A multicentre study evaluating the effects of the Swedish ACE programme

Öberg, Marie

doi:10.1080/14992027.2017.1346304

Cited by 18 publications

(27 citation statements)

References 27 publications

(26 reference statements)

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“…These qualitative analyses showed that individuals appreciate meeting in groups and sharing experiences to learn more about hearing impairment and how to use different communication strategies. The participants stated that they had increased their ability to deal with hearing loss, and they reported that they had become more open about telling others about their hearing loss ( € Oberg 2017; € Oberg, Bohn, and Larsson 2014a;€ Oberg et al 2014b). These qualitative aspects are in line with the findings by Southall et al (2018), who found that group rehabilitation provided better awareness of hearing loss and that increased social belonging led to personal transformation.…”

Section: Introductionsupporting

confidence: 77%

“…Between 2013 and 2014, 83 individuals in the four regions participated in the evaluation of the ACE course ( € Oberg 2017). Of these, 81 were eligible to participate in the validation of the questionnaire.…”

Section: Participantsmentioning

confidence: 99%

“…To test construct validity (the extent to which the questionnaire measures what it is intended to measure) and reliability, a study was performed in which the remaining 73 individuals from the four regions were invited to take part ( € Oberg 2017). 61 individuals agreed to participate and completed the questionnaire.…”

Section: Phase 1 Stage 3reliability and Construct Validitymentioning

confidence: 99%

“…It is important to provide counselling and additional audiological rehabilitation, as untreated hearing loss can lead to poorer psychosocial health (Arlinger 2003;€ Oberg et al 2012). Several studies have found that group audiological rehabilitation programmes improve activity, participation and communication strategies (Hawkins 2005;Hickson, Worrall, and Scarinci 2007a;Preminger 2003;Preminger 2007;Preminger and Yoo 2010;€ Oberg 2017; € Oberg, Bohn, and Larsson 2014a). The Active Communication Education (ACE) programme was developed by Hickson, Worrall, and Scarinci (2007b) and is a group rehabilitation programme that consists of five weekly two-hour sessions.…”

Section: Introductionmentioning

confidence: 99%

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Development of the Communication and Acceptance Scale (CAS) for group aural rehabilitation

Öberg

Björling

Haan

2020

International Journal of Audiology

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Objective: The aim of the current study was to develop a reliable instrument for the Active Communication Education (ACE) programme evaluating changes in communication strategies and the emotional consequences, knowledge and acceptance of hearing loss and to examine its reliability and face, content and construct validity. Design: Semistructured interviews and questionnaires were conducted with participants and clinicians engaged in the ACE intervention. Study sample: The psychometric properties were evaluated in two phases for two samples of adults with hearing loss who participated in the ACE programme, including 61 and 41 participants, respectively. Results: The final Communication and Acceptance Scale (CAS) contained 18 items, and the reliability of the overall scale (Cronbach's alpha 0.86) and the test-retest reliability (r ¼ 0.89, p < 0.001) were good. The construct validity, evaluated with principal component analysis, suggested a five-factor solution explaining 72% of the variance. The questionnaire revealed statistically significant short-and long-term effects of the ACE programme. Both participants and clinicians found the questionnaire relevant, useful and easy to administer. Conclusion: The CAS questionnaire was found to be valid and reliable, but because of the low sample size, further analysis with a larger population is needed.

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Section: Introductionsupporting

confidence: 77%

Section: Participantsmentioning

confidence: 99%

Section: Phase 1 Stage 3reliability and Construct Validitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development of the Communication and Acceptance Scale (CAS) for group aural rehabilitation

Öberg

Björling

Haan

2020

International Journal of Audiology

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“…Previous studies have shown that both individual and group auditory rehabilitation interventions can effectively increase communication strategy use [ 22 , 31 , 33 , 60 ] both in the short- and long term. A plausible explanation for the absence of an effect in this study may be related to the video-watching rates as reported in our process evaluation study (submitted).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Web-Based SUpport PRogram (SUPR) for Hearing Aid Users Aged 50+: Two-Arm, Cluster Randomized Controlled Trial

