Adaptation of the “active communication education” programme into Spanish for older adults with hearing loss

Rivera, Sebastián; Marcotti, Anthony; Fuente, Adrián; Fuentes‐López, Eduardo; Hickson, Louise

doi:10.1080/14992027.2020.1740801

Cited by 7 publications

(12 citation statements)

References 20 publications

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“…These positive findings reported by Hickson et al (2007b) were further confirmed in studies conducted by Oberg et al (2014a) and Öberg (2017) , who enrolled groups of adults with a wide range of ages at intervention (39–82 and 41–94 years, respectively) and various degrees of HL (from mild to severe and from mild to profound, respectively). A similar design was used by Rivera et al (2020) who recruited a group of older adults (age > 65 years) with unspecified degrees of HL and who did not wear hearing aids.…”

Section: Discussionmentioning

confidence: 99%

“…Studies exploring the effectiveness of ACE in older persons with mild-moderate HL with and without hearing aids demonstrated the ACE program to be effective in reducing communication difficulties ( Hickson et al, 2007b ; Oberg et al, 2014a ; Öberg, 2017 ; Rivera et al, 2020 ). The successful original Australian version ( Hickson et al, 2007b ) was modified and translated into Swedish ( Oberg et al, 2014b ).…”

Section: Introductionmentioning

confidence: 99%

“…The successful original Australian version ( Hickson et al, 2007b ) was modified and translated into Swedish ( Oberg et al, 2014b ). Recently an adaptation into Spanish for use with Chilean older adults with HL ( Rivera et al, 2020 ) has been published. Authors conducted a pre-post single-blinded exploratory cohort study on a sample of 66 older adults with HL and not wearing hearing devices.…”

Section: Introductionmentioning

confidence: 99%

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Effects of the “Active Communication Education” Program on Hearing-Related Quality of Life in a Group of Italian Older Adults Cochlear Implant Users

et al. 2022

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IntroductionThe present study aimed to evaluate the effects of the Active Communication Education (ACE) program on the social/emotional impacts of hearing loss (HL) in a group of older adults with a cochlear implant (CI).DesignProspective cohort study design, with a “within-subject” control procedure.Study SampleTwenty adults over-65 post-lingually deafened CI users. All subjects were required to be native Italian speakers, to have normal cognitive level, have no significant psychiatric conditions and/or diagnosed incident dementia, and used CI for at least 9 months.Materials and MethodsTwenty participants were assessed using the Hearing Handicap Inventory for the Elderly (HHIE), the Geriatric Depression Scale (GDS), and the Speech, Spatial, and Qualities of Hearing Scale (SSQ) before, during, and after ACE program, with a one and 6-month follow up. The cognitive and audiological evaluation was carried out before commencing the ACE program.ResultsThe ACE program had a positive impact by reducing HL’s social/emotional effects. Participants benefited from a rehabilitative approach by improving multilevel skills: comprehension of audiological and hearing dimensions, acquisition of communicative, pragmatic and problem-solving strategies, and interaction and sharing of experiences with peers.ConclusionAlthough targeting the older adults with moderate HL, the ACE program also seemed to benefit older adult CI users. An improvement in social and emotional adaptation to hearing difficulties can, in turn, significantly promote optimal use of CI in the older adults, thereby possibly reducing the risk of losing motivation and engagement in device use and in rehabilitation protocols.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of the “Active Communication Education” Program on Hearing-Related Quality of Life in a Group of Italian Older Adults Cochlear Implant Users

et al. 2022

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“…Three small studies have demonstrated benefits in improving communication function and hearing related quality of life when evaluated as an alternative to HA fitting. [28][29][30] However, the effect of ACE on improving HA benefit when delivered in addition to HA fitting has not been evaluated. The ACE To HEAR study (ACE To improve HEARing) aimed to assess whether a large randomised controlled trial (RCT) to evaluate the effectiveness and costeffectiveness of ACE plus treatment-as-usual (TAU) versus TAU alone, was feasible within UK National Health Service (NHS) audiology departments.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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

et al. 2021

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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.

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“…The aims of the programme are to reduce the communication difficulties experienced by people with hearing loss and to improve their quality of life and well-being (Hickson, Worrall, and Scarinci 2007a). The ACE programme has been evaluated in several studies, which have reported statistically significant short-and long-term improvements in activity, participation, communication abilities, and well-being and the ability to effectively clarify the individual's identity and restore social identity (Hickson, Worrall, and Scarinci 2007a;Rivera et al 2020; € Oberg 2017; € Oberg, Bohn, and Larsson 2014a; € Oberg et al;2014b). When evaluating the effect of the Swedish version of the ACE programme, several Swedish validated questionnaires ( € Oberg, Lunner, and Andersson 2007), such as the Hearing Handicap Inventory for the Elderly (HHIE) (Ventry and Weinstein 1982), the Communication Strategies Scale (CSS) (Demorest and Erdman 1987) and the Hospital Anxiety and Depression Scale (HADS; Zigmond and Snaith 1983), have been used.…”

Section: Introductionmentioning

confidence: 99%

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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Adaptation of the “active communication education” programme into Spanish for older adults with hearing loss

Cited by 7 publications

References 20 publications

Effects of the “Active Communication Education” Program on Hearing-Related Quality of Life in a Group of Italian Older Adults Cochlear Implant Users

Effects of the “Active Communication Education” Program on Hearing-Related Quality of Life in a Group of Italian Older Adults Cochlear Implant Users

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

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

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