Blog Archives

The effects of a pre-fitting intervention on hearing aid benefit: A randomized controlled trial

Conclusion: Only short-term effects were found and further research is needed to investigate for which individuals the intervention could be effective.

from Audiological Medicine

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Coping ability and everyday life situations in relation to audiological rehabilitation

Abstract
The relationship between the reported use of coping strategies and experience of everyday life prior to audiological rehabilitation and the number of rehabilitation consultations needed, were studied in a group of adults. The study took place at St. Olav’s University Hospital, Norway and included 132 adult patients (77 men and 55 women) with no previous audiological rehabilitation or experience with hearing aid (HA) use. Hearing impairment was assessed by pure tone audiometry, while use of communication specific coping strategies and daily life situations were obtained using self-report inventories. The latter concerned activity limitation, participation restriction, and psychological well-being. The patients’ hospital records were reviewed approximately 18 months after their first consultation. In total, 41 patients (31%) needed no more than the required minimum number of three consultations to complete rehabilitation including HA fitting, while 91 patients needed more than this. Logistic regression was used to study coping and everyday life in relation to the need for three versus more consultations. Little experienced participation restriction was related to the need for only three consultations. Use of communication specific coping strategies, activity limitation, or psychological well-being was not associated with the number of consultations needed.

from Audiological Medicine

Coping ability and everyday life situations in relation to audiological rehabilitation

The relationship between the reported use of coping strategies and experience of everyday life prior to audiological rehabilitation and the number of rehabilitation consultations needed, were studied in a group of adults. The study took place at St. Olav’s University Hospital, Norway and included 132 adult patients (77 men and 55 women) with no previous audiological rehabilitation or experience with hearing aid (HA) use. Hearing impairment was assessed by pure tone audiometry, while use of communication specific coping strategies and daily life situations were obtained using self-report inventories. The latter concerned activity limitation, participation restriction, and psychological well-being. The patients’ hospital records were reviewed approximately 18 months after their first consultation. In total, 41 patients (31%) needed no more than the required minimum number of three consultations to complete rehabilitation including HA fitting, while 91 patients needed more than this. Logistic regression was used to study coping and everyday life in relation to the need for three versus more consultations. Little experienced participation restriction was related to the need for only three consultations. Use of communication specific coping strategies, activity limitation, or psychological well-being was not associated with the number of consultations needed.

from Audiological Medicine

Psychometric evaluation of hearing specific self-report measures and their associations with psychosocial and demographic variables

The main aim of this study was to collect descriptive data and to evaluate the psychometric properties of a range of self-report questionnaires in a Swedish population. Other aims were to investigate the correlations between these measures and the higher order factorial structure of the included questionnaires. One hundred and sixty-two first-time hearing aid users completed four standardized hearing specific questionnaires: the Hearing Handicap Inventory for the Elderly (HHIE); the Satisfaction with Amplification in Daily Life (SADL); the Communication Strategies Scale (CSS); and the International Outcome Inventory for Hearing Aids (IOI-HA). In addition, two psychosocial questionnaires were completed: the Sense of Coherence scale (SOC); and the Hospital Anxiety and Depression Scale (HADS). All measures were administered at one year post hearing aid fitting. Mean scores for the questionnaires were in agreement with previous studies. The questionnaires were found to be reliable and acceptable for further clinical use. Correlations were seen across different hearing specific questionnaires, and between hearing aid use and satisfaction. Psychosocial variables were more strongly associated with participation restriction and satisfaction than with the demographic variables, confirming the importance of subjective measures. The factor analysis extracted four factors: psychosocial well-being, hearing aid satisfaction, adaptive communications strategies, and residual participation restriction, and indicated that the number of questionnaires could be reduced. It is concluded that psychosocial factors are important to consider in hearing aid rehabilitation and their possible role should be further investigated in future studies.

from Audiological Medicine

Renewed prescription of hearing aids: A clinically based study

from Audiological Medicine

Abstract
We explored whether or not perceived health, subjective well-being, everyday life consequences of hearing loss, and/or use of communication strategies in experienced hearing aid users were associated with the outcome of renewed counselling, i.e. a prescription of a new hearing aid(s) (HA(s))or keeping the existing HA(s). The study included 170 subjects (84 men and 86 women) who had previously undergone HA fitting and audiological rehabilitation and at study entry had indications for a renewed rehabilitation and HA prescription. Self-report inventories assessed general health, well-being, activity limitation, participation restriction, and use of communication strategies. The outcome was studied by logistic regression. Review of medical records 18 months after the renewed counselling showed that 147 (86.5%) subjects had been fitted with new hearing aids. Gender, duration of hearing loss and previous use of one versus two aids influenced the outcome under study. Reported high degree of activity limitation and dissatisfaction with life were related to decreased odds for a renewed prescription. On the other hand, a favourable self-report of general health, use of communication strategies and participation restriction were not associated with the outcome. Self-reported anxiety seemed to more than double the odds for not being prescribed a new HA. In conclusion, patients with reported anxiety, dissatisfaction with life and a high degree of activity limitation were more likely to end counselling without a renewed prescription.

Coping ability and everyday life situations in relation to audiological rehabilitation

from Audiological Medicine

The relationship between the reported use of coping strategies and experience of everyday life prior to audiological rehabilitation and the number of rehabilitation consultations needed, were studied in a group of adults. The study took place at St. Olav’s University Hospital, Norway and included 132 adult patients (77 men and 55 women) with no previous audiological rehabilitation or experience with hearing aid (HA) use. Hearing impairment was assessed by pure tone audiometry, while use of communication specific coping strategies and daily life situations were obtained using self-report inventories. The latter concerned activity limitation, participation restriction, and psychological well-being. The patients’ hospital records were reviewed approximately 18 months after their first consultation. In total, 41 patients (31%) needed no more than the required minimum number of three consultations to complete rehabilitation including HA fitting, while 91 patients needed more than this. Logistic regression was used to study coping and everyday life in relation to the need for three versus more consultations. Little experienced participation restriction was related to the need for only three consultations. Use of communication specific coping strategies, activity limitation, or psychological well-being was not associated with the number of consultations needed.

Psychometric evaluation of hearing specific self-report measures and their associations with psychosocial and demographic variables

from Audiological Medicine

Abstract
The main aim of this study was to collect descriptive data and to evaluate the psychometric properties of a range of self-report questionnaires in a Swedish population. Other aims were to investigate the correlations between these measures and the higher order factorial structure of the included questionnaires. One hundred and sixty-two first-time hearing aid users completed four standardized hearing specific questionnaires: the Hearing Handicap Inventory for the Elderly (HHIE); the Satisfaction with Amplification in Daily Life (SADL); the Communication Strategies Scale (CSS); and the International Outcome Inventory for Hearing Aids (IOI-HA). In addition, two psychosocial questionnaires were completed: the Sense of Coherence scale (SOC); and the Hospital Anxiety and Depression Scale (HADS). All measures were administered at one year post hearing aid fitting. Mean scores for the questionnaires were in agreement with previous studies. The questionnaires were found to be reliable and acceptable for further clinical use. Correlations were seen across different hearing specific questionnaires, and between hearing aid use and satisfaction. Psychosocial variables were more strongly associated with participation restriction and satisfaction than with the demographic variables, confirming the importance of subjective measures. The factor analysis extracted four factors: psychosocial well-being, hearing aid satisfaction, adaptive communications strategies, and residual participation restriction, and indicated that the number of questionnaires could be reduced. It is concluded that psychosocial factors are important to consider in hearing aid rehabilitation and their possible role should be further investigated in future studies.