Meijerink¹,

Pronk²,

Lissenberg‐Witte³

et al. 2020

J Med Internet Res

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Background Hearing aid (HA) use is known to improve health outcomes for people with hearing loss. Despite that, HA use is suboptimal, and communication issues and hearing-related activity limitations and participation restrictions often remain. Web-based self-management communication programs may support people with hearing loss to effectively self-manage the impact of hearing loss in their daily lives. Objective The goal of the research is to examine the short- and long-term effects of a web-based self-management SUpport PRogram (SUPR) on communication strategy use (primary outcome) and a range of secondary outcomes for HA users aged 50 years and older. Methods Clients of 36 HA dispensing practices were randomized to SUPR (SUPR recipients; n=180 HA users) and 34 to care as usual (controls; n=163 HA users). SUPR recipients received a practical support booklet and online materials delivered via email over the course of their 6-month HA rehabilitation trajectory. They were encouraged to appoint a communication partner and were offered optional email contact with the HA dispensing practice. The online materials included 3 instruction videos on HA handling, 5 videos on communication strategies, and 3 testimonial videos. Care as usual included a HA fitting rehabilitation trajectory only. Measurements were carried out at baseline, immediately postintervention, 6 months postintervention, and 12 months postintervention. The primary outcome measure was self-reported use of communication strategies (3 subscales of the Communication Profile for the Hearing Impaired [CPHI]). Secondary outcome measures included self-reported personal adjustment to hearing loss (CPHI); use, satisfaction and benefit of HAs and SUPR (use questionnaire; International Outcome Inventory for Hearing Aids [IOI-HA], Alternative Interventions [IOI-AI]); recommendation of HA dispensing services; self-efficacy for HA handling (Measure of Audiologic Rehabilitation Self-Efficacy for Hearing Aids [MARS-HA]); readiness to act on hearing loss (University of Rhode Island Change Assessment adapted for hearing loss [URICA-HL]); and hearing disability (Amsterdam Inventory for Auditory Disability and Handicap [AIADH]). Results Linear mixed model analyses (intention to treat) showed no significant differences between the SUPR and control group in the course of communication strategy use (CPHI). Immediately postintervention, SUPR recipients showed significantly higher self-efficacy for advanced HA handling than the controls, which was sustained at 12 months (MARS-HA; mean difference immediately postintervention: 5.3, 95% CI 0.3 to 10.4; P=.04). Also, SUPR recipients showed significantly greater HA satisfaction than controls immediately postintervention (IOI-HA; 0.3, 95% CI 0.09 to 0.5; P=.006), which was sustained at 12 months, and significantly greater HA use than the controls immediately postintervention (IOI-HA; 0.3, 95% CI 0.02 to 0.5; P=.03), which was not sustained at 12 months. Conclusions This study provides ground to recommend adding SUPR to standard HA dispensing care, as long-term, modest improvements in HA outcomes were observed. Further research is needed to evaluate what adjustments to SUPR are needed to establish long-term effectiveness on outcomes in the psychosocial domain. Trial Registration ISRCTN77340339; http://www.isrctn.com/ISRCTN77340339 International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2016-015012

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Interventions to improve social network in older people with sensory impairment: a systematic review

Kuang,

Hu,

Dai

et al. 2024

Aging Clin Exp Res

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Background Sensory impairment significantly reduces speech discrimination and perception ability, presenting a challenge to effective communication. It can lead to social withdrawal and a reduced social network which can lead to cognitive impairment, seriously affecting the quality of life of older people. However, it is unclear which intervention components are effective to improving social network in older people with sensory impairment. Objective The aim of this systematic review was to summarize interventions designed to improve social network in older people with sensory impairment. Methods We searched seven databases from inception to December 1, 2023. Eligible studies included randomized clinical trials (RCT) and quasi-experimental studies of interventions for older people with sensory impairment aimed at improving social networks. Two reviewers searched databases, extracted data, and assessed the quality of the included studies independently. Results Nine studies including five RCTs and four quasi-experimental studies were selected, enrolling 721 older people with sensory impairment. Methodological quality of the studies was modest. Eight studies demonstrated a positive impact of the interventions used in older people with sensory impairment. The detailed effective intervention components may include communication strategies, resources for older people and their significant others, exercise or tech-back of communication, sensory device fitting, and use and maintenance of sensory devices. Conclusion There are few interventions available for improving social network in older people with sensory impairment. Most interventions mainly focus on communication education and care, and sensory device fitting and education. To improve the social network in older people with sensory impairment, it is necessary to develop more effective, multidisciplinary collaborative effective interventions and conduct more high-quality original studies.

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A multicentre study evaluating the effects of the Swedish ACE programme

Abstract: The ACE programme is effective, is recommended for implementation in clinical settings and is considered an alternative or additional treatment to hearing aid rehabilitation. Additional studies that include younger individuals and a control group are recommended.

Cited by 18 publications

References 27 publications

Development of the Communication and Acceptance Scale (CAS) for group aural rehabilitation

Development of the Communication and Acceptance Scale (CAS) for group aural rehabilitation

Effectiveness of a Web-Based SUpport PRogram (SUPR) for Hearing Aid Users Aged 50+: Two-Arm, Cluster Randomized Controlled Trial

Interventions to improve social network in older people with sensory impairment: a systematic review

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