakeholders from six national and local organisations were interviewed about the needs of older people being fitted with hearing aids. In total, 240 older people belonging to three different types of hearing impaired older people were surveyed: long-term users of hearing aids, new hearing aid users, and those on a waiting list from urban and rural areas (response rate = 24%). A series of eight follow-up focus groups with 31 audiology patients was held. Health professionals appeared to neglect appropriate provision of information and overly rely on technological interventions. Of 154 older people already fitted with hearing aids, only 52% of hearing aid users reported receiving enough practical help post fitting and only 41% reported receiving enough support. Approximately 40% reported not feeling confident in the use of their aids or their controls. Older people wanted more information than they received both before and after hearing aid fitting. Information provision and attention to the psychosocial aspects of care are key to enabling older people to adjust and optimise hearing aid benefit.
Health & Social Care in the Community 02/2013; 21(3). DOI:10.1111/hsc.12016 · 1.15 Impact Factor
"However, the widespread use of audiometric tests involves some operational constraints, especially among some population groups with " special needs " or disabilities. In addition, in recent years, data from selfassessment questionnaires have been used to determine the prevalence of certain chronic diseases such as damage or hearing loss (HHIE-S, SAC, QDS) . However, the results of these tests may have limitations in certain populations because of different factors such as the cultural level, lifestyle or cognitive state. "
[Show abstract][Hide abstract] ABSTRACT: This paper provides a methodology for the measure of the patient’s reaction times to auditory stimuli during the performance of an audiometry. An audiometry is the standard way of analyzing the hearing of a patient in order to diagnose hearing loss. From a video sequence recorded during this test, the method will be able to detect the instants when the expert is sending the auditory stimulus and when the patient responds consciously to it by raising his hand, being able, this way, to measure its reaction time. The proposed
method was tested on several video sequences from different individuals yielding highly accurate results. The possibility of quantitative measure the reaction times will allow the experts to conduct several studies and to further complete the evaluation of their patients.
4th International Symposium on Applied Sciences in Biomedical and Communication Technologies (ISABEL 2011), Barcelona, Spain; 10/2011
[Show abstract][Hide abstract] ABSTRACT: When screening participants for speech perception experiments, formal audiometric screens are often not an option, especially when studies are conducted over the Internet. We investigated whether a brief standardized self-report questionnaire, the screening version of the Hearing Handicap Inventory for Adults (HHIA-S), could be used to approximate the results of audiometric screening. Our results suggest that while the HHIA-S is useful, it needs to be used with extremely strict cut-off values that could exclude around 25% of people with no hearing impairment who are interested in participating. Well constructed, standardized single questions might be a good alternative for web experiments.
